[
    {
        "id": "report_generation_0",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules and mild recessions are observed in the upper lobe and lower lobe of the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  A few millimetric nonspecific nodules and slight recessions in the upper lobe and lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1/valid_1_a/valid_1_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules and mild recessions are observed in the upper lobe and lower lobe of the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  A few millimetric nonspecific nodules and slight recessions in the upper lobe and lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1/valid_1_a/valid_1_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  As far as can be seen; A stable soft tissue mass of approximately 5x4x5. On the right, both thyroid glands have increased in size and their parenchyma is heterogeneous. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Heterogeneous density increases were observed in the subcutaneous fatty planes in the left axillary region (secondary to post-treatment?). When examined in the lung parenchyma window; Contour irregularities were observed in the pleura in the upper lobe of the left lung. Posttreatment was evaluated in favor of secondary changes. Bilateral peribronchial thickenings were observed. No pleural effusion was detected. Multiple parenchymal nodules of stable size and number, which were initially evaluated in favor of metastasis, were observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Metastatic breast ca.  Multiple parenchymal nodules in both lungs evaluated in favor of metastasis, post-RT sequelae changes in the upper lobe of the left lung, and bilateral peribronchial thickenings.  Stable mass lesion in anterior left shoulder.  Hiatal hernia.  Thickening of the left breast skin."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_2/valid_2_a/valid_2_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  As far as can be seen; A stable soft tissue mass of approximately 5x4x5. On the right, both thyroid glands have increased in size and their parenchyma is heterogeneous. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Heterogeneous density increases were observed in the subcutaneous fatty planes in the left axillary region (secondary to post-treatment?). When examined in the lung parenchyma window; Contour irregularities were observed in the pleura in the upper lobe of the left lung. Posttreatment was evaluated in favor of secondary changes. Bilateral peribronchial thickenings were observed. No pleural effusion was detected. Multiple parenchymal nodules of stable size and number, which were initially evaluated in favor of metastasis, were observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Metastatic breast ca.  Multiple parenchymal nodules in both lungs evaluated in favor of metastasis, post-RT sequelae changes in the upper lobe of the left lung, and bilateral peribronchial thickenings.  Stable mass lesion in anterior left shoulder.  Hiatal hernia.  Thickening of the left breast skin."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_2/valid_2_a/valid_2_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_4",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; On the right, nodular images with a size of 6x2.5 mm, superposed on the major fissure, were observed and were initially evaluated in favor of the intrapulmonary lymph node. Focal nodular opacity with vascular enlargement is observed in the right lung middle lobe adjacent to the major fissure, in the left lung lower lobe basal segment and lower lobe superior segment, and in the right lung lower lobe mediobasal segment, and it is suspicious for ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia. Appearance in both lungs that may be compatible with ultra-early Covid-19 pneumonia; It is recommended to be evaluated together with clinical and laboratory.  Superposed intrapulmonary lymph nodes over the major fissure on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_3/valid_3_a/valid_3_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_5",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; On the right, nodular images with a size of 6x2.5 mm, superposed on the major fissure, were observed and were initially evaluated in favor of the intrapulmonary lymph node. Focal nodular opacity with vascular enlargement is observed in the right lung middle lobe adjacent to the major fissure, in the left lung lower lobe basal segment and lower lobe superior segment, and in the right lung lower lobe mediobasal segment, and it is suspicious for ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia. Appearance in both lungs that may be compatible with ultra-early Covid-19 pneumonia; It is recommended to be evaluated together with clinical and laboratory.  Superposed intrapulmonary lymph nodes over the major fissure on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_3/valid_3_a/valid_3_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_6",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: There is minimal pleural effusion on the right. No pleural effusion was detected on the left. Atelectesis is observed in the middle lobe and lower lobe of the right lung. A malignant mass is observed around the lower lobe bronchi of the left lung. There is atelectesis in the anteromediobasal segment of the lower lobe of the left lung. Ground glass areas are observed in the lower lobe of the left lung, especially in the peripheral areas. The appearance of the described frosted glass areas is not specific. In addition, millimetric nodules are also observed in this localization. It is understood that ground glass appearances and millimetric nodules appear in this examination. The described appearances evaluated together with the mass in the pulmonary hilus were primarily evaluated in favor of a pneumonic infiltration. The appearance and distribution of the described findings are not in the manner observed in Covid-19 pneumonia. No mass or infiltrative lesion was detected in the right lung. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_4/valid_4_a/valid_4_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_7",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: There is minimal pleural effusion on the right. No pleural effusion was detected on the left. Atelectesis is observed in the middle lobe and lower lobe of the right lung. A malignant mass is observed around the lower lobe bronchi of the left lung. There is atelectesis in the anteromediobasal segment of the lower lobe of the left lung. Ground glass areas are observed in the lower lobe of the left lung, especially in the peripheral areas. The appearance of the described frosted glass areas is not specific. In addition, millimetric nodules are also observed in this localization. It is understood that ground glass appearances and millimetric nodules appear in this examination. The described appearances evaluated together with the mass in the pulmonary hilus were primarily evaluated in favor of a pneumonic infiltration. The appearance and distribution of the described findings are not in the manner observed in Covid-19 pneumonia. No mass or infiltrative lesion was detected in the right lung. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_4/valid_4_a/valid_4_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_8",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis reaching 1 cm in the mediastinum appear stable. The pleural effusion present in the right hemithorax is stable. When examined in the lung parenchyma window; Pleuroparenchymal opacities starting from the central and extending to the pleura in the lower lobes of both lungs, significant thickening of the bronchial wall, and the mass appearance of the left lower lobe bronchi are stable. Hypodense lesions suspicious for liver metastasis and increased size in the liver entering the cross-section area have a stable appearance. In the right adrenal gland genus, the 28x17 mm lesion suspicious for metastasis is stable. The left adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No significant difference was observed between the studies. Impression:  Stable mass surrounding the bronchi of the lower lobe of the left lung.  Pleuroparenchymal opacities with bronchial pleural extension in the bilateral lower lobes, thickening of the bronchial wall, nonspecific ground glass densities, and right pleural effusion.  Multiple mass lesions in the liver suspicious for metastases and hepatomegaly.  Suspected right adrenal metastatic lesion.  Stable lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_4/valid_4_b/valid_4_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_9",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis reaching 1 cm in the mediastinum appear stable. The pleural effusion present in the right hemithorax is stable. When examined in the lung parenchyma window; Pleuroparenchymal opacities starting from the central and extending to the pleura in the lower lobes of both lungs, significant thickening of the bronchial wall, and the mass appearance of the left lower lobe bronchi are stable. Hypodense lesions suspicious for liver metastasis and increased size in the liver entering the cross-section area have a stable appearance. In the right adrenal gland genus, the 28x17 mm lesion suspicious for metastasis is stable. The left adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No significant difference was observed between the studies. Impression:  Stable mass surrounding the bronchi of the lower lobe of the left lung.  Pleuroparenchymal opacities with bronchial pleural extension in the bilateral lower lobes, thickening of the bronchial wall, nonspecific ground glass densities, and right pleural effusion.  Multiple mass lesions in the liver suspicious for metastases and hepatomegaly.  Suspected right adrenal metastatic lesion.  Stable lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_4/valid_4_b/valid_4_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_10",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the axilla in pathological size and appearance. Evaluation of mediastinal structures is suboptimal since no contrast material is given. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No lymph node reaching pathological dimensions was observed in the mediastinum. In the upper abdominal sections, moderate fat is observed in the liver parenchyma. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodule or mass-occupying lesion was observed in the lung parenchyma. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Moderate hepatosteatosis.  Pneumonia was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_5/valid_5_a/valid_5_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_11",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the axilla in pathological size and appearance. Evaluation of mediastinal structures is suboptimal since no contrast material is given. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No lymph node reaching pathological dimensions was observed in the mediastinum. In the upper abdominal sections, moderate fat is observed in the liver parenchyma. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodule or mass-occupying lesion was observed in the lung parenchyma. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Moderate hepatosteatosis.  Pneumonia was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_5/valid_5_a/valid_5_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_12",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. The neural foramina are open. Impression: Linear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_6/valid_6_a/valid_6_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_13",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. The neural foramina are open. Impression: Linear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_6/valid_6_a/valid_6_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_14",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. Lymph nodes with a short diameter of 9 mm are observed in the aorticopulmonary window, in the upper-lower paratracheal area, some of which have hilar fat in the mediastinum. At the hilar level, no pathological size and configuration lymph nodes were detected at the pathological level. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. Ground-glass-like density increases and a mosaic attenuation pattern are observed in both lungs, which are more prominent at the basal level. A ground-glass-like 5 mm diameter nodule is observed in the anterior-posterior segment transition of the upper lobe of the right lung. A 6x4 mm nodule is observed in the anterior segment of the left lung upper lobe. There is a 5x2 mm nodule slightly more caudally. There is a subpleural 8x5 mm nodule in the left lung lower lobe laterobasal segment. No bilateral pleural effusion or pneumothorax was detected. In the sections passing through the upper abdomen, including the sections, there is a decrease in density consistent with fatty liver. A nonspecific density increase is observed in the subcapsular area at the dome level. It may be compatible with parenchymal calcification. Both adrenal glands, spleen, and pacreas are normal. A density compatible with a 3.5 mm diameter calculus is observed at the fundus level in the gallbladder. At the level of the liver hilum, another density of approximately 2 mm is observed, which may be compatible with the cystic duct, but whose clear relationship cannot be evaluated. The surrounding soft structures are natural. Mild degenerative changes are observed in the bone structures in the examination area. Impression: Findings are dubious for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings. Nonspecific millimetric parenchymal nodules Density compatible with a 3.5 mm diameter calculus is observed at the fundus level in the gallbladder. At the level of the liver hilum, another density of approximately 2 mm is observed, which may be compatible with the cystic duct, but whose clear relationship cannot be evaluated."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_7/valid_7_a/valid_7_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_15",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. Lymph nodes with a short diameter of 9 mm are observed in the aorticopulmonary window, in the upper-lower paratracheal area, some of which have hilar fat in the mediastinum. At the hilar level, no pathological size and configuration lymph nodes were detected at the pathological level. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. Ground-glass-like density increases and a mosaic attenuation pattern are observed in both lungs, which are more prominent at the basal level. A ground-glass-like 5 mm diameter nodule is observed in the anterior-posterior segment transition of the upper lobe of the right lung. A 6x4 mm nodule is observed in the anterior segment of the left lung upper lobe. There is a 5x2 mm nodule slightly more caudally. There is a subpleural 8x5 mm nodule in the left lung lower lobe laterobasal segment. No bilateral pleural effusion or pneumothorax was detected. In the sections passing through the upper abdomen, including the sections, there is a decrease in density consistent with fatty liver. A nonspecific density increase is observed in the subcapsular area at the dome level. It may be compatible with parenchymal calcification. Both adrenal glands, spleen, and pacreas are normal. A density compatible with a 3.5 mm diameter calculus is observed at the fundus level in the gallbladder. At the level of the liver hilum, another density of approximately 2 mm is observed, which may be compatible with the cystic duct, but whose clear relationship cannot be evaluated. The surrounding soft structures are natural. Mild degenerative changes are observed in the bone structures in the examination area. Impression: Findings are dubious for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings. Nonspecific millimetric parenchymal nodules Density compatible with a 3.5 mm diameter calculus is observed at the fundus level in the gallbladder. At the level of the liver hilum, another density of approximately 2 mm is observed, which may be compatible with the cystic duct, but whose clear relationship cannot be evaluated."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_7/valid_7_a/valid_7_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_16",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The patient has a port catheter. Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pulmonary nodules with several lobulated contours and generally subpleural localization are observed in both lungs, the largest of which is 7 mm in diameter in the anterior segment of the left lung upper lobe anterior segment, and 6 mm in diameter in the posterior segment of the right lung upper lobe. The nodules have a suspicious appearance and further examination of the patient is appropriate if necessary. Gallstones are observed in the gallbladder lumen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Irregular contoured nodules in both lungs, described on the left, should be evaluated together with the clinic, and further examination if necessary. Solid pulmonary nodules in the lung. It is also present in the patient's examination 10 days ago. It is appropriate to evaluate it together with the clinic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_7/valid_7_b/valid_7_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_17",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The patient has a port catheter. Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pulmonary nodules with several lobulated contours and generally subpleural localization are observed in both lungs, the largest of which is 7 mm in diameter in the anterior segment of the left lung upper lobe anterior segment, and 6 mm in diameter in the posterior segment of the right lung upper lobe. The nodules have a suspicious appearance and further examination of the patient is appropriate if necessary. Gallstones are observed in the gallbladder lumen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Irregular contoured nodules in both lungs, described on the left, should be evaluated together with the clinic, and further examination if necessary. Solid pulmonary nodules in the lung. It is also present in the patient's examination 10 days ago. It is appropriate to evaluate it together with the clinic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_7/valid_7_b/valid_7_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_18",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Large hiatal hernia is observed. There are small lymph nodes with a short axis measuring up to 5 mm in the mediastinum, especially at the aorticopulmonary window and at the level of the trachea carina. When examined in the lung parenchyma window; There is a mosaic attenuation pattern of thickenings in the interlobular septa in both lungs. Slightly patchy ground glass densities are observed in the apical level of the upper lobe of the right lung and the lateral part of the middle lobe of the right lung. A few millimetric nonspecific nodules are observed in both lungs. The largest measured 4 mm in the upper lobe of the right lung in series 2 images 224. No nodular or infiltrative lesion was detected in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a diffuse density decrease in the bone structures in the examination area, and there are degenerative height losses in the vertebral corpuscles. Secondary to the fractures, left-facing scoliosis is observed. Impression: Thickening of interlobular septa in both lungs, mosaic attenuation pattern, and slightly patchy ground-glass densities in the right lung. Findings were primarily evaluated in favor of pulmonary edema. Clinical laboratory correlation is recommended for the onset of an infectious process.  Atherosclerosis . Osteoparotic appearance in bone structures, degenerative in vertebral corpuscles Fractures . Left-facing scoliosis . Small oval lymph nodes in the mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_8/valid_8_a/valid_8_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_19",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Large hiatal hernia is observed. There are small lymph nodes with a short axis measuring up to 5 mm in the mediastinum, especially at the aorticopulmonary window and at the level of the trachea carina. When examined in the lung parenchyma window; There is a mosaic attenuation pattern of thickenings in the interlobular septa in both lungs. Slightly patchy ground glass densities are observed in the apical level of the upper lobe of the right lung and the lateral part of the middle lobe of the right lung. A few millimetric nonspecific nodules are observed in both lungs. The largest measured 4 mm in the upper lobe of the right lung in series 2 images 224. No nodular or infiltrative lesion was detected in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a diffuse density decrease in the bone structures in the examination area, and there are degenerative height losses in the vertebral corpuscles. Secondary to the fractures, left-facing scoliosis is observed. Impression: Thickening of interlobular septa in both lungs, mosaic attenuation pattern, and slightly patchy ground-glass densities in the right lung. Findings were primarily evaluated in favor of pulmonary edema. Clinical laboratory correlation is recommended for the onset of an infectious process.  Atherosclerosis . Osteoparotic appearance in bone structures, degenerative in vertebral corpuscles Fractures . Left-facing scoliosis . Small oval lymph nodes in the mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_8/valid_8_a/valid_8_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_20",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland has increased and has a heterogeneous appearance. The left thyroid lobe extends through the vascular structures to the mediastinal inlet. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Trachea is narrowed in the superior part secondary to thyroid compression. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A patchy consolidation area with crazy paving pattern and vascular enlargement was observed in the distal peribronchial area in the middle lobe of the right lung. The outlook is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A few millimetric nonspecific pulmonary nodules with a diameter of 3.5 mm were observed in both lungs, the largest of which was in the anterior segment of the right lung upper lobe. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Increase in thyroid gland size, diffuse hypodense nodules in the parenchyma; it is recommended to be evaluated together with US.  Appearance compatible with Covid-19 pneumonia in the middle lobe of the right lung  A few millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_9/valid_9_a/valid_9_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_21",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland has increased and has a heterogeneous appearance. The left thyroid lobe extends through the vascular structures to the mediastinal inlet. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Trachea is narrowed in the superior part secondary to thyroid compression. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A patchy consolidation area with crazy paving pattern and vascular enlargement was observed in the distal peribronchial area in the middle lobe of the right lung. The outlook is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A few millimetric nonspecific pulmonary nodules with a diameter of 3.5 mm were observed in both lungs, the largest of which was in the anterior segment of the right lung upper lobe. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Increase in thyroid gland size, diffuse hypodense nodules in the parenchyma; it is recommended to be evaluated together with US.  Appearance compatible with Covid-19 pneumonia in the middle lobe of the right lung  A few millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_9/valid_9_a/valid_9_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_22",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of the aortic arch is at the maximal physiological limit. Calibration of other major vascular structures in the mediastinal is natural. CTO is within the normal range. No lymph node was detected in the mediastinum and in both hilar levels in pathological size and configuration. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Density reduction compatible with mild emphysema is observed. On the right, a nonspecific nodular density of 5x3 mm is observed superposed on the minor fissure. In the left lung, there is linear density consistent with band atelectasis-sequelae changes in the inferior lingular segment. Nonspecific density increases are observed in the lower lobes of both lungs, more prominently in the dorsal areas and adjacent to the interlobar fissure on the right. Dependent was evaluated as consistent with vascular density. Bilateral pleural effusion pneumothorax was not detected. There are bilateral irregular density increases in the perinephric areas. A decrease in density is observed in the liver, which is compatible with steatosis. Although the spleen is ventral and caudally lobulated in the contour, nodular appearance is observed, but there may be a structural variational appearance. No significant density difference was detected at this level. A clear evaluation cannot be made in the non-contrast examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. There is narrowing of the spinal canal at the dorso- lumbar level. Impression: Density increases, mild sequelae changes and mild emphysema appearance, which are primarily evaluated as compatible with the dependent vascular density observed in the dorsal subpleural area in both lower lobes.  Hepatostetaosis.  Hiatal hernia. Intense degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_10/valid_10_a/valid_10_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_23",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of the aortic arch is at the maximal physiological limit. Calibration of other major vascular structures in the mediastinal is natural. CTO is within the normal range. No lymph node was detected in the mediastinum and in both hilar levels in pathological size and configuration. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Density reduction compatible with mild emphysema is observed. On the right, a nonspecific nodular density of 5x3 mm is observed superposed on the minor fissure. In the left lung, there is linear density consistent with band atelectasis-sequelae changes in the inferior lingular segment. Nonspecific density increases are observed in the lower lobes of both lungs, more prominently in the dorsal areas and adjacent to the interlobar fissure on the right. Dependent was evaluated as consistent with vascular density. Bilateral pleural effusion pneumothorax was not detected. There are bilateral irregular density increases in the perinephric areas. A decrease in density is observed in the liver, which is compatible with steatosis. Although the spleen is ventral and caudally lobulated in the contour, nodular appearance is observed, but there may be a structural variational appearance. No significant density difference was detected at this level. A clear evaluation cannot be made in the non-contrast examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. There is narrowing of the spinal canal at the dorso- lumbar level. Impression: Density increases, mild sequelae changes and mild emphysema appearance, which are primarily evaluated as compatible with the dependent vascular density observed in the dorsal subpleural area in both lower lobes.  Hepatostetaosis.  Hiatal hernia. Intense degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_10/valid_10_a/valid_10_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_24",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. Occlusion in trachea and both main bronchi Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_11/valid_11_a/valid_11_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_25",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. Occlusion in trachea and both main bronchi Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_11/valid_11_a/valid_11_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_26",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. An image of a catheter extending superiorly to the vena cava was observed. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination. A few calcified lymph nodes with a short axis smaller than 1 cm were observed in the left hilar region. In addition, lymph nodes measuring 1 cm in the short axis of the largest were observed in the upper-lower paratracheal prevascular aorticopulmonary region. When examined in the lung parenchyma window; Interlobular septal thickenings and alveolar consolidation areas were observed in the upper lobe of the left lung. The appearance may be secondary to cardiac pathology. Infectious process can be considered in the separate diagnosis. Clinical laboratory correlation and post-treatment control are recommended. There are patches of ground glass density increases in both lungs. A few parenchymal nodules, the largest of which was 8 mm in diameter, were observed in the right lung. Between the bilateral pleural leaves, pleural effusion with a thickness of 24 mm on the right and 37 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. A few dense 6 mm diameter calculi were observed in the gallbladder lumen in the upper abdominal sections that entered the study area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Impression:  Patchy ground-glass density increases in both lungs, parenchymal nodules in the right lung.  Diffuse septal thickenings and areas of alveolar consolidation in the upper lobe of the left lung (secondary to cardiac pathology? Infectious process?). Clinical-laboratory correlation and post-treatment control are recommended.  Bilateral pleural effusion, atelectatic changes.  Cholelithiasis.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_12/valid_12_a/valid_12_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_27",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. An image of a catheter extending superiorly to the vena cava was observed. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination. A few calcified lymph nodes with a short axis smaller than 1 cm were observed in the left hilar region. In addition, lymph nodes measuring 1 cm in the short axis of the largest were observed in the upper-lower paratracheal prevascular aorticopulmonary region. When examined in the lung parenchyma window; Interlobular septal thickenings and alveolar consolidation areas were observed in the upper lobe of the left lung. The appearance may be secondary to cardiac pathology. Infectious process can be considered in the separate diagnosis. Clinical laboratory correlation and post-treatment control are recommended. There are patches of ground glass density increases in both lungs. A few parenchymal nodules, the largest of which was 8 mm in diameter, were observed in the right lung. Between the bilateral pleural leaves, pleural effusion with a thickness of 24 mm on the right and 37 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. A few dense 6 mm diameter calculi were observed in the gallbladder lumen in the upper abdominal sections that entered the study area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Impression:  Patchy ground-glass density increases in both lungs, parenchymal nodules in the right lung.  Diffuse septal thickenings and areas of alveolar consolidation in the upper lobe of the left lung (secondary to cardiac pathology? Infectious process?). Clinical-laboratory correlation and post-treatment control are recommended.  Bilateral pleural effusion, atelectatic changes.  Cholelithiasis.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_12/valid_12_a/valid_12_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_28",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Plaque-like linear calcification in the pleura is observed in the apical segment of the right lung upper lobe, adjacent to the mediastinum, and there are sequelae parenchymal changes in the adjacent lung parenchyma. There was no finding in favor of pneumothorax in both lungs. No active infiltration or mass lesion was observed in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Vertebral corpus heights are preserved. Impression:  Plaque-like linear calcification in the pleura in the apical segment of the upper lobe of the right lung and sequela parenchymal changes in the adjacent lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_13/valid_13_a/valid_13_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_29",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Plaque-like linear calcification in the pleura is observed in the apical segment of the right lung upper lobe, adjacent to the mediastinum, and there are sequelae parenchymal changes in the adjacent lung parenchyma. There was no finding in favor of pneumothorax in both lungs. No active infiltration or mass lesion was observed in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Vertebral corpus heights are preserved. Impression:  Plaque-like linear calcification in the pleura in the apical segment of the upper lobe of the right lung and sequela parenchymal changes in the adjacent lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_13/valid_13_a/valid_13_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_30",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground-glass appearances are observed in both lungs, especially in the lower lobes, especially in the peripheral areas. Ground-glass appearances are accompanied by linear density increases in peripheral areas parallel to the pleura. The described findings are the findings frequently observed in Covid-19 pneumonia. No mass was detected in both lungs. There are emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. No pleural or pericardial effusion was detected. Diffuse atheroma plaques are observed in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the subcarinal area, measuring 14 mm in short diameter. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_14/valid_14_a/valid_14_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_31",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground-glass appearances are observed in both lungs, especially in the lower lobes, especially in the peripheral areas. Ground-glass appearances are accompanied by linear density increases in peripheral areas parallel to the pleura. The described findings are the findings frequently observed in Covid-19 pneumonia. No mass was detected in both lungs. There are emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. No pleural or pericardial effusion was detected. Diffuse atheroma plaques are observed in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the subcarinal area, measuring 14 mm in short diameter. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_14/valid_14_a/valid_14_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_32",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_15/valid_15_a/valid_15_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_33",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_15/valid_15_a/valid_15_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_34",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are centriacinar nodular infiltrates, ground glass areas and nodular consolidation areas in the left lung lower lobe anteromediobasal segment. The outlook was evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pneumonic infiltration in the anteromediobasal segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_16/valid_16_a/valid_16_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_35",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are centriacinar nodular infiltrates, ground glass areas and nodular consolidation areas in the left lung lower lobe anteromediobasal segment. The outlook was evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pneumonic infiltration in the anteromediobasal segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_16/valid_16_a/valid_16_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_36",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the middle lobe of the right lung, there is a finding that has a faint nature with irregular contours and a patchy size of 8.5x6.2 mm (nodule?, beginning of infectious process?). Clinical laboratory correlation is recommended. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Transpedicular fixation materials are observed in the vertebral corpuscles. Previous loss of height is observed in the TH12 vertebral body. There is a decrease in density in bone parenchymal structures at the levels of spinal fixation material and transpedicular screwing. Degenerative mild height loss is observed in the T8 vertebral body. Impression:  Faint nodules in the middle lobe of the right lung seen in series 2 image 134, patchy ground glass density; early infectious process pneumonia in the first place? It has been evaluated in favor of and follow-up is recommended in terms of the differential diagnosis of nodules after the exclusion of infectious processes.  Mild atelectatic changes in both lungs.  Diffuse density reduction in bone structures at levels where spinal fixation materials transpedicular screwing is observed, degenerative height losses in vertebral bodies at the levels mentioned above."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_17/valid_17_a/valid_17_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_37",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the middle lobe of the right lung, there is a finding that has a faint nature with irregular contours and a patchy size of 8.5x6.2 mm (nodule?, beginning of infectious process?). Clinical laboratory correlation is recommended. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Transpedicular fixation materials are observed in the vertebral corpuscles. Previous loss of height is observed in the TH12 vertebral body. There is a decrease in density in bone parenchymal structures at the levels of spinal fixation material and transpedicular screwing. Degenerative mild height loss is observed in the T8 vertebral body. Impression:  Faint nodules in the middle lobe of the right lung seen in series 2 image 134, patchy ground glass density; early infectious process pneumonia in the first place? It has been evaluated in favor of and follow-up is recommended in terms of the differential diagnosis of nodules after the exclusion of infectious processes.  Mild atelectatic changes in both lungs.  Diffuse density reduction in bone structures at levels where spinal fixation materials transpedicular screwing is observed, degenerative height losses in vertebral bodies at the levels mentioned above."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_17/valid_17_a/valid_17_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_38",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Central and peripheral consolidations and ground glass areas are observed in the middle lobe and lower lobe of the right lung. There are also small areas of ground glass and nodular-shaped consolidations in the left lung. The described findings were evaluated in favor of viral pneumonia. Findings described especially in the right lung are frequently encountered findings in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_18/valid_18_a/valid_18_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_39",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Central and peripheral consolidations and ground glass areas are observed in the middle lobe and lower lobe of the right lung. There are also small areas of ground glass and nodular-shaped consolidations in the left lung. The described findings were evaluated in favor of viral pneumonia. Findings described especially in the right lung are frequently encountered findings in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_18/valid_18_a/valid_18_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_40",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: The diameter of the ascending aorta is 40 mm and shows slight dilatation. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; On the left, there is a pleural effusion area with loculation measuring 2 cm at its thickest point between the pleural leaves. Subsegmental atelectasis areas are noted in the left lung inferior lingular segment and lower lobe. Nonspecific parenchymal nodules measuring 4.5 mm in diameter in the upper lobe of the right lung and 5 mm in diameter in the posterobasal segment of the lower lobe of the left lung were observed in both lung parenchyma. No mass-infiltration was detected in both lung parenchyma. In the upper abdominal sections that entered the examination area, a 14 mm diameter calculus was observed in the gallbladder lumen. No lytic-destructive lesion was detected in bone structures. Impression: Sequelae changes in the left lung. Millimetric size nonspecific parenchymal nodules in both lungs, loculated pleural effusion in the left hemithorax."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_19/valid_19_a/valid_19_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_41",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobes of both lungs, subpleural areas of ground glass density were observed. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Impression: Areas of ground glass density localized subpleural in both lungs in the lower lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_20/valid_20_a/valid_20_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_42",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobes of both lungs, subpleural areas of ground glass density were observed. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Impression: Areas of ground glass density localized subpleural in both lungs in the lower lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_20/valid_20_a/valid_20_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_43",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_20/valid_20_b/valid_20_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_44",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_20/valid_20_b/valid_20_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_45",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. There are millimetric nodules in both lungs. The largest of these nodules is observed in the lower lobe of the right lung and the longest diameter is 6 mm. It is recommended that the patient be evaluated and followed up with previous examinations, if any. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Vertebral corpus heights, alignments and densities are normal within the sections. Intervertebral disc distances are preserved. The neural foramina are open. Impression:  Operated HCC at follow-up.  Nodules in both lungs (monitoring is recommended).  Emphysematous changes in each lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_21/valid_21_a/valid_21_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_46",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. There are millimetric nodules in both lungs. The largest of these nodules is observed in the lower lobe of the right lung and the longest diameter is 6 mm. It is recommended that the patient be evaluated and followed up with previous examinations, if any. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Vertebral corpus heights, alignments and densities are normal within the sections. Intervertebral disc distances are preserved. The neural foramina are open. Impression:  Operated HCC at follow-up.  Nodules in both lungs (monitoring is recommended).  Emphysematous changes in each lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_21/valid_21_a/valid_21_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_47",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Examination secondary to breathing movements was evaluated as suboptimal. Tracheostomy follows. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries and aortic arch. Pericardial effusion is present in minimal plastering style. A few lymph nodes measuring up to 15 mm are observed in the mediastinum and hilar regions. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Bilateral axillary lymph node enlarged in pathological dimensions was not detected. A small amount of effusion is observed in both hemithorax, more prominent on the right. When examined in the lung parenchyma window; Clarification of interstitial signs in both lungs, budding tree images being more prominent in the lower lobe of the right lung, and an increase in density consistent with the consolidation of 21 mm in the basal segment of the lower lobe of the left lung are observed. It is recommended to follow-up the patient in terms of differential diagnosis of malignancy after exclusion of an infectious process due to its known primary. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: The above-described findings in both lungs were primarily evaluated in favor of an infectious process. After the patient's known primary cause was excluded from the infection, clinical and laboratory correlation is recommended in terms of malignancy. Several lymph nodes measuring up to 15 mm are observed in the mediastinum and hilar regions.  Atherosclerosis. Diffuse degenerative changes in bone structures. Osteopenic manifestations. Tapering of the vertebral corpus endplates.  A small amount of pleural and a small amount of pericardial effusion, more prominent on the bilateral right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_22/valid_22_a/valid_22_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_48",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Examination secondary to breathing movements was evaluated as suboptimal. Tracheostomy follows. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries and aortic arch. Pericardial effusion is present in minimal plastering style. A few lymph nodes measuring up to 15 mm are observed in the mediastinum and hilar regions. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Bilateral axillary lymph node enlarged in pathological dimensions was not detected. A small amount of effusion is observed in both hemithorax, more prominent on the right. When examined in the lung parenchyma window; Clarification of interstitial signs in both lungs, budding tree images being more prominent in the lower lobe of the right lung, and an increase in density consistent with the consolidation of 21 mm in the basal segment of the lower lobe of the left lung are observed. It is recommended to follow-up the patient in terms of differential diagnosis of malignancy after exclusion of an infectious process due to its known primary. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: The above-described findings in both lungs were primarily evaluated in favor of an infectious process. After the patient's known primary cause was excluded from the infection, clinical and laboratory correlation is recommended in terms of malignancy. Several lymph nodes measuring up to 15 mm are observed in the mediastinum and hilar regions.  Atherosclerosis. Diffuse degenerative changes in bone structures. Osteopenic manifestations. Tapering of the vertebral corpus endplates.  A small amount of pleural and a small amount of pericardial effusion, more prominent on the bilateral right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_22/valid_22_a/valid_22_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_49",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Millimetric calcific atheroma plaques are observed in the thoracic aorta and coronary arteries. Calibration of other mediastinal major vascular structures is normal. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are a few nonspecific millimetric nodules in both lungs, two on the right and one on the left. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the bone structures within the study area; Diffuse degenerative changes in the thoracic vertebral bodies, and hypertrophic osteophytic taperings in the vertebral corpus end plates are observed. Impression:  Mild atherosclerosis.  A few millimetric nonspecific nodules in both lungs.  Diffuse degenerative changes in thoracic vertebral corpuscles, hypertrophic osteophytic tapering in vertebral corpus end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_23/valid_23_a/valid_23_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_50",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Millimetric calcific atheroma plaques are observed in the thoracic aorta and coronary arteries. Calibration of other mediastinal major vascular structures is normal. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are a few nonspecific millimetric nodules in both lungs, two on the right and one on the left. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the bone structures within the study area; Diffuse degenerative changes in the thoracic vertebral bodies, and hypertrophic osteophytic taperings in the vertebral corpus end plates are observed. Impression:  Mild atherosclerosis.  A few millimetric nonspecific nodules in both lungs.  Diffuse degenerative changes in thoracic vertebral corpuscles, hypertrophic osteophytic tapering in vertebral corpus end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_23/valid_23_a/valid_23_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_51",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is consolidation with air bronchogram in the posterobasal segment of the left lung lower lobe. In addition, diffuse ground glass areas and interlobular septal thickenings within the ground glass areas are observed in the peripheral and central regions of both lungs. The described manifestations were primarily evaluated in favor of infective pathology. These findings can also be observed frequently in Covid-19 pneumonia. No mass was detected in both lungs. There are emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a mixed type hiatal hernia at the lower end of the esophagus. Hypodense lesions that could not be characterized in this examination were observed in the left lobe of the liver and the left kidney. It is recommended that the patient be evaluated together with previous examinations, if any, and further examination if indicated. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression: Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_24/valid_24_a/valid_24_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_52",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is consolidation with air bronchogram in the posterobasal segment of the left lung lower lobe. In addition, diffuse ground glass areas and interlobular septal thickenings within the ground glass areas are observed in the peripheral and central regions of both lungs. The described manifestations were primarily evaluated in favor of infective pathology. These findings can also be observed frequently in Covid-19 pneumonia. No mass was detected in both lungs. There are emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a mixed type hiatal hernia at the lower end of the esophagus. Hypodense lesions that could not be characterized in this examination were observed in the left lobe of the liver and the left kidney. It is recommended that the patient be evaluated together with previous examinations, if any, and further examination if indicated. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression: Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_24/valid_24_a/valid_24_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_53",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Calcific plaques are present in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis reaching 10 mm, the largest of which are located in the right paratracheal region, are observed in the mediastinum. When examined in the lung parenchyma window; In both lung parenchyma, diffuse peripheral subpleural weighted nodular lesions are observed, the larger of which is 32 mm in diameter. Apart from this, common budding tree-shaped nodular densities are seen in the peribronchial area of both lungs. The walls of the central bronchus are thickened. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteophytes with a tendency to merge anteriorly were observed in the vertebrae in the bone structures included in the study area. Impression:  Widespread malignant nodular lesions (Metastasis?) in both lung parenchyma with a predominantly peripheral confluence.  Peribronchial extensive budding tree-shaped nodular densities in both lungs (Lymphangitic spread?).  Mediastinal lymph nodes.  Coronary atherosclerosis.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_25/valid_25_a/valid_25_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_54",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Calcific plaques are present in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis reaching 10 mm, the largest of which are located in the right paratracheal region, are observed in the mediastinum. When examined in the lung parenchyma window; In both lung parenchyma, diffuse peripheral subpleural weighted nodular lesions are observed, the larger of which is 32 mm in diameter. Apart from this, common budding tree-shaped nodular densities are seen in the peribronchial area of both lungs. The walls of the central bronchus are thickened. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteophytes with a tendency to merge anteriorly were observed in the vertebrae in the bone structures included in the study area. Impression:  Widespread malignant nodular lesions (Metastasis?) in both lung parenchyma with a predominantly peripheral confluence.  Peribronchial extensive budding tree-shaped nodular densities in both lungs (Lymphangitic spread?).  Mediastinal lymph nodes.  Coronary atherosclerosis.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_25/valid_25_a/valid_25_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_55",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The aortic arch calibration is 30 mm, slightly larger than normal. Calibration of other vascular structures is natural. Millimetric sized calcific atheroma plaques are observed in the aortic arch. Calcific atheroma plaques are also present at the level of the aortic root and descending aorta. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal and their lumens are clear. There are increases in pleuroparenchymal density evaluated in favor of sequelae in the middle lobe of the right lung. In the mediobasal level of the lower lobe of the right lung, changes that are evaluated primarily in favor of sequelae are observed. Sequelae changes are observed in the middle lobe on the right. There was no finding suggestive of active infiltration in both lungs. No pleural effusion or pneumothorax was observed. In the upper abdominal organs, including sections; Since the left kidney partially enters the image in the pelvicalyceal system, it cannot be evaluated clearly, but a suspicious appearance is observed in terms of ectasia. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. Minimal degenerative changes are observed in the bone structure. Impression:  No finding compatible with pneumonia was detected.  Since the left kidney partially enters the image in the pelvicalyceal system, it cannot be evaluated clearly, but it looks suspicious for ectasia; USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_26/valid_26_a/valid_26_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_56",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The aortic arch calibration is 30 mm, slightly larger than normal. Calibration of other vascular structures is natural. Millimetric sized calcific atheroma plaques are observed in the aortic arch. Calcific atheroma plaques are also present at the level of the aortic root and descending aorta. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal and their lumens are clear. There are increases in pleuroparenchymal density evaluated in favor of sequelae in the middle lobe of the right lung. In the mediobasal level of the lower lobe of the right lung, changes that are evaluated primarily in favor of sequelae are observed. Sequelae changes are observed in the middle lobe on the right. There was no finding suggestive of active infiltration in both lungs. No pleural effusion or pneumothorax was observed. In the upper abdominal organs, including sections; Since the left kidney partially enters the image in the pelvicalyceal system, it cannot be evaluated clearly, but a suspicious appearance is observed in terms of ectasia. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. Minimal degenerative changes are observed in the bone structure. Impression:  No finding compatible with pneumonia was detected.  Since the left kidney partially enters the image in the pelvicalyceal system, it cannot be evaluated clearly, but it looks suspicious for ectasia; USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_26/valid_26_a/valid_26_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_57",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Millimetric sized calcific nodules are observed in the walls of the trachea main bronchi (Tracheopathya osteochondroplastica). Mediastinal lymphadenomegaly is observed in the mediastinum, with a narrow diameter of 14 mm in the upper right, bilateral lower paratracheal larger one. Calcific plaques are observed in the walls of the aortic arch, ascending, descending and abdominal aorta. The cardiothoracic index increased in favor of the heart. The AP diameter of the ascending aorta is 4.7 cm and wider than normal. Pericardial effusion measuring 2.7 cm in its thickest part is observed. There are bilateral pleural effusions measuring 2.5 cm in the thickest part on the right and 1.8 cm in the thickest part on the left, and passive atelectasis in the lung parenchyma adjacent to the effusion. More prominent patchy consolidations are observed in the upper lobes of both lung parenchyma. In addition, there is a slightly thick-walled air cyst of 4.3 cm in the laterobasal segment of the lower lobe of the right lung. Compressive atelectasis and pleuroparenchymal density increases are observed in the lower lobes of both lungs. There is mosaic attenuation consistent with small airway or small vessel disease in both lung parenchyma. Interlobular septa are thick (secondary to cardiac stasis?). Bilateral adrenal glands appear natural. Bones appear osteopenic. There is a bifid costa appearance in the anterior part of the 2nd rib on the left. Dense costochondral calcifications are observed. Impression:  Cardiomegaly.  Ectasia, pericardial effusion, bilateral pleural effusions in the ascending aorta.  More prominent patchy consolidations in the upper lobes of both lung parenchyma, infective process?  Thick-walled air cyst in the right lung lower lobe laterobasal segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_27/valid_27_a/valid_27_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_58",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Millimetric sized calcific nodules are observed in the walls of the trachea main bronchi (Tracheopathya osteochondroplastica). Mediastinal lymphadenomegaly is observed in the mediastinum, with a narrow diameter of 14 mm in the upper right, bilateral lower paratracheal larger one. Calcific plaques are observed in the walls of the aortic arch, ascending, descending and abdominal aorta. The cardiothoracic index increased in favor of the heart. The AP diameter of the ascending aorta is 4.7 cm and wider than normal. Pericardial effusion measuring 2.7 cm in its thickest part is observed. There are bilateral pleural effusions measuring 2.5 cm in the thickest part on the right and 1.8 cm in the thickest part on the left, and passive atelectasis in the lung parenchyma adjacent to the effusion. More prominent patchy consolidations are observed in the upper lobes of both lung parenchyma. In addition, there is a slightly thick-walled air cyst of 4.3 cm in the laterobasal segment of the lower lobe of the right lung. Compressive atelectasis and pleuroparenchymal density increases are observed in the lower lobes of both lungs. There is mosaic attenuation consistent with small airway or small vessel disease in both lung parenchyma. Interlobular septa are thick (secondary to cardiac stasis?). Bilateral adrenal glands appear natural. Bones appear osteopenic. There is a bifid costa appearance in the anterior part of the 2nd rib on the left. Dense costochondral calcifications are observed. Impression:  Cardiomegaly.  Ectasia, pericardial effusion, bilateral pleural effusions in the ascending aorta.  More prominent patchy consolidations in the upper lobes of both lung parenchyma, infective process?  Thick-walled air cyst in the right lung lower lobe laterobasal segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_27/valid_27_a/valid_27_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_59",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: There is bilateral minimal pleural effusion. The pleural effusion measured 28 mm at its thickest point. There is also pericardial effusion. Pericardial effusion measured 24 mm at its thickest point. No pleural or pericardial effusion was detected. Ground glass appearances and consolidations are observed in both lungs. Findings are observed in central and peripheral areas. The findings described are not specific. However, it was learned that the patient was followed up with the diagnosis of Covid-19 pneumonia, and these appearances are compatible with this diagnosis. No mass was detected in both lungs. There is free fluid in the perihepatic region. Liver contours are irregular. It is recommended that the patient be evaluated for liver parenchymal disease. In addition, in the posterior segment of the right lobe of the liver, there is a hypodense area with barely distinguishable borders. It is recommended to evaluate with contrast-enhanced examination for a possible mass. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_27/valid_27_b/valid_27_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_60",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There is bilateral minimal pleural effusion. The pleural effusion measured 28 mm at its thickest point. There is also pericardial effusion. Pericardial effusion measured 24 mm at its thickest point. No pleural or pericardial effusion was detected. Ground glass appearances and consolidations are observed in both lungs. Findings are observed in central and peripheral areas. The findings described are not specific. However, it was learned that the patient was followed up with the diagnosis of Covid-19 pneumonia, and these appearances are compatible with this diagnosis. No mass was detected in both lungs. There is free fluid in the perihepatic region. Liver contours are irregular. It is recommended that the patient be evaluated for liver parenchymal disease. In addition, in the posterior segment of the right lobe of the liver, there is a hypodense area with barely distinguishable borders. It is recommended to evaluate with contrast-enhanced examination for a possible mass. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_27/valid_27_b/valid_27_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_61",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pulmonary trunk calibration is 33 mm. It is wider than normal. The left pulmonary artery is 29 mm. It is wider than normal. The right pulmonary artery is 28 mm. It is wider than normal. Arch aortic calibration is 33 mm. It is wider than normal. Millimetric-sized calcific atheroma plaque is observed in the coronary arteries in the aortic arch. There is a stent view in the left LAD. No pathological size and configuration lymph nodes were detected in the mediastinum and hilar level. On the left, proximal segmental branches of both pulmonary arteries are observed, intralumen heterogeneously. Contrast examination is recommended if necessary. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; parenchyma in both lungs is emphysematous. No pleural effusion pneumonia or pneumothorax was detected in both lungs. Sequelae changes are observed in the linguistic segment. Slight thickening is observed at the lower lobe level in the left pleura. Pneumonia, significant pleural effusion, pneumothorax were not detected. In the upper abdominal organs, including sections; Multiple cortical-peripelvic cysts are observed in both kidneys. There is mild steatosis appearance in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Amorphous coarse nonspecific calcification is observed in the subdiaphragmatic area on the left. Degenerative changes are observed in the bone structures in the study area. Impression: Intralumen heterogeneity is observed proximal to both pulmonary artery segmental branches prominent on the left. Contrast examination is recommended for pulmonary embolism.  No finding compatible with pneumonia was detected.  Mild emphysematous changes in both lungs. Slight prominence in the calibration of the mediastinal major vascular structures. Bilateral renal cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_28/valid_28_a/valid_28_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_62",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pulmonary trunk calibration is 33 mm. It is wider than normal. The left pulmonary artery is 29 mm. It is wider than normal. The right pulmonary artery is 28 mm. It is wider than normal. Arch aortic calibration is 33 mm. It is wider than normal. Millimetric-sized calcific atheroma plaque is observed in the coronary arteries in the aortic arch. There is a stent view in the left LAD. No pathological size and configuration lymph nodes were detected in the mediastinum and hilar level. On the left, proximal segmental branches of both pulmonary arteries are observed, intralumen heterogeneously. Contrast examination is recommended if necessary. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; parenchyma in both lungs is emphysematous. No pleural effusion pneumonia or pneumothorax was detected in both lungs. Sequelae changes are observed in the linguistic segment. Slight thickening is observed at the lower lobe level in the left pleura. Pneumonia, significant pleural effusion, pneumothorax were not detected. In the upper abdominal organs, including sections; Multiple cortical-peripelvic cysts are observed in both kidneys. There is mild steatosis appearance in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Amorphous coarse nonspecific calcification is observed in the subdiaphragmatic area on the left. Degenerative changes are observed in the bone structures in the study area. Impression: Intralumen heterogeneity is observed proximal to both pulmonary artery segmental branches prominent on the left. Contrast examination is recommended for pulmonary embolism.  No finding compatible with pneumonia was detected.  Mild emphysematous changes in both lungs. Slight prominence in the calibration of the mediastinal major vascular structures. Bilateral renal cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_28/valid_28_a/valid_28_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_63",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of mediastinal vascular structures and heart contour and size are natural. No pericardial or pleural effusion was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the examination made in the lung parenchyma window; aeration of both lung parenchyma is natural. Mass lesion is not observed. Diffuse mild ectasia and peribronchial thickness increases are observed in the bronchial structures, more prominently on the left in the lower lobes of both lungs. In the posterobasal segment of the lower lobe of the left lung, centriacinar nodular opacities are observed in the neighborhood of the bronchovascular bundle, in the appearance of a tree with buds. Although the appearances may be due to distal airway diseases, underlying pneumonic infiltration cannot be excluded. Clinical evaluation is recommended. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No intraabdominal free fluid or loculated fluid is observed. Left-facing scoliosis is observed in the thoracic vertebral column. No lytic-destructive lesions were detected in bone structures. Vertebra corpus heights, alignments and densities are natural. Impression: Diffuse ectasia in the bronchial structures of both lungs in the lower lobes, more prominent on the left, mild peribronchial thickness increases, areas of centriacinar nodular density increase in places with buds near the bronchovascular bundle, accompanying the findings described in the posterobasal segment of the left lung lower lobe; findings distal airway diseases or it may be due to pneumonic infiltration. Clinical and laboratory evaluation is recommended.  Scoliosis with left-facing opening in the thoracic vertebral column."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_29/valid_29_a/valid_29_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_64",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of mediastinal vascular structures and heart contour and size are natural. No pericardial or pleural effusion was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the examination made in the lung parenchyma window; aeration of both lung parenchyma is natural. Mass lesion is not observed. Diffuse mild ectasia and peribronchial thickness increases are observed in the bronchial structures, more prominently on the left in the lower lobes of both lungs. In the posterobasal segment of the lower lobe of the left lung, centriacinar nodular opacities are observed in the neighborhood of the bronchovascular bundle, in the appearance of a tree with buds. Although the appearances may be due to distal airway diseases, underlying pneumonic infiltration cannot be excluded. Clinical evaluation is recommended. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No intraabdominal free fluid or loculated fluid is observed. Left-facing scoliosis is observed in the thoracic vertebral column. No lytic-destructive lesions were detected in bone structures. Vertebra corpus heights, alignments and densities are natural. Impression: Diffuse ectasia in the bronchial structures of both lungs in the lower lobes, more prominent on the left, mild peribronchial thickness increases, areas of centriacinar nodular density increase in places with buds near the bronchovascular bundle, accompanying the findings described in the posterobasal segment of the left lung lower lobe; findings distal airway diseases or it may be due to pneumonic infiltration. Clinical and laboratory evaluation is recommended.  Scoliosis with left-facing opening in the thoracic vertebral column."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_29/valid_29_a/valid_29_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_65",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal main vascular structures as far as can be observed is natural. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial thickening-effusion was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Minimal sequelae changes were observed in both lungs. No mass, nodule - infiltration was detected in both lung parenchyma. Bilateral pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia detected. Minimal sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_30/valid_30_a/valid_30_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_66",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the neighborhood of the lower lobe of the left lung, an appearance measuring 25 mm in its thickest part and evaluated primarily in favor of loculated pleural effusion is observed. No pleural thickening was detected. Pleural effusion and thickening were not observed on the right. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: View evaluated in favor of loculated pleural effusion on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_31/valid_31_a/valid_31_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_67",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the neighborhood of the lower lobe of the left lung, an appearance measuring 25 mm in its thickest part and evaluated primarily in favor of loculated pleural effusion is observed. No pleural thickening was detected. Pleural effusion and thickening were not observed on the right. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: View evaluated in favor of loculated pleural effusion on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_31/valid_31_a/valid_31_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_68",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_32/valid_32_a/valid_32_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_69",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour are normal. Cal dimensions have increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; patchy ground glass densities in both lungs mosaic attenuation patterns vascular dilatation at the described levels small airway disease?, small vessel disease? Clinical laboratory correlation and close follow-up are recommended due to the current pandemic in terms of infectious processes with accompanying infections. There is an effusion measuring 15 mm in thickness in the right hemithorax. Multiple lymph nodes are observed in the mediastinum, especially in the paratracheal area and in the aorticopulmonary window, the largest of which was 10 mm in size, showing a slight dimensional reduction of 14 mm in the previous examination. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Left kidney is not observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Small vessel disease?, small airway disease? Due to the current pandemic, close follow-up and clinical laboratory correlation are recommended in terms of differential diagnosis of infectious processes with accompanying infections.  A smear-like effusion of 15 mm in the right hemithorax.  Cardiomegaly.  Lymph nodes in the mediastinum with slight dimensional reductions but not significantly different in number."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_33/valid_33_a/valid_33_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_70",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour are normal. Cal dimensions have increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; patchy ground glass densities in both lungs mosaic attenuation patterns vascular dilatation at the described levels small airway disease?, small vessel disease? Clinical laboratory correlation and close follow-up are recommended due to the current pandemic in terms of infectious processes with accompanying infections. There is an effusion measuring 15 mm in thickness in the right hemithorax. Multiple lymph nodes are observed in the mediastinum, especially in the paratracheal area and in the aorticopulmonary window, the largest of which was 10 mm in size, showing a slight dimensional reduction of 14 mm in the previous examination. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Left kidney is not observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Small vessel disease?, small airway disease? Due to the current pandemic, close follow-up and clinical laboratory correlation are recommended in terms of differential diagnosis of infectious processes with accompanying infections.  A smear-like effusion of 15 mm in the right hemithorax.  Cardiomegaly.  Lymph nodes in the mediastinum with slight dimensional reductions but not significantly different in number."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_33/valid_33_a/valid_33_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_71",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Atherosclerotic changes are observed in the coronary arteries. Stents are present in the coronary arteries. There are calcific atheroma plaques in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are subsegmental atelectasis in the left lung lingular segment. Minimal thickening is observed in the bronchial wall towards the lower lobes in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteophytic changes are observed in the vertebrae. Bilateral 2-3-4-5-6. Minimally fused chronic fractures were observed in the anterolateral aspect of the ribs. Impression: Coronary atherosclerosis and stents . Findings in favor of chronic bronchitis.  Sequelae fibrotic changes in both lungs and subsegmental atelectasis in the lingula of the left lung. Bilateral 2-6. Predominantly chronic nondisplaced fractures in the ribs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_34/valid_34_a/valid_34_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_72",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Atherosclerotic changes are observed in the coronary arteries. Stents are present in the coronary arteries. There are calcific atheroma plaques in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are subsegmental atelectasis in the left lung lingular segment. Minimal thickening is observed in the bronchial wall towards the lower lobes in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteophytic changes are observed in the vertebrae. Bilateral 2-3-4-5-6. Minimally fused chronic fractures were observed in the anterolateral aspect of the ribs. Impression: Coronary atherosclerosis and stents . Findings in favor of chronic bronchitis.  Sequelae fibrotic changes in both lungs and subsegmental atelectasis in the lingula of the left lung. Bilateral 2-6. Predominantly chronic nondisplaced fractures in the ribs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_34/valid_34_a/valid_34_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_73",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calibrations of mediastinal main vascular structures were followed naturally. Pericardial effusion was not detected. Esophageal calibration is natural. When examined in the lung parenchyma window; In the upper lobe of the left lung, areas of peripherally located patchy ground glass opacity are observed in the superior and basal segments of both lung lower lobes. The involvement pattern was evaluated as compatible with atypical pneumonia. No features were detected in the upper abdominal organs including the section. No lytic-destructive lesions were detected in bone structures. Impression: Ground-glass density areas in which air bronchograms are observed are consistent with the peripherally located alveolar pattern in both lungs. Radiological findings were evaluated as compatible with viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_35/valid_35_a/valid_35_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_74",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calibrations of mediastinal main vascular structures were followed naturally. Pericardial effusion was not detected. Esophageal calibration is natural. When examined in the lung parenchyma window; In the upper lobe of the left lung, areas of peripherally located patchy ground glass opacity are observed in the superior and basal segments of both lung lower lobes. The involvement pattern was evaluated as compatible with atypical pneumonia. No features were detected in the upper abdominal organs including the section. No lytic-destructive lesions were detected in bone structures. Impression: Ground-glass density areas in which air bronchograms are observed are consistent with the peripherally located alveolar pattern in both lungs. Radiological findings were evaluated as compatible with viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_35/valid_35_a/valid_35_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_75",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centrilobular and paraseptal emphysematous changes are observed in both lungs. There are a few millimetric nodules in the upper lobe and lower lobe of the left lung. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are several stones in the gallbladder. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A few nonspecific nodules measuring up to 4 mm in the upper and lower lobes of the left lung . Paraseptal and centrilobular emphysemas . Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_36/valid_36_a/valid_36_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_76",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the vertebral column. Impression: Thorax CT examination within normal limits except mild degenerative changes in the vertebral column"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_37/valid_37_a/valid_37_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_77",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland has increased and has a heterogeneous appearance. It is recommended to be evaluated together with US. On the left, on the anterior chest wall, subcutaneous brain pacemaker and subcutaneous electrodes extending superiorly are observed. A 13x9 mm oval-shaped calcified lesion area was observed at the retroareolar level of the left breast. It is recommended to be evaluated together with US. No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 39 mm. The anterior-posterior diameter of the descending aorta is 30 mm above normal. Heart sizes are at the upper limit. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the segmental bronchi of both lungs. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). Minimal bronchiectatic changes accompanied by fibrotic recessions were observed in the posterior segment of the right lung upper lobe. There are passive atelectatic changes in both lung lower lobe posterobasal and laterobasal segments. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; liver contours are lobulated. The caudate lobe is hypertrophied. Findings are consistent with chronic parenchymal disease. A millimetric stone was observed in the gallbladder lumen. Nodular thickening was observed in the left adrenal gland corpus. At the thoracic level, right-facing rotoscoliosis and osteodegenerative changes in bone structures were observed. Impression:  Increased thyroid gland size and heterogeneity; It is recommended to be evaluated together with US.  Heart dimensions at the superior border, aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries.  Calcified oval-shaped space-occupying lesion in the retroareolar region of the left breast; It is recommended to be evaluated together with breast US.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Sequelae of atelectatic changes in both lungs.  Findings consistent with chronic parenchymal disease in the liver.  Cholelithiasis.  Nodular thickening of the left adrenal gland corpus.  Rotoscoliosis at the thoracic level, osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_38/valid_38_a/valid_38_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_78",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland has increased and has a heterogeneous appearance. It is recommended to be evaluated together with US. On the left, on the anterior chest wall, subcutaneous brain pacemaker and subcutaneous electrodes extending superiorly are observed. A 13x9 mm oval-shaped calcified lesion area was observed at the retroareolar level of the left breast. It is recommended to be evaluated together with US. No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 39 mm. The anterior-posterior diameter of the descending aorta is 30 mm above normal. Heart sizes are at the upper limit. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the segmental bronchi of both lungs. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). Minimal bronchiectatic changes accompanied by fibrotic recessions were observed in the posterior segment of the right lung upper lobe. There are passive atelectatic changes in both lung lower lobe posterobasal and laterobasal segments. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; liver contours are lobulated. The caudate lobe is hypertrophied. Findings are consistent with chronic parenchymal disease. A millimetric stone was observed in the gallbladder lumen. Nodular thickening was observed in the left adrenal gland corpus. At the thoracic level, right-facing rotoscoliosis and osteodegenerative changes in bone structures were observed. Impression:  Increased thyroid gland size and heterogeneity; It is recommended to be evaluated together with US.  Heart dimensions at the superior border, aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries.  Calcified oval-shaped space-occupying lesion in the retroareolar region of the left breast; It is recommended to be evaluated together with breast US.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Sequelae of atelectatic changes in both lungs.  Findings consistent with chronic parenchymal disease in the liver.  Cholelithiasis.  Nodular thickening of the left adrenal gland corpus.  Rotoscoliosis at the thoracic level, osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_38/valid_38_a/valid_38_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_79",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The parenchyma of the thyroid gland is slightly heterogeneous in the right lobe. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are ground-glass-like density increases in round-oval configuration with diffuse peripheral distribution, accompanied by thickening of interlobular septa from place to place. Pleuroparenchymal sequelae changes are observed at the apical level of the right lung, and there are nodules, the largest of which is about 8 mm in diameter. In the middle lobe of the right lung, there are 2 adjacent nodules with a diameter of 3 mm. A subpleural 6x3 mm nodule is observed at the posterobasal level in the left lung. Bilateral pleural effusion pneumonthorax was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings are compatible with Covid-19 pneumonia in the first place. Other viral pneumonias are included in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_39/valid_39_a/valid_39_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_80",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The parenchyma of the thyroid gland is slightly heterogeneous in the right lobe. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are ground-glass-like density increases in round-oval configuration with diffuse peripheral distribution, accompanied by thickening of interlobular septa from place to place. Pleuroparenchymal sequelae changes are observed at the apical level of the right lung, and there are nodules, the largest of which is about 8 mm in diameter. In the middle lobe of the right lung, there are 2 adjacent nodules with a diameter of 3 mm. A subpleural 6x3 mm nodule is observed at the posterobasal level in the left lung. Bilateral pleural effusion pneumonthorax was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings are compatible with Covid-19 pneumonia in the first place. Other viral pneumonias are included in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_39/valid_39_a/valid_39_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_81",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass densities, which are more prominent in the lower lobes of both lungs, are common and scattered. In addition, subpleural consolidation areas are observed in the right lung lower lobe laterobasal segment and left lung upper lobe apicoposterior segment. Findings are among the findings we frequently encounter in Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_40/valid_40_a/valid_40_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_82",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass densities, which are more prominent in the lower lobes of both lungs, are common and scattered. In addition, subpleural consolidation areas are observed in the right lung lower lobe laterobasal segment and left lung upper lobe apicoposterior segment. Findings are among the findings we frequently encounter in Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_40/valid_40_a/valid_40_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_83",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window, both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There are density increases in the middle lobe of the right lung, which are considered compatible with mild pleuroparenchymal sequelae. There is a slight ground-glass-like density increase in the right lung lower lobe superior segment. It is nonspecific. In the liver entering the cross-section area, there are multiple hypodense lesions in both lobes, the largest of which is lobulated contour in the superior right lobe and peripherally located 32x21 mm in size. Parapelvic-cortical cysts, some of which are exophytic in appearance, are observed in both kidneys, and some of them have dense contents that may be compatible with hemorrhage. Bilateral calcules are observed in both kidneys, the largest on the left and superposed on each other (total size 13 mm) and located in the middle part. As far as can be seen, both adrenal and spleen are normal in non-contrast examination. Again, pancreas is normal in non-contrast examination. Apart from these, one or two diverticula appearances are observed in the ascending colon. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  No finding compatible with pneumonia was detected.  There are density increases in the middle lobe of the right lung, which are considered compatible with mild pleuroparenchymal sequelae. There is a faint ground-glass-like density increase in the superior segment of the right lung lower lobe. It is nonspecific.  Multiple cysts in both kidneys, bilateral nephrolithiasis. Multiple cysts in the liver. It is recommended to evaluate the case with clinical and laboratory findings in terms of polycystic kidney disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_41/valid_41_a/valid_41_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_84",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window, both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There are density increases in the middle lobe of the right lung, which are considered compatible with mild pleuroparenchymal sequelae. There is a slight ground-glass-like density increase in the right lung lower lobe superior segment. It is nonspecific. In the liver entering the cross-section area, there are multiple hypodense lesions in both lobes, the largest of which is lobulated contour in the superior right lobe and peripherally located 32x21 mm in size. Parapelvic-cortical cysts, some of which are exophytic in appearance, are observed in both kidneys, and some of them have dense contents that may be compatible with hemorrhage. Bilateral calcules are observed in both kidneys, the largest on the left and superposed on each other (total size 13 mm) and located in the middle part. As far as can be seen, both adrenal and spleen are normal in non-contrast examination. Again, pancreas is normal in non-contrast examination. Apart from these, one or two diverticula appearances are observed in the ascending colon. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  No finding compatible with pneumonia was detected.  There are density increases in the middle lobe of the right lung, which are considered compatible with mild pleuroparenchymal sequelae. There is a faint ground-glass-like density increase in the superior segment of the right lung lower lobe. It is nonspecific.  Multiple cysts in both kidneys, bilateral nephrolithiasis. Multiple cysts in the liver. It is recommended to evaluate the case with clinical and laboratory findings in terms of polycystic kidney disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_41/valid_41_a/valid_41_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_85",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Peripherally located nodular ground glass areas are observed in the lower lobe of the left lung. In the lower lobe of the right lung, a linear ground glass area is observed in the posterobasal segment in the subpleural area. The frosted glass appearances observed in the lower lobe of the left lung are in the style that can be observed in Covid-19 pneumonia. Therefore, it was evaluated primarily in favor of viral pneumonia during the pandemic process. It is recommended that the patient be evaluated together with the laboratory findings. No mass was detected in both lungs. Impression:  Findings evaluated primarily in favor of viral pneumonia in both lung lower lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_41/valid_41_b/valid_41_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_86",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Peripherally located nodular ground glass areas are observed in the lower lobe of the left lung. In the lower lobe of the right lung, a linear ground glass area is observed in the posterobasal segment in the subpleural area. The frosted glass appearances observed in the lower lobe of the left lung are in the style that can be observed in Covid-19 pneumonia. Therefore, it was evaluated primarily in favor of viral pneumonia during the pandemic process. It is recommended that the patient be evaluated together with the laboratory findings. No mass was detected in both lungs. Impression:  Findings evaluated primarily in favor of viral pneumonia in both lung lower lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_41/valid_41_b/valid_41_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_87",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The examination is suboptimal because of motion artifacts. As far as can be seen; Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Widespread cylindrical and varicose bronchiectasis were observed in both lungs. The middle lobe of the right lung has the appearance of a destroyed lung with air cysts and reticular density increases. A similar appearance is also found in the anteromedial basal segment of the lower lobe of the left lung. Diffuse, basally prominent centrilobular pulmonary nodules in bilateral lungs suggested thickening of the walls of smaller bronchioles. Infectious bronchiolitis? A 6 mm diameter parenchymal nodule was observed in the lateral basal segment of the lower lobe of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Rotoscoliotic changes were observed in the vertebral column due to S scoliosis observed in the upper thoracic region. Impression: Bronchiectasis Destroyed lung appearance together in right middle lobe and left lower lobe anteromedial basal segment Infectious bronchiolitis? Parenchymal nodule in the right lung Rotoscoliotic changes in the vertebral column"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_42/valid_42_a/valid_42_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_88",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The ascending aorta calibration is 42 mm. It is wider than normal. The aortic arch calibration is 39 mm. It is wider than normal. Calibration of other major mediastinal vascular structures is natural. Millimetric plaques of calcific atheroma are observed in the aortic arch and descending aorta, and more prominent in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes in almost all stations in the mediastinum, the largest in the subcarinal area and 18x9 mm in size. There are lymph nodes that do not reach pathological size and configuration at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There are increases in density in both lungs, which show peripheral distribution in the mid-lower zones and form confluence in places, thickening of the interstitial scars on the ground, accompanied by changes in pleuroparenchymal sequelae, which is considered compatible with Covid pneumonia. Mild emphysematous changes are observed in both lungs. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. There is a slight decrease in density consistent with steatosis in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is slightly enlarged. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Parenchymal findings initially considered to be compatible with Covid pneumonia.  Mild hepatosteatosis.  Slight fullness in the spleen.  Slight increase in calibration in the aortic arch and ascending aorta, atherosclerotic changes in the coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_43/valid_43_a/valid_43_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_89",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The ascending aorta calibration is 42 mm. It is wider than normal. The aortic arch calibration is 39 mm. It is wider than normal. Calibration of other major mediastinal vascular structures is natural. Millimetric plaques of calcific atheroma are observed in the aortic arch and descending aorta, and more prominent in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes in almost all stations in the mediastinum, the largest in the subcarinal area and 18x9 mm in size. There are lymph nodes that do not reach pathological size and configuration at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There are increases in density in both lungs, which show peripheral distribution in the mid-lower zones and form confluence in places, thickening of the interstitial scars on the ground, accompanied by changes in pleuroparenchymal sequelae, which is considered compatible with Covid pneumonia. Mild emphysematous changes are observed in both lungs. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. There is a slight decrease in density consistent with steatosis in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is slightly enlarged. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Parenchymal findings initially considered to be compatible with Covid pneumonia.  Mild hepatosteatosis.  Slight fullness in the spleen.  Slight increase in calibration in the aortic arch and ascending aorta, atherosclerotic changes in the coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_43/valid_43_a/valid_43_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_90",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. In particular, both atria are observed to be wider than normal. Pericardial effusion was not detected. There is bilateral minimal pleural effusion. Atheroma plaques are observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 34 mm and wider than normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Emphysematous changes and occasional atelectasis were observed in both lungs. In addition, peripheral and centrally located consolidations and ground-glass appearances are observed in both lungs. These views are not specific. However, during the pandemic process, these appearances were thought to be compatible with Covid-19 pneumonia. No mass was detected in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters.  Emphysematous changes and atelectasis in both lungs.  Consolidations and ground glass appearances in both lungs.  Bilateral minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_44/valid_44_a/valid_44_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_91",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. In particular, both atria are observed to be wider than normal. Pericardial effusion was not detected. There is bilateral minimal pleural effusion. Atheroma plaques are observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 34 mm and wider than normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Emphysematous changes and occasional atelectasis were observed in both lungs. In addition, peripheral and centrally located consolidations and ground-glass appearances are observed in both lungs. These views are not specific. However, during the pandemic process, these appearances were thought to be compatible with Covid-19 pneumonia. No mass was detected in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters.  Emphysematous changes and atelectasis in both lungs.  Consolidations and ground glass appearances in both lungs.  Bilateral minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_44/valid_44_a/valid_44_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_92",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are mild atelectatic changes in the middle lobe of the right lung. 1-2 millimetric nonspecific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are slight tapering in the anteroinferior lateral of the vertebra corpus. Impression:  1-2 millimetric nonspecific nodules in both lungs.  Mild atelectatic changes in the middle lobe of the right lung.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_45/valid_45_a/valid_45_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_93",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are mild atelectatic changes in the middle lobe of the right lung. 1-2 millimetric nonspecific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are slight tapering in the anteroinferior lateral of the vertebra corpus. Impression:  1-2 millimetric nonspecific nodules in both lungs.  Mild atelectatic changes in the middle lobe of the right lung.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_45/valid_45_a/valid_45_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_94",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: It was learned that the patient underwent left upper lobectomy due to lung cancer. Trachea and both main bronchi are open. Minimal bronchiectasis is observed in the central parts of both lungs, more prominent on the left. Minimal emphysematous changes and locally linear atelectasis were observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. The heart is larger than normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal. The main pulmonary artery diameter was 31 mm and wider than normal. There is an appearance of a stent in the aortic root. There are also calcifications in the mitral valve. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the thoracic vertebral corpuscles, low density compatible with osteopenia and minimal decrease in corpus heights were observed in places. Intervertebral disc distances are narrowed. The neural foramina are open. Impression:  Operated lung ca, left upper lobectomized at follow-up.  Minimal peribronchial thickening in both lungs.  Minimal emphysematous changes in both lungs.  Stable millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Increase in pulmonary artery diameters.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_46/valid_46_a/valid_46_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_95",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: It was learned that the patient underwent left upper lobectomy due to lung cancer. Trachea and both main bronchi are open. Minimal bronchiectasis is observed in the central parts of both lungs, more prominent on the left. Minimal emphysematous changes and locally linear atelectasis were observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. The heart is larger than normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal. The main pulmonary artery diameter was 31 mm and wider than normal. There is an appearance of a stent in the aortic root. There are also calcifications in the mitral valve. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the thoracic vertebral corpuscles, low density compatible with osteopenia and minimal decrease in corpus heights were observed in places. Intervertebral disc distances are narrowed. The neural foramina are open. Impression:  Operated lung ca, left upper lobectomized at follow-up.  Minimal peribronchial thickening in both lungs.  Minimal emphysematous changes in both lungs.  Stable millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Increase in pulmonary artery diameters.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_46/valid_46_a/valid_46_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_96",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was observed in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Millimetric calcific atheroma plaques were observed in the left coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs, especially in the lower lobes. Segmental-subsegmental peribronchial thickening and luminal narrowing were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. No mass lesion, pneumonic infiltration or contusion area was observed in the lung parenchyma. When the upper abdominal organs included in the sections were evaluated; No space-occupying lesion was detected in the liver that entered the cross-sectional area. The gallbladder was not observed (operated). Two angiomyolipomas with 4.5 and 7.5 mm diameters were observed in the middle part of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric calcific atheroma plaques in the left coronary arteries.  Sequela parenchymal changes in both lungs.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Two angiomyolipomas in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_47/valid_47_a/valid_47_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_97",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was observed in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Millimetric calcific atheroma plaques were observed in the left coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs, especially in the lower lobes. Segmental-subsegmental peribronchial thickening and luminal narrowing were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. No mass lesion, pneumonic infiltration or contusion area was observed in the lung parenchyma. When the upper abdominal organs included in the sections were evaluated; No space-occupying lesion was detected in the liver that entered the cross-sectional area. The gallbladder was not observed (operated). Two angiomyolipomas with 4.5 and 7.5 mm diameters were observed in the middle part of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric calcific atheroma plaques in the left coronary arteries.  Sequela parenchymal changes in both lungs.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Two angiomyolipomas in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_47/valid_47_a/valid_47_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_98",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: A hypodense nodule with peripheral rim calcification with a diameter of 3 mm is observed in the right lobe of the thyroid. An appearance compatible with thymic remnant is observed in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Several lymph nodes with a diameter of 5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis areas are observed in the left lung upper lobe lingular segment and middle lobe medial segment. No mass or infiltrative lesion was detected in both lungs. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear areas of atelectasis in both lungs.  Millimetric nodule with peripheral calcification in the right lobe of the thyroid gland; US control is recommended under elective conditions.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_48/valid_48_a/valid_48_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_99",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: A hypodense nodule with peripheral rim calcification with a diameter of 3 mm is observed in the right lobe of the thyroid. An appearance compatible with thymic remnant is observed in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Several lymph nodes with a diameter of 5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis areas are observed in the left lung upper lobe lingular segment and middle lobe medial segment. No mass or infiltrative lesion was detected in both lungs. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear areas of atelectasis in both lungs.  Millimetric nodule with peripheral calcification in the right lobe of the thyroid gland; US control is recommended under elective conditions.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_48/valid_48_a/valid_48_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_100",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Millimetric calcific nonspecific nodules are observed in the right lung lower lobe superior and upper lobe superior. Dependent atelectatic changes are present in the basal segments of both lungs in the lower lobes. No infiltrative lesion was detected in the lung parenchyma of both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric calcific nonspecific nodules in right lung lower lobe superior and upper lobe superior. Dependent atelectatic changes in lower lobe basal segments of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_49/valid_49_a/valid_49_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Millimetric calcific nonspecific nodules are observed in the right lung lower lobe superior and upper lobe superior. Dependent atelectatic changes are present in the basal segments of both lungs in the lower lobes. No infiltrative lesion was detected in the lung parenchyma of both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric calcific nonspecific nodules in right lung lower lobe superior and upper lobe superior. Dependent atelectatic changes in lower lobe basal segments of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_49/valid_49_a/valid_49_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no obstructive pathology is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There are linear density increases consistent with atelectasis in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. No active infiltration or mass lesion was detected in both lungs. In both lungs, there are several nonspecific nodules measuring 6 mm in size in the upper lobe apical segment on the left and 5 mm in the lateral segment in the right middle lobe. Follow-up is recommended. Ventilation of both lungs is natural. As far as can be observed within the borders of unenhanced CT in the upper abdominal sections within the image, diffuse density decrease secondary to hepatosteatosis is observed in liver parenchyma density. There is thinning of the parenchymal thickness evaluated in favor of focal cortical defects in the upper and right kidney middle zone of the left kidney. No solid mass was detected. No free fluid-loculated collection was observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic or destructive lesions were observed in the bone structures within the image. Vertebral corpus heights are preserved. Impression:  There are a few millimetric nonspecific nodules in both lungs. Follow-up is recommended. No active infiltration or mass lesion was detected.  Areas of increased density consistent with atelectasis in the right lung middle lobe medial segment and left lung upper lobe inferior segment.  Areas of thinning of parenchyma in favor of hepatosteatosis and focal cortical defect in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_50/valid_50_a/valid_50_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no obstructive pathology is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There are linear density increases consistent with atelectasis in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. No active infiltration or mass lesion was detected in both lungs. In both lungs, there are several nonspecific nodules measuring 6 mm in size in the upper lobe apical segment on the left and 5 mm in the lateral segment in the right middle lobe. Follow-up is recommended. Ventilation of both lungs is natural. As far as can be observed within the borders of unenhanced CT in the upper abdominal sections within the image, diffuse density decrease secondary to hepatosteatosis is observed in liver parenchyma density. There is thinning of the parenchymal thickness evaluated in favor of focal cortical defects in the upper and right kidney middle zone of the left kidney. No solid mass was detected. No free fluid-loculated collection was observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic or destructive lesions were observed in the bone structures within the image. Vertebral corpus heights are preserved. Impression:  There are a few millimetric nonspecific nodules in both lungs. Follow-up is recommended. No active infiltration or mass lesion was detected.  Areas of increased density consistent with atelectasis in the right lung middle lobe medial segment and left lung upper lobe inferior segment.  Areas of thinning of parenchyma in favor of hepatosteatosis and focal cortical defect in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_50/valid_50_a/valid_50_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_104",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodular or mass-occupying lesion was detected. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_51/valid_51_a/valid_51_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_105",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodular or mass-occupying lesion was detected. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_51/valid_51_a/valid_51_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. There are sometimes linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs . Pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_52/valid_52_a/valid_52_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_107",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. There are sometimes linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs . Pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_52/valid_52_a/valid_52_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. There are linear atelectasis in the medial segment of the right lung middle lobe and the inferior subsegment of the left lung lingular segment. No mass or infiltrative lesion was detected in both lungs. Mediacinal structures cannot be evaluated optimally because no contrast agent is given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. There is no pleural or pericardial effusion. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Emphysematous changes in both lungs . Atelectasis in both lungs . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_53/valid_53_a/valid_53_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_109",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. There are linear atelectasis in the medial segment of the right lung middle lobe and the inferior subsegment of the left lung lingular segment. No mass or infiltrative lesion was detected in both lungs. Mediacinal structures cannot be evaluated optimally because no contrast agent is given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. There is no pleural or pericardial effusion. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Emphysematous changes in both lungs . Atelectasis in both lungs . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_53/valid_53_a/valid_53_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are natural. Pericardial, pleural effusion was not detected. There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Paraseptal emphysemato changes are observed in the bilateral apex, more prominently in the upper lobes of both lungs. There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. There is a diffuse hypodense appearance secondary to hepatosteatosis in liver parenchyma density as far as can be seen within the borders of unenhanced CT in the upper abdomen sections within the image. No solid mass was detected. Free fluid, loculated collection is not observed. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression: There is no finding in favor of pneumonic infiltration in both lungs, and there are paraseptal amaphysematous changes that are more prominent in the bilateral upper lobes of the lung, and sequela parenchymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. Calcified in the wall of the aortic arch and coronary vascular structures atheroma plaques. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_53/valid_53_b/valid_53_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_111",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are natural. Pericardial, pleural effusion was not detected. There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Paraseptal emphysemato changes are observed in the bilateral apex, more prominently in the upper lobes of both lungs. There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. There is a diffuse hypodense appearance secondary to hepatosteatosis in liver parenchyma density as far as can be seen within the borders of unenhanced CT in the upper abdomen sections within the image. No solid mass was detected. Free fluid, loculated collection is not observed. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression: There is no finding in favor of pneumonic infiltration in both lungs, and there are paraseptal amaphysematous changes that are more prominent in the bilateral upper lobes of the lung, and sequela parenchymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. Calcified in the wall of the aortic arch and coronary vascular structures atheroma plaques. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_53/valid_53_b/valid_53_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_112",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcified atherosclerotic changes were observed in the coronary artery wall. Heart sizes are slightly increased. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Pericardial thickening-effusion was not detected. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). A millimetric nonspecific parenchymal nodule was observed in the left lung. Bilateral pleural thickening-effusion was not observed. No significant pathology was detected in the upper abdominal sections that entered the examination area. Left-facing scoliosis was observed in the thoracic vertebrae. Mild degenerative changes were observed in bone structures. Impression:  Atherosclerotic changes, mild cardiomegaly.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Mild emphysematous changes in both lungs.  Millimetric nonspecific parenchymal nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_54/valid_54_a/valid_54_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_113",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcified atherosclerotic changes were observed in the coronary artery wall. Heart sizes are slightly increased. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Pericardial thickening-effusion was not detected. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). A millimetric nonspecific parenchymal nodule was observed in the left lung. Bilateral pleural thickening-effusion was not observed. No significant pathology was detected in the upper abdominal sections that entered the examination area. Left-facing scoliosis was observed in the thoracic vertebrae. Mild degenerative changes were observed in bone structures. Impression:  Atherosclerotic changes, mild cardiomegaly.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Mild emphysematous changes in both lungs.  Millimetric nonspecific parenchymal nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_54/valid_54_a/valid_54_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A radiopaque appearance with a diameter of approximately 6 mm is observed at the level of the esophagogastric junction (calcified lymph node?). No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A few lymph nodes with short axes not exceeding 1 cm are observed in the mediastinal area. When examined in the lung parenchyma window; Minimal linear atelectasis is observed adjacent to the major fissure on the right. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Linear atelectasis at the level of the right lung major fissure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_55/valid_55_a/valid_55_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_115",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A radiopaque appearance with a diameter of approximately 6 mm is observed at the level of the esophagogastric junction (calcified lymph node?). No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A few lymph nodes with short axes not exceeding 1 cm are observed in the mediastinal area. When examined in the lung parenchyma window; Minimal linear atelectasis is observed adjacent to the major fissure on the right. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Linear atelectasis at the level of the right lung major fissure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_55/valid_55_a/valid_55_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the axilla and mediastinum. The structures of the supraclavicular fossa could not be evaluated due to the supraclavicular fossalar beam hardening artifact and lack of contrast material. Heart size and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is natural. The esophagus is in normal calibration. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodule or mass-occupying lesion was observed in the lung parenchyma. No pleural effusion was detected. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_56/valid_56_a/valid_56_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_117",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the axilla and mediastinum. The structures of the supraclavicular fossa could not be evaluated due to the supraclavicular fossalar beam hardening artifact and lack of contrast material. Heart size and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is natural. The esophagus is in normal calibration. Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodule or mass-occupying lesion was observed in the lung parenchyma. No pleural effusion was detected. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_56/valid_56_a/valid_56_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Numerous lymph nodes were observed in the pretracheal, aorta, pulmonary window, prevascular area, and subcarinal area, the largest of which was 20x14 mm in size in the subcarinal area. When examined in the lung parenchyma window; Consolidation-peribronchovascular thickenings including areas of density increase in ground glass density and air bronchogram were observed in the right lung middle lobe and lower lobe, left lung lower lobe and lingular segments. Effusion and pleural thickenings up to 16 mm on the right and 6 mm on the left were observed bilaterally. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Pericholecytic minimal fluid is present. Diffuse osteodegenerative changes were observed. Impression: Consolidation-consolidation with prominent air bronchogram in the lower lobes of both lungs-clear pleural effusion on the right bilateral with density increases in ground glass density. Multiple lymph nodes in the pretracheal, aortopulmonary window, subcarinal area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_57/valid_57_a/valid_57_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_119",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Numerous lymph nodes were observed in the pretracheal, aorta, pulmonary window, prevascular area, and subcarinal area, the largest of which was 20x14 mm in size in the subcarinal area. When examined in the lung parenchyma window; Consolidation-peribronchovascular thickenings including areas of density increase in ground glass density and air bronchogram were observed in the right lung middle lobe and lower lobe, left lung lower lobe and lingular segments. Effusion and pleural thickenings up to 16 mm on the right and 6 mm on the left were observed bilaterally. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Pericholecytic minimal fluid is present. Diffuse osteodegenerative changes were observed. Impression: Consolidation-consolidation with prominent air bronchogram in the lower lobes of both lungs-clear pleural effusion on the right bilateral with density increases in ground glass density. Multiple lymph nodes in the pretracheal, aortopulmonary window, subcarinal area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_57/valid_57_a/valid_57_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are small lymph nodes with a mediastinal axillary short axis measuring up to 5 mm. A patchy ground-glass density area is observed in the left lung upper lobe inferior lingula. It was evaluated primarily in favor of atelectasis change. Due to the current pandemic, clinical laboratory correlation is recommended. There are several calcific millimetric nodules in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A few hyperdense findings in the gallbladder, the largest of which were measured up to 14 mm, were evaluated in favor of stones. Diffuse density reduction is observed in bone structures. There are slight tapering in the vertebral corpus end plates. Impression: Imaging features can be seen in Covid-19 pneumonia but not specific. It can be seen in other infectious and non-infectious diseases. Primarily evaluated in favor of atelectatic change. Due to the current pandemic, clinical laboratory correlation-follow-up is recommended.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_58/valid_58_a/valid_58_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_121",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are small lymph nodes with a mediastinal axillary short axis measuring up to 5 mm. A patchy ground-glass density area is observed in the left lung upper lobe inferior lingula. It was evaluated primarily in favor of atelectasis change. Due to the current pandemic, clinical laboratory correlation is recommended. There are several calcific millimetric nodules in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A few hyperdense findings in the gallbladder, the largest of which were measured up to 14 mm, were evaluated in favor of stones. Diffuse density reduction is observed in bone structures. There are slight tapering in the vertebral corpus end plates. Impression: Imaging features can be seen in Covid-19 pneumonia but not specific. It can be seen in other infectious and non-infectious diseases. Primarily evaluated in favor of atelectatic change. Due to the current pandemic, clinical laboratory correlation-follow-up is recommended.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_58/valid_58_a/valid_58_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_122",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: The diameter of the ascending aorta is 44 mm and shows fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Calcified parenchymal nodules were observed in both lungs, the largest of which was in the right lung lower lobe superior segment, with a diameter of 5.8 mm. Subsegmental atelectasis areas were observed in both lungs. Bilateral peribronchial thickenings were observed. Bilateral pleural thickening-effusion was not detected. Left kidney dimensions decreased (atrophy?) in the upper abdominal sections that entered the examination area. A hypodense lesion with a diameter of 1 cm was observed in the upper pole of the left kidney. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Left-facing scoliosis was observed in the thoracic vertebrae. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Fusiform dilatation of the ascending aorta, mild calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery, cardiomegaly. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?), fibroatelectatic changes in both lungs.  Calcified parenchymal nodules seen on the left in both lungs. Left atrophic kidney and left renal hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_59/valid_59_a/valid_59_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_123",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: The diameter of the ascending aorta is 44 mm and shows fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Calcified parenchymal nodules were observed in both lungs, the largest of which was in the right lung lower lobe superior segment, with a diameter of 5.8 mm. Subsegmental atelectasis areas were observed in both lungs. Bilateral peribronchial thickenings were observed. Bilateral pleural thickening-effusion was not detected. Left kidney dimensions decreased (atrophy?) in the upper abdominal sections that entered the examination area. A hypodense lesion with a diameter of 1 cm was observed in the upper pole of the left kidney. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Left-facing scoliosis was observed in the thoracic vertebrae. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Fusiform dilatation of the ascending aorta, mild calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery, cardiomegaly. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?), fibroatelectatic changes in both lungs.  Calcified parenchymal nodules seen on the left in both lungs. Left atrophic kidney and left renal hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_59/valid_59_a/valid_59_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_124",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. Pericardial effusion was not detected. There are stent formations in the anterior descending coronary artery. Calcific atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal. Multiple FDG positive lymph nodes with 11 mm diameter are observed in the mediastinum and bilateral hilar regions, the largest in the prevascular area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In a patient who underwent pleurectomy and diaphragmatic resection due to mesothelioma, a primary mass characterized by plaque-like nodular pleural thickness increase whose borders cannot be distinguished from the mediastinum in the medial direction from the upper lobe of the right lung to the lower lobe, and postoperative hyperdense material on the diaphragm face are observed. It is observed that the mass extends under the skin from the intercostal area in the anterior part of the 6th rib. In the upper lobe of the right lung, there is a consolidation area in which air bronchograms are observed and sometimes accompanied by ground glass. In the middle lobe and lower lobe of the right lung, diffuse parenchymal soft tissue lesions and accompanying ground-glass areas are observed. Multiple metastic nodules of 10x12 mm are observed in both lungs, the largest of which is in the superior segment of the left lung lower lobe. There are occasional millimetric parenchymal air cysts in the left lung. There are areas of linear atelectasis in the left lung apicoposterior segment and lower lobe posterior segment. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There are millimetric nodular metastatic lesions in the capsular area at the level of the posterior segment of the right lobe of the liver. A view compatible with the omental cake is observed. No lytic-destructive lesions were observed in the bone structures within the sections. In the lateral-posterior wall of the right thorax, there are multiple nodular metastatic lesions, the largest measuring 16x20 mm, within the subcutaneous fatty tissue and muscle planes. Impression:  On follow-up, mesothelioma, a primary mass characterized by an increase in nodular pleural thickness in the right lung whose borders are indistinguishable from the mediastinum and extending under the skin through the intercostal space in the lateral section.  Lesions of parenchymal soft tissue density and accompanying ground-glass areas in the right lung.  Multiple metastatic nodules in both lungs.  Mediastinal lymph nodes.  Multiple nodular metastatic lesions within the subcutaneous fatty tissue and muscle planes on the lateral-posterior wall of the right thorax.  Appearance compatible with capsular implants and omental cake in the liver.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_60/valid_60_a/valid_60_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_125",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. Pericardial effusion was not detected. There are stent formations in the anterior descending coronary artery. Calcific atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal. Multiple FDG positive lymph nodes with 11 mm diameter are observed in the mediastinum and bilateral hilar regions, the largest in the prevascular area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In a patient who underwent pleurectomy and diaphragmatic resection due to mesothelioma, a primary mass characterized by plaque-like nodular pleural thickness increase whose borders cannot be distinguished from the mediastinum in the medial direction from the upper lobe of the right lung to the lower lobe, and postoperative hyperdense material on the diaphragm face are observed. It is observed that the mass extends under the skin from the intercostal area in the anterior part of the 6th rib. In the upper lobe of the right lung, there is a consolidation area in which air bronchograms are observed and sometimes accompanied by ground glass. In the middle lobe and lower lobe of the right lung, diffuse parenchymal soft tissue lesions and accompanying ground-glass areas are observed. Multiple metastic nodules of 10x12 mm are observed in both lungs, the largest of which is in the superior segment of the left lung lower lobe. There are occasional millimetric parenchymal air cysts in the left lung. There are areas of linear atelectasis in the left lung apicoposterior segment and lower lobe posterior segment. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There are millimetric nodular metastatic lesions in the capsular area at the level of the posterior segment of the right lobe of the liver. A view compatible with the omental cake is observed. No lytic-destructive lesions were observed in the bone structures within the sections. In the lateral-posterior wall of the right thorax, there are multiple nodular metastatic lesions, the largest measuring 16x20 mm, within the subcutaneous fatty tissue and muscle planes. Impression:  On follow-up, mesothelioma, a primary mass characterized by an increase in nodular pleural thickness in the right lung whose borders are indistinguishable from the mediastinum and extending under the skin through the intercostal space in the lateral section.  Lesions of parenchymal soft tissue density and accompanying ground-glass areas in the right lung.  Multiple metastatic nodules in both lungs.  Mediastinal lymph nodes.  Multiple nodular metastatic lesions within the subcutaneous fatty tissue and muscle planes on the lateral-posterior wall of the right thorax.  Appearance compatible with capsular implants and omental cake in the liver.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_60/valid_60_a/valid_60_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_126",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse irregular thickening due to the primary mass in the pleura in the right hemithorax, and signs of extension to the extrathoracic area, muscle planes, and subcutaneous fat tissue anteriorly and laterally are stable. There was no significant difference in metastatic nodular appearance in both lungs. In the right lung, pleuroparenchymal consolidations starting from the central and extending to the periphery, being more prominent in the lower lobe, and a significant increase in ground glass densities are observed. There is minimal aeration in the anterior parts of the right lung. There is a displaced fracture in the posterior 7th rib on the right. On the left hemithorax, an effusion with a diameter of 33 mm is observed at its widest part. The upper abdomen partially enters the section. The liver capsule is irregular and nodular in appearance. There are diffuse nodular densities surrounding the intestinal loops, especially in the left upper quadrant. At this level, free fluid partially penetrating the section or loculated collection appearance is observed. Detailed evaluation can be done with Abdomen examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Follow-up mesothelioma.  Increased parenchymal consolidation and infiltrations in the right lung, newly developed pleural effusion on the left, and a displaced fracture in the 7th rib on the right.  Free or loculated fluid surrounding the intestinal loops in the left upper quadrant in the upper abdominal sections, apart from this, no significant difference was found in the signs of involvement of the primary disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_60/valid_60_b/valid_60_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_127",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse irregular thickening due to the primary mass in the pleura in the right hemithorax, and signs of extension to the extrathoracic area, muscle planes, and subcutaneous fat tissue anteriorly and laterally are stable. There was no significant difference in metastatic nodular appearance in both lungs. In the right lung, pleuroparenchymal consolidations starting from the central and extending to the periphery, being more prominent in the lower lobe, and a significant increase in ground glass densities are observed. There is minimal aeration in the anterior parts of the right lung. There is a displaced fracture in the posterior 7th rib on the right. On the left hemithorax, an effusion with a diameter of 33 mm is observed at its widest part. The upper abdomen partially enters the section. The liver capsule is irregular and nodular in appearance. There are diffuse nodular densities surrounding the intestinal loops, especially in the left upper quadrant. At this level, free fluid partially penetrating the section or loculated collection appearance is observed. Detailed evaluation can be done with Abdomen examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Follow-up mesothelioma.  Increased parenchymal consolidation and infiltrations in the right lung, newly developed pleural effusion on the left, and a displaced fracture in the 7th rib on the right.  Free or loculated fluid surrounding the intestinal loops in the left upper quadrant in the upper abdominal sections, apart from this, no significant difference was found in the signs of involvement of the primary disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_60/valid_60_b/valid_60_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Heart contour and size are normal. There are calcific atheroma plaques in the aorta. Stent formations are observed in the anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a diameter of 11 mm are observed in the mediastinum and bilateral hilar regions, the largest in the pretracheal area, and no significant difference was found between their number and size. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. The patient who underwent right pleurectomy and diaphragm resection due to mesothelioma had nodular pleural thickness increase consistent with a primary mass whose borders could not be distinguished from the mediastinum on non-contrast examination, starting from the right upper lobe of the lung, and postoperative hyperdense surgical material on the right diaphragmatic face. The mass extends from the intercostal space to the subcutaneous tissue. Right lung aeration is markedly decreased, and there are consolidations in all lobes of the right lung in which air bronchograms are observed, and accompanying soft tissue density lesions in the upper lobes. A 2.5 cm in the previous examination). There is an area of atelectasis and accompanying interlobular septal thickness increases adjacent to the effusion in the posterior segment of the left lung lower lobe. Multiple metastatic nodules are observed in both lungs, and the largest is 10x12 mm in size in the left lung lower lobe superior segment. Some have increased in size. In the left lung lower lobe superior segment and upper lobe anterior segment, lesions in soft tissue density accompanied by peripheral ground glass areas are observed, and it is understood that the lesion observed in the lower lobe has just appeared. First of all, it was evaluated in favor of pneumonic infiltration. Sliding type minimal hiatal hernia is present at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; there is a capsular implant in the liver and an appearance compatible with the omental cake in the omentum. There is a displaced fracture line in the right 7th rib. No lytic-destructive lesions were observed in the bone structures within the sections. No significant difference was found in the number and size of metastatic nodules in the skin, subcutaneous fat tissue and muscle planes in the posterolateral part of the right thorax, which is partially included in the sections. Impression:  Mesothelioma on follow-up, consolidation area in the right lung with air bronchograms; increase in size.  Multiple metastatic nodules in both lungs; Some have increased in size.  Lesions of soft tissue density accompanied by peripheral ground glass areas in both upper lobes of the lungs and lower lobe of the left lung. The appearance observed in the lower lobe of the left lung has just emerged. First of all, it was evaluated in favor of pneumonic infiltration.  Left pleural effusion; A minimal decrease is observed in the amount of  Appearance compatible with capsular implants and omental cake in the liver.  Nodular metastatic lesions in the skin, subcutaneous fat tissue and muscle planes on the lateral wall of the right thorax; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_60/valid_60_c/valid_60_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_129",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Heart contour and size are normal. There are calcific atheroma plaques in the aorta. Stent formations are observed in the anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a diameter of 11 mm are observed in the mediastinum and bilateral hilar regions, the largest in the pretracheal area, and no significant difference was found between their number and size. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. The patient who underwent right pleurectomy and diaphragm resection due to mesothelioma had nodular pleural thickness increase consistent with a primary mass whose borders could not be distinguished from the mediastinum on non-contrast examination, starting from the right upper lobe of the lung, and postoperative hyperdense surgical material on the right diaphragmatic face. The mass extends from the intercostal space to the subcutaneous tissue. Right lung aeration is markedly decreased, and there are consolidations in all lobes of the right lung in which air bronchograms are observed, and accompanying soft tissue density lesions in the upper lobes. A 2.5 cm in the previous examination). There is an area of atelectasis and accompanying interlobular septal thickness increases adjacent to the effusion in the posterior segment of the left lung lower lobe. Multiple metastatic nodules are observed in both lungs, and the largest is 10x12 mm in size in the left lung lower lobe superior segment. Some have increased in size. In the left lung lower lobe superior segment and upper lobe anterior segment, lesions in soft tissue density accompanied by peripheral ground glass areas are observed, and it is understood that the lesion observed in the lower lobe has just appeared. First of all, it was evaluated in favor of pneumonic infiltration. Sliding type minimal hiatal hernia is present at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; there is a capsular implant in the liver and an appearance compatible with the omental cake in the omentum. There is a displaced fracture line in the right 7th rib. No lytic-destructive lesions were observed in the bone structures within the sections. No significant difference was found in the number and size of metastatic nodules in the skin, subcutaneous fat tissue and muscle planes in the posterolateral part of the right thorax, which is partially included in the sections. Impression:  Mesothelioma on follow-up, consolidation area in the right lung with air bronchograms; increase in size.  Multiple metastatic nodules in both lungs; Some have increased in size.  Lesions of soft tissue density accompanied by peripheral ground glass areas in both upper lobes of the lungs and lower lobe of the left lung. The appearance observed in the lower lobe of the left lung has just emerged. First of all, it was evaluated in favor of pneumonic infiltration.  Left pleural effusion; A minimal decrease is observed in the amount of  Appearance compatible with capsular implants and omental cake in the liver.  Nodular metastatic lesions in the skin, subcutaneous fat tissue and muscle planes on the lateral wall of the right thorax; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_60/valid_60_c/valid_60_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_130",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: There is an increase in soft tissue density in the retroareolar areas of both breasts (gynecomastia?). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ventilation of both lung parenchyma is normal. Focal ground-glass density areas with a faint border were observed in the left lung upper lobe anterior and lingula (suspicious findings in terms of infection). Clinical evaluation and radiological follow-up are recommended. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Impression: Density increases in soft tissue density in the retroareolar areas of both breasts (gynecomastia?).  Focal ground-glass density areas with faint borders in the left lung upper lobe anterior and lingula (suspected findings in terms of infection). Clinical evaluation and radiological follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_61/valid_61_a/valid_61_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: There is an increase in soft tissue density in the retroareolar areas of both breasts (gynecomastia?). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ventilation of both lung parenchyma is normal. Focal ground-glass density areas with a faint border were observed in the left lung upper lobe anterior and lingula (suspicious findings in terms of infection). Clinical evaluation and radiological follow-up are recommended. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Impression: Density increases in soft tissue density in the retroareolar areas of both breasts (gynecomastia?).  Focal ground-glass density areas with faint borders in the left lung upper lobe anterior and lingula (suspected findings in terms of infection). Clinical evaluation and radiological follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_61/valid_61_a/valid_61_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_132",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Central-peripheral localized nodular-patchy ground glass consolidations with crazy paving pattern were observed in both lungs. The outlook is consistent with Covid-19 pneumonia. Linear fibroatelectasis sequelae were observed in the areas adjacent to the diaphragm in the left lung inferior lingular segment, right lung middle lobe medial segment and left lung lower lobe basal segment. Minimal peribronchial thickening was observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. An exophytic cortical cyst of 39 mm in diameter was observed in the upper pole of the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in lung parenchyma  Sequelae fibroatelectasis in both lungs, minimal peribronchial thickening in both lungs  Left renal cortical cyst"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_62/valid_62_a/valid_62_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_133",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Central-peripheral localized nodular-patchy ground glass consolidations with crazy paving pattern were observed in both lungs. The outlook is consistent with Covid-19 pneumonia. Linear fibroatelectasis sequelae were observed in the areas adjacent to the diaphragm in the left lung inferior lingular segment, right lung middle lobe medial segment and left lung lower lobe basal segment. Minimal peribronchial thickening was observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. An exophytic cortical cyst of 39 mm in diameter was observed in the upper pole of the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in lung parenchyma  Sequelae fibroatelectasis in both lungs, minimal peribronchial thickening in both lungs  Left renal cortical cyst"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_62/valid_62_a/valid_62_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_134",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  When examined in the lung parenchyma window; In the case followed up with Covid-19 pneumonia, the consolidations were progressive with a tendency to coalesce, and there are condolidations as new pneumonic foci in the parenchyma. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_62/valid_62_b/valid_62_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  When examined in the lung parenchyma window; In the case followed up with Covid-19 pneumonia, the consolidations were progressive with a tendency to coalesce, and there are condolidations as new pneumonic foci in the parenchyma. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_62/valid_62_b/valid_62_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_136",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  In the current examination, in both lungs, there are areas of increase in density consistent with consolidation, consistent with Covid-19 pneumonia, accompanied by sequela parenchymal changes in the lower lobe basal segments in the current examination, where the majority of the lungs are located in the peripheral subpleural multilobar. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_62/valid_62_c/valid_62_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_137",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  In the current examination, in both lungs, there are areas of increase in density consistent with consolidation, consistent with Covid-19 pneumonia, accompanied by sequela parenchymal changes in the lower lobe basal segments in the current examination, where the majority of the lungs are located in the peripheral subpleural multilobar. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_62/valid_62_c/valid_62_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_138",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. Cardiomegaly was observed. Calcifications were observed in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short diameter of up to 8 mm were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area, and lower paraesophageal area. No lymph node reaching pathological size was detected in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; Loss of aeration was observed in the left lung. In general, patchy consolidations with air bronchograms were observed in the left lung basal. A pleural effusion reaching approximately 1 cm in thickness, extending into the fissure adjacent to the consolidations, was observed. Mosaic attenuation pattern was observed in both lungs. Nonspecific parenchymal nodules, some of which are calcified, the largest reaching approximately 4 mm in diameter, were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the lower pole of the left kidney, which entered the imaging area, an appearance of fat density compatible with angiomyolipoma with a diameter of 10 mm was observed. There are several millimetric stones in the right kidney. Osteodegenerative changes and osteophyte formations in the vertebral corpus corners were observed in the bone structures in the study area. Thoracic kyphosis has increased and height loss has been observed in the thoracic vertebrae. There are metallic materials secondary to surgery in the sternum. . Impression: Mosaic attenuation pattern in both lungs. Consolidations in the lower lobe of the left lung, including pleural-based air bronchograms, and pleural fluid extending to the fissure at this level (The appearance was primarily evaluated as secondary to infective pathologies. Post-treatment control is recommended).  Cardiomegaly, dilatation of major vascular structures, and atherosclerosis. Lymph nodes that do not reach mediastinal pathological dimensions.  Osteodegenerative bone disease. Right nephrolithiasis, left angiomyolipoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_63/valid_63_a/valid_63_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. Cardiomegaly was observed. Calcifications were observed in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short diameter of up to 8 mm were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area, and lower paraesophageal area. No lymph node reaching pathological size was detected in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; Loss of aeration was observed in the left lung. In general, patchy consolidations with air bronchograms were observed in the left lung basal. A pleural effusion reaching approximately 1 cm in thickness, extending into the fissure adjacent to the consolidations, was observed. Mosaic attenuation pattern was observed in both lungs. Nonspecific parenchymal nodules, some of which are calcified, the largest reaching approximately 4 mm in diameter, were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the lower pole of the left kidney, which entered the imaging area, an appearance of fat density compatible with angiomyolipoma with a diameter of 10 mm was observed. There are several millimetric stones in the right kidney. Osteodegenerative changes and osteophyte formations in the vertebral corpus corners were observed in the bone structures in the study area. Thoracic kyphosis has increased and height loss has been observed in the thoracic vertebrae. There are metallic materials secondary to surgery in the sternum. . Impression: Mosaic attenuation pattern in both lungs. Consolidations in the lower lobe of the left lung, including pleural-based air bronchograms, and pleural fluid extending to the fissure at this level (The appearance was primarily evaluated as secondary to infective pathologies. Post-treatment control is recommended).  Cardiomegaly, dilatation of major vascular structures, and atherosclerosis. Lymph nodes that do not reach mediastinal pathological dimensions.  Osteodegenerative bone disease. Right nephrolithiasis, left angiomyolipoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_63/valid_63_a/valid_63_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_140",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Lymph nodes measuring 17x11mm in size were observed in the upper-lower paratracheal, prevascular, aorticopulmonary and paraesophageal areas. No lymph node was detected in mediastinal pathological size and appearance. Metallic suture materials of sternotomy were observed on the anterior thorax wall. In the bilateral retroareolar area, glandular tissue increase of gynecomastia draws attention. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. The diameter of the main pulmonary artery was 36mm, the diameter of the right pulmonary artery was 28mm, and the diameter of the left pulmonary artery was 25mm, showing dilatation. When both lung parenchyma windows are evaluated; Widespread mosaic attenuation areas were observed in both lungs (small airway disease? small vessel disease?). In bilateral lungs, interlobular septal thickenings were observed in the upper lobes (secondary to cardiac pathology?). A minimal pleural effusion area measuring 6 mm in thickness was observed between the pleural leaves on the right. Subsegmental atelectasis areas in the inferior lingular segment of the left lung are noteworthy. According to the previous examination, stable nonspecific pulmonary nodules in size and number were observed in both lungs, some of which showed calcification. The upper abdominal organs included in the study area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the lower pole of the left kidney, the lesion compatible with angiomyolipoma in the first place in the fat density observed in the previous examination cannot be characterized because it does not enter the image area in the current examination. Degenerative changes are observed in the bone structures in the study area. No lytic-destructive lesion was detected. Diffuse calcification was observed in the T10-11 intervertebral disc. In the vertebra corpus corners, bridging syndesmophytes are observed in places. No lytic-destructive lesion was detected. Impression: Mosaic attenuation areas in both lungs (small airway disease?, small vessel disease?).  Bilateral interlobular septal thickenings, secondary to cardiac pathology? . Minimal pleural effusion on the right, newly revealed. Cardiomegaly.  Dilatation of pulmonary arteries. Mediastinal lymph nodes with stable size and number of millimeters.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_63/valid_63_b/valid_63_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Lymph nodes measuring 17x11mm in size were observed in the upper-lower paratracheal, prevascular, aorticopulmonary and paraesophageal areas. No lymph node was detected in mediastinal pathological size and appearance. Metallic suture materials of sternotomy were observed on the anterior thorax wall. In the bilateral retroareolar area, glandular tissue increase of gynecomastia draws attention. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. The diameter of the main pulmonary artery was 36mm, the diameter of the right pulmonary artery was 28mm, and the diameter of the left pulmonary artery was 25mm, showing dilatation. When both lung parenchyma windows are evaluated; Widespread mosaic attenuation areas were observed in both lungs (small airway disease? small vessel disease?). In bilateral lungs, interlobular septal thickenings were observed in the upper lobes (secondary to cardiac pathology?). A minimal pleural effusion area measuring 6 mm in thickness was observed between the pleural leaves on the right. Subsegmental atelectasis areas in the inferior lingular segment of the left lung are noteworthy. According to the previous examination, stable nonspecific pulmonary nodules in size and number were observed in both lungs, some of which showed calcification. The upper abdominal organs included in the study area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the lower pole of the left kidney, the lesion compatible with angiomyolipoma in the first place in the fat density observed in the previous examination cannot be characterized because it does not enter the image area in the current examination. Degenerative changes are observed in the bone structures in the study area. No lytic-destructive lesion was detected. Diffuse calcification was observed in the T10-11 intervertebral disc. In the vertebra corpus corners, bridging syndesmophytes are observed in places. No lytic-destructive lesion was detected. Impression: Mosaic attenuation areas in both lungs (small airway disease?, small vessel disease?).  Bilateral interlobular septal thickenings, secondary to cardiac pathology? . Minimal pleural effusion on the right, newly revealed. Cardiomegaly.  Dilatation of pulmonary arteries. Mediastinal lymph nodes with stable size and number of millimeters.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_63/valid_63_b/valid_63_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_142",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; subpleural linear atelectasis changes are observed in the left lung linguloinferior. Pleural effusion-thickening was not detected. In the evaluation of the upper abdominal organs included in the sections, hypodense contours and faint lesions are observed in the right lobe of the liver and a few on the left, the largest of which is measured up to 32 mm. evaluated for metastases. A small cortical cyst is observed in the left kidney.v Osteophytic degenerative changes are observed in the end plates of the vertebral corpuscles, which are in the examination area. Thoracic kyphosis has increased. Impression: Massive lesions of the liver. Small cortical cyst in the left kidney.  Osteopenic appearance, degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_64/valid_64_a/valid_64_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; subpleural linear atelectasis changes are observed in the left lung linguloinferior. Pleural effusion-thickening was not detected. In the evaluation of the upper abdominal organs included in the sections, hypodense contours and faint lesions are observed in the right lobe of the liver and a few on the left, the largest of which is measured up to 32 mm. evaluated for metastases. A small cortical cyst is observed in the left kidney.v Osteophytic degenerative changes are observed in the end plates of the vertebral corpuscles, which are in the examination area. Thoracic kyphosis has increased. Impression: Massive lesions of the liver. Small cortical cyst in the left kidney.  Osteopenic appearance, degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_64/valid_64_a/valid_64_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_144",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; subpleural linear atelectasis changes are observed in the left lung linguloinferior. Pleural effusion-thickening was not detected. In the evaluation of the upper abdominal organs included in the sections, hypodense contours and faint lesions are observed in the right lobe of the liver and a few on the left, the largest of which is measured up to 32 mm. evaluated for metastases. A small cortical cyst is observed in the left kidney.v Osteophytic degenerative changes are observed in the end plates of the vertebral corpuscles, which are in the examination area. Thoracic kyphosis has increased. Impression: Massive lesions of the liver. Small cortical cyst in the left kidney.  Osteopenic appearance, degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_64/valid_64_a/valid_64_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_145",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: No lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Trachea and both main bronchi are open. No obstructive pathology was detected in the trachea and both main bronchi. There are millimetric nodules in both lungs. Apart from this, no mass or infiltrative lesion was observed in both lungs. There are linear atelectasis in the left lung lingular segment and right lung lower lobe laterobasal segment. No pathological increase in wall thickness was detected in the esophagus within the sections. Upper abdominal organs cannot be evaluated optimally because no contrast material is given. As far as can be observed, it is understood that the patient is a liver right lobe transplant recipient. In this examination, no mass with distinguishable borders was detected in the liver. Minimal sliding type hiatal hernia was observed. No intraabdominal free fluid-collection was detected. Within the sections, no lymph node was observed in intra-abdominal pathological size and appearance. Degenerative changes are observed in the bone structures within the sections. Thoracic kyphosis is increased. Thoracic intervertebral disc distances within the sections have decreased. The neural foramina are open. No lytic-destructive lesion was observed in the bone structures within the sections in this examination. Impression:  Linear atelectasis in both lungs  Millimetric nodules in both lungs  Degenerative changes in bone structures, increase in thoracic kyphosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_64/valid_64_b/valid_64_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: No lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Trachea and both main bronchi are open. No obstructive pathology was detected in the trachea and both main bronchi. There are millimetric nodules in both lungs. Apart from this, no mass or infiltrative lesion was observed in both lungs. There are linear atelectasis in the left lung lingular segment and right lung lower lobe laterobasal segment. No pathological increase in wall thickness was detected in the esophagus within the sections. Upper abdominal organs cannot be evaluated optimally because no contrast material is given. As far as can be observed, it is understood that the patient is a liver right lobe transplant recipient. In this examination, no mass with distinguishable borders was detected in the liver. Minimal sliding type hiatal hernia was observed. No intraabdominal free fluid-collection was detected. Within the sections, no lymph node was observed in intra-abdominal pathological size and appearance. Degenerative changes are observed in the bone structures within the sections. Thoracic kyphosis is increased. Thoracic intervertebral disc distances within the sections have decreased. The neural foramina are open. No lytic-destructive lesion was observed in the bone structures within the sections in this examination. Impression:  Linear atelectasis in both lungs  Millimetric nodules in both lungs  Degenerative changes in bone structures, increase in thoracic kyphosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_64/valid_64_b/valid_64_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_147",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Minimal peribronchial thickening was observed in both lungs. This view is not specific. There are sometimes linear atelectasis in both lungs. There are ground glass appearances and centriacinar nodules in the posterobasal and laterobasal segments of the left lung lower lobe and in the right lung lower lobe laterobasal segment. It is recommended that the patient be evaluated for infective pathology. In addition, there are millimetric nodules in both lungs. No mass was detected in both lungs. No upper abdominal free fluid-collection was detected in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Operated HCC at follow-up.  Findings evaluated primarily in favor of infective pathology in both lungs.  Minimal peribronchial thickening in both lungs.  Atelectasis in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_64/valid_64_c/valid_64_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_148",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Minimal peribronchial thickening was observed in both lungs. This view is not specific. There are sometimes linear atelectasis in both lungs. There are ground glass appearances and centriacinar nodules in the posterobasal and laterobasal segments of the left lung lower lobe and in the right lung lower lobe laterobasal segment. It is recommended that the patient be evaluated for infective pathology. In addition, there are millimetric nodules in both lungs. No mass was detected in both lungs. No upper abdominal free fluid-collection was detected in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Operated HCC at follow-up.  Findings evaluated primarily in favor of infective pathology in both lungs.  Minimal peribronchial thickening in both lungs.  Atelectasis in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_64/valid_64_c/valid_64_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_149",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_65/valid_65_a/valid_65_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_150",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. Pleuroparenchymal sequelae changes were observed in both lung apex. Millimetric nonspecific nodules were observed in both lungs. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a decrease in the parenchymal density of the liver in line with the adiposity. No upper abdominal free fluid-collection was detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. Impression: Emphysematous changes in both lungs . Pleuroparenchymal sequelae changes in both lung apexes . Millimetric nodules in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_66/valid_66_a/valid_66_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected, but there are sequelae changes, a few millimeter-sized nonspecific nodules, and lnodular lesions in the right middle lobe, which are evaluated in favor of a 12x6 mm subpleural lymph node. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Sequelae changes in both lungs , a few millimetric non - specific nodules and nodular lesions in the right middle lobe evaluated in favor of subpleural lymph nodes ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_67/valid_67_a/valid_67_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are several millimetric nonspecific nodules in the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Several millimetric nonspecific nodules in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_68/valid_68_a/valid_68_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a slippery mild hiatal hernia at the lower end. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Calibration of the main mediastinal vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. When examined in the lung parenchyma window; Sequela parenchymal changes are observed in the apex of both lungs. No active infiltration or mass lesion was detected in both lungs. There are several millimeter-sized nonspecific nodules in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections included in the sections, free fluid, loculated collection is not observed as far as can be observed within the borders of non-contrast CT. No solid mass was detected. No lytic or destructive lesions were observed in the bone structures in the study area. Impression: A few millimetric nonspecific nodules in both lungs. Sliding type mild hiatal hernia at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_69/valid_69_a/valid_69_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_154",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a slippery mild hiatal hernia at the lower end. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Calibration of the main mediastinal vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. When examined in the lung parenchyma window; Sequela parenchymal changes are observed in the apex of both lungs. No active infiltration or mass lesion was detected in both lungs. There are several millimeter-sized nonspecific nodules in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections included in the sections, free fluid, loculated collection is not observed as far as can be observed within the borders of non-contrast CT. No solid mass was detected. No lytic or destructive lesions were observed in the bone structures in the study area. Impression: A few millimetric nonspecific nodules in both lungs. Sliding type mild hiatal hernia at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_69/valid_69_a/valid_69_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_155",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, which is compatible with adiposity. Millimetric sequela nodular calcifications were observed in the liver. Gallbladder, both kidneys, both adrenal glands, pancreas are natural. Accessory spleen with a diameter of 17.5 mm was observed adjacent to the lower pole of the spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Hemangioma focus was observed in the left half of the T10 vertebra corpus. Syndesmophytes bridging each other were observed in the right anterolateral corner at mid-thoracic level. Impression: Calcific atheroma plaques in the thoracic aorta, its supraaortic branches and coronary arteries. No evidence of infection-mass was detected in the lung parenchyma.  Hepatosteatosis. Findings consistent with DISH at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_70/valid_70_a/valid_70_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_156",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, which is compatible with adiposity. Millimetric sequela nodular calcifications were observed in the liver. Gallbladder, both kidneys, both adrenal glands, pancreas are natural. Accessory spleen with a diameter of 17.5 mm was observed adjacent to the lower pole of the spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Hemangioma focus was observed in the left half of the T10 vertebra corpus. Syndesmophytes bridging each other were observed in the right anterolateral corner at mid-thoracic level. Impression: Calcific atheroma plaques in the thoracic aorta, its supraaortic branches and coronary arteries. No evidence of infection-mass was detected in the lung parenchyma.  Hepatosteatosis. Findings consistent with DISH at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_70/valid_70_a/valid_70_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_157",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. A punctate calcified atherosclerotic plaque was observed proximal to the LAD. Calibrations of mediastinal major vascular structures are natural. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. In lung parenchyma evaluation; In both lungs, there are infiltration areas of ground glass density, which are bilaterally symmetrical towards the basals. Radiological findings were evaluated as compatible with Covid pneumonia. No suspicious nodule or mass-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Findings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_71/valid_71_a/valid_71_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_158",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. A punctate calcified atherosclerotic plaque was observed proximal to the LAD. Calibrations of mediastinal major vascular structures are natural. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. In lung parenchyma evaluation; In both lungs, there are infiltration areas of ground glass density, which are bilaterally symmetrical towards the basals. Radiological findings were evaluated as compatible with Covid pneumonia. No suspicious nodule or mass-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Findings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_71/valid_71_a/valid_71_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_159",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; There is a stable nodule with a diameter of 3 mm, subpleural at the posterobasal level of the lower lobe of the right lung. A 2 mm diameter subpleural nodule is observed in the left lung upper lobe anterior segment lateral subpleural area. A subpleural nodule with a diameter of 2 mm is observed at the posterobasal level. There is a stable subpleural 3 mm diameter nodule at the laterobasal level. Again, a stable nodule with a diameter of 3 mm is observed at the laterobasal level. The ground glass-like density increases and the appearance of clarification in the interlobular septa observed in the previous examination regressed in the current examination. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  In the examination of the case under follow-up due to Covid pneumonia;  There is a regression in the findings according to the previous review.  Stable, millimetric non-specific nodule in both lungs according to previous examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_71/valid_71_b/valid_71_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; There is a stable nodule with a diameter of 3 mm, subpleural at the posterobasal level of the lower lobe of the right lung. A 2 mm diameter subpleural nodule is observed in the left lung upper lobe anterior segment lateral subpleural area. A subpleural nodule with a diameter of 2 mm is observed at the posterobasal level. There is a stable subpleural 3 mm diameter nodule at the laterobasal level. Again, a stable nodule with a diameter of 3 mm is observed at the laterobasal level. The ground glass-like density increases and the appearance of clarification in the interlobular septa observed in the previous examination regressed in the current examination. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  In the examination of the case under follow-up due to Covid pneumonia;  There is a regression in the findings according to the previous review.  Stable, millimetric non-specific nodule in both lungs according to previous examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_71/valid_71_b/valid_71_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The heart size was markedly increased. The ascending aorta diameter has increased by 42 mm. There are calcific atheromatous plaques in the aorta and coronary arteries. Other mediastinal main vascular structures are normal. There is minimal effusion in the pericardial area. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few lymph nodes with short axes not reaching 1 cm2 are observed in the mediastinal area. When examined in the lung parenchyma window; Pleural effusion with a diameter of 3.5 cm at its thickest point on the right and approximately 2 cm on the left is observed in both hemithoraxes. In addition, there is effusion in both lung fissures. An anky pleural effusion area is also observed in the posterior part of the left lung upper lobe. There is a mosaic attenuation pattern in both lungs. It is appropriate to evaluate it together with the clinic in terms of small airway and small vessel disease. Interlobar and interlobular septal thickness increases are observed in the lower segments of the upper lobe of both lungs. There was no appearance in favor of active infiltration. No gross pathology was detected in the upper abdominal organs included in the examination. A hypodense appearance, which may be compatible with a cyst, was observed in the right kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is an increased kyphotic appearance in the thoracic vertebrae. Impression:  Effusions thought to be secondary to heart failure.  Increases in interlobar and interlobular thickness."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_72/valid_72_a/valid_72_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_162",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The heart size was markedly increased. The ascending aorta diameter has increased by 42 mm. There are calcific atheromatous plaques in the aorta and coronary arteries. Other mediastinal main vascular structures are normal. There is minimal effusion in the pericardial area. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few lymph nodes with short axes not reaching 1 cm2 are observed in the mediastinal area. When examined in the lung parenchyma window; Pleural effusion with a diameter of 3.5 cm at its thickest point on the right and approximately 2 cm on the left is observed in both hemithoraxes. In addition, there is effusion in both lung fissures. An anky pleural effusion area is also observed in the posterior part of the left lung upper lobe. There is a mosaic attenuation pattern in both lungs. It is appropriate to evaluate it together with the clinic in terms of small airway and small vessel disease. Interlobar and interlobular septal thickness increases are observed in the lower segments of the upper lobe of both lungs. There was no appearance in favor of active infiltration. No gross pathology was detected in the upper abdominal organs included in the examination. A hypodense appearance, which may be compatible with a cyst, was observed in the right kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is an increased kyphotic appearance in the thoracic vertebrae. Impression:  Effusions thought to be secondary to heart failure.  Increases in interlobar and interlobular thickness."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_72/valid_72_a/valid_72_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_163",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lungs. Upper abdominal organs included in the sections are normal. There is a change in favor of steatosis in the liver parenchyma. No space occupying lesion was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings evaluated in favor of Covid-19 viral pneumonia; clinical laboratory correlation, close follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_73/valid_73_a/valid_73_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_164",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lungs. Upper abdominal organs included in the sections are normal. There is a change in favor of steatosis in the liver parenchyma. No space occupying lesion was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings evaluated in favor of Covid-19 viral pneumonia; clinical laboratory correlation, close follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_73/valid_73_a/valid_73_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_165",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Paracentral mild emphysematous changes are present at both apical levels. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits except paracentral mild emphysematous changes at both apical levels"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_74/valid_74_a/valid_74_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_166",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Paracentral mild emphysematous changes are present at both apical levels. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits except paracentral mild emphysematous changes at both apical levels"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_74/valid_74_a/valid_74_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_167",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aortic arch and descending aorta. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.  When examined in the lung parenchyma window, a patchy ground glass density and crazy paving pattern including air bronchogram signs are observed in the left lung lower lobe superior posterior. The findings were initially evaluated in favor of an infectious process (bronchopneumonia?, viral pneumonia?). Clinical and laboratory correlation and follow-up. and differential diagnosis. Foci are observed Bone structures in the study area are natural Vertebral corpus heights are preserved. Impression: Patchy ground glass density and crazy paving pattern including air bronchogram signs are observed in the superior posterior of the left lung lower lobe. The findings were initially evaluated in favor of an infectious process (bronchopneumonia?, viral pneumonia?). Clinical and laboratory correlation and evaluation in terms of follow-up and differential diagnosis. recommended.  Calcific atheromatous plaques in the aortic arch and descending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_75/valid_75_a/valid_75_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aortic arch and descending aorta. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.  When examined in the lung parenchyma window, a patchy ground glass density and crazy paving pattern including air bronchogram signs are observed in the left lung lower lobe superior posterior. The findings were initially evaluated in favor of an infectious process (bronchopneumonia?, viral pneumonia?). Clinical and laboratory correlation and follow-up. and differential diagnosis. Foci are observed Bone structures in the study area are natural Vertebral corpus heights are preserved. Impression: Patchy ground glass density and crazy paving pattern including air bronchogram signs are observed in the superior posterior of the left lung lower lobe. The findings were initially evaluated in favor of an infectious process (bronchopneumonia?, viral pneumonia?). Clinical and laboratory correlation and evaluation in terms of follow-up and differential diagnosis. recommended.  Calcific atheromatous plaques in the aortic arch and descending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_75/valid_75_a/valid_75_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_169",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. There are endobronchiolar prominence and centriacinar ground-glass nodules in the upper lobes of both lungs, which is considered compatible with respiratory bronchiolitis. No pneumonic infiltration or consolidation area was observed in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: No pneumonic infiltration was detected. Findings consistent with respiratory bronchiolitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_76/valid_76_a/valid_76_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A large number of lend nodes were observed in the prevascular, pretracheal, aortopulmonary window, and in the subcarinal area, the largest of which was 14x6 mm in the prevascular area. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Numerous lymph nodes, the largest of which are 10x7 mm in size, were observed in the mesenteric and paraaortic areas. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Pretracheal, aortopulmonary window, prevascular, subcarinal and mesenteric, paraaortic lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_77/valid_77_a/valid_77_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_171",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A large number of lend nodes were observed in the prevascular, pretracheal, aortopulmonary window, and in the subcarinal area, the largest of which was 14x6 mm in the prevascular area. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Numerous lymph nodes, the largest of which are 10x7 mm in size, were observed in the mesenteric and paraaortic areas. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Pretracheal, aortopulmonary window, prevascular, subcarinal and mesenteric, paraaortic lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_77/valid_77_a/valid_77_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are postoperative changes in the esophagogastric junction. Hiatal hernia is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, at the apicoposterior level in the left lung upper lobe, in the areas extending to the posterobasal levels of the right lung lower lobe, in the upper and middle levels of the right lung upper lobe, patchy, slightly obscure, ground-glass densities are observed. There are atelectatic changes and mild bronchiectasis, more prominent on the left, in the basal segments of the lower lobes of both lungs. The findings were primarily evaluated in favor of Covid -19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended. The lower lobe of the left lung has a nearly complete atelectasis appearance. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia. The findings described in the lung parenchyma were initially evaluated in favor of early Covid-19 viral pneumonia. Clinical and laboratory correlation is recommended.  The lower lobe of the left lung is almost completely atelectasis.  The left hemidiaphragm shows significant elevation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_78/valid_78_a/valid_78_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_173",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are postoperative changes in the esophagogastric junction. Hiatal hernia is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, at the apicoposterior level in the left lung upper lobe, in the areas extending to the posterobasal levels of the right lung lower lobe, in the upper and middle levels of the right lung upper lobe, patchy, slightly obscure, ground-glass densities are observed. There are atelectatic changes and mild bronchiectasis, more prominent on the left, in the basal segments of the lower lobes of both lungs. The findings were primarily evaluated in favor of Covid -19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended. The lower lobe of the left lung has a nearly complete atelectasis appearance. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia. The findings described in the lung parenchyma were initially evaluated in favor of early Covid-19 viral pneumonia. Clinical and laboratory correlation is recommended.  The lower lobe of the left lung is almost completely atelectasis.  The left hemidiaphragm shows significant elevation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_78/valid_78_a/valid_78_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Bronchiectasis is observed more prominently in the right lung middle lobe medial segment, and in this localization, bronchiectasis is accompanied by minimal peribronchial thickening, structural distortion and volume loss. There are linear atelectasis in the middle lobe of the right lung, the lingular segment of the upper lobe of the left lung, and the lower lobe of the left lung. There are emphysematous changes in both lungs. Millimetric nodules are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The diameter of the main pulmonary artery was 28 mm and was at the upper limit of normal. There are no enlarged lymph nodes in the mediastinum and hilar regions in pathological size and appearance. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Emphysematous changes in both lungs. Bronchiectasis in both lungs, peribronchial thickening, structural distortion, loss of volume accompanying bronchiectasis in the middle lobe of the right lung. Millimetric nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_79/valid_79_a/valid_79_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_175",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Bronchiectasis is observed more prominently in the right lung middle lobe medial segment, and in this localization, bronchiectasis is accompanied by minimal peribronchial thickening, structural distortion and volume loss. There are linear atelectasis in the middle lobe of the right lung, the lingular segment of the upper lobe of the left lung, and the lower lobe of the left lung. There are emphysematous changes in both lungs. Millimetric nodules are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The diameter of the main pulmonary artery was 28 mm and was at the upper limit of normal. There are no enlarged lymph nodes in the mediastinum and hilar regions in pathological size and appearance. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Emphysematous changes in both lungs. Bronchiectasis in both lungs, peribronchial thickening, structural distortion, loss of volume accompanying bronchiectasis in the middle lobe of the right lung. Millimetric nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_79/valid_79_a/valid_79_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_176",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes in the apical segments of both lungs and enlargement of the bronchi compatible with bronchiectasis are observed. Active infiltration, consolidation and space-occupying lesions were not observed in both lungs. Several nonspecific pulmonary nodules are observed in both lungs, the largest of which is 3.5 mm, adjacent to the minor fissure in the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_80/valid_80_a/valid_80_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_177",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes in the apical segments of both lungs and enlargement of the bronchi compatible with bronchiectasis are observed. Active infiltration, consolidation and space-occupying lesions were not observed in both lungs. Several nonspecific pulmonary nodules are observed in both lungs, the largest of which is 3.5 mm, adjacent to the minor fissure in the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_80/valid_80_a/valid_80_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_178",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Subpleural emphysema areas in paraseptal-centracinar style are observed in both lungs, especially in the lower lobe posterior segments. In addition, there are nonspecific millimetric nodules in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Areas of paraseptal-centracinar emphysema, more prominent in the lower lobe posterior segments of both lungs. Nonspecific millimetric nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_81/valid_81_a/valid_81_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Subpleural emphysema areas in paraseptal-centracinar style are observed in both lungs, especially in the lower lobe posterior segments. In addition, there are nonspecific millimetric nodules in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Areas of paraseptal-centracinar emphysema, more prominent in the lower lobe posterior segments of both lungs. Nonspecific millimetric nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_81/valid_81_a/valid_81_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_180",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. CT involvement score was evaluated as moderate. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There is hepatosteatosis. Degenerative osteophytes were observed in the vertebral corpus corners. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Hepatosteatosis Degenerative bone changes Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_82/valid_82_a/valid_82_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_181",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. CT involvement score was evaluated as moderate. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There is hepatosteatosis. Degenerative osteophytes were observed in the vertebral corpus corners. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Hepatosteatosis Degenerative bone changes Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_82/valid_82_a/valid_82_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_182",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A 16x9 mm nodular lesion (series 3 image 110) is observed anteriorly at the level of the aortic root in the medial segment of the right lung middle lobe. The described lesion was present in the previous examination and no significant dimensional difference was detected. The described appearance may be that of a metastatic lung nodule or that of a mass in the anterior portion of the mediastinum. No distinction could be made with this examination. Apart from this, there are many pulmonary nodules, both lungs being more prominent on the right. These nodules are suspicious for metastasis. The largest of these nodules is located in the posterior segment of the right lung upper lobe and its size was 10 mm (series 3 image 44). No infiltrative lesion or mass was detected in both lungs. There was no finding in favor of invasion in bone structures within the limits of this examination. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Nephrostomy catheter is observed in both kidneys in the examination area. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_83/valid_83_a/valid_83_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A 16x9 mm nodular lesion (series 3 image 110) is observed anteriorly at the level of the aortic root in the medial segment of the right lung middle lobe. The described lesion was present in the previous examination and no significant dimensional difference was detected. The described appearance may be that of a metastatic lung nodule or that of a mass in the anterior portion of the mediastinum. No distinction could be made with this examination. Apart from this, there are many pulmonary nodules, both lungs being more prominent on the right. These nodules are suspicious for metastasis. The largest of these nodules is located in the posterior segment of the right lung upper lobe and its size was 10 mm (series 3 image 44). No infiltrative lesion or mass was detected in both lungs. There was no finding in favor of invasion in bone structures within the limits of this examination. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Nephrostomy catheter is observed in both kidneys in the examination area. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_83/valid_83_a/valid_83_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_184",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Calibration of mediastinal vascular structures, heart contour, size are normal. Pericardial pleural effusion-thickening was not observed. There are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In meidyasthenia, no pathologically enlarged lymph nodes were detected in both axillary regions. No active infiltration or mass lesion was detected in both lungs. There are areas of increased density in ground glass density in the posterior upper lobe of both lungs. Dependent ground glass density was evaluated in favor of the increase in density areas. Significant emphysematous changes were observed in the upper lobes of both lungs. There are several millimetric nodules in both lungs. When the upper abdominal organs included in the sections were evaluated; There is newly developed minimal ectasia in the current examination of the right kidney pelvicalyceal system. No intraabdominal free fluid-loculated collection was detected. No lymph node was observed in pathological size and appearance. No lytic-destructive lesion was detected in the bone structures included in the study area. There are degenerative changes. Impression:  Calcific atheromatous plaques in the wall of thoracic aortic-coronal vascular structures.  Emphysematous changes in both lungs, a few millimeter-sized nodules in both lungs.  Locally sequela parenchymal changes in both lungs and areas of increased ground glass density in both lungs upper lobe posterior assessed as secondary to dependent effect; The described findings are also present in the patient's previous CT examination and are stable.  Newly developed minimal ectasia on current examination of the right renal pelvicalyceal system.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_84/valid_84_a/valid_84_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_185",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Calibration of mediastinal vascular structures, heart contour, size are normal. Pericardial pleural effusion-thickening was not observed. There are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In meidyasthenia, no pathologically enlarged lymph nodes were detected in both axillary regions. No active infiltration or mass lesion was detected in both lungs. There are areas of increased density in ground glass density in the posterior upper lobe of both lungs. Dependent ground glass density was evaluated in favor of the increase in density areas. Significant emphysematous changes were observed in the upper lobes of both lungs. There are several millimetric nodules in both lungs. When the upper abdominal organs included in the sections were evaluated; There is newly developed minimal ectasia in the current examination of the right kidney pelvicalyceal system. No intraabdominal free fluid-loculated collection was detected. No lymph node was observed in pathological size and appearance. No lytic-destructive lesion was detected in the bone structures included in the study area. There are degenerative changes. Impression:  Calcific atheromatous plaques in the wall of thoracic aortic-coronal vascular structures.  Emphysematous changes in both lungs, a few millimeter-sized nodules in both lungs.  Locally sequela parenchymal changes in both lungs and areas of increased ground glass density in both lungs upper lobe posterior assessed as secondary to dependent effect; The described findings are also present in the patient's previous CT examination and are stable.  Newly developed minimal ectasia on current examination of the right renal pelvicalyceal system.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_84/valid_84_a/valid_84_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_186",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Soft tissue density compatible with gynecomastia was observed in both retroareolar areas. When examined in the lung parenchyma window; In the upper zone of the left lung, ground-glass-like infiltration areas with a common tendency to coalesce were observed. The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Areas of acinar-shaped ground glass infiltration, which tend to merge in the upper lobe of the left lung, can be observed in Covid-19 pneumonia. However, it is not specific. In the differential diagnosis, infectious-non-infectious processes can be considered. Clinical and laboratory correlation is recommended.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_85/valid_85_a/valid_85_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_187",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Soft tissue density compatible with gynecomastia was observed in both retroareolar areas. When examined in the lung parenchyma window; In the upper zone of the left lung, ground-glass-like infiltration areas with a common tendency to coalesce were observed. The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Areas of acinar-shaped ground glass infiltration, which tend to merge in the upper lobe of the left lung, can be observed in Covid-19 pneumonia. However, it is not specific. In the differential diagnosis, infectious-non-infectious processes can be considered. Clinical and laboratory correlation is recommended.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_85/valid_85_a/valid_85_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_188",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Several nodules up to 14 mm in size are observed in both thyroid lobes. Mediastinal main vascular structures, heart contour, size are normal. Mild calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; a few millimetric nonspecific nodules in both lungs, especially in the right lung middle lobe, serial 2 image156, left lung upper lobe inferior lingula, serial 2 image 186, confluenced millimetric nodules in close neighborhoods are observed. There is a nodule measuring 7 mm in size, with the onset of cavitation in the center of the right lung, upper lobe apical level inferior, adjacent to the bronchial structures. The findings described above are atypical in terms of Covid-19 viral pneumonia, and due to the current pandemic, clinical lab. blind. follow-up is recommended. Upper abdominal organs included in the sections are partially included in the study and were evaluated as suboptimal in the non-contrast examination. One hypodense cyst with a size of 14 mm measured in the posterior of the right and left lobes of the liver? Hemangioma? evaluated in its favour. There are degenerative changes and decrease in density in the bone structures in the study area. In the vertebral bodies, especially at the thoracic 3-4 level, the intervertebral disc space distance has disappeared and there is a tendency to merge. Impression: Millimetric nodular densities with cavitation in some of the lung parenchyma described above are atypical in terms of Covid-19 viral pneumonia, and clinical laboratory correlation and close follow-up are recommended due to the current pandemic.  Liver in right lobe posterior and left lobe; cyst?, hemangioma? . Degenerative changes in bone structures, decrease in density. Heterogeneous appearance in the thyroid parenchyma, bilateral solid-cystic nodules, USG correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_86/valid_86_a/valid_86_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_189",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Several nodules up to 14 mm in size are observed in both thyroid lobes. Mediastinal main vascular structures, heart contour, size are normal. Mild calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; a few millimetric nonspecific nodules in both lungs, especially in the right lung middle lobe, serial 2 image156, left lung upper lobe inferior lingula, serial 2 image 186, confluenced millimetric nodules in close neighborhoods are observed. There is a nodule measuring 7 mm in size, with the onset of cavitation in the center of the right lung, upper lobe apical level inferior, adjacent to the bronchial structures. The findings described above are atypical in terms of Covid-19 viral pneumonia, and due to the current pandemic, clinical lab. blind. follow-up is recommended. Upper abdominal organs included in the sections are partially included in the study and were evaluated as suboptimal in the non-contrast examination. One hypodense cyst with a size of 14 mm measured in the posterior of the right and left lobes of the liver? Hemangioma? evaluated in its favour. There are degenerative changes and decrease in density in the bone structures in the study area. In the vertebral bodies, especially at the thoracic 3-4 level, the intervertebral disc space distance has disappeared and there is a tendency to merge. Impression: Millimetric nodular densities with cavitation in some of the lung parenchyma described above are atypical in terms of Covid-19 viral pneumonia, and clinical laboratory correlation and close follow-up are recommended due to the current pandemic.  Liver in right lobe posterior and left lobe; cyst?, hemangioma? . Degenerative changes in bone structures, decrease in density. Heterogeneous appearance in the thyroid parenchyma, bilateral solid-cystic nodules, USG correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_86/valid_86_a/valid_86_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_190",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal sequela fibrotic density increase was observed in the right lung middle lobe medial segment. A few nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. Ground glass density accompanied by intralobular septal thickening is observed in the medial segment of the right lung middle lobe, and the appearance is nonspecific. In the first plan, sequelae were evaluated in favor of change. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. In the upper abdominal organs included in the sections, an area of sequela amorphous calcification was observed in the subcapsular area of the liver left lobe lateral segment. A suspicious appearance in terms of double collecting system was observed in the left kidney. In case of clinical necessity, further examination is recommended. Mild degenerative changes were observed in the bone structures in the examination area. Vertebral corpus heights are preserved. Impression: Hiatal hernia . A few millimetric nonspecific parenchymal nodules in both lungs . Increase in pleuroparenchymal sequelae density in the medial segment of the right lung middle lobe . Ground glass density in the right lung lower lobe mediobasal segment evaluated in favor of sequelae change in the first plan . Suspicious appearance in terms of double collecting system in the left kidney . Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_87/valid_87_a/valid_87_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal sequela fibrotic density increase was observed in the right lung middle lobe medial segment. A few nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. Ground glass density accompanied by intralobular septal thickening is observed in the medial segment of the right lung middle lobe, and the appearance is nonspecific. In the first plan, sequelae were evaluated in favor of change. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. In the upper abdominal organs included in the sections, an area of sequela amorphous calcification was observed in the subcapsular area of the liver left lobe lateral segment. A suspicious appearance in terms of double collecting system was observed in the left kidney. In case of clinical necessity, further examination is recommended. Mild degenerative changes were observed in the bone structures in the examination area. Vertebral corpus heights are preserved. Impression: Hiatal hernia . A few millimetric nonspecific parenchymal nodules in both lungs . Increase in pleuroparenchymal sequelae density in the medial segment of the right lung middle lobe . Ground glass density in the right lung lower lobe mediobasal segment evaluated in favor of sequelae change in the first plan . Suspicious appearance in terms of double collecting system in the left kidney . Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_87/valid_87_a/valid_87_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_192",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_88/valid_88_a/valid_88_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_193",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_88/valid_88_a/valid_88_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_194",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sequelae changes are observed in the middle lobe of the right lung, adjacent to the peribronchial sheath. A nodule with a diameter of approximately 4 mm is observed in the superior segment of the lower lobe of the right lung and is also present in the previous examination. There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression:  Millimetric stable nodule in the right lung and sequelae changes in the middle lobe, which were also observed in the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_89/valid_89_a/valid_89_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sequelae changes are observed in the middle lobe of the right lung, adjacent to the peribronchial sheath. A nodule with a diameter of approximately 4 mm is observed in the superior segment of the lower lobe of the right lung and is also present in the previous examination. There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression:  Millimetric stable nodule in the right lung and sequelae changes in the middle lobe, which were also observed in the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_89/valid_89_a/valid_89_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_196",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum. When examined in the lung parenchyma window; In both lungs, at the apical level of the upper lobe on the right and in the lower lobe of the left lung, more than one thick walled cavitary lesions measuring up to 51 mm in size, diffuse budded tree images are observed at these levels. In the first plan, it was evaluated in favor of TB, and staphaureus pneumonia and carcinomatous processes are present in its differential diagnosis. Close follow-up is recommended for the differential diagnosis of cavitary space-occupying lesions after exclusion of infectious processes. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings described in both lungs; In the first plan, it was evaluated in favor of TB and staph aureus pneumonia and carcinomatous processes are present in its differential diagnosis. Close follow-up is recommended for the differential diagnosis of cavitary space-occupying lesions after exclusion of infectious processes.  Small lymph nodes measuring as short as 5 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_90/valid_90_a/valid_90_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_197",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum. When examined in the lung parenchyma window; In both lungs, at the apical level of the upper lobe on the right and in the lower lobe of the left lung, more than one thick walled cavitary lesions measuring up to 51 mm in size, diffuse budded tree images are observed at these levels. In the first plan, it was evaluated in favor of TB, and staphaureus pneumonia and carcinomatous processes are present in its differential diagnosis. Close follow-up is recommended for the differential diagnosis of cavitary space-occupying lesions after exclusion of infectious processes. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings described in both lungs; In the first plan, it was evaluated in favor of TB and staph aureus pneumonia and carcinomatous processes are present in its differential diagnosis. Close follow-up is recommended for the differential diagnosis of cavitary space-occupying lesions after exclusion of infectious processes.  Small lymph nodes measuring as short as 5 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_90/valid_90_a/valid_90_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_198",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Consolidated areas accompanied by cylindrical bronchiectasis with cavitations in some are observed in the apicoposterior level in the upper lobe of the right lung, in the lower lobe superiorly in the left lung, and in the lateral segment of the lower lobe. However, in the lateral segment of the left lung lower lobe, a consolidated area measuring up to 18 mm in size, which may be sequelae or new at the large cavitation level observed in the previous examination, is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: In the previous examination, bronchiectasis at the level where cavitations were observed and consolidated area and centriacinar nodules measuring up to 18 mm at the basal level of the left lung lower lobe are observed. Findings may be residual appearances of known infectious process after regression. However, due to the consolidated area observed at the basal level of the lower lobe of the left lung, the continuation of the infection is also in the differential diagnosis. Clinical laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_90/valid_90_b/valid_90_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_199",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Consolidated areas accompanied by cylindrical bronchiectasis with cavitations in some are observed in the apicoposterior level in the upper lobe of the right lung, in the lower lobe superiorly in the left lung, and in the lateral segment of the lower lobe. However, in the lateral segment of the left lung lower lobe, a consolidated area measuring up to 18 mm in size, which may be sequelae or new at the large cavitation level observed in the previous examination, is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: In the previous examination, bronchiectasis at the level where cavitations were observed and consolidated area and centriacinar nodules measuring up to 18 mm at the basal level of the left lung lower lobe are observed. Findings may be residual appearances of known infectious process after regression. However, due to the consolidated area observed at the basal level of the lower lobe of the left lung, the continuation of the infection is also in the differential diagnosis. Clinical laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_90/valid_90_b/valid_90_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. According to the mediastinal and bilateral hilar previous examination, stable millimetric lymph nodes were observed. According to the previous examination, stable benign lymph nodes were observed in both axillary regions with fatty hilum. No significant regression-progression was detected in the consolidation areas described according to the previous review. According to the previous examination, stable parenchymal nodular lesions are present in the vicinity of the consolidation area. Upper abdominal organs included in the examination area are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No new pathology was detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_90/valid_90_c/valid_90_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_201",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. According to the mediastinal and bilateral hilar previous examination, stable millimetric lymph nodes were observed. According to the previous examination, stable benign lymph nodes were observed in both axillary regions with fatty hilum. No significant regression-progression was detected in the consolidation areas described according to the previous review. According to the previous examination, stable parenchymal nodular lesions are present in the vicinity of the consolidation area. Upper abdominal organs included in the examination area are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No new pathology was detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_90/valid_90_c/valid_90_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_202",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground glass areas and local consolidations are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. In addition, there are appearances compatible with the inverted halo sign in the upper and lower lobes of both lungs. These appearances are frequently observed findings in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_91/valid_91_a/valid_91_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_203",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground glass areas and local consolidations are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. In addition, there are appearances compatible with the inverted halo sign in the upper and lower lobes of both lungs. These appearances are frequently observed findings in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_91/valid_91_a/valid_91_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_204",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_92/valid_92_a/valid_92_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_205",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_92/valid_92_a/valid_92_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_206",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Rest thymic tissue is observed in the anterior mediastinum. Calibration of mediastinal main vascular structures is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Right posterolateral tracheal diverticulum is observed at the level of the thoracic inlet. Mild pleuroparenchymal changes with sequelae are observed at both apical levels. Air cysts are observed in the superior segment of the lower lobe of the right lung. There are emphysematous changes in the case. Air cyst is observed in the middle lobe. There are pleuroparenchymal sequelae changes in the apicoposterior segment of the left lung upper lobe and the appearance of tractional mild bronchiectasis at this level. There was no finding compatible with pneumonia in both lungs. Pleural effusion or pneumothorax is not observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. In the middle part of the right clavicle, peripheral thin sclerotic benign-looking hypodens millimetric nonspecific lesion is observed. Impression: No findings compatible with pneumonia were detected.  Mild emphysema and mild sequelae changes in both lungs . Mild bronchioloectasia appearance on the basis of sequelae in the apicoposterior segment of the left lung upper lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_93/valid_93_a/valid_93_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Rest thymic tissue is observed in the anterior mediastinum. Calibration of mediastinal main vascular structures is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Right posterolateral tracheal diverticulum is observed at the level of the thoracic inlet. Mild pleuroparenchymal changes with sequelae are observed at both apical levels. Air cysts are observed in the superior segment of the lower lobe of the right lung. There are emphysematous changes in the case. Air cyst is observed in the middle lobe. There are pleuroparenchymal sequelae changes in the apicoposterior segment of the left lung upper lobe and the appearance of tractional mild bronchiectasis at this level. There was no finding compatible with pneumonia in both lungs. Pleural effusion or pneumothorax is not observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. In the middle part of the right clavicle, peripheral thin sclerotic benign-looking hypodens millimetric nonspecific lesion is observed. Impression: No findings compatible with pneumonia were detected.  Mild emphysema and mild sequelae changes in both lungs . Mild bronchioloectasia appearance on the basis of sequelae in the apicoposterior segment of the left lung upper lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_93/valid_93_a/valid_93_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_208",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart size increased. Pericardial effusion reaching 2 cm in its thickest part is observed in the pericardial area. Evaluation of mediastinal vascular structures is suboptimal because the examination is unenhanced. As far as can be observed, mediastinal vascular structures were evaluated as normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. When examined in the lung parenchyma window; Linear atelectasis areas are observed in the posterobasal sections of both lungs. The upper abdominal organs included in the examination have a natural appearance. Degenerative changes are observed in the bones. No fracture, lytic or destructive lesion was observed. There are extensive osteophytic taperings at the anterior vertebral corners and tend to coalesce. Impression:  Increase in heart size.  Pericardial effusion.  Linear atelectasis areas in the lower lobe posterobasal segments of both lungs, atelectasis in the left lung upper lobe apical segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_94/valid_94_a/valid_94_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_209",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart size increased. Pericardial effusion reaching 2 cm in its thickest part is observed in the pericardial area. Evaluation of mediastinal vascular structures is suboptimal because the examination is unenhanced. As far as can be observed, mediastinal vascular structures were evaluated as normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. When examined in the lung parenchyma window; Linear atelectasis areas are observed in the posterobasal sections of both lungs. The upper abdominal organs included in the examination have a natural appearance. Degenerative changes are observed in the bones. No fracture, lytic or destructive lesion was observed. There are extensive osteophytic taperings at the anterior vertebral corners and tend to coalesce. Impression:  Increase in heart size.  Pericardial effusion.  Linear atelectasis areas in the lower lobe posterobasal segments of both lungs, atelectasis in the left lung upper lobe apical segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_94/valid_94_a/valid_94_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_210",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes in the mediastinum, the largest of which are in the subcarinal area, and the others are about 12x9 mm in size. No pathologically sized and configured lymph node was detected at the left hilar level. A 10x8 mm lymph node is observed at the right hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There are 1-2 subpleural low-density nodules with a diameter of 3 mm at the basal level in the left lung. Consolidative parenchyma area, in which air bronchograms are observed, is observed at the level of the lower lobe of the right lung, especially in the basal segments. No significant consolidation or icy-like density increase was detected at other levels. The outlook is atypical for Covid pneumonia. It is recommended to evaluate it together with clinical and laboratory findings in terms of infective processes, primarily bacterial pneumonias and bacterial-viral pneumonias. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Nodular formation is observed in the anterior of the spleen, which may be compatible with the accessory spleen. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: ?Consolidative parenchyma area with air bronchograms in the lower lobe level of the right lung, especially in the basal segments; The outlook is atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes, primarily bacterial pneumonias, bacterial-viral pneumonias."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_95/valid_95_a/valid_95_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes in the mediastinum, the largest of which are in the subcarinal area, and the others are about 12x9 mm in size. No pathologically sized and configured lymph node was detected at the left hilar level. A 10x8 mm lymph node is observed at the right hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There are 1-2 subpleural low-density nodules with a diameter of 3 mm at the basal level in the left lung. Consolidative parenchyma area, in which air bronchograms are observed, is observed at the level of the lower lobe of the right lung, especially in the basal segments. No significant consolidation or icy-like density increase was detected at other levels. The outlook is atypical for Covid pneumonia. It is recommended to evaluate it together with clinical and laboratory findings in terms of infective processes, primarily bacterial pneumonias and bacterial-viral pneumonias. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Nodular formation is observed in the anterior of the spleen, which may be compatible with the accessory spleen. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: ?Consolidative parenchyma area with air bronchograms in the lower lobe level of the right lung, especially in the basal segments; The outlook is atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes, primarily bacterial pneumonias, bacterial-viral pneumonias."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_95/valid_95_a/valid_95_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_212",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. An effusion measuring 6 mm in the deepest part of the heart was observed. Atherosclerotic wall calcifications were observed in the descending aorta and coronary arteries. Thoracic aorta diameter is normal. Minimal effusion was observed in the pericardial space. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; No nodular or infiltrative lesion was detected in both lung parenchyma. Passive atelectasis and linear fibrotic recessions were observed in the right lung middle lobe basal and inferior lingular segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Liver, spleen, pancreas, gallbladder and both adrenal glands in the cross-sectional area are normal. No calculus was observed in the kidneys within the sections. Widespread degenerative changes in the vertebrae, more prominent at the mid-thoracic level, and diffuse vacuum phenomena at the intervertebral disc levels were observed. Schmorl nodule indentations, which cause more than 50% height loss, are observed in the thoracic T7, T8, T9 and L2 vertebral bodies. Impression: Fibroatelectatic sequelae changes in both lungs, minimal pericardial effusion . Diffuse degenerative changes in thoracic vertebrae . Schmorl nodule indentations causing more than 50% height loss in thoracic T7, T8, T9 and L2 vertebral bodies"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_96/valid_96_a/valid_96_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_213",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. An effusion measuring 6 mm in the deepest part of the heart was observed. Atherosclerotic wall calcifications were observed in the descending aorta and coronary arteries. Thoracic aorta diameter is normal. Minimal effusion was observed in the pericardial space. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; No nodular or infiltrative lesion was detected in both lung parenchyma. Passive atelectasis and linear fibrotic recessions were observed in the right lung middle lobe basal and inferior lingular segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Liver, spleen, pancreas, gallbladder and both adrenal glands in the cross-sectional area are normal. No calculus was observed in the kidneys within the sections. Widespread degenerative changes in the vertebrae, more prominent at the mid-thoracic level, and diffuse vacuum phenomena at the intervertebral disc levels were observed. Schmorl nodule indentations, which cause more than 50% height loss, are observed in the thoracic T7, T8, T9 and L2 vertebral bodies. Impression: Fibroatelectatic sequelae changes in both lungs, minimal pericardial effusion . Diffuse degenerative changes in thoracic vertebrae . Schmorl nodule indentations causing more than 50% height loss in thoracic T7, T8, T9 and L2 vertebral bodies"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_96/valid_96_a/valid_96_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_214",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The examination was performed without contrast upon clinical request. As far as can be observed in the non-contrast examination limits; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. Subsegmental atelectasis areas are observed in the left lung inferior lingular segment and lower lobes. A subpleural 4 mm nonspecific parenchymal nodule is observed in the right lung lower lobe psterobasal segment. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Fragmented fracture lines are observed in the right proximal part of the humerus and at the level of the surgical neck of the humerus. Minimal height losses are observed in T7, T8, T9 vertebrae. Vacuum phenomena are observed in thoracic intervertebral discs. There are degenerative changes in the bone structure. Impression: Thoracic aorta- calcified atherosclerotic changes in the wall of the coronary artery, areas of subsegmental atelectasis in the parenchyma of both lungs, and a millimetric nonspecific parenchymal nodule in the right lung. Fracture in the right humerus proximal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_96/valid_96_b/valid_96_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: The examination was performed without contrast upon clinical request. As far as can be observed in the non-contrast examination limits; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. Subsegmental atelectasis areas are observed in the left lung inferior lingular segment and lower lobes. A subpleural 4 mm nonspecific parenchymal nodule is observed in the right lung lower lobe psterobasal segment. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Fragmented fracture lines are observed in the right proximal part of the humerus and at the level of the surgical neck of the humerus. Minimal height losses are observed in T7, T8, T9 vertebrae. Vacuum phenomena are observed in thoracic intervertebral discs. There are degenerative changes in the bone structure. Impression: Thoracic aorta- calcified atherosclerotic changes in the wall of the coronary artery, areas of subsegmental atelectasis in the parenchyma of both lungs, and a millimetric nonspecific parenchymal nodule in the right lung. Fracture in the right humerus proximal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_96/valid_96_b/valid_96_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_216",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. Calcified atheroma plaques are observed in the thoracic aortic wall. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph node was detected in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma, and there are diffuse emphysematous changes. In both lungs, there are nonspecific nodules of millimetric dimensions, the largest of which is 7 mm in diameter with a pleural base in the medial segment of the right lung middle lobe. Follow-up is recommended. On the left, at the level of the major fissure, a lesion of approximately 10x5.5 mm in size and soft tissue density evaluated in favor of a subpleural lymph node is observed. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. Intraabdominal free fluid, loculated collection was not observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic-destructive lesion was detected in the bone structures within the image. Vertebra corpus heights, alignments and densities are natural. Impression:  Emphysematous changes in both lungs and well-circumscribed nodular lesions with pleural bases are observed in both lungs, the largest of which is 7 mm in the medial segment of the right lung middle lobe. Follow-up is recommended.  Calcified plaques of atheroma on the wall of mediastinal vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_97/valid_97_a/valid_97_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. Calcified atheroma plaques are observed in the thoracic aortic wall. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph node was detected in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma, and there are diffuse emphysematous changes. In both lungs, there are nonspecific nodules of millimetric dimensions, the largest of which is 7 mm in diameter with a pleural base in the medial segment of the right lung middle lobe. Follow-up is recommended. On the left, at the level of the major fissure, a lesion of approximately 10x5.5 mm in size and soft tissue density evaluated in favor of a subpleural lymph node is observed. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. Intraabdominal free fluid, loculated collection was not observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic-destructive lesion was detected in the bone structures within the image. Vertebra corpus heights, alignments and densities are natural. Impression:  Emphysematous changes in both lungs and well-circumscribed nodular lesions with pleural bases are observed in both lungs, the largest of which is 7 mm in the medial segment of the right lung middle lobe. Follow-up is recommended.  Calcified plaques of atheroma on the wall of mediastinal vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_97/valid_97_a/valid_97_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_218",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; more peripherally located patchy ground glass densities are observed in both lungs. The findings were initially evaluated in favor of the infectious process. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Imaging features reported in Covid-19 viral pneumonia can also be seen in other non-infectious-infectious findings. It can be evaluated primarily in favor of viral pneumonia. Clinical and laboratory correlation and follow-up are recommended.  There is an appearance compatible with hepatosteatosis in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_98/valid_98_a/valid_98_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; more peripherally located patchy ground glass densities are observed in both lungs. The findings were initially evaluated in favor of the infectious process. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Imaging features reported in Covid-19 viral pneumonia can also be seen in other non-infectious-infectious findings. It can be evaluated primarily in favor of viral pneumonia. Clinical and laboratory correlation and follow-up are recommended.  There is an appearance compatible with hepatosteatosis in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_98/valid_98_a/valid_98_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_220",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures, heart, upper abdominal solid organs could not be evaluated optimally due to the lack of contrast in the examination. As far as can be seen; Calibration of mediastinal vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma and its aeration is natural. In the upper abdominal sections within the image, a hypodense lesion of approximately 22x16 mm in size, which cannot be characterized by this examination, is observed at the junction of the liver segment 5-6, within the borders of non-contrast CT. Intra-abdominal free fluid, intra-abdominal pathological size and appearance of lymph nodes were not detected. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Active infiltration or mass lesion is not observed in both lungs, and hypodense lesion that cannot be characterized within the borders of non-contrast CT in the liver segment 5-6 junction localization in the upper abdominal sections within the image"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_99/valid_99_a/valid_99_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_221",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures, heart, upper abdominal solid organs could not be evaluated optimally due to the lack of contrast in the examination. As far as can be seen; Calibration of mediastinal vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma and its aeration is natural. In the upper abdominal sections within the image, a hypodense lesion of approximately 22x16 mm in size, which cannot be characterized by this examination, is observed at the junction of the liver segment 5-6, within the borders of non-contrast CT. Intra-abdominal free fluid, intra-abdominal pathological size and appearance of lymph nodes were not detected. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Active infiltration or mass lesion is not observed in both lungs, and hypodense lesion that cannot be characterized within the borders of non-contrast CT in the liver segment 5-6 junction localization in the upper abdominal sections within the image"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_99/valid_99_a/valid_99_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_222",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A 32 mm diameter hypodense nodule was observed in the right thyroid lobe. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the main pulmonary artery was 43 mm, the diameter of the right pulmonary artery was 33 mm, and the diameter of the left pulmonary artery was 35 mm, showing fusiform dilatation. Heart size increased. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Multiple lymph nodes measuring 22 mm in the short axis of the largest were observed in the mediastinal, upper-lower paratracheal, aorticopulmonary window, prevascular area and subcarinal area. When examined in the lung parenchyma window; Parenchymal fibrosis areas causing structural distortion in both lungs, emphysematous changes, prominence in interlobular septa and honeycomb appearance were observed. Accompanying frosted glass-like density increases. Traction bronchiectasis are present in both lungs. Peribronchial thickenings were observed in both lungs. Bilateral pleural thickening-effusion was not detected. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized). Subcapsular parenchymal calcifications with a diameter of 1 cm were observed in the posterior right lobe of the liver. Thoracic kyphosis has increased. Degenerative changes were observed in bone structures. Impression:  Cardiomegaly.  Dilatation of the pulmonary artery.  Atherosclerotic changes.  Mediastinal multiple lymph nodes.  Sequelae changes in both lungs, clarification of interlobular septa, areas of parenchymal structural distortion, honeycomb appearance, peribronchial thickening, traction bronchiectasis (It is recommended to be evaluated for interstitial lung disease.)  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease) disease?).  Cholecystectomy.  Hypodense nodule in the right thyroid lobe, US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_100/valid_100_a/valid_100_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_223",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A 32 mm diameter hypodense nodule was observed in the right thyroid lobe. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the main pulmonary artery was 43 mm, the diameter of the right pulmonary artery was 33 mm, and the diameter of the left pulmonary artery was 35 mm, showing fusiform dilatation. Heart size increased. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Multiple lymph nodes measuring 22 mm in the short axis of the largest were observed in the mediastinal, upper-lower paratracheal, aorticopulmonary window, prevascular area and subcarinal area. When examined in the lung parenchyma window; Parenchymal fibrosis areas causing structural distortion in both lungs, emphysematous changes, prominence in interlobular septa and honeycomb appearance were observed. Accompanying frosted glass-like density increases. Traction bronchiectasis are present in both lungs. Peribronchial thickenings were observed in both lungs. Bilateral pleural thickening-effusion was not detected. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized). Subcapsular parenchymal calcifications with a diameter of 1 cm were observed in the posterior right lobe of the liver. Thoracic kyphosis has increased. Degenerative changes were observed in bone structures. Impression:  Cardiomegaly.  Dilatation of the pulmonary artery.  Atherosclerotic changes.  Mediastinal multiple lymph nodes.  Sequelae changes in both lungs, clarification of interlobular septa, areas of parenchymal structural distortion, honeycomb appearance, peribronchial thickening, traction bronchiectasis (It is recommended to be evaluated for interstitial lung disease.)  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease) disease?).  Cholecystectomy.  Hypodense nodule in the right thyroid lobe, US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_100/valid_100_a/valid_100_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_224",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The examination was performed without contrast and the mediastinal structures were evaluated as suboptimal. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal major vascular structures are natural. Calcific atherosclerotic changes were observed in the walls of the thoracic abdominal artery and coronary artery. Heart size has increased (cardiomegaly). Pleural thickening-effusion was not detected. Esophageal calibration was normal within the sections, and no significant pathological wall thickening was detected in the examination limits. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the center of both lungs. Emphysematous changes were observed in both lungs. According to the previous examination, stable size and number of nonspecific parenchymal nodules were observed in both lungs, the largest of which was 6 mm in diameter in the upper lobe of the right lung. No mass-infiltration was detected in both lung parenchyma. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. There are bulla formations in both lungs apical. It was evaluated in favor of cyst in the first plan. Apart from this, upper abdominal sections are within the limits of non-contrast examination. A millimetric simple cyst was observed in the upper pole of the left kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Prostate Ca in Follow-up.  Calcified atherosclerotic changes in the wall of the thoraoabdominal aorta and coronary artery. Stable hypodense lesions in the liver. There were no newly emerging findings suggestive of progression in the current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_101/valid_101_a/valid_101_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_225",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Atherosclerotic wall calcifications were observed in the thoracic-abdominal aorta and coronary arteries. Heart size increased. Mitral valve and aortic valve are calcified. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the center of both lungs. Emphysematous changes were observed in both lungs. There are bulla formations at the apex of both lungs. The left hemidiaphragm is elevated. Pleuroparenchymal sequelae density increases were observed in the right lung middle lobe, left lung upper lobe inferior lingular and left lung lower lobe basal segment. No mass lesion-active infiltration was detected in both lungs. It was evaluated in favor of cyst in the first plan. A millimetric simple cortical cyst was observed in the upper pole of the left kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Osteoporosis was observed in bone structures. Vertebral corpus heights are preserved. Impression:  Prostate Ca in Follow-up.  Calcified atherosclerotic changes in the thoraoabdominal aorta and coronary artery wall, cardiomegaly, calcifications in the aortic and mitral valve.  Stable hypodense lesions (cyst?) in the liver.  Cortical cyst in the upper pole of the left kidney  Osteoporosis in the bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_101/valid_101_b/valid_101_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_226",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Atherosclerotic wall calcifications were observed in the thoracic-abdominal aorta and coronary arteries. Heart size increased. Mitral valve and aortic valve are calcified. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the center of both lungs. Emphysematous changes were observed in both lungs. There are bulla formations at the apex of both lungs. The left hemidiaphragm is elevated. Pleuroparenchymal sequelae density increases were observed in the right lung middle lobe, left lung upper lobe inferior lingular and left lung lower lobe basal segment. No mass lesion-active infiltration was detected in both lungs. It was evaluated in favor of cyst in the first plan. A millimetric simple cortical cyst was observed in the upper pole of the left kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Osteoporosis was observed in bone structures. Vertebral corpus heights are preserved. Impression:  Prostate Ca in Follow-up.  Calcified atherosclerotic changes in the thoraoabdominal aorta and coronary artery wall, cardiomegaly, calcifications in the aortic and mitral valve.  Stable hypodense lesions (cyst?) in the liver.  Cortical cyst in the upper pole of the left kidney  Osteoporosis in the bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_101/valid_101_b/valid_101_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: A mass measuring 3 cm is observed in the thickest part of the right lung, which completely surrounds the pleura at its apex. Between the pleural leaves on the right, there are effusion areas measuring 53 mm in the thickest part and showing loculation in places. In the upper lobe of the right lung, reticular density increases with irregular borders were observed and were evaluated as compatible with lymphangitic spread. In addition, there is a consolidation area in the middle lobe with air bronchograms and atelectatic changes. There are irregular thickenings in the mediastinal and costal pleura. Soft tissue densities are observed in the lower paratracheal area, approximately 36x30 mm in size, with a central necrotic appearance and conglomerate lymphadenopathy. In addition, there are central necrotic lymphadenopathies in the upper-lower paratracheal, subcarinal paraesophageal and right hilar areas, the largest of which measures 3 cm on the short axis. Emphysematous changes are observed in both lungs. There is parenchymal fibrosis and bulla formation in the upper lobe of the left lung causing volume loss. Millimetric parenchymal nodules are observed in the upper and lower lobes of the left lung. A 5 mm diameter parenchymal nodule was observed in the middle lobe of the right lung. In the upper abdominal organs included in the sections, there are lymphadenopathies measuring 27x17 mm in size at the level of the celiac and superior mesenteric arteries. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Malignant mass surrounding the pleura in the apical region of the upper lobe of the right lung. Millimetric parenchymal nodules in both lungs.  Multiple LAPs conglomerated in the mediastinum, intraabdominal LAPs. Irregular thickening of the right pleura and areas of loculated pleural effusion. Both, emphysematous changes in the lung, consolidation-ateleketasis area in the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_102/valid_102_a/valid_102_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_228",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: A mass measuring 3 cm is observed in the thickest part of the right lung, which completely surrounds the pleura at its apex. Between the pleural leaves on the right, there are effusion areas measuring 53 mm in the thickest part and showing loculation in places. In the upper lobe of the right lung, reticular density increases with irregular borders were observed and were evaluated as compatible with lymphangitic spread. In addition, there is a consolidation area in the middle lobe with air bronchograms and atelectatic changes. There are irregular thickenings in the mediastinal and costal pleura. Soft tissue densities are observed in the lower paratracheal area, approximately 36x30 mm in size, with a central necrotic appearance and conglomerate lymphadenopathy. In addition, there are central necrotic lymphadenopathies in the upper-lower paratracheal, subcarinal paraesophageal and right hilar areas, the largest of which measures 3 cm on the short axis. Emphysematous changes are observed in both lungs. There is parenchymal fibrosis and bulla formation in the upper lobe of the left lung causing volume loss. Millimetric parenchymal nodules are observed in the upper and lower lobes of the left lung. A 5 mm diameter parenchymal nodule was observed in the middle lobe of the right lung. In the upper abdominal organs included in the sections, there are lymphadenopathies measuring 27x17 mm in size at the level of the celiac and superior mesenteric arteries. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Malignant mass surrounding the pleura in the apical region of the upper lobe of the right lung. Millimetric parenchymal nodules in both lungs.  Multiple LAPs conglomerated in the mediastinum, intraabdominal LAPs. Irregular thickening of the right pleura and areas of loculated pleural effusion. Both, emphysematous changes in the lung, consolidation-ateleketasis area in the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_102/valid_102_a/valid_102_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Prosthetic material was observed in the aortic valve. There is post-op suture material on the wall of the ascending aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes measuring 19x11 mm in size were observed in the upper-lower paratracheal, prevascular, precarinal, and subcarinal localizations. When both lung parenchyma windows were evaluated, patchy areas of consolidation extending to the periphery and accompanying ground glass density increases were observed in the perihilar area of both lungs. The appearance suggests an infectious process in the first place. Clinical and laboratory correlation is recommended. In addition, smooth interseptal thickenings were observed in the intersepta, which became prominent in the lower lobes of both lungs (secondary to cardiac pathology?). Free fluid was observed between the pleural leaves on the right, with a thickness of 24 mm, and on the left, measuring 5 mm. Both fissures are observed as thick. In both lung parenchyma, no significant mass lesion was detected in the non-enhanced examination limits. Emphysematous changes were observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Metallic suture materials of sternotomy were observed in the sternum. No lytic-destructive lesion was detected in bone structures. Impression: Cardiomegaly. Patchy areas of consolidation in both lungs extending from the diffuse perihilar area to the periphery and accompanying ground-glass density increases. The appearance was initially evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended.  Bilateral diffuse uniform interlobular septal thickening (secondary to cardiac pathology?) . Bilateral pleural effusion . Mild emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_103/valid_103_a/valid_103_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_230",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Prosthetic material was observed in the aortic valve. There is post-op suture material on the wall of the ascending aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes measuring 19x11 mm in size were observed in the upper-lower paratracheal, prevascular, precarinal, and subcarinal localizations. When both lung parenchyma windows were evaluated, patchy areas of consolidation extending to the periphery and accompanying ground glass density increases were observed in the perihilar area of both lungs. The appearance suggests an infectious process in the first place. Clinical and laboratory correlation is recommended. In addition, smooth interseptal thickenings were observed in the intersepta, which became prominent in the lower lobes of both lungs (secondary to cardiac pathology?). Free fluid was observed between the pleural leaves on the right, with a thickness of 24 mm, and on the left, measuring 5 mm. Both fissures are observed as thick. In both lung parenchyma, no significant mass lesion was detected in the non-enhanced examination limits. Emphysematous changes were observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Metallic suture materials of sternotomy were observed in the sternum. No lytic-destructive lesion was detected in bone structures. Impression: Cardiomegaly. Patchy areas of consolidation in both lungs extending from the diffuse perihilar area to the periphery and accompanying ground-glass density increases. The appearance was initially evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended.  Bilateral diffuse uniform interlobular septal thickening (secondary to cardiac pathology?) . Bilateral pleural effusion . Mild emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_103/valid_103_a/valid_103_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_231",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are minimal bronchiectasis at the central level in both lungs. No infiltration was detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; There is diffuse density loss in the liver. Millimetric stones are observed in the gallbladder. Osteophytes in the thoracic vertebrae and minimal fibrotic densities are seen in the adjacent lung parenchyma. Impression:  Bilateral minimal bronchiectasis.  Coronary atherosclerosis.  Hepatosteatosis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_104/valid_104_a/valid_104_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_232",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are minimal bronchiectasis at the central level in both lungs. No infiltration was detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; There is diffuse density loss in the liver. Millimetric stones are observed in the gallbladder. Osteophytes in the thoracic vertebrae and minimal fibrotic densities are seen in the adjacent lung parenchyma. Impression:  Bilateral minimal bronchiectasis.  Coronary atherosclerosis.  Hepatosteatosis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_104/valid_104_a/valid_104_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibroatelectatic changes are observed in the upper lobes of both lungs. Right lung upper lobe apical segment lateral subpleural localized nodular ground glass density is observed (Covid-19 pneumonia?). Two nonspecific millimetric pulmonary nodules are observed in the posterior segment of the right lung upper lobe. Diffuse emphysematous changes are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteophytic taperings showing convergence tendencies are observed in the thoracic vertebrae. Sclerotic changes are observed in the lower cervical vertebral corpuscles. It is recommended that the patient be evaluated together with previous examinations, if any. In case of clinical necessity, cervical MR treatment is appropriate in terms of cervical metastasis. Impression:  Covid-19 pneumonia? Clinical laboratory and correlation is recommended.  Fibroatelectatic changes and emphysematous changes in both lungs.  sclerotic changes in lower cervical vertebrae; It is recommended to be evaluated together with recent examinations, if any. Otherwise, Cervical Vertebra MR examination is recommended for metastasis. It is recommended to be evaluated together with recent examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_105/valid_105_a/valid_105_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_234",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibroatelectatic changes are observed in the upper lobes of both lungs. Right lung upper lobe apical segment lateral subpleural localized nodular ground glass density is observed (Covid-19 pneumonia?). Two nonspecific millimetric pulmonary nodules are observed in the posterior segment of the right lung upper lobe. Diffuse emphysematous changes are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteophytic taperings showing convergence tendencies are observed in the thoracic vertebrae. Sclerotic changes are observed in the lower cervical vertebral corpuscles. It is recommended that the patient be evaluated together with previous examinations, if any. In case of clinical necessity, cervical MR treatment is appropriate in terms of cervical metastasis. Impression:  Covid-19 pneumonia? Clinical laboratory and correlation is recommended.  Fibroatelectatic changes and emphysematous changes in both lungs.  sclerotic changes in lower cervical vertebrae; It is recommended to be evaluated together with recent examinations, if any. Otherwise, Cervical Vertebra MR examination is recommended for metastasis. It is recommended to be evaluated together with recent examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_105/valid_105_a/valid_105_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left coronary artery. There are lymphadenopathies in the prevascular region, paratracheal and subcarinal region. The largest lymphadenopathies described are observed in the paratracheal region and subcarinal region and are measured in their widest parts (series 6 section 154 and series 6 section 218), measuring 27x35 mm and 34x26 mm, respectively. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. However, an endobronchial mass is observed in the left lung upper lobe lingular segment bronchus. It is observed that the mass extends towards the superior and inferior subsegment bronchi. Although the size could not be given due to the infiltrative character of the mass, it was measured approximately 14 mm in its thickest part (series 6 section 227) proximal to the upper lobe lingular segment bronchus. The described manifestation may be primary or metastatic lung malignancy. There is an irregularly circumscribed nodule measuring 15x17 mm in the thickest part of the posterior part of the left lung upper lobe lingular segment (series 6 section 239). The described nodule may have a primary or metastatic lung lesion. There are budding tree appearances in the left lung upper lobe lingular segment. This appearance may be due to distal airway disease or, less likely, endobronchial extension of the mass. It is recommended to evaluate the patient together with laboratory findings. There are several more millimetric nonspecific nodules in both lungs. Emphysematous changes are observed in both lungs. The contour and size of the liver and parenchymal density are normal. No solid-cystic mass in the liver or pathological contrast material uptake was detected after IVCM. The hepatic and portal venous systems are open. There is no dilatation of the intra and extra hepatic bile ducts. The gallbladder is normal. The contour, size and parenchyma density of the spleen are normal. There is no focal lesion in the spleen. Pancreas head, body and tail section is normal. Peripancreatic adipose tissue is normal. There is no enlargement of the main pancreatic duct. The right adrenal gland is normal. A mass measuring approximately 52x70 mm is observed in the left adrenal gland in its thickest part (series 6 section 471). The size, contour, localization, parenchymal thickness, parenchymal staining and collecting system of both kidneys are normal. No stone or mass was detected in either kidney. Bladder contour, capacity and configuration are normal. A diffuse thickness increase is observed in the bladder wall. No polypoid lesion was detected in the bladder wall. Perivesical fatty planes are preserved. There is no mass with distinguishable borders in the prostate gland and periprostatic region. The diameters of the abdominal aorta and iliac arteries are normal. There are atheromatous plaques in the abdominal aorta and iliac arteries. As far as can be observed in this examination, no pathological increase in wall thickness was detected in the intestinal segments. There is no intraabdominal free fluid-collection or pathologically enlarged lymph nodes. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Endobronchial lesion within the bronchus of the left lung upper lobe lingular segment, irregular limited nodule in the left lung upper lobe lingular segment, mediastinal lymphadenopathies, mass in the left adrenal gland. Diffuse thickness increase in the bladder wall."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_106/valid_106_a/valid_106_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_236",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left coronary artery. There are lymphadenopathies in the prevascular region, paratracheal and subcarinal region. The largest lymphadenopathies described are observed in the paratracheal region and subcarinal region and are measured in their widest parts (series 6 section 154 and series 6 section 218), measuring 27x35 mm and 34x26 mm, respectively. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. However, an endobronchial mass is observed in the left lung upper lobe lingular segment bronchus. It is observed that the mass extends towards the superior and inferior subsegment bronchi. Although the size could not be given due to the infiltrative character of the mass, it was measured approximately 14 mm in its thickest part (series 6 section 227) proximal to the upper lobe lingular segment bronchus. The described manifestation may be primary or metastatic lung malignancy. There is an irregularly circumscribed nodule measuring 15x17 mm in the thickest part of the posterior part of the left lung upper lobe lingular segment (series 6 section 239). The described nodule may have a primary or metastatic lung lesion. There are budding tree appearances in the left lung upper lobe lingular segment. This appearance may be due to distal airway disease or, less likely, endobronchial extension of the mass. It is recommended to evaluate the patient together with laboratory findings. There are several more millimetric nonspecific nodules in both lungs. Emphysematous changes are observed in both lungs. The contour and size of the liver and parenchymal density are normal. No solid-cystic mass in the liver or pathological contrast material uptake was detected after IVCM. The hepatic and portal venous systems are open. There is no dilatation of the intra and extra hepatic bile ducts. The gallbladder is normal. The contour, size and parenchyma density of the spleen are normal. There is no focal lesion in the spleen. Pancreas head, body and tail section is normal. Peripancreatic adipose tissue is normal. There is no enlargement of the main pancreatic duct. The right adrenal gland is normal. A mass measuring approximately 52x70 mm is observed in the left adrenal gland in its thickest part (series 6 section 471). The size, contour, localization, parenchymal thickness, parenchymal staining and collecting system of both kidneys are normal. No stone or mass was detected in either kidney. Bladder contour, capacity and configuration are normal. A diffuse thickness increase is observed in the bladder wall. No polypoid lesion was detected in the bladder wall. Perivesical fatty planes are preserved. There is no mass with distinguishable borders in the prostate gland and periprostatic region. The diameters of the abdominal aorta and iliac arteries are normal. There are atheromatous plaques in the abdominal aorta and iliac arteries. As far as can be observed in this examination, no pathological increase in wall thickness was detected in the intestinal segments. There is no intraabdominal free fluid-collection or pathologically enlarged lymph nodes. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Endobronchial lesion within the bronchus of the left lung upper lobe lingular segment, irregular limited nodule in the left lung upper lobe lingular segment, mediastinal lymphadenopathies, mass in the left adrenal gland. Diffuse thickness increase in the bladder wall."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_106/valid_106_a/valid_106_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_237",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left coronary artery. There are lymphadenopathies in the prevascular region, paratracheal and subcarinal region. The largest lymphadenopathies described are observed in the paratracheal region and subcarinal region and are measured in their widest parts (series 6 section 154 and series 6 section 218), measuring 27x35 mm and 34x26 mm, respectively. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. However, an endobronchial mass is observed in the left lung upper lobe lingular segment bronchus. It is observed that the mass extends towards the superior and inferior subsegment bronchi. Although the size could not be given due to the infiltrative character of the mass, it was measured approximately 14 mm in its thickest part (series 6 section 227) proximal to the upper lobe lingular segment bronchus. The described manifestation may be primary or metastatic lung malignancy. There is an irregularly circumscribed nodule measuring 15x17 mm in the thickest part of the posterior part of the left lung upper lobe lingular segment (series 6 section 239). The described nodule may have a primary or metastatic lung lesion. There are budding tree appearances in the left lung upper lobe lingular segment. This appearance may be due to distal airway disease or, less likely, endobronchial extension of the mass. It is recommended to evaluate the patient together with laboratory findings. There are several more millimetric nonspecific nodules in both lungs. Emphysematous changes are observed in both lungs. The contour and size of the liver and parenchymal density are normal. No solid-cystic mass in the liver or pathological contrast material uptake was detected after IVCM. The hepatic and portal venous systems are open. There is no dilatation of the intra and extra hepatic bile ducts. The gallbladder is normal. The contour, size and parenchyma density of the spleen are normal. There is no focal lesion in the spleen. Pancreas head, body and tail section is normal. Peripancreatic adipose tissue is normal. There is no enlargement of the main pancreatic duct. The right adrenal gland is normal. A mass measuring approximately 52x70 mm is observed in the left adrenal gland in its thickest part (series 6 section 471). The size, contour, localization, parenchymal thickness, parenchymal staining and collecting system of both kidneys are normal. No stone or mass was detected in either kidney. Bladder contour, capacity and configuration are normal. A diffuse thickness increase is observed in the bladder wall. No polypoid lesion was detected in the bladder wall. Perivesical fatty planes are preserved. There is no mass with distinguishable borders in the prostate gland and periprostatic region. The diameters of the abdominal aorta and iliac arteries are normal. There are atheromatous plaques in the abdominal aorta and iliac arteries. As far as can be observed in this examination, no pathological increase in wall thickness was detected in the intestinal segments. There is no intraabdominal free fluid-collection or pathologically enlarged lymph nodes. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Endobronchial lesion within the bronchus of the left lung upper lobe lingular segment, irregular limited nodule in the left lung upper lobe lingular segment, mediastinal lymphadenopathies, mass in the left adrenal gland. Diffuse thickness increase in the bladder wall."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_106/valid_106_a/valid_106_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_238",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left coronary artery. There are lymphadenopathies in the prevascular region, paratracheal and subcarinal region. The largest lymphadenopathies described are observed in the paratracheal region and subcarinal region and are measured in their widest parts (series 6 section 154 and series 6 section 218), measuring 27x35 mm and 34x26 mm, respectively. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. However, an endobronchial mass is observed in the left lung upper lobe lingular segment bronchus. It is observed that the mass extends towards the superior and inferior subsegment bronchi. Although the size could not be given due to the infiltrative character of the mass, it was measured approximately 14 mm in its thickest part (series 6 section 227) proximal to the upper lobe lingular segment bronchus. The described manifestation may be primary or metastatic lung malignancy. There is an irregularly circumscribed nodule measuring 15x17 mm in the thickest part of the posterior part of the left lung upper lobe lingular segment (series 6 section 239). The described nodule may have a primary or metastatic lung lesion. There are budding tree appearances in the left lung upper lobe lingular segment. This appearance may be due to distal airway disease or, less likely, endobronchial extension of the mass. It is recommended to evaluate the patient together with laboratory findings. There are several more millimetric nonspecific nodules in both lungs. Emphysematous changes are observed in both lungs. The contour and size of the liver and parenchymal density are normal. No solid-cystic mass in the liver or pathological contrast material uptake was detected after IVCM. The hepatic and portal venous systems are open. There is no dilatation of the intra and extra hepatic bile ducts. The gallbladder is normal. The contour, size and parenchyma density of the spleen are normal. There is no focal lesion in the spleen. Pancreas head, body and tail section is normal. Peripancreatic adipose tissue is normal. There is no enlargement of the main pancreatic duct. The right adrenal gland is normal. A mass measuring approximately 52x70 mm is observed in the left adrenal gland in its thickest part (series 6 section 471). The size, contour, localization, parenchymal thickness, parenchymal staining and collecting system of both kidneys are normal. No stone or mass was detected in either kidney. Bladder contour, capacity and configuration are normal. A diffuse thickness increase is observed in the bladder wall. No polypoid lesion was detected in the bladder wall. Perivesical fatty planes are preserved. There is no mass with distinguishable borders in the prostate gland and periprostatic region. The diameters of the abdominal aorta and iliac arteries are normal. There are atheromatous plaques in the abdominal aorta and iliac arteries. As far as can be observed in this examination, no pathological increase in wall thickness was detected in the intestinal segments. There is no intraabdominal free fluid-collection or pathologically enlarged lymph nodes. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Endobronchial lesion within the bronchus of the left lung upper lobe lingular segment, irregular limited nodule in the left lung upper lobe lingular segment, mediastinal lymphadenopathies, mass in the left adrenal gland. Diffuse thickness increase in the bladder wall."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_106/valid_106_a/valid_106_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_239",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The right lower-middle lobe bronchus is obliterated with a mass. The left upper lobe bronchus is markedly narrowed. Mediastinal main vascular structures, heart contour, size are normal. Atherosclerotic wall calcifications were observed in the coronary arteries. A smear-like effusion was observed in the pericardial space. Pericardial thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Numerous lymph nodes were observed in the right upper paratracheal, left lower paratracheal, aortopulmonary, subcranial, and paraaortic area, in front of the right main bronchus, the largest of which was 17 mm in diameter (17 mm in the previous examination). An anky effusion was observed in the right pleural space, reaching a thickness of 22 mm. There is a smear-like effusion in the left pleural space. When examined in the lung parenchyma window; Widespread consolidation areas, irregular interlobular septal thickenings and multiple nodules were observed in both lungs, obliterating the right lung upper and lower lobe bronchi and significantly narrowing the upper lobe bronchus. When the upper abdominal organs included in the sections were evaluated; liver in both lobes, the largest at the level of segment 4B, 41 mm (26 mm in the previous examination), multiple hypodense lesions, some of which tend to merge with each other, were observed and were evaluated in favor of metastasis. Both adrenal gland corpuscles are diffusely thick. No stones were detected in both kidneys. The spleen and pancreas are natural. Extensive sclerotic metastases were observed in the bone structures within the study area. Impression: Bilateral smearing pleural effusion . Lymphadenopathies that do not show significant size increase in the mediastinum . Metastases showing increased size in the liver . Diffuse sclerotic metastases in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_107/valid_107_a/valid_107_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_240",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The right lower-middle lobe bronchus is obliterated with a mass. The left upper lobe bronchus is markedly narrowed. Mediastinal main vascular structures, heart contour, size are normal. Atherosclerotic wall calcifications were observed in the coronary arteries. A smear-like effusion was observed in the pericardial space. Pericardial thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Numerous lymph nodes were observed in the right upper paratracheal, left lower paratracheal, aortopulmonary, subcranial, and paraaortic area, in front of the right main bronchus, the largest of which was 17 mm in diameter (17 mm in the previous examination). An anky effusion was observed in the right pleural space, reaching a thickness of 22 mm. There is a smear-like effusion in the left pleural space. When examined in the lung parenchyma window; Widespread consolidation areas, irregular interlobular septal thickenings and multiple nodules were observed in both lungs, obliterating the right lung upper and lower lobe bronchi and significantly narrowing the upper lobe bronchus. When the upper abdominal organs included in the sections were evaluated; liver in both lobes, the largest at the level of segment 4B, 41 mm (26 mm in the previous examination), multiple hypodense lesions, some of which tend to merge with each other, were observed and were evaluated in favor of metastasis. Both adrenal gland corpuscles are diffusely thick. No stones were detected in both kidneys. The spleen and pancreas are natural. Extensive sclerotic metastases were observed in the bone structures within the study area. Impression: Bilateral smearing pleural effusion . Lymphadenopathies that do not show significant size increase in the mediastinum . Metastases showing increased size in the liver . Diffuse sclerotic metastases in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_107/valid_107_a/valid_107_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  In the current examination, significant increase in density and heterogeneity secondary to post-treatment were observed in mediastinal fatty planes. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; The soft tissue density observed in the previous examination in the paramediastinal area in the left upper lobe of the lung showed significant regression in the current examination. When both lung parenchyma windows are evaluated; diffuse emphysematous changes in both lungs and an increase in density in the interstitial pattern were observed. There is accompanying atelectasis in the lower lobe of the right lung. In the current examination, there are widespread areas of consolidation involving all lobes of the right lung. In the left lung, extensive areas of consolidation-infiltrative changes were observed in the lingular segment and lower lobe. The appearance was initially thought to be compatible with the infectious process. Clinical and laboratory correlation is recommended. In the upper abdominal sections that entered the examination area, hypodense mass lesions consistent with metastasis were observed in the liver, which could not be clearly characterized because the examination was uncontrasted. As far as can be observed, the largest of the metastases described was at the level of segment 4b, with a long axis of 30 mm. In the previous examination, 33 mm was measured and no significant regression was detected. However, since the examination is without contrast, a clear assessment of the size and number of metastases cannot be made. Widespread free fluid was observed in the upper abdominal sections that entered the study area, and it has just emerged in the current examination. Extensive sclerotic bone metastases were observed in all bone structures in the study area. Impression: Mediastinal stable lymph nodes. Multiple metastases in bone and liver.  Intra-abdominal diffuse free fluid has just emerged in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_107/valid_107_b/valid_107_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_242",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  In the current examination, significant increase in density and heterogeneity secondary to post-treatment were observed in mediastinal fatty planes. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; The soft tissue density observed in the previous examination in the paramediastinal area in the left upper lobe of the lung showed significant regression in the current examination. When both lung parenchyma windows are evaluated; diffuse emphysematous changes in both lungs and an increase in density in the interstitial pattern were observed. There is accompanying atelectasis in the lower lobe of the right lung. In the current examination, there are widespread areas of consolidation involving all lobes of the right lung. In the left lung, extensive areas of consolidation-infiltrative changes were observed in the lingular segment and lower lobe. The appearance was initially thought to be compatible with the infectious process. Clinical and laboratory correlation is recommended. In the upper abdominal sections that entered the examination area, hypodense mass lesions consistent with metastasis were observed in the liver, which could not be clearly characterized because the examination was uncontrasted. As far as can be observed, the largest of the metastases described was at the level of segment 4b, with a long axis of 30 mm. In the previous examination, 33 mm was measured and no significant regression was detected. However, since the examination is without contrast, a clear assessment of the size and number of metastases cannot be made. Widespread free fluid was observed in the upper abdominal sections that entered the study area, and it has just emerged in the current examination. Extensive sclerotic bone metastases were observed in all bone structures in the study area. Impression: Mediastinal stable lymph nodes. Multiple metastases in bone and liver.  Intra-abdominal diffuse free fluid has just emerged in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_107/valid_107_b/valid_107_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. Calibration of mediastinal vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. There are slightly calcified atheromatous plaques on the walls of the aorta and coronary vascular structures. No lymph nodes were detected in pathological size and appearance in both axillary regions, supraclavicular level and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There is minimal bronchiectasis in both lungs, especially in the central parts. Emphysematous changes are observed in both lungs and emphysematous changes are more prominent especially in the upper lobes. There are increases in density that cause structural distortion and volume loss in both lung apexes, especially in the posterior sections. Slight loss of height is observed in the upper end plateau of the T3 vertebra in the bone structures within the image. Vertebra corpus anteroposterior diameter is normal. The appearance was evaluated in favor of benign compression. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_108/valid_108_a/valid_108_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_244",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. Calibration of mediastinal vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. There are slightly calcified atheromatous plaques on the walls of the aorta and coronary vascular structures. No lymph nodes were detected in pathological size and appearance in both axillary regions, supraclavicular level and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There is minimal bronchiectasis in both lungs, especially in the central parts. Emphysematous changes are observed in both lungs and emphysematous changes are more prominent especially in the upper lobes. There are increases in density that cause structural distortion and volume loss in both lung apexes, especially in the posterior sections. Slight loss of height is observed in the upper end plateau of the T3 vertebra in the bone structures within the image. Vertebra corpus anteroposterior diameter is normal. The appearance was evaluated in favor of benign compression. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_108/valid_108_a/valid_108_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_245",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. The sternotomy line is followed. The findings of the previous Bypass operation are monitored. Mild pericardial effusion is present (postoperative). The size of the heart has increased. There are several nonspecific mediastinal lymph nodes in the mediastinum. When the lung parenchyma window is examined; There is a pleural effusion reaching 6.5 cm in diameter between the left pleural leaves. Compression atelectasis is observed adjacent to the effusion. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the aerated lung parenchyma. No features were detected in the upper abdomen sections. Degenerative changes are observed in bone structures. Impression:  Early postoperative findings secondary to previous coronary bypass operation.  Left pleural effusion. DIFFUSION MR Technique: Axial DWI sequences were taken and ADC mapping was performed. In addition, axial T2 TSE sequence was taken. Results: In the left cerebellar hemisphere, acute infarct areas with diffusion restriction are observed in the localization matching the PICA irrigation area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_109/valid_109_a/valid_109_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_246",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. The sternotomy line is followed. The findings of the previous Bypass operation are monitored. Mild pericardial effusion is present (postoperative). The size of the heart has increased. There are several nonspecific mediastinal lymph nodes in the mediastinum. When the lung parenchyma window is examined; There is a pleural effusion reaching 6.5 cm in diameter between the left pleural leaves. Compression atelectasis is observed adjacent to the effusion. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the aerated lung parenchyma. No features were detected in the upper abdomen sections. Degenerative changes are observed in bone structures. Impression:  Early postoperative findings secondary to previous coronary bypass operation.  Left pleural effusion. DIFFUSION MR Technique: Axial DWI sequences were taken and ADC mapping was performed. In addition, axial T2 TSE sequence was taken. Results: In the left cerebellar hemisphere, acute infarct areas with diffusion restriction are observed in the localization matching the PICA irrigation area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_109/valid_109_a/valid_109_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_247",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. The sternotomy line is followed. The findings of the previous Bypass operation are monitored. Mild pericardial effusion is present (postoperative). The size of the heart has increased. There are several nonspecific mediastinal lymph nodes in the mediastinum. When the lung parenchyma window is examined; There is a pleural effusion reaching 6.5 cm in diameter between the left pleural leaves. Compression atelectasis is observed adjacent to the effusion. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the aerated lung parenchyma. No features were detected in the upper abdomen sections. Degenerative changes are observed in bone structures. Impression:  Early postoperative findings secondary to previous coronary bypass operation.  Left pleural effusion. DIFFUSION MR Technique: Axial DWI sequences were taken and ADC mapping was performed. In addition, axial T2 TSE sequence was taken. Results: In the left cerebellar hemisphere, acute infarct areas with diffusion restriction are observed in the localization matching the PICA irrigation area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_109/valid_109_a/valid_109_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. The sternotomy line is followed. The findings of the previous Bypass operation are monitored. Mild pericardial effusion is present (postoperative). The size of the heart has increased. There are several nonspecific mediastinal lymph nodes in the mediastinum. When the lung parenchyma window is examined; There is a pleural effusion reaching 6.5 cm in diameter between the left pleural leaves. Compression atelectasis is observed adjacent to the effusion. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the aerated lung parenchyma. No features were detected in the upper abdomen sections. Degenerative changes are observed in bone structures. Impression:  Early postoperative findings secondary to previous coronary bypass operation.  Left pleural effusion. DIFFUSION MR Technique: Axial DWI sequences were taken and ADC mapping was performed. In addition, axial T2 TSE sequence was taken. Results: In the left cerebellar hemisphere, acute infarct areas with diffusion restriction are observed in the localization matching the PICA irrigation area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_109/valid_109_a/valid_109_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_249",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. The sternotomy line is followed. The findings of the previous Bypass operation are monitored. Mild pericardial effusion is present (postoperative). The size of the heart has increased. There are several nonspecific mediastinal lymph nodes in the mediastinum. When the lung parenchyma window is examined; There is a pleural effusion reaching 6.5 cm in diameter between the left pleural leaves. Compression atelectasis is observed adjacent to the effusion. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the aerated lung parenchyma. No features were detected in the upper abdomen sections. Degenerative changes are observed in bone structures. Impression:  Early postoperative findings secondary to previous coronary bypass operation.  Left pleural effusion. DIFFUSION MR Technique: Axial DWI sequences were taken and ADC mapping was performed. In addition, axial T2 TSE sequence was taken. Results: In the left cerebellar hemisphere, acute infarct areas with diffusion restriction are observed in the localization matching the PICA irrigation area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_109/valid_109_a/valid_109_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_250",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimetric nodules that are nomspecific. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Active infiltration or mass lesion was not detected in the evaluation of both lung parenchyma, and there are a few millimeter-sized nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_110/valid_110_a/valid_110_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_251",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: A 29 mm diameter hypodense nodule was observed in the right thyroid lobe. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mediastinal millimetric lymph nodes were observed. When examined in the lung parenchyma window; In both lungs, ground-glass density increases that are widespread in the upper and lower lobes, tending to coalesce in the peripheral subpleural area and peribronchovascular localization, and consolidative areas in the lower lobes are observed. There are imaging features that are frequently reported in Covid-19 pneumonia. Clinical - laboratory correlation is recommended. In the upper abdominal sections included in the examination area, two millimeter-sized hypodense lesions that could not be characterized in this examination were observed in the posterior right lobe of the liver. A 2.5 mm diameter calculus was observed in the middle zone of the right kidney. No lytic-destructive lesion was detected in bone structures. Impression: There are frequently reported imaging features of Covid-19 pneumonia in both lungs. Clinical-laboratory correlation is recommended. Hypodense nodule in the right thyroid lobe, US control is recommended.  Right nephrolithiasis. Two millimeter-sized hypodense lesions in the posterior right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_111/valid_111_a/valid_111_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_252",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: A 29 mm diameter hypodense nodule was observed in the right thyroid lobe. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mediastinal millimetric lymph nodes were observed. When examined in the lung parenchyma window; In both lungs, ground-glass density increases that are widespread in the upper and lower lobes, tending to coalesce in the peripheral subpleural area and peribronchovascular localization, and consolidative areas in the lower lobes are observed. There are imaging features that are frequently reported in Covid-19 pneumonia. Clinical - laboratory correlation is recommended. In the upper abdominal sections included in the examination area, two millimeter-sized hypodense lesions that could not be characterized in this examination were observed in the posterior right lobe of the liver. A 2.5 mm diameter calculus was observed in the middle zone of the right kidney. No lytic-destructive lesion was detected in bone structures. Impression: There are frequently reported imaging features of Covid-19 pneumonia in both lungs. Clinical-laboratory correlation is recommended. Hypodense nodule in the right thyroid lobe, US control is recommended.  Right nephrolithiasis. Two millimeter-sized hypodense lesions in the posterior right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_111/valid_111_a/valid_111_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_253",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; aeration of both lung parenchyma was normal and no nodular or infiltrative lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No lytic or destructive lesions were detected in the bone structures in the study area. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_112/valid_112_a/valid_112_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; aeration of both lung parenchyma was normal and no nodular or infiltrative lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No lytic or destructive lesions were detected in the bone structures in the study area. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_112/valid_112_a/valid_112_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_255",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. There is thymic tissue in the anterior mediastinum with trigonal configuration that does not cause mass effect and hypodense areas compatible with fat involution are observed. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 2 mm diameter nonspecific nodule is observed on the interlobar fissure in the left lung. There is another nodule with a diameter of 3 mm at this level. There was no significant finding consistent with pneumonia. When the upper abdominal organs included in the sections were evaluated; Density compatible with 3 mm diameter calculi is observed in the middle part of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression: No findings consistent with pneumonia were detected. Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_113/valid_113_a/valid_113_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_256",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. There is thymic tissue in the anterior mediastinum with trigonal configuration that does not cause mass effect and hypodense areas compatible with fat involution are observed. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 2 mm diameter nonspecific nodule is observed on the interlobar fissure in the left lung. There is another nodule with a diameter of 3 mm at this level. There was no significant finding consistent with pneumonia. When the upper abdominal organs included in the sections were evaluated; Density compatible with 3 mm diameter calculi is observed in the middle part of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression: No findings consistent with pneumonia were detected. Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_113/valid_113_a/valid_113_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_257",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen: There are catheter images extending to the superior vena cava and a port chamber on the right chest anterior wall. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits. There are lymph nodes measuring 7 mm in the short axis of the largest in the mediastinal upper-lower paratracheal, prevascular area in the aortopulmonary window and in the subcarinal localization. When both lung parenchyma windows are evaluated; Widespread pleural effusion reaching 8 cm in thickness was observed between the pleural leaves on the right. On the left, it measures 26 mm at its widest point. Diffuse atelectatic changes were observed in the adjacent lung parenchyma, especially on the right. In addition, diffuse ground glass density increases with interlobular septal thickness increases and crazy paving appearances were observed in both lungs. The described findings may be compatible with the infectious process. Pulmonary edema can be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No significant pathology was detected in the non-contrast examination limits in the upper abdominal sections that entered the examination area. No lytic-destructive lesion was detected in bone structures. Impression:  Mediastinal millimetric lymph nodes.  Significant bilateral diffuse pleural effusion and atelectatic changes on the right.  Widespread ground-glass density increases and crazy paving appearances with interlobular septal thickness increases in both lungs. The described findings may be compatible with the infectious process. Pulmonary edema can be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended.  Several millimetric nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_114/valid_114_a/valid_114_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_258",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen: There are catheter images extending to the superior vena cava and a port chamber on the right chest anterior wall. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits. There are lymph nodes measuring 7 mm in the short axis of the largest in the mediastinal upper-lower paratracheal, prevascular area in the aortopulmonary window and in the subcarinal localization. When both lung parenchyma windows are evaluated; Widespread pleural effusion reaching 8 cm in thickness was observed between the pleural leaves on the right. On the left, it measures 26 mm at its widest point. Diffuse atelectatic changes were observed in the adjacent lung parenchyma, especially on the right. In addition, diffuse ground glass density increases with interlobular septal thickness increases and crazy paving appearances were observed in both lungs. The described findings may be compatible with the infectious process. Pulmonary edema can be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No significant pathology was detected in the non-contrast examination limits in the upper abdominal sections that entered the examination area. No lytic-destructive lesion was detected in bone structures. Impression:  Mediastinal millimetric lymph nodes.  Significant bilateral diffuse pleural effusion and atelectatic changes on the right.  Widespread ground-glass density increases and crazy paving appearances with interlobular septal thickness increases in both lungs. The described findings may be compatible with the infectious process. Pulmonary edema can be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended.  Several millimetric nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_114/valid_114_a/valid_114_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_259",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: On the right, the port chamber and the image of the catheter extending to the superior vena cava are seen on the anterior chest wall. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Intra-abdominal solid organs were evaluated in detail in MR examination. Impression:  Millimetric stable parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_114/valid_114_b/valid_114_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_260",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: On the right, the port chamber and the image of the catheter extending to the superior vena cava are seen on the anterior chest wall. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Intra-abdominal solid organs were evaluated in detail in MR examination. Impression:  Millimetric stable parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_114/valid_114_b/valid_114_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_261",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequela changes are observed in the middle lobe of the right lung. There is a ground-glass-like focal density increase at the apical level of the upper lobe. Sequelae changes are observed in the inferior lingular segment. There was no pleural effusion or obvious sign of pneumonia. There is a decrease in density consistent with hepatosteatosis in the sections passing through the upper abdomen. Changes in the gallbladder bed related to possible cholestectomy are observed. There is an accessory spleen view in the spleen hilum. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_115/valid_115_a/valid_115_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_262",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequela changes are observed in the middle lobe of the right lung. There is a ground-glass-like focal density increase at the apical level of the upper lobe. Sequelae changes are observed in the inferior lingular segment. There was no pleural effusion or obvious sign of pneumonia. There is a decrease in density consistent with hepatosteatosis in the sections passing through the upper abdomen. Changes in the gallbladder bed related to possible cholestectomy are observed. There is an accessory spleen view in the spleen hilum. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_115/valid_115_a/valid_115_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No pleural effusion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_116/valid_116_a/valid_116_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No pleural effusion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_116/valid_116_a/valid_116_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Minimal emphysematous changes are observed in both lungs. There are sometimes linear atelectasis in both lungs. Nodules were observed in both lungs. In the presence of primary disease, these nodules were evaluated in favor of metastases. The largest of the described nodules is observed in the apicoposterior segment of the left lung upper lobe and measures approximately 9x12 mm in its widest part (series 2 section 134). There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. The port chamber is observed in the right hemithorax. The port catheter terminates at the superior distal portion of the vena cava. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. No mass with distinguishable borders was detected in the peritoneum and omentum. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Rectal Ca on follow-up, metastatic nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_117/valid_117_a/valid_117_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_266",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. There is no obstructive pathology in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Minimal emphysematous changes are observed in both lungs. There are sometimes linear atelectasis in both lungs. Nodules were observed in both lungs. In the presence of primary disease, these nodules were evaluated in favor of metastases. The largest of the described nodules is observed in the apicoposterior segment of the left lung upper lobe and measures approximately 9x12 mm in its widest part (series 2 section 134). There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. The port chamber is observed in the right hemithorax. The port catheter terminates at the superior distal portion of the vena cava. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. No mass with distinguishable borders was detected in the peritoneum and omentum. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Rectal Ca on follow-up, metastatic nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_117/valid_117_a/valid_117_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_267",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Multiple lymph nodes in the mediastinum, some with calcific short axes measuring up to 8 mm, do not differ significantly. When examined in the lung parenchyma window; Lesions measuring up to 25x21 mm are observed at the basal level of the lower lobe of the left lung, the largest with spiculated contours, in which cavitation is observed in more than one in both lungs. An increase in the size of the liver and spleen is observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Slight dimensional increase in lesions observed in liver parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_117/valid_117_b/valid_117_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_268",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Multiple lymph nodes in the mediastinum, some with calcific short axes measuring up to 8 mm, do not differ significantly. When examined in the lung parenchyma window; Lesions measuring up to 25x21 mm are observed at the basal level of the lower lobe of the left lung, the largest with spiculated contours, in which cavitation is observed in more than one in both lungs. An increase in the size of the liver and spleen is observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Slight dimensional increase in lesions observed in liver parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_117/valid_117_b/valid_117_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymphadenopathies in the mediastinal, upper paratracheal, lower paratracheal, subcarinal areas and in the right paratracheal-right hilar area, with the short axis of the larger one measuring 18 mm, and with conglomerate appearance in places, were observed. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. Nodular consolidation areas were observed in different localizations in both lung parenchyma. The largest of the described nodular consolidation areas is observed in the lower lobe mediobasal segment and cannot be distinguished from the paramediastinal area. Ground glass density increases are observed around the described consolidation areas. Fungal infections can be considered in the differential diagnosis. Clinical-laboratory correlation and control is recommended. Millimetric calculus was observed in the gallbladder in the upper abdominal sections that entered the examination area. A few millimetric calculus were observed in both kidneys. Multiple hyperdense lesions in different localizations were observed in the spleen. It cannot be characterized in this examination. Hypodense lesions measuring 19 mm in diameter were observed at the level of liver segments 8 and 7. The examination cannot be characterized as it lacks contrast. No lytic-destructive lesion was detected in bone structures. Impression:  Mediastinal lymphadenopathies.  Bilateral peribronchial thickenings.  Nodular consolidations showing an increase in ground glass density in both lungs, the appearance can be observed in fungal infections. It is recommended to evaluate and control together with clinical-laboratory data.  Cholelithiasis,  Bilateral nephrolithiasis,  Hypodense lesions in the liver cannot be characterized in this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_118/valid_118_a/valid_118_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_270",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymphadenopathies in the mediastinal, upper paratracheal, lower paratracheal, subcarinal areas and in the right paratracheal-right hilar area, with the short axis of the larger one measuring 18 mm, and with conglomerate appearance in places, were observed. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. Nodular consolidation areas were observed in different localizations in both lung parenchyma. The largest of the described nodular consolidation areas is observed in the lower lobe mediobasal segment and cannot be distinguished from the paramediastinal area. Ground glass density increases are observed around the described consolidation areas. Fungal infections can be considered in the differential diagnosis. Clinical-laboratory correlation and control is recommended. Millimetric calculus was observed in the gallbladder in the upper abdominal sections that entered the examination area. A few millimetric calculus were observed in both kidneys. Multiple hyperdense lesions in different localizations were observed in the spleen. It cannot be characterized in this examination. Hypodense lesions measuring 19 mm in diameter were observed at the level of liver segments 8 and 7. The examination cannot be characterized as it lacks contrast. No lytic-destructive lesion was detected in bone structures. Impression:  Mediastinal lymphadenopathies.  Bilateral peribronchial thickenings.  Nodular consolidations showing an increase in ground glass density in both lungs, the appearance can be observed in fungal infections. It is recommended to evaluate and control together with clinical-laboratory data.  Cholelithiasis,  Bilateral nephrolithiasis,  Hypodense lesions in the liver cannot be characterized in this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_118/valid_118_a/valid_118_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_271",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No occlusive pathology was detected in the trachea and lumen of both main bronchi. An image of a catheter extending superiorly to the vena cava was observed. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, stable locally conglomerated lymphadenopathies were observed in the mediastinal upper-lower paratracheal, subcarinal area and in the right paratracheal-right hilar area, the short axis of the larger one measuring 18 mm in diameter. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. No significant regression was detected in the size of the nodular consolidation areas observed in both lungs. Again, between the bilateral pleural leaves, there are free pleural effusion areas with a thickness of 35 mm on the right and 18 mm on the left. Again, in the current examination, effusion reaching 9 mm in its widest part is observed in the pericardial area. When the upper abdominal sections were examined, hypodense lesions measuring 19 mm in diameter were observed in liver segments 8 and 7. It was also observed in the previous examination and no significant change was detected. There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_118/valid_118_b/valid_118_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_272",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No occlusive pathology was detected in the trachea and lumen of both main bronchi. An image of a catheter extending superiorly to the vena cava was observed. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, stable locally conglomerated lymphadenopathies were observed in the mediastinal upper-lower paratracheal, subcarinal area and in the right paratracheal-right hilar area, the short axis of the larger one measuring 18 mm in diameter. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. No significant regression was detected in the size of the nodular consolidation areas observed in both lungs. Again, between the bilateral pleural leaves, there are free pleural effusion areas with a thickness of 35 mm on the right and 18 mm on the left. Again, in the current examination, effusion reaching 9 mm in its widest part is observed in the pericardial area. When the upper abdominal sections were examined, hypodense lesions measuring 19 mm in diameter were observed in liver segments 8 and 7. It was also observed in the previous examination and no significant change was detected. There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_118/valid_118_b/valid_118_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_273",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No occlusive pathology was detected in the trachea and lumen of both main bronchi. An image of a catheter extending superiorly to the vena cava was observed. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinal upper-lower paratracheal, subcarinal and right paratracheal-right hilar areas, the short axis of the larger one was 18 mm. According to the previous examination, stable locally conglomerated lymphadenopathies were observed. No significant changes were found in the size and appearance of the lymph nodes in the current examination. Pericardial effusion observed in the previous examination showed significant regression in the current examination. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. It was understood that the consolidation areas observed in the previous examination in both lungs showed regression in the current examination. Bilateral pleural effusion areas observed in the previous examination are not detected in the current examination. The newly emerged infiltration area was not observed in the current examination. Stable hypodense lesions measuring 19 mm in diameter were observed in liver segments 7 and 8 on upper abdominal CT scans. There are calculi in the gallbladder. There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_118/valid_118_c/valid_118_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_274",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No occlusive pathology was detected in the trachea and lumen of both main bronchi. An image of a catheter extending superiorly to the vena cava was observed. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinal upper-lower paratracheal, subcarinal and right paratracheal-right hilar areas, the short axis of the larger one was 18 mm. According to the previous examination, stable locally conglomerated lymphadenopathies were observed. No significant changes were found in the size and appearance of the lymph nodes in the current examination. Pericardial effusion observed in the previous examination showed significant regression in the current examination. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. It was understood that the consolidation areas observed in the previous examination in both lungs showed regression in the current examination. Bilateral pleural effusion areas observed in the previous examination are not detected in the current examination. The newly emerged infiltration area was not observed in the current examination. Stable hypodense lesions measuring 19 mm in diameter were observed in liver segments 7 and 8 on upper abdominal CT scans. There are calculi in the gallbladder. There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_118/valid_118_c/valid_118_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_275",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  A catheter image extending from the right internal jugular vein to the right atrium was observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. A smear-like effusion was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial thickenings, centriacinar nodules and ground glass areas around the bronchus were observed in both lungs in the patient, who was followed up for consolidation areas in the lung parenchyma. In addition, nodular consolidation-atelectasis area was observed in the right lung lower lobe laterobasal segment. Stable hypodense lesions measuring 19 mm in diameter were observed in liver segments 7 and 8 on upper abdominal CT scans. Calculus was observed in the gallbladder. No significant difference was found in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_118/valid_118_d/valid_118_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_276",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  A catheter image extending from the right internal jugular vein to the right atrium was observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. A smear-like effusion was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial thickenings, centriacinar nodules and ground glass areas around the bronchus were observed in both lungs in the patient, who was followed up for consolidation areas in the lung parenchyma. In addition, nodular consolidation-atelectasis area was observed in the right lung lower lobe laterobasal segment. Stable hypodense lesions measuring 19 mm in diameter were observed in liver segments 7 and 8 on upper abdominal CT scans. Calculus was observed in the gallbladder. No significant difference was found in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_118/valid_118_d/valid_118_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_277",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; Calcified atheroma plaques were observed in the thoracic aortic wall. The ascending aorta shows aneurysmatic dilatation with a diameter of 42 mm. Heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was observed in both lungs. There are emphysematous changes in the upper lobes of both lungs. Tubular and cystic bronchiectasis were observed in the bronchial structures of both lungs, more prominently on the left. Peribronchial diffuse mild increase in thickness is present. A few millimeter-sized nonspecific nodules were observed in both lungs. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; A 28x20 mm lesion was observed in the corpus of the left adrenal gland, which was evaluated in favor of a low-density adenoma. Hyperdense stones in millimetric sizes were observed in both kidneys. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Emphysematous changes in both lungs, tubular and cystic ectasia in bronchial structures in both lungs, diffuse peribronchial thickness increases.  Several millimetric nonspecific nodules in both lungs.  Aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the wall of the thoracic aorta.  Sliding type hiatal hernia at the lower end of the esophagus.  Bilateral nephrolithiasis.  Low-density nodular lesion in the corpus of the left adrenal gland evaluated in favor of adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_119/valid_119_a/valid_119_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_278",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; Calcified atheroma plaques were observed in the thoracic aortic wall. The ascending aorta shows aneurysmatic dilatation with a diameter of 42 mm. Heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was observed in both lungs. There are emphysematous changes in the upper lobes of both lungs. Tubular and cystic bronchiectasis were observed in the bronchial structures of both lungs, more prominently on the left. Peribronchial diffuse mild increase in thickness is present. A few millimeter-sized nonspecific nodules were observed in both lungs. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; A 28x20 mm lesion was observed in the corpus of the left adrenal gland, which was evaluated in favor of a low-density adenoma. Hyperdense stones in millimetric sizes were observed in both kidneys. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Emphysematous changes in both lungs, tubular and cystic ectasia in bronchial structures in both lungs, diffuse peribronchial thickness increases.  Several millimetric nonspecific nodules in both lungs.  Aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the wall of the thoracic aorta.  Sliding type hiatal hernia at the lower end of the esophagus.  Bilateral nephrolithiasis.  Low-density nodular lesion in the corpus of the left adrenal gland evaluated in favor of adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_119/valid_119_a/valid_119_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_279",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There is stent material placed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Segmentary tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. The most prominent interlobular septal thickenings and subpleural lines and accompanying ground glass densities and honeycomb appearance were observed in the subpleural areas and lower lobe basal segments of both lungs. The outlook was initially evaluated in favor of fibrotic sequelae changes in the case with Covid-19 pneumonia. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung upper lobe lingular segment and in both lungs. Parenchymal nodules with a diameter of 7.2 mm were observed in both lungs, the largest of which was in the upper lobe of the right lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Minimal thickening was observed in the left adrenal gland corpus. Right adrenal glands were normal and no space-occupying lesion was detected. Mild osteodegenerative changes were observed in the bone structures in the examination area. Impression:  Bilateral gynecomastia.  Stent materials in coronary arteries.  More extensive sequela interstitial fibrosis in lower lobe basal segments of both lungs.  Segmentary tubular bronchiectasis, minimal peribrochial thickening, pleuroparenchymal fibroatelectatic changes in both lungs.  Millimetric nonspecific parenchymal nodules in both lungs.  Minimal thickening of the left adrenal gland corpus.  Mild osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_120/valid_120_a/valid_120_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_280",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There is stent material placed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Segmentary tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. The most prominent interlobular septal thickenings and subpleural lines and accompanying ground glass densities and honeycomb appearance were observed in the subpleural areas and lower lobe basal segments of both lungs. The outlook was initially evaluated in favor of fibrotic sequelae changes in the case with Covid-19 pneumonia. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung upper lobe lingular segment and in both lungs. Parenchymal nodules with a diameter of 7.2 mm were observed in both lungs, the largest of which was in the upper lobe of the right lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Minimal thickening was observed in the left adrenal gland corpus. Right adrenal glands were normal and no space-occupying lesion was detected. Mild osteodegenerative changes were observed in the bone structures in the examination area. Impression:  Bilateral gynecomastia.  Stent materials in coronary arteries.  More extensive sequela interstitial fibrosis in lower lobe basal segments of both lungs.  Segmentary tubular bronchiectasis, minimal peribrochial thickening, pleuroparenchymal fibroatelectatic changes in both lungs.  Millimetric nonspecific parenchymal nodules in both lungs.  Minimal thickening of the left adrenal gland corpus.  Mild osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_120/valid_120_a/valid_120_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_281",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A millimetric calcific atherosclerotic plaque was observed in the wall of the thoracic aorta. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Siliding type hiatal hernia was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). A few millimetric nonspecific parenchymal nodules were observed in both lungs. Pancreatic lipomatosis was observed in the upper abdominal sections that entered the examination area. Accessory spleen with a diameter of 1 cm was observed in the anterior neighborhood of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis has increased. Degenerative changes were observed in the bone structure. There is a decrease in density consistent with osteopenia in bone structures. Impression:  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Minimal atherosclerotic changes.  Several millimetric nonspecific parenchymal nodules in both lungs.  Degenerative changes in bone structures and osteopenia.  Pancreatic lipomatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_121/valid_121_a/valid_121_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_282",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A millimetric calcific atherosclerotic plaque was observed in the wall of the thoracic aorta. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Siliding type hiatal hernia was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). A few millimetric nonspecific parenchymal nodules were observed in both lungs. Pancreatic lipomatosis was observed in the upper abdominal sections that entered the examination area. Accessory spleen with a diameter of 1 cm was observed in the anterior neighborhood of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis has increased. Degenerative changes were observed in the bone structure. There is a decrease in density consistent with osteopenia in bone structures. Impression:  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Minimal atherosclerotic changes.  Several millimetric nonspecific parenchymal nodules in both lungs.  Degenerative changes in bone structures and osteopenia.  Pancreatic lipomatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_121/valid_121_a/valid_121_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_283",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_122/valid_122_a/valid_122_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_122/valid_122_a/valid_122_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_285",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a venous catheter that terminates in the SVC. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are mediastinal conglomerated LAPs in the paratracheal, pretracheal, aortopulmonary, prevascular and hilar areas that cause conglomeration of the upper lobe bronchus, which extend to the hilum surrounding the trachea and bronchus, and cause local narrowing. In the current examination, there is a newly developing pleural effusion measuring 3.7 mm on the right and 6.5 mm on the left. In the central air bronchograms in both hilar regions, areas of soft tissue density with a more intense consolidated appearance and mass-like effect are observed. The appearances are not specific and can be evaluated in favor of the infective process, or they can be evaluated as compatible with the pulmonary involvement of lymphoma in a patient with known primary. In addition, there are irregular interlobular septal thickenings in the lower lobe of the right lung (lymphangitic spread?). Apart from these areas, there are multiple, more prominent multiple pulmonary nodules, the largest of which is in the left lower lobe, measuring 11x11mm in the periphery of both lungs, with a stable size and appearance. In the current examination, centriacinar nodular density increases and intense consolidative appearances are observed in the lower lobe of the left lung. In addition, bilateral pleural effusion is newly developed in the current examination. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: LAPs showing extensive congolomeration extending to the hilar regions in the mediastinum are stable. The appearance can be evaluated secondary to the infective process, or it can be evaluated in favor of the parenchymal involvement of lymphoma.  Irregular interlobular septal thickenings in the lower lobe of the right lung, the appearance can be evaluated as secondary to lymphangitic spread. Bilateral pleural effusion; newly developed in current review.  More diffuse centriacinar nodular density increase in the upper lobe and lower lobe of the right lung; it is newly developed in the current examination and can be evaluated as secondary to the infective process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_123/valid_123_a/valid_123_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_286",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: There is a venous catheter that terminates in the SVC. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are mediastinal conglomerated LAPs in the paratracheal, pretracheal, aortopulmonary, prevascular and hilar areas that cause conglomeration of the upper lobe bronchus, which extend to the hilum surrounding the trachea and bronchus, and cause local narrowing. In the current examination, there is a newly developing pleural effusion measuring 3.7 mm on the right and 6.5 mm on the left. In the central air bronchograms in both hilar regions, areas of soft tissue density with a more intense consolidated appearance and mass-like effect are observed. The appearances are not specific and can be evaluated in favor of the infective process, or they can be evaluated as compatible with the pulmonary involvement of lymphoma in a patient with known primary. In addition, there are irregular interlobular septal thickenings in the lower lobe of the right lung (lymphangitic spread?). Apart from these areas, there are multiple, more prominent multiple pulmonary nodules, the largest of which is in the left lower lobe, measuring 11x11mm in the periphery of both lungs, with a stable size and appearance. In the current examination, centriacinar nodular density increases and intense consolidative appearances are observed in the lower lobe of the left lung. In addition, bilateral pleural effusion is newly developed in the current examination. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: LAPs showing extensive congolomeration extending to the hilar regions in the mediastinum are stable. The appearance can be evaluated secondary to the infective process, or it can be evaluated in favor of the parenchymal involvement of lymphoma.  Irregular interlobular septal thickenings in the lower lobe of the right lung, the appearance can be evaluated as secondary to lymphangitic spread. Bilateral pleural effusion; newly developed in current review.  More diffuse centriacinar nodular density increase in the upper lobe and lower lobe of the right lung; it is newly developed in the current examination and can be evaluated as secondary to the infective process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_123/valid_123_a/valid_123_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_287",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. As far as can be observed in this examination, no mass with distinguishable margins was detected in the upper abdominal organs within the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression: Minimal hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_124/valid_124_a/valid_124_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_288",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were observed. As far as can be observed in this examination, no mass with distinguishable margins was detected in the upper abdominal organs within the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression: Minimal hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_124/valid_124_a/valid_124_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. Wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 31 mm. Calibration of pulmonary arteries is natural. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. The aortic valve is calcified. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as it can be observed secondary to motion artifacts; Passive atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segments of the left lung upper lobe. An increase in subpleural adipose tissue was observed in the posterolateral neighborhood of the upper lobe of the right lung, and it was evaluated in favor of sequelae. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Spur formations bridging with each other are observed in the right anterior corner of the vertebral corpus at mid-thoracic level. Widespread schmorl nodules were observed in the thoracic vertebral end plateaus. Impression:  Appearance compatible with tracheobronchopathia osteochondroplastica in the walls of the trachea and both main bronchi.  Fusiform aneurysm in the thoracic aorta, cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries, aortic valve calcification.  Passive atelectatic changes in the right lung middle lobe and left lung upper lobe inferior lingular segment.  Spur formations bridging with each other at the vertebral anterior corners at the mid-thoracic level, degenerative schmorl nodules in the end plateaus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_125/valid_125_a/valid_125_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_290",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. Wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 31 mm. Calibration of pulmonary arteries is natural. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. The aortic valve is calcified. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as it can be observed secondary to motion artifacts; Passive atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segments of the left lung upper lobe. An increase in subpleural adipose tissue was observed in the posterolateral neighborhood of the upper lobe of the right lung, and it was evaluated in favor of sequelae. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Spur formations bridging with each other are observed in the right anterior corner of the vertebral corpus at mid-thoracic level. Widespread schmorl nodules were observed in the thoracic vertebral end plateaus. Impression:  Appearance compatible with tracheobronchopathia osteochondroplastica in the walls of the trachea and both main bronchi.  Fusiform aneurysm in the thoracic aorta, cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries, aortic valve calcification.  Passive atelectatic changes in the right lung middle lobe and left lung upper lobe inferior lingular segment.  Spur formations bridging with each other at the vertebral anterior corners at the mid-thoracic level, degenerative schmorl nodules in the end plateaus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_125/valid_125_a/valid_125_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_291",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal fibrotic densities are observed at the subpleural level in the posterobasal areas of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal fibrotic densities at the subpleural level in both lung lower lobe posterobases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_126/valid_126_a/valid_126_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_292",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal fibrotic densities are observed at the subpleural level in the posterobasal areas of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal fibrotic densities at the subpleural level in both lung lower lobe posterobases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_126/valid_126_a/valid_126_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. The aortic valve is calcified. In the distal esophagus, a smooth surface concentric wall thickness increase was observed along the 5.9 cm segment, extending to the junction. The wall measured 6.7 mm at its thickest point. At this level, paraesophageal lymph nodes were observed. The largest of the paraesophageal lymph nodes were measured as 9x5.5 mm. Endoluminal examination is recommended. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centracinar emphysematous changes were observed in the upper lobes of both lungs. Mosaic attenuation pattern was observed in both lung lower lobe basal, right lung middle and left lung lingular segments. Thickening and luminal narrowing of the segmental-subsegmental bronchial walls were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. In both lungs, 6.9x5.5 mm in size, some of them calcified parenchymal nodules, the largest of which are adjacent to each other in the anterobasal segment of the lower lobe of the right lung, were observed. It is recommended to be evaluated together with previous examinations, if any. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A stone with a diameter of 1 cm was observed in the gallbladder lumen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheroma plaques in the aortic arch and LAD, calcification in the aortic valve  Smooth concentric wall thickness increase in the distal esophagus and millimeter-sized lymph nodes in the vicinity; Endoluminal examination is recommended.  Emphysematous- fibroatelectasis sequelae changes in both lungs changes  Mosaic attenuation pattern secondary to small airway stenosis in both lungs  Parenchymal nodules, some of which are calcified, in both lungs; If there is, it is recommended to be evaluated together with previous examinations.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_127/valid_127_a/valid_127_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_294",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. The aortic valve is calcified. In the distal esophagus, a smooth surface concentric wall thickness increase was observed along the 5.9 cm segment, extending to the junction. The wall measured 6.7 mm at its thickest point. At this level, paraesophageal lymph nodes were observed. The largest of the paraesophageal lymph nodes were measured as 9x5.5 mm. Endoluminal examination is recommended. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centracinar emphysematous changes were observed in the upper lobes of both lungs. Mosaic attenuation pattern was observed in both lung lower lobe basal, right lung middle and left lung lingular segments. Thickening and luminal narrowing of the segmental-subsegmental bronchial walls were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. In both lungs, 6.9x5.5 mm in size, some of them calcified parenchymal nodules, the largest of which are adjacent to each other in the anterobasal segment of the lower lobe of the right lung, were observed. It is recommended to be evaluated together with previous examinations, if any. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A stone with a diameter of 1 cm was observed in the gallbladder lumen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheroma plaques in the aortic arch and LAD, calcification in the aortic valve  Smooth concentric wall thickness increase in the distal esophagus and millimeter-sized lymph nodes in the vicinity; Endoluminal examination is recommended.  Emphysematous- fibroatelectasis sequelae changes in both lungs changes  Mosaic attenuation pattern secondary to small airway stenosis in both lungs  Parenchymal nodules, some of which are calcified, in both lungs; If there is, it is recommended to be evaluated together with previous examinations.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_127/valid_127_a/valid_127_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_295",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The ascending aorta calibration is 41 mm. It is wider than normal. The descending aorta is slightly prominent. The aortic arch is 32 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is normal. A catheter appearance is observed in the superior vena cava. Calcific atheroma plaques are observed in the aortic arch, ascending aorta, and coronary arteries. No lymph node with pathological size and configuration was detected in the mediastinum. Lymph nodes are not observed in pathological sizes and configurations at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of the trachea and main bronchi is normal in the main segments, but thickening of the peribronchovascular sheath and slight prominence in the right middle lobe and left lingular segment are observed. Sequelae changes and emphysematous density reductions are observed at the apical level. There is linear density compatible with pleuroparenchymal sequelae in the middle lobe on the right. Pleuroparenchymal sequelae changes are observed in the lower lobe superior segment. A stable nodule with a diameter of approximately 3 mm is observed in the posterior segment of the right lung upper lobe. A 5.5 mm diameter nodule is observed in the lower lobe superior segment of the right lung. There is a 4 mm nodule more caudally. According to the previous review, they appear stable. There are sequelae changes in the area extending towards the lingular segment at the level of the anterior-posterior segments in the upper lobe. A subpleural 3 mm nodule is observed in the inferior lingular segment and is stable. There are sequelae changes in the left lung at the posterobasal level. A superposed 2 mm diameter nodule is observed on the interlobar fissure. There is slight irregularity in the pleural contour in the middle zone of both lungs. In the sections passing through the upper abdomen, the gallbladder appears distended. It is a new finding. However, CT cannot be evaluated within the resolution range within the lumen. Sonographic examination is recommended. Contours of both kidneys are lobulated. There are increases in density in the perinephric fatty planes. Calcific atheroma plaques are observed in the abdominal aorta. There are degenerative changes in the bone structure and lytic areas consistent with the primary diagnosis of the case. Fracture appearances are observed in the lower ribs on the left. It is also available in the old review. Again on the right, the old fracture appearance is observed in the elevation structures. Impression:  There was no finding suggestive of infiltration in both lungs. In the abdomen, the gallbladder appears distended and is a new finding. Sonographic examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_128/valid_128_a/valid_128_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_296",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The ascending aorta calibration is 41 mm. It is wider than normal. The descending aorta is slightly prominent. The aortic arch is 32 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is normal. A catheter appearance is observed in the superior vena cava. Calcific atheroma plaques are observed in the aortic arch, ascending aorta, and coronary arteries. No lymph node with pathological size and configuration was detected in the mediastinum. Lymph nodes are not observed in pathological sizes and configurations at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of the trachea and main bronchi is normal in the main segments, but thickening of the peribronchovascular sheath and slight prominence in the right middle lobe and left lingular segment are observed. Sequelae changes and emphysematous density reductions are observed at the apical level. There is linear density compatible with pleuroparenchymal sequelae in the middle lobe on the right. Pleuroparenchymal sequelae changes are observed in the lower lobe superior segment. A stable nodule with a diameter of approximately 3 mm is observed in the posterior segment of the right lung upper lobe. A 5.5 mm diameter nodule is observed in the lower lobe superior segment of the right lung. There is a 4 mm nodule more caudally. According to the previous review, they appear stable. There are sequelae changes in the area extending towards the lingular segment at the level of the anterior-posterior segments in the upper lobe. A subpleural 3 mm nodule is observed in the inferior lingular segment and is stable. There are sequelae changes in the left lung at the posterobasal level. A superposed 2 mm diameter nodule is observed on the interlobar fissure. There is slight irregularity in the pleural contour in the middle zone of both lungs. In the sections passing through the upper abdomen, the gallbladder appears distended. It is a new finding. However, CT cannot be evaluated within the resolution range within the lumen. Sonographic examination is recommended. Contours of both kidneys are lobulated. There are increases in density in the perinephric fatty planes. Calcific atheroma plaques are observed in the abdominal aorta. There are degenerative changes in the bone structure and lytic areas consistent with the primary diagnosis of the case. Fracture appearances are observed in the lower ribs on the left. It is also available in the old review. Again on the right, the old fracture appearance is observed in the elevation structures. Impression:  There was no finding suggestive of infiltration in both lungs. In the abdomen, the gallbladder appears distended and is a new finding. Sonographic examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_128/valid_128_a/valid_128_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_297",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; A few parenchymal nodules less than 5 mm in diameter were observed in the left lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild scoliosis with left opening was observed at the thoracic level. Vertebral corpus heights are preserved. Impression: Hiatal hernia . A few nonspecific millimetric parenchymal nodules in the left lung . Scoliosis with the thoracic opening facing left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_129/valid_129_a/valid_129_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_298",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the aortic arch is natural. Calibration of other mediastinal vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch and right subclavian artery. There are calcific atheromatous plaques in the coronary arteries. Nasogastric tube is observed in the case. In the case with laryngeal ca anamnesis, a mass lesion that almost completely obliterates the larynx lumen and extends to the surrounding soft tissues is observed. The patient has a tracheostomy cannula. In the study area, an air view is observed at a level extending from the neck level to the thorax in the subcutaneous area. In the mediastinum, there is a pneumomediastinum extending caudally to surround the heart in the thorax. The mediastinum is observed as slightly heterogeneous. Subcutaneous emphysema is observed at the supraclavicular level on both sides. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Densities consistent with pleuroparenchymal sequelae are observed in both lungs prominent on the right. There are widespread emphysematous density reductions in both lungs, more prominent in the upper-middle zones. In the upper lobe of the right lung, the appearance of a branch with buds is observed in the periphery. It is recommended to be evaluated in terms of infective processes. There are ground-glass-like focal density increases in the posterobasal segment of the lower lobe. In the upper lobe of the left lung and in the lingular segment, bud branches are seen in places with a more obscure appearance. A nodule with a diameter of approximately 4 mm is observed in the superior segment of the lower lobe of the left lung. In the upper abdominal organs included in the sections, there is a hypodense appearance in the liver adjacent to the falciform ligament, which may be compatible with the variable perfusion area. The spleen and pancreas are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. it is natural. Vertebral corpus heights are preserved. Impression: Mass lesion that fills the air lumen to a large extent and expands to the surrounding soft tissues in a case with laryngeal ca anamnesis. Subcutaneous emphysema appearance in both supraclavicular areas at neck level, pnomomediastinum.  Slightly more prominent on the right, bud branch views compatible with faint infiltration in both lungs in the upper zone, and focal ground-glass-like densities in places. Hypodense appearance in the liver adjacent to the falciform ligament, which may be compatible with the variably perfusion area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_130/valid_130_a/valid_130_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_299",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the aortic arch is natural. Calibration of other mediastinal vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch and right subclavian artery. There are calcific atheromatous plaques in the coronary arteries. Nasogastric tube is observed in the case. In the case with laryngeal ca anamnesis, a mass lesion that almost completely obliterates the larynx lumen and extends to the surrounding soft tissues is observed. The patient has a tracheostomy cannula. In the study area, an air view is observed at a level extending from the neck level to the thorax in the subcutaneous area. In the mediastinum, there is a pneumomediastinum extending caudally to surround the heart in the thorax. The mediastinum is observed as slightly heterogeneous. Subcutaneous emphysema is observed at the supraclavicular level on both sides. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Densities consistent with pleuroparenchymal sequelae are observed in both lungs prominent on the right. There are widespread emphysematous density reductions in both lungs, more prominent in the upper-middle zones. In the upper lobe of the right lung, the appearance of a branch with buds is observed in the periphery. It is recommended to be evaluated in terms of infective processes. There are ground-glass-like focal density increases in the posterobasal segment of the lower lobe. In the upper lobe of the left lung and in the lingular segment, bud branches are seen in places with a more obscure appearance. A nodule with a diameter of approximately 4 mm is observed in the superior segment of the lower lobe of the left lung. In the upper abdominal organs included in the sections, there is a hypodense appearance in the liver adjacent to the falciform ligament, which may be compatible with the variable perfusion area. The spleen and pancreas are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. it is natural. Vertebral corpus heights are preserved. Impression: Mass lesion that fills the air lumen to a large extent and expands to the surrounding soft tissues in a case with laryngeal ca anamnesis. Subcutaneous emphysema appearance in both supraclavicular areas at neck level, pnomomediastinum.  Slightly more prominent on the right, bud branch views compatible with faint infiltration in both lungs in the upper zone, and focal ground-glass-like densities in places. Hypodense appearance in the liver adjacent to the falciform ligament, which may be compatible with the variably perfusion area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_130/valid_130_a/valid_130_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes in pathological size and appearance are observed in the mediastinum, in both axillary regions and in the supraclavicular fossa. In the examination made in the lung parenchyma window; Multiple bulla-bleb formations are observed in both lungs, the largest measuring 36 mm in the upper lobe inferior lingular segment on the left and the largest measuring 47x24 mm in the middle lobe medial segment on the right. Multilobar, peripheral subpleural ground-glass density areas are observed in both lungs, and viral pneumonias are considered in the etiology of the findings. The described findings are among the findings frequently encountered in Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory findings. There are smooth interlobular septal thickness increases, which are more prominent in the lower lobes of both lungs. There is a hypodense fluid density lesion measuring 18 mm in diameter, located cortical in the right kidney midzone posterior, as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image. It cannot be clearly characterized (cyst?) within the limits of unenhanced CT. Parenchymal calcifications are observed at the level of liver segment 7. No intraabdominal free fluid or loculated collection was detected. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Smooth thin-walled air cysts, which are more clearly observed in the lower lobes of both lungs, and multi-segmental, peripheral subpleural ground-glass density areas in both lungs - areas of density increase compatible with consolidation are observed, and Covid-19 pneumonia is considered in its etiology. Evaluation with clinical and laboratory findings. recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_131/valid_131_a/valid_131_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_301",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes in pathological size and appearance are observed in the mediastinum, in both axillary regions and in the supraclavicular fossa. In the examination made in the lung parenchyma window; Multiple bulla-bleb formations are observed in both lungs, the largest measuring 36 mm in the upper lobe inferior lingular segment on the left and the largest measuring 47x24 mm in the middle lobe medial segment on the right. Multilobar, peripheral subpleural ground-glass density areas are observed in both lungs, and viral pneumonias are considered in the etiology of the findings. The described findings are among the findings frequently encountered in Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory findings. There are smooth interlobular septal thickness increases, which are more prominent in the lower lobes of both lungs. There is a hypodense fluid density lesion measuring 18 mm in diameter, located cortical in the right kidney midzone posterior, as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image. It cannot be clearly characterized (cyst?) within the limits of unenhanced CT. Parenchymal calcifications are observed at the level of liver segment 7. No intraabdominal free fluid or loculated collection was detected. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Smooth thin-walled air cysts, which are more clearly observed in the lower lobes of both lungs, and multi-segmental, peripheral subpleural ground-glass density areas in both lungs - areas of density increase compatible with consolidation are observed, and Covid-19 pneumonia is considered in its etiology. Evaluation with clinical and laboratory findings. recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_131/valid_131_a/valid_131_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_302",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal pleuroparenchymal sequelae changes in both lung apexes. There are minimal emphysematous changes in both lungs. Both lungs have nonspecific nodules measuring approximately 6 mm in diameter, the largest of which is in the superior segment of the lower lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_132/valid_132_a/valid_132_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_303",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal pleuroparenchymal sequelae changes in both lung apexes. There are minimal emphysematous changes in both lungs. Both lungs have nonspecific nodules measuring approximately 6 mm in diameter, the largest of which is in the superior segment of the lower lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_132/valid_132_a/valid_132_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_304",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_133/valid_133_a/valid_133_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_305",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_133/valid_133_a/valid_133_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_306",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. The heart chambers appear hypertrophied. Calibration of the aortic arch and other mediastinal vascular structures is natural. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch and in the descending aorta. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. When examined in the lung parenchyma window; diffuse mosaic atteniation pattern is observed in both lungs (small airway disease? small vessel disease?). Two nodules, the largest of which is 4 mm in diameter, are observed in the anterior segment of the right lung upper lobe. There is focal consolidation in the middle lobe. At the right lung lower lobe laterobasal level, pleuroparenchymal densities evaluated in favor of sequelae are observed in the subpleural area. A nodule with a diameter of 4 mm is observed in the superior segment of the lower lobe of the right lung. Sequelae changes in the left lung upper lobe anterior segment and lingular segment and focal consolidation in the lingula are observed. There are pleuroparenchymal densities in the dorsal subpleural area in the left lung lower lobe superior segment. It was evaluated as compatible with sequelae in the first plan. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A nodular formation is observed in the anterior neighborhood of the spleen, the millimeter size of which is evaluated as compatible with the accessory spleen. In the superior pole of the right kidney, an exophytic cortical cyst with a diameter of approximately 50 mm and a density of 20 HU is observed. There is significant ectasia in the left kidney pelvicalyceal system, thinning of the parenchyma, and reduction in size. Coarse calcification is observed in the parenchyma. The left kidney is atrophic. Surrounding soft tissue plans are natural. Sequelae change is observed in the anterior part of the 4th rib on the right. Mild degenerative changes are observed in the bone structure. Impression:  Diffuse mosaic atteniation pattern in both lungs (small airway disease? small vessel disease?).  A few millimetric nonspecific nodule formations in both lungs.  Scattered mild sequelae in both lungs.  Cortical cyst in the right kidney, atrophy in the left kidney, grade III ectasia in the pelvicalyceal system.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_134/valid_134_a/valid_134_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. The heart chambers appear hypertrophied. Calibration of the aortic arch and other mediastinal vascular structures is natural. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch and in the descending aorta. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. When examined in the lung parenchyma window; diffuse mosaic atteniation pattern is observed in both lungs (small airway disease? small vessel disease?). Two nodules, the largest of which is 4 mm in diameter, are observed in the anterior segment of the right lung upper lobe. There is focal consolidation in the middle lobe. At the right lung lower lobe laterobasal level, pleuroparenchymal densities evaluated in favor of sequelae are observed in the subpleural area. A nodule with a diameter of 4 mm is observed in the superior segment of the lower lobe of the right lung. Sequelae changes in the left lung upper lobe anterior segment and lingular segment and focal consolidation in the lingula are observed. There are pleuroparenchymal densities in the dorsal subpleural area in the left lung lower lobe superior segment. It was evaluated as compatible with sequelae in the first plan. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A nodular formation is observed in the anterior neighborhood of the spleen, the millimeter size of which is evaluated as compatible with the accessory spleen. In the superior pole of the right kidney, an exophytic cortical cyst with a diameter of approximately 50 mm and a density of 20 HU is observed. There is significant ectasia in the left kidney pelvicalyceal system, thinning of the parenchyma, and reduction in size. Coarse calcification is observed in the parenchyma. The left kidney is atrophic. Surrounding soft tissue plans are natural. Sequelae change is observed in the anterior part of the 4th rib on the right. Mild degenerative changes are observed in the bone structure. Impression:  Diffuse mosaic atteniation pattern in both lungs (small airway disease? small vessel disease?).  A few millimetric nonspecific nodule formations in both lungs.  Scattered mild sequelae in both lungs.  Cortical cyst in the right kidney, atrophy in the left kidney, grade III ectasia in the pelvicalyceal system.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_134/valid_134_a/valid_134_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_308",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 5 mm diameter nonspecific pulmonary nodule in the left lung lower lobe laterobasal segment and a linear subsegmental atelectasis area adjacent to this nodule are observed. There are millimetric pulmonary nodules in both lungs showing nonspecific local calcification. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nonspecific pulmonary nodules in both lungs with some calcifications.  Subsegmentary atelectasis. No appearance in favor of active infiltration was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_135/valid_135_a/valid_135_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_309",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 5 mm diameter nonspecific pulmonary nodule in the left lung lower lobe laterobasal segment and a linear subsegmental atelectasis area adjacent to this nodule are observed. There are millimetric pulmonary nodules in both lungs showing nonspecific local calcification. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nonspecific pulmonary nodules in both lungs with some calcifications.  Subsegmentary atelectasis. No appearance in favor of active infiltration was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_135/valid_135_a/valid_135_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_310",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits, except for increases in reticulonodular fibrotic density at the lung apex."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_136/valid_136_a/valid_136_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_311",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits, except for increases in reticulonodular fibrotic density at the lung apex."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_136/valid_136_a/valid_136_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_312",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a hiatal hernia. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There are common consolidative parenchyma areas and ground glass densities around both lungs. No bilateral pleural effusion or pneumothorax was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Impression:  Ground-glass-like densities in and around extensive consolidative parenchyma areas in both lungs; It is recommended that the case be evaluated together with the clinical laboratory in terms of Covid pneumonia.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_137/valid_137_a/valid_137_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_313",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a hiatal hernia. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There are common consolidative parenchyma areas and ground glass densities around both lungs. No bilateral pleural effusion or pneumothorax was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Impression:  Ground-glass-like densities in and around extensive consolidative parenchyma areas in both lungs; It is recommended that the case be evaluated together with the clinical laboratory in terms of Covid pneumonia.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_137/valid_137_a/valid_137_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_314",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum could not be evaluated optimally. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Dependent nonspecific density increases were observed in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Linear atelectasis was observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  A few millimetric nodules in both lungs, linear atelectasis.  Dependent nonspecific density increases in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_138/valid_138_a/valid_138_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_315",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum could not be evaluated optimally. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Dependent nonspecific density increases were observed in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Linear atelectasis was observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  A few millimetric nodules in both lungs, linear atelectasis.  Dependent nonspecific density increases in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_138/valid_138_a/valid_138_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Effusion with an AP diameter of 29 mm is observed in the widest part of the pericardial area, which is leveled towards the inferior. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_139/valid_139_a/valid_139_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_317",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Effusion with an AP diameter of 29 mm is observed in the widest part of the pericardial area, which is leveled towards the inferior. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_139/valid_139_a/valid_139_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Millimetric calcific atheroma plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal emphysematous changes and sequela fibrotic changes were observed in the lung parenchyma. Old fracture lines in the 7th, 8th and 9th ribs on the right and nonspecific subpleural, ground glass and reticular density changes were observed in the adjacent parenchyma. Stable nonspecific millimetric nodules were observed in the lung parenchyma. Mild hypertrophy and irregularity in the contours of the liver were observed in the left lobe. The spleen is full. Cysts are present in both kidneys. Spur formations bridging with each other were observed in the right anterolateral corners of the vertebral corpus entering the section area. Impression:  Millimetric calcific atheroma plaques in the aortic arch.  Minimal emphysematous changes and sequela fibrotic changes in both lung parenchyma.  Old fractures in the 7th, 8th and 9th ribs on the right and changes in nonspecific subpleural, ground glass and reticular density increases in the adjacent parenchyma.  Millimeter-sized nonspecific nodules in both lungs.  Findings consistent with chronic liver parenchymal disease.  Full appearance in the spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_140/valid_140_a/valid_140_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_319",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Millimetric calcific atheroma plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal emphysematous changes and sequela fibrotic changes were observed in the lung parenchyma. Old fracture lines in the 7th, 8th and 9th ribs on the right and nonspecific subpleural, ground glass and reticular density changes were observed in the adjacent parenchyma. Stable nonspecific millimetric nodules were observed in the lung parenchyma. Mild hypertrophy and irregularity in the contours of the liver were observed in the left lobe. The spleen is full. Cysts are present in both kidneys. Spur formations bridging with each other were observed in the right anterolateral corners of the vertebral corpus entering the section area. Impression:  Millimetric calcific atheroma plaques in the aortic arch.  Minimal emphysematous changes and sequela fibrotic changes in both lung parenchyma.  Old fractures in the 7th, 8th and 9th ribs on the right and changes in nonspecific subpleural, ground glass and reticular density increases in the adjacent parenchyma.  Millimeter-sized nonspecific nodules in both lungs.  Findings consistent with chronic liver parenchymal disease.  Full appearance in the spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_140/valid_140_a/valid_140_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_320",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, nodular formation compatible with the accessory spleen is observed adjacent to the spleen. There is a hypodense lesion in the left kidney that may be compatible with a cortical cyst. Mild degenerative changes are observed in the bone structures in the examination area. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_141/valid_141_a/valid_141_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_321",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, nodular formation compatible with the accessory spleen is observed adjacent to the spleen. There is a hypodense lesion in the left kidney that may be compatible with a cortical cyst. Mild degenerative changes are observed in the bone structures in the examination area. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_141/valid_141_a/valid_141_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. Active infiltration or mass lesion is not detected in both lungs, and there are millimetric nonspecific nodules. Emphysematous changes, which are more evident in the upper lobes of both lungs, are sequelae in the right lung middle lobe medial segment, left lower lobe inferior lingular segment. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Active infiltration or mass lesion is not detected in both lungs, nonspecific nodular in millimeter sizes, emphysematous changes more prominently observed in the upper lobes of both lungs, and sequelae changes in the right lung middle lobe medial segment, left lower lobe inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_142/valid_142_a/valid_142_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; pleuroparenchymal fibroatelectasis sequelae change was observed in the medial part of the middle lobe of the right lung. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Upper abdominal organs are normal as far as they can be seen in sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structures in the examination area. Impression: Hiatal hernia . Pleuroparenchymal fibroatelectasis sequelae change in right lung middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_143/valid_143_a/valid_143_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_324",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; pleuroparenchymal fibroatelectasis sequelae change was observed in the medial part of the middle lobe of the right lung. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Upper abdominal organs are normal as far as they can be seen in sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structures in the examination area. Impression: Hiatal hernia . Pleuroparenchymal fibroatelectasis sequelae change in right lung middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_143/valid_143_a/valid_143_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_325",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta was 44 mm and showed fusiform dilatation. The diameter of the pulmonary artery was 34 mm and it shows dilatation. Heart size increased. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of the stent material in the coronary arteries were observed. A giant mass lesion extending to the lower lobe of the right lung, which starts from the right upper paratracheal area and extends to the lower paratracheal, precarinal, and subcarinal areas, is observed, surrounding the left main bronchus lumen proximally, involving and narrowing the right main bronchus. The craniocaudal length of the mass was approximately 15 cm. It may belong to the described mass or conglomerated lymphadenopathies. There are atelectatic changes distal to the mass, especially in the lower lobe, and this examination cannot distinguish between mass and atelectasis. In addition, lymph nodes measuring 20x17 mm in size were observed in the anterior mediastinal aorticapulmonary, left hilar localization. When examined in the lung parenchyma window; Interlobular septal thickenings are observed in the middle lobe, upper lobe and lower lobe of the right lung. Again, reticulated nodular opacity increases were observed in the lower lobe of the right lung. Again, ground glass density increases were observed in and around the consolidation area in the peripheral subpleura in the posterior right lung upper lobe. Two calcified parenchymal nodules were observed in the anterior segment of the right lung upper lobe. Millimetric parenchymal nodules were observed in both lungs. An effusion measuring 31 mm in thickness was observed between the pleural leaves on the right. No pleural effusion was detected on the left. Emphysematous changes were observed in both lungs. In the upper abdominal sections within the study area, hypodense lesions measuring 21 mm in diameter were observed in both lobes of the liver (cyst?). A 65 mm diameter cortical cyst was observed in the left kidney. Degenerative changes in bone structures, no lytic-destructive lesion was detected. Impression: Soft tissue mass starting from the mediastinal upper paratracheal area and extending to the supcarinal area and the right hilar region and extending to the lower lobe of the right lung, narrowing of the lumen of the right main bronchus, mediastinal lymph nodes. Dilatation in the main pulmonary artery and thoracic aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Right pleural effusion.  Nonspecific parenchymal nodules in both lungs. Thickening of interlobular septa and increases in reticulonodular density in the right lung.  Several hypodense lesions (cysts?) in the liver. Left renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_144/valid_144_a/valid_144_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the left kidney, mm hyperdense finding in the upper pole pelvicalyceal structure was evaluated in the direction of suspicious calculus. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Suspected left millimetric nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_145/valid_145_a/valid_145_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the left kidney, mm hyperdense finding in the upper pole pelvicalyceal structure was evaluated in the direction of suspicious calculus. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Suspected left millimetric nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_145/valid_145_a/valid_145_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_328",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Liver parenchyma shows diffuse changes in favor of steatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_146/valid_146_a/valid_146_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_329",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Liver parenchyma shows diffuse changes in favor of steatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_146/valid_146_a/valid_146_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic reminant is observed in the anterior mediastinum. Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Two nonspecific nodules with a diameter of 3 mm in the middle lobe of the right lung and 4 mm in diameter in the posterobasal segment of the lower lobe are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression:  Two nonspecific nodules with a diameter of 3 mm in the middle lobe of the right lung and a diameter of 4 mm in the posterobasal segment of the lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_147/valid_147_a/valid_147_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_331",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic reminant is observed in the anterior mediastinum. Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Two nonspecific nodules with a diameter of 3 mm in the middle lobe of the right lung and 4 mm in diameter in the posterobasal segment of the lower lobe are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression:  Two nonspecific nodules with a diameter of 3 mm in the middle lobe of the right lung and a diameter of 4 mm in the posterobasal segment of the lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_147/valid_147_a/valid_147_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was observed in the bones. Impression:  No mass nodule infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_148/valid_148_a/valid_148_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_333",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was observed in the bones. Impression:  No mass nodule infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_148/valid_148_a/valid_148_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_334",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no obstructive pathology is detected. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of contrast. Calibration of mediastinal vascular structures, heart contour and size are natural. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. In mediastinal lymph node stations, lymph nodes that are not pathological in size and appearance are observed, the largest of which is 8 mm in diameter at the precarinal level. When examined in the lung parenchyma window; There are areas of consolidation in the bilateral lower lobe superior segment of the bilateral lung and in the anterior-apical segment of the right lung upper lobe, showing a common consolidation tendency, which is observed in air bronchograms. The described findings were primarily evaluated as skeonder to infectious pathologies (TBC?), and control CT examination is recommended after treatment. There are emphysematous changes in both lungs and sequela fibrotic structures accompanied by structural distortion in the apical segment of the right lung upper lobe. In the abdominal sections within the image, hypodense nodular lesions in fluid density with cortical localized exophytic extension in bilateral kidneys are observed (cyst?). A fusiform aneurysm is observed in the abdominal aorta, and a hyperdense appearance of endography is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. There are osteophytic degenerative changes that tend to merge anteriorly in the vertebral corpus end plateaus (findings consistent with DISH). Impression: Lymph nodes in the mediastinal area that are not in pathological size and appearance.  Calcified atheroma plaques on the walls of the main vascular structures and coronary arteries, and a hyperdense appearance of a fusiform aneurysm endograft in the abdominal aorta. Both lung lower lobe superior and right lung upper lobe anterior and apical segments tend to converge and diffuse areas of consolidation (TBC?) in which they are observed in air bronchograms. Control CT examination is recommended after treatment.  Emphysematous changes in both lungs, right lung upper lobe apical Sequelae fibrotic structures accompanied by structural distortion in the segment and calcified nodules in millimetric sizes.  Degenerative changes in bone structures, findings consistent with DISH. Hypodense nodular lesions consistent with bilateral renal cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_149/valid_149_a/valid_149_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_335",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no obstructive pathology is detected. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of contrast. Calibration of mediastinal vascular structures, heart contour and size are natural. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. In mediastinal lymph node stations, lymph nodes that are not pathological in size and appearance are observed, the largest of which is 8 mm in diameter at the precarinal level. When examined in the lung parenchyma window; There are areas of consolidation in the bilateral lower lobe superior segment of the bilateral lung and in the anterior-apical segment of the right lung upper lobe, showing a common consolidation tendency, which is observed in air bronchograms. The described findings were primarily evaluated as skeonder to infectious pathologies (TBC?), and control CT examination is recommended after treatment. There are emphysematous changes in both lungs and sequela fibrotic structures accompanied by structural distortion in the apical segment of the right lung upper lobe. In the abdominal sections within the image, hypodense nodular lesions in fluid density with cortical localized exophytic extension in bilateral kidneys are observed (cyst?). A fusiform aneurysm is observed in the abdominal aorta, and a hyperdense appearance of endography is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. There are osteophytic degenerative changes that tend to merge anteriorly in the vertebral corpus end plateaus (findings consistent with DISH). Impression: Lymph nodes in the mediastinal area that are not in pathological size and appearance.  Calcified atheroma plaques on the walls of the main vascular structures and coronary arteries, and a hyperdense appearance of a fusiform aneurysm endograft in the abdominal aorta. Both lung lower lobe superior and right lung upper lobe anterior and apical segments tend to converge and diffuse areas of consolidation (TBC?) in which they are observed in air bronchograms. Control CT examination is recommended after treatment.  Emphysematous changes in both lungs, right lung upper lobe apical Sequelae fibrotic structures accompanied by structural distortion in the segment and calcified nodules in millimetric sizes.  Degenerative changes in bone structures, findings consistent with DISH. Hypodense nodular lesions consistent with bilateral renal cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_149/valid_149_a/valid_149_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_336",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; a few millimetric nonspecific subpleural nodules are observed in both lungs. There are small patches of ground-glass densities in the right lung lower lobe inferior and left lung lower lobe posterior that can hardly be distinguished from the parenchyma. It has been evaluated primarily physiologically, and clinical laboratory correlation and close follow-up are recommended for the onset of an early infectious process. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, changes in favor of steatosis are observed in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a 9 mm hypodense finding in the lower zone of the left kidney. Suspicious cyst? Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Few millimetric nonspecific subpleural nodules in both lungs . Small patches of ground-glass densities in the right lung lower lobe inferior and left lung lower lobe posterior that can hardly be distinguished from the parenchyma. It has been evaluated primarily physiologically, and clinical laboratory correlation and close follow-up are recommended for the onset of an early infectious process.  Hepatosteatosis . Left kidney is partially observed and there is a small partial hypodense cortical finding."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_150/valid_150_a/valid_150_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_337",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; a few millimetric nonspecific subpleural nodules are observed in both lungs. There are small patches of ground-glass densities in the right lung lower lobe inferior and left lung lower lobe posterior that can hardly be distinguished from the parenchyma. It has been evaluated primarily physiologically, and clinical laboratory correlation and close follow-up are recommended for the onset of an early infectious process. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, changes in favor of steatosis are observed in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a 9 mm hypodense finding in the lower zone of the left kidney. Suspicious cyst? Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Few millimetric nonspecific subpleural nodules in both lungs . Small patches of ground-glass densities in the right lung lower lobe inferior and left lung lower lobe posterior that can hardly be distinguished from the parenchyma. It has been evaluated primarily physiologically, and clinical laboratory correlation and close follow-up are recommended for the onset of an early infectious process.  Hepatosteatosis . Left kidney is partially observed and there is a small partial hypodense cortical finding."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_150/valid_150_a/valid_150_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_338",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. The aortic arch calibration is 30 mm, slightly larger than normal. Calibration of other mediastinal major vascular structures is within normal limits. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and left coronary artery. There are millimetric lymph nodes in the mediastinum and at both hilar levels. There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. At the apical level, pleuroparenchymal sequela changes are observed on both sides. A stable nodule with a diameter of approximately 3 mm is observed in the middle lobe of the right lung. Sequelae changes are also observed in the lower lobe and caudal to the middle lobe and are also present in the previous examination. Branch with bud view is observed in the posterior segment of the right lung upper lobe and it was evaluated as compatible with the infective process. Plaque-like calcifications are observed in the pleura at the level of the anterior segment of the upper lobe and are also present in the previous examination. Changes consistent with pleuroparenchymal sequelae are observed in the left lung in the lower lobe and are also present in the previous examination. Plaque-like pleural calcification and thickening are also observed in the medial of the superior segment of the left lung lower lobe, and it has a stable appearance. In the lower lobe superior segment, there are increases in density consistent with pleuroparenchymal sequelae extending towards the central. Pleural effusion or pneumothorax is not observed in both lungs. In the sections passing through the upper abdomen, a nonspecific hypodense lesion measuring approximately 14x10 mm is observed in the posterior segment of the right lobe of the liver. Cortical cysts are observed in both kidneys, the largest of which is in the left kidney superior pole and 33x29 mm in size. Coarse calcifications are observed at both adnexal levels, and the adrenal glands are full. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:   In the control examination of the case under treatment for TB, bud branches compatible with infection are observed in the posterior segment of the right lung upper lobe, and it has a stable appearance. Again, just above this area, a central necrotic nodular lesion is observed and no size difference was detected.  Sequelae changes in both lungs, pleural thickening-plaque-like calcifications in the left lung are present and appear stable.  Full appearance and coarse calcifications in both adrenals are stable according to previous examination.  Nonspecific hypodense lesion in the posterior segment of the right lobe of the liver, stable appearance.  Bilateral renal cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_151/valid_151_a/valid_151_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_339",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. The aortic arch calibration is 30 mm, slightly larger than normal. Calibration of other mediastinal major vascular structures is within normal limits. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and left coronary artery. There are millimetric lymph nodes in the mediastinum and at both hilar levels. There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. At the apical level, pleuroparenchymal sequela changes are observed on both sides. A stable nodule with a diameter of approximately 3 mm is observed in the middle lobe of the right lung. Sequelae changes are also observed in the lower lobe and caudal to the middle lobe and are also present in the previous examination. Branch with bud view is observed in the posterior segment of the right lung upper lobe and it was evaluated as compatible with the infective process. Plaque-like calcifications are observed in the pleura at the level of the anterior segment of the upper lobe and are also present in the previous examination. Changes consistent with pleuroparenchymal sequelae are observed in the left lung in the lower lobe and are also present in the previous examination. Plaque-like pleural calcification and thickening are also observed in the medial of the superior segment of the left lung lower lobe, and it has a stable appearance. In the lower lobe superior segment, there are increases in density consistent with pleuroparenchymal sequelae extending towards the central. Pleural effusion or pneumothorax is not observed in both lungs. In the sections passing through the upper abdomen, a nonspecific hypodense lesion measuring approximately 14x10 mm is observed in the posterior segment of the right lobe of the liver. Cortical cysts are observed in both kidneys, the largest of which is in the left kidney superior pole and 33x29 mm in size. Coarse calcifications are observed at both adnexal levels, and the adrenal glands are full. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:   In the control examination of the case under treatment for TB, bud branches compatible with infection are observed in the posterior segment of the right lung upper lobe, and it has a stable appearance. Again, just above this area, a central necrotic nodular lesion is observed and no size difference was detected.  Sequelae changes in both lungs, pleural thickening-plaque-like calcifications in the left lung are present and appear stable.  Full appearance and coarse calcifications in both adrenals are stable according to previous examination.  Nonspecific hypodense lesion in the posterior segment of the right lobe of the liver, stable appearance.  Bilateral renal cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_151/valid_151_a/valid_151_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_340",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibrotic densities are observed in the apical segments of both lungs. There are pleural thickness increases in both lung pleura, some of which contain coarse calcifications. Linear atelectasis and sequela fibrotic densities are observed in the lower lobes of both lungs. Apart from this, tree-in-bud-like nodular appearances are observed, which are more prominent especially in the right lung middle lobe lateral segment and scattered in both lungs. Apart from this, a centrally located, nodular cavitary lesion is observed in the posterior segment of the right lung upper lobe. In the upper abdominal organs, including sections; There is a hypodense stable nodular lesion in the posterior segment of the right lobe of the liver. Calcific nodules are observed in the bilateral adrenal gland. There are simple cortical cysts in both kidneys. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_151/valid_151_b/valid_151_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_341",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibrotic densities are observed in the apical segments of both lungs. There are pleural thickness increases in both lung pleura, some of which contain coarse calcifications. Linear atelectasis and sequela fibrotic densities are observed in the lower lobes of both lungs. Apart from this, tree-in-bud-like nodular appearances are observed, which are more prominent especially in the right lung middle lobe lateral segment and scattered in both lungs. Apart from this, a centrally located, nodular cavitary lesion is observed in the posterior segment of the right lung upper lobe. In the upper abdominal organs, including sections; There is a hypodense stable nodular lesion in the posterior segment of the right lobe of the liver. Calcific nodules are observed in the bilateral adrenal gland. There are simple cortical cysts in both kidneys. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_151/valid_151_b/valid_151_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_342",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific plaques were observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Millimetric lymph nodes that do not reach pathological size and appearance are observed in the mediastinum. When examined in the lung parenchyma window; Sequela fibrotic changes are observed in both lung parenchyma, especially in the upper lobes. Calcification and thickening are observed in the bilateral posterior and diaphragmatic pleural leaflets. There are fibrotic changes and reticular densities in the subpleural area of both lungs. There are nodules, some of which are calcific, in both lung parenchyma, the larger ones reaching 8 mm in the right middle lobe. In upper abdominal sections, a hypodense lesion of approximately 12 mm in size in liver segment 7, which cannot be characterized in this examination, is observed. There are calcifications and thickenings in both adrenal glands. Cortical hypodense lesions were observed in both kidneys. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Sequelae fibrotic changes in both lungs, reticular densities, millimetric nodules, calcification and thickening in the pleura secondary to previous pleura in a patient with a history of previous TB.  Uncharacterized hypodense lesion in the liver.  Calcifications and thickenings in both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_151/valid_151_c/valid_151_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_343",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific plaques were observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Millimetric lymph nodes that do not reach pathological size and appearance are observed in the mediastinum. When examined in the lung parenchyma window; Sequela fibrotic changes are observed in both lung parenchyma, especially in the upper lobes. Calcification and thickening are observed in the bilateral posterior and diaphragmatic pleural leaflets. There are fibrotic changes and reticular densities in the subpleural area of both lungs. There are nodules, some of which are calcific, in both lung parenchyma, the larger ones reaching 8 mm in the right middle lobe. In upper abdominal sections, a hypodense lesion of approximately 12 mm in size in liver segment 7, which cannot be characterized in this examination, is observed. There are calcifications and thickenings in both adrenal glands. Cortical hypodense lesions were observed in both kidneys. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Sequelae fibrotic changes in both lungs, reticular densities, millimetric nodules, calcification and thickening in the pleura secondary to previous pleura in a patient with a history of previous TB.  Uncharacterized hypodense lesion in the liver.  Calcifications and thickenings in both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_151/valid_151_c/valid_151_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_344",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A crazy paving pattern accompanied by subpleural striations and subsegmental atelectatic changes in the peripheral subpleural area in both lungs, patchy ground glass consolidations were observed. The outlook is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. A well-circumscribed nodular lesion area of 3x1.5 cm was observed under the skin, adjacent to the posterior 8th rib on the left thoracic posterior wall. It is recommended to be evaluated together with US. Upper abdominal organs included in the sections are normal. A nonspecific hypodense lesion with a diameter of 6 mm was observed in the peripheral subcapsular area adjacent to the falciform ligament in the left lobe of the liver entering the section area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings consistent with Covid-19 pneumonia in the lung parenchyma, accompanying subsegmental atelectatic changes-subpleural streaks, it is recommended to be evaluated together with clinical and laboratory. Millimetric nonspecific hypodense lesion near the falciform ligament in the left lobe of the liver.  Well-circumscribed nodular subcutaneous lesion on the posterior chest wall on the left; it is recommended to be evaluated together with US."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_152/valid_152_a/valid_152_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_345",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa in the cross-section, in the axilla and mediastinum in pathological size and appearance. Heart size increased. Calcific atherosclerotic plaques are observed in the coronary arteries, especially in the LAD. There are diffuse wall calcifications in the aortic arch, thoracic aorta, and abdominal aorta. Pericardial effusion was not detected. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. There is a benign calcific nodule located in fissure in the right lung. Cholesterol stones are observed in the gallbladder lumen in upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  Increase in heart size.  Calcific plaques in coronary arteries.  Diffuse wall calcifications in the aorta.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_153/valid_153_a/valid_153_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_346",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa in the cross-section, in the axilla and mediastinum in pathological size and appearance. Heart size increased. Calcific atherosclerotic plaques are observed in the coronary arteries, especially in the LAD. There are diffuse wall calcifications in the aortic arch, thoracic aorta, and abdominal aorta. Pericardial effusion was not detected. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. There is a benign calcific nodule located in fissure in the right lung. Cholesterol stones are observed in the gallbladder lumen in upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  Increase in heart size.  Calcific plaques in coronary arteries.  Diffuse wall calcifications in the aorta.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_153/valid_153_a/valid_153_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_347",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are peripherally located ground glass densities in the posterobasal segment of the left lung lower lobe. Except as described, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild peripheral ground-glass density in the lower basal segment of the left lung is atypical for early viral pneumonia, and clinical laboratory correlation is recommended for better differential diagnosis.  Small splenula."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_154/valid_154_a/valid_154_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are peripherally located ground glass densities in the posterobasal segment of the left lung lower lobe. Except as described, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild peripheral ground-glass density in the lower basal segment of the left lung is atypical for early viral pneumonia, and clinical laboratory correlation is recommended for better differential diagnosis.  Small splenula."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_154/valid_154_a/valid_154_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_349",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Due to the lack of contrast in the examination, mediastinal main vascular structures, heart, upper abdominal solid organs cannot be evaluated optimally and as far as can be observed; Calibration of mediastinal vascular structures and heart contour and size are natural. No pericardial or pleural effusion or thickening was detected. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. A 30x25 mm hypodense nodule with mild calcification is observed in the left thyroid gland. Evaluation with USG examination is recommended. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the evaluation made in the lung parenchyma window; No active infiltration was detected in both lungs. A 15x13 mm nodule located in the horizontal fissure is observed in the anterior segment of the upper lobe of the right lung. Close follow-up or tissue diagnosis is recommended. In addition, there are nonspecific millimetric nodules in the right lung, the largest of which is 5.5 mm in size. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected in solid organs within the borders of non-contrast CT. No intraabdominal free fluid-collection was detected. No lymph node was detected in intraabdominal pathological size and appearance. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: 15x13 mm nodule located in the right lung horizontal fissure; close follow-up or tissue diagnosis is recommended. Apart from this, there are millimetric-sized nonspecific nodules in the right lung parenchyma.  Hypodense nodule with calcifications on the wall of the left thyroid gland; Evaluation with USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_155/valid_155_a/valid_155_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_350",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Due to the lack of contrast in the examination, mediastinal main vascular structures, heart, upper abdominal solid organs cannot be evaluated optimally and as far as can be observed; Calibration of mediastinal vascular structures and heart contour and size are natural. No pericardial or pleural effusion or thickening was detected. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. A 30x25 mm hypodense nodule with mild calcification is observed in the left thyroid gland. Evaluation with USG examination is recommended. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the evaluation made in the lung parenchyma window; No active infiltration was detected in both lungs. A 15x13 mm nodule located in the horizontal fissure is observed in the anterior segment of the upper lobe of the right lung. Close follow-up or tissue diagnosis is recommended. In addition, there are nonspecific millimetric nodules in the right lung, the largest of which is 5.5 mm in size. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected in solid organs within the borders of non-contrast CT. No intraabdominal free fluid-collection was detected. No lymph node was detected in intraabdominal pathological size and appearance. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: 15x13 mm nodule located in the right lung horizontal fissure; close follow-up or tissue diagnosis is recommended. Apart from this, there are millimetric-sized nonspecific nodules in the right lung parenchyma.  Hypodense nodule with calcifications on the wall of the left thyroid gland; Evaluation with USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_155/valid_155_a/valid_155_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_351",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_156/valid_156_a/valid_156_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_352",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_156/valid_156_a/valid_156_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Several lymph nodes are observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; there is a finding consistent with a bulla measuring up to 36 mm in which patchy ground glass densities are observed around the subpleural area in the superior segment of the right lung lower lobe. The findings were evaluated in terms of early viral pneumonia (Covid-19). Clinical laboratory correlation is recommended. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bulla with patchy ground-glass densities around the subpleural area in the superior segment of the right lung lower lobe, a finding consistent with cavitation. The findings were evaluated in terms of early viral pneumonia (Covid-19). Clinical laboratory correlation follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_157/valid_157_a/valid_157_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_354",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Several lymph nodes are observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; there is a finding consistent with a bulla measuring up to 36 mm in which patchy ground glass densities are observed around the subpleural area in the superior segment of the right lung lower lobe. The findings were evaluated in terms of early viral pneumonia (Covid-19). Clinical laboratory correlation is recommended. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bulla with patchy ground-glass densities around the subpleural area in the superior segment of the right lung lower lobe, a finding consistent with cavitation. The findings were evaluated in terms of early viral pneumonia (Covid-19). Clinical laboratory correlation follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_157/valid_157_a/valid_157_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_355",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. The esophagus is observed in normal calibration. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_158/valid_158_a/valid_158_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_356",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. The esophagus is observed in normal calibration. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_158/valid_158_a/valid_158_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination, and as far as can be observed; Calibration of mediastinal vascular structures, heart contour, size is natural. Minimal calcified atheroma plaques are observed on the walls of the aortic arch and coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window; Active infiltration, no mass or nodular lesions were detected in both lungs. There are centriacinar emphysematous changes in both lungs. There are sequela parenchymal changes in the upper lobe of the left lung, the inferior lingular segment, and the medial segment of the middle lobe of the right lung in the lower lobe. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. No intraabdominal free fluid or loculated collection is observed. No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights and alignments are normal. There are osteophytic degenerative changes in the vertebra corpus corners that tend to merge in the right anterolateral. An increase in thoracic kyphosis is observed. Impression: Centriacinar emphysematous changes and local sequela parenchymal changes in both lungs; no evidence of pneumonic infiltration was detected. Minimal calcified atheroma plaques in the wall of the aortic arch and coronary vascular structures.  Degenerative changes in bone structures and increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_159/valid_159_a/valid_159_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_358",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination, and as far as can be observed; Calibration of mediastinal vascular structures, heart contour, size is natural. Minimal calcified atheroma plaques are observed on the walls of the aortic arch and coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window; Active infiltration, no mass or nodular lesions were detected in both lungs. There are centriacinar emphysematous changes in both lungs. There are sequela parenchymal changes in the upper lobe of the left lung, the inferior lingular segment, and the medial segment of the middle lobe of the right lung in the lower lobe. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. No intraabdominal free fluid or loculated collection is observed. No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights and alignments are normal. There are osteophytic degenerative changes in the vertebra corpus corners that tend to merge in the right anterolateral. An increase in thoracic kyphosis is observed. Impression: Centriacinar emphysematous changes and local sequela parenchymal changes in both lungs; no evidence of pneumonic infiltration was detected. Minimal calcified atheroma plaques in the wall of the aortic arch and coronary vascular structures.  Degenerative changes in bone structures and increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_159/valid_159_a/valid_159_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_359",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The stomach and abdominal structures appear to herniate from the hiatal region to the thorax. Heart size and contours are normal. Calcific atheroma plaques are observed in the coronary arteries. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibrotic band formations and traction bronchiectasis are observed in the upper and middle lobes of the right lung. Interseptal thickness increases and minimal ground glass opacities are observed in the right lung middle lobe lateral segment. The differential diagnosis includes Covid-19 pneumonia. No significant space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Type II hiatal hernia. Interseptal thickness increases located subpleural in the right lung middle lobe lateral segment and faint ground glass opacities create suspicion in terms of Covid-19 pneumonia. Evaluation with clinical and laboratory findings is recommended.  Sequelae fibrotic band formations are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_160/valid_160_a/valid_160_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The stomach and abdominal structures appear to herniate from the hiatal region to the thorax. Heart size and contours are normal. Calcific atheroma plaques are observed in the coronary arteries. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibrotic band formations and traction bronchiectasis are observed in the upper and middle lobes of the right lung. Interseptal thickness increases and minimal ground glass opacities are observed in the right lung middle lobe lateral segment. The differential diagnosis includes Covid-19 pneumonia. No significant space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Type II hiatal hernia. Interseptal thickness increases located subpleural in the right lung middle lobe lateral segment and faint ground glass opacities create suspicion in terms of Covid-19 pneumonia. Evaluation with clinical and laboratory findings is recommended.  Sequelae fibrotic band formations are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_160/valid_160_a/valid_160_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_361",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: In the anterior median, there is a triangular shaped soft tissue density structure that does not give a clear contour (thymic reminant?). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There is a calcified nodule, 7 mm in diameter, located in the subpleural segment of the right lung lower lobe posterolaterobasal segment. There are several nodules smaller than 5 mm in the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Triangular shaped structure in the anterior medis, with soft tissue density that does not give clear contours (thymic reminant?).  Pleuroparenchymal sequelae densities in bilateral lung upper lobe apicoposterior segments.  Calcified nodule, 7 mm in diameter, located subpleural in the posterolaterobasal segment of the lower lobe of the right lung. Several nodules smaller than 5 mm in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_161/valid_161_a/valid_161_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_362",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: In the anterior median, there is a triangular shaped soft tissue density structure that does not give a clear contour (thymic reminant?). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There is a calcified nodule, 7 mm in diameter, located in the subpleural segment of the right lung lower lobe posterolaterobasal segment. There are several nodules smaller than 5 mm in the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Triangular shaped structure in the anterior medis, with soft tissue density that does not give clear contours (thymic reminant?).  Pleuroparenchymal sequelae densities in bilateral lung upper lobe apicoposterior segments.  Calcified nodule, 7 mm in diameter, located subpleural in the posterolaterobasal segment of the lower lobe of the right lung. Several nodules smaller than 5 mm in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_161/valid_161_a/valid_161_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A ground-glass opacity suspicious for Covid-19 pneumonia was observed in the anterior part of the upper lobe of the right lung. In the upper abdominal organs included in the sections, cortical cysts were observed in the left kidney. There is a diffuse decrease in density consistent with hepatosteatosis in the liver. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ground glass opacity suspicious for Covid-19 pneumonia in the anterior part of the upper lobe of the right lung. Hepatosteatosis.  Left renal cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_162/valid_162_a/valid_162_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_364",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A ground-glass opacity suspicious for Covid-19 pneumonia was observed in the anterior part of the upper lobe of the right lung. In the upper abdominal organs included in the sections, cortical cysts were observed in the left kidney. There is a diffuse decrease in density consistent with hepatosteatosis in the liver. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ground glass opacity suspicious for Covid-19 pneumonia in the anterior part of the upper lobe of the right lung. Hepatosteatosis.  Left renal cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_162/valid_162_a/valid_162_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_365",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Millimetric calcific atheroma plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No newly developed pathology is observed. Diffuse density loss in the liver and left renal cortical millimetric cyst were observed in the upper abdominal sections. Bilateral adrenal glands are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nonspecific stable focal ground-glass density in the anterior upper lobe of the right lung. Hepatosteatosis and left renal cyst. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_162/valid_162_b/valid_162_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_366",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Millimetric calcific atheroma plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No newly developed pathology is observed. Diffuse density loss in the liver and left renal cortical millimetric cyst were observed in the upper abdominal sections. Bilateral adrenal glands are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nonspecific stable focal ground-glass density in the anterior upper lobe of the right lung. Hepatosteatosis and left renal cyst. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_162/valid_162_b/valid_162_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_367",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Paratracheal diverticular lesion in millimetric dimensions is observed in the right lower paratracheal area. Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally, and the calibration of the vascular structures, heart contour and size are subject. There is a catheter that extends from the right subclavian vein to the superior vena cava. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; in the right lung, the largest was 6.3 mm in the upper lobe anterior segment and 5.6 mm and 7.2 mm, respectively). Six multiple nodular lesions are observed in the left lung, the largest of which is 7.4 mm in size in the upper lobe anterior segment (the largest was 8.1 mm in size in the previous examination). In both lungs, there are sequela fibrotic structures in the posterobasal lower lobe, the inferior lingular segment on the left, and the lateral segment of the right middle lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is not observed and there is suture material in its lodge. No pathology was detected in the intra-abdominal parenchymal organs. No pathology was detected in the observable areas. No lytic-destructive lesion was observed in the bone structures included in the examination area, and the height of the vertebral corpus was preserved. Impression: Two intrapulmonary nodules on the right and six on the left in both lung parenchyma and sequelae fibrotic bands in both lungs. Diverticular lesion in the right posterolateral part of the trachea There is a decrease in the left lung lower lobe posterobasal segment and there is a newly developed nodular lesion in millimetric dimensions around it with a ground glass density. Close follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_163/valid_163_a/valid_163_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_368",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Paratracheal diverticular lesion in millimetric dimensions is observed in the right lower paratracheal area. Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally, and the calibration of the vascular structures, heart contour and size are subject. There is a catheter that extends from the right subclavian vein to the superior vena cava. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; in the right lung, the largest was 6.3 mm in the upper lobe anterior segment and 5.6 mm and 7.2 mm, respectively). Six multiple nodular lesions are observed in the left lung, the largest of which is 7.4 mm in size in the upper lobe anterior segment (the largest was 8.1 mm in size in the previous examination). In both lungs, there are sequela fibrotic structures in the posterobasal lower lobe, the inferior lingular segment on the left, and the lateral segment of the right middle lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is not observed and there is suture material in its lodge. No pathology was detected in the intra-abdominal parenchymal organs. No pathology was detected in the observable areas. No lytic-destructive lesion was observed in the bone structures included in the examination area, and the height of the vertebral corpus was preserved. Impression: Two intrapulmonary nodules on the right and six on the left in both lung parenchyma and sequelae fibrotic bands in both lungs. Diverticular lesion in the right posterolateral part of the trachea There is a decrease in the left lung lower lobe posterobasal segment and there is a newly developed nodular lesion in millimetric dimensions around it with a ground glass density. Close follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_163/valid_163_a/valid_163_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_369",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures, heart contour and size are normal. Pericardial thickening - effusion was not detected. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Air densities were observed in the mediastinum. When examined in the lung parenchyma window; Bilateral cylindrical-cystic bronchiectasis were observed. Parenchymal nodules with a diameter of 5.5 mm in the upper lobe anterior segment of the right lung and 10 mm and 6.7 mm in diameter in the upper lobe apicoposterior segment of the left lung, which increased in size, were observed. A stable parenchymal nodule with a size of 4.6 mm was observed in the lateral basal segment of the right lung lower lobe. A newly developed nodule with a diameter of 3 mm in the anteromedial basal segment of the left lung lower lobe and 6.8 mm in the anterior segment of the right lung upper lobe is observed. In the lingula inferior segment of the left lung, 4-5 newly developed nodular lesions with irregular borders, the largest of which was 7.5 mm, were observed in the follow-up. Scattered fibroatelectatic sequelae changes, peribronchovascular axial interstitial and interlobular septal thickenings were observed in both lungs. Gall bladder was not observed in the evaluation of abdominal organs (operated). There are parenchymal calcifications in the spleen. Both adrenal glands were evaluated within normal limits. Bone structures within the sections have a natural appearance. Vertebral corpus heights are natural. Impression: AML Pneonomediastinum Cylindrical-cystic bronchiectasis Pulmonary parenchymal nodules Fibroatelectatic sequelae changes, peribronchovascular axial interstitial and interlobular septal thickening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_163/valid_163_b/valid_163_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_370",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures, heart contour and size are normal. Pericardial thickening - effusion was not detected. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Air densities were observed in the mediastinum. When examined in the lung parenchyma window; Bilateral cylindrical-cystic bronchiectasis were observed. Parenchymal nodules with a diameter of 5.5 mm in the upper lobe anterior segment of the right lung and 10 mm and 6.7 mm in diameter in the upper lobe apicoposterior segment of the left lung, which increased in size, were observed. A stable parenchymal nodule with a size of 4.6 mm was observed in the lateral basal segment of the right lung lower lobe. A newly developed nodule with a diameter of 3 mm in the anteromedial basal segment of the left lung lower lobe and 6.8 mm in the anterior segment of the right lung upper lobe is observed. In the lingula inferior segment of the left lung, 4-5 newly developed nodular lesions with irregular borders, the largest of which was 7.5 mm, were observed in the follow-up. Scattered fibroatelectatic sequelae changes, peribronchovascular axial interstitial and interlobular septal thickenings were observed in both lungs. Gall bladder was not observed in the evaluation of abdominal organs (operated). There are parenchymal calcifications in the spleen. Both adrenal glands were evaluated within normal limits. Bone structures within the sections have a natural appearance. Vertebral corpus heights are natural. Impression: AML Pneonomediastinum Cylindrical-cystic bronchiectasis Pulmonary parenchymal nodules Fibroatelectatic sequelae changes, peribronchovascular axial interstitial and interlobular septal thickening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_163/valid_163_b/valid_163_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_371",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Lymph nodes are observed at the upper-lower paratracheal level, in the prevascular area, in the aorticopulmonary window, and the size of the largest one does not exceed 7 mm in the short axis. No pathological size and configuration of lymph nodes were detected at both hilar levels. Hiatal hernia is observed. Pneumomediastinum detected in the previous examination is not observed in the current examination. In the right paratracheal area, there is a tracheal diverticulum appearance in the previous examination. In the evaluation of both lungs in the parenchyma window, both hemithorax are symmetrical. Trachea calibration is natural. There is mild bronchiectasis appearance in both lungs. Areas of faint ground glass density are observed in the peribronchial area at the central level. It is also available in the previous review of the case. There are occasional irregularities in the pleural contours, thickening of the subpleural interstitial tissue and reticulation in both lungs. The defined reticulation gains nodular character in places. There is a 4 mm diameter nodule on this ground in the anterior segment of the right lung upper lobe. A little more caudally, there is a 5.5x3 mm nodule. It is stable. An oval nodular appearance of approximately 13x4 mm is observed in the anterior segment of the left lung upper lobe. There is nodular thickening in the interlobular septa. There is a stable-looking nodule with a diameter of approximately 6 mm more caudally in the posterobasal segment. Geographic aeration areas are observed in both lungs. Bilateral pleural effusion was not detected. In the sections passing through the upper abdomen, a density compatible with a 2 mm diameter calculus is observed in the left kidney. There are amorphous density increments in the spleen in nonspecific subcentrimetric dimensions. It was also found in his previous examination. Hiatal hernia is observed. Surrounding soft tissue plans are natural. Nodular density, which may be compatible with the compact bone islet, is observed at the 8th rib on the left. Impression:   Hypodense areas suggesting air trapping in both lungs, thickening of the interstitial tissue in the peripheral subpleural area and partial reticulation . Stable nodular appearances in both lungs, faint ground-glass-like density increases in the peribronchial area and mild bronchiectasis appearance, evaluation of chronic GVHD in terms of lung involvement recommended.  Pneumomediastinum detected in the previous examination was not observed in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_163/valid_163_c/valid_163_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_372",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Lymph nodes are observed at the upper-lower paratracheal level, in the prevascular area, in the aorticopulmonary window, and the size of the largest one does not exceed 7 mm in the short axis. No pathological size and configuration of lymph nodes were detected at both hilar levels. Hiatal hernia is observed. Pneumomediastinum detected in the previous examination is not observed in the current examination. In the right paratracheal area, there is a tracheal diverticulum appearance in the previous examination. In the evaluation of both lungs in the parenchyma window, both hemithorax are symmetrical. Trachea calibration is natural. There is mild bronchiectasis appearance in both lungs. Areas of faint ground glass density are observed in the peribronchial area at the central level. It is also available in the previous review of the case. There are occasional irregularities in the pleural contours, thickening of the subpleural interstitial tissue and reticulation in both lungs. The defined reticulation gains nodular character in places. There is a 4 mm diameter nodule on this ground in the anterior segment of the right lung upper lobe. A little more caudally, there is a 5.5x3 mm nodule. It is stable. An oval nodular appearance of approximately 13x4 mm is observed in the anterior segment of the left lung upper lobe. There is nodular thickening in the interlobular septa. There is a stable-looking nodule with a diameter of approximately 6 mm more caudally in the posterobasal segment. Geographic aeration areas are observed in both lungs. Bilateral pleural effusion was not detected. In the sections passing through the upper abdomen, a density compatible with a 2 mm diameter calculus is observed in the left kidney. There are amorphous density increments in the spleen in nonspecific subcentrimetric dimensions. It was also found in his previous examination. Hiatal hernia is observed. Surrounding soft tissue plans are natural. Nodular density, which may be compatible with the compact bone islet, is observed at the 8th rib on the left. Impression:   Hypodense areas suggesting air trapping in both lungs, thickening of the interstitial tissue in the peripheral subpleural area and partial reticulation . Stable nodular appearances in both lungs, faint ground-glass-like density increases in the peribronchial area and mild bronchiectasis appearance, evaluation of chronic GVHD in terms of lung involvement recommended.  Pneumomediastinum detected in the previous examination was not observed in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_163/valid_163_c/valid_163_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_373",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes are observed, predominantly in the apical segments of both lungs. At the level of the lateral lingular segment of the left lung, a subpleural focal cystic emphysematous area is observed. Apart from this, nodules with calcification in the lungs are observed. Several solid nodules were observed in both lungs, the largest of which was located in the anterior upper lobe of the right lung, with a diameter of approximately 6 mm. Ground glass density is observed in a small area in the posterobasal segment of the left lung lower lobe. Apart from this, scattered, small-sized areas of faint ground glass in the right lung were noted. It is unlikely to be significant for Covid or other viral infections. It is recommended that the patient be evaluated together with the clinic. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae changes in both lungs . Emphysematous changes in both lungs . Solid pulmonary nodules, mostly in the right lung . Ground-glass densities with faint borders in both lungs. It is recommended to be evaluated together with the clinic for Covid or other infections with a low probability."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_163/valid_163_d/valid_163_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_374",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes are observed, predominantly in the apical segments of both lungs. At the level of the lateral lingular segment of the left lung, a subpleural focal cystic emphysematous area is observed. Apart from this, nodules with calcification in the lungs are observed. Several solid nodules were observed in both lungs, the largest of which was located in the anterior upper lobe of the right lung, with a diameter of approximately 6 mm. Ground glass density is observed in a small area in the posterobasal segment of the left lung lower lobe. Apart from this, scattered, small-sized areas of faint ground glass in the right lung were noted. It is unlikely to be significant for Covid or other viral infections. It is recommended that the patient be evaluated together with the clinic. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae changes in both lungs . Emphysematous changes in both lungs . Solid pulmonary nodules, mostly in the right lung . Ground-glass densities with faint borders in both lungs. It is recommended to be evaluated together with the clinic for Covid or other infections with a low probability."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_163/valid_163_d/valid_163_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_164/valid_164_a/valid_164_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_376",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_164/valid_164_a/valid_164_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass-consolidation areas are observed in both lungs, which tend to coalesce from place to place. The findings are in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_165/valid_165_a/valid_165_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass-consolidation areas are observed in both lungs, which tend to coalesce from place to place. The findings are in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_165/valid_165_a/valid_165_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal and aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. Bilateral adrenal glands appear natural in the sections passing through the upper part of the abdomen without contrast. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was observed in bone structures. Impression:  No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_166/valid_166_a/valid_166_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal and aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. Bilateral adrenal glands appear natural in the sections passing through the upper part of the abdomen without contrast. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was observed in bone structures. Impression:  No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_166/valid_166_a/valid_166_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_381",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; There are paraseptal-centracinar emphysematous changes in both lungs. In the apical segment of the upper lobe of the right lung, sequelae, fibrotic, nodular structuring, accompanied by structural distortion, loss of volume, and no change in size and appearance, which was observed in the thorax tomography examination taken in, was observed. However, in the current examination, an indistinct, ground-glass density increase was observed in the peripheral subpleural areas of both lungs. There are areas of increase in density consistent with linear-subsegmental atelectasis accompanying the findings described in the left lung upper lobe, inferior lingular segment, and both lung lower lobes. Findings suggest Covid-19 pneumonia in recovery. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes. and vertebral corpus heights are preserved. Impression:  Paraseptal-centriacinar emphysematous changes in both lungs and structural distortion in the apical segment of the right lung upper lobe, stable sequela fibrotic nodular formation accompanied by volume loss.  Vaguely defined, ground-glass density increases in the peripheral subpleural areas of both lungs and areas of increased density consistent with linear-subsegmental atelectasis in the left upper lobe inferior lingular segment and lower lobes of both lungs accompanying the findings described; findings suggest Covid-19 pneumonia in recovery.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_167/valid_167_a/valid_167_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_382",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; There are paraseptal-centracinar emphysematous changes in both lungs. In the apical segment of the upper lobe of the right lung, sequelae, fibrotic, nodular structuring, accompanied by structural distortion, loss of volume, and no change in size and appearance, which was observed in the thorax tomography examination taken in, was observed. However, in the current examination, an indistinct, ground-glass density increase was observed in the peripheral subpleural areas of both lungs. There are areas of increase in density consistent with linear-subsegmental atelectasis accompanying the findings described in the left lung upper lobe, inferior lingular segment, and both lung lower lobes. Findings suggest Covid-19 pneumonia in recovery. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes. and vertebral corpus heights are preserved. Impression:  Paraseptal-centriacinar emphysematous changes in both lungs and structural distortion in the apical segment of the right lung upper lobe, stable sequela fibrotic nodular formation accompanied by volume loss.  Vaguely defined, ground-glass density increases in the peripheral subpleural areas of both lungs and areas of increased density consistent with linear-subsegmental atelectasis in the left upper lobe inferior lingular segment and lower lobes of both lungs accompanying the findings described; findings suggest Covid-19 pneumonia in recovery.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_167/valid_167_a/valid_167_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_383",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Diffuse calcific plaques are observed in the aorta and coronary arteries. The pulmonary trunk is 37 mm, the right pulmonary artery is 32 mm, and the left pulmonary artery is 27 mm and is ectatic. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse emphysematous appearance, sequela fibrotic changes, mosaic density differences are observed in both lung parenchyma. There are minimal bronchiectasis in both lungs, more prominent in the central and left lower lobe. A few nonspecific nodules, up to 5 mm in diameter, were observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the vertebrae. Impression:  Aortic and coronary artery atherosclerosis, ectasia in pulmonary arteries.  Emphysema, sequelae changes, bronchiectasis, mosaic density differences in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_168/valid_168_a/valid_168_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_384",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Diffuse calcific plaques are observed in the aorta and coronary arteries. The pulmonary trunk is 37 mm, the right pulmonary artery is 32 mm, and the left pulmonary artery is 27 mm and is ectatic. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse emphysematous appearance, sequela fibrotic changes, mosaic density differences are observed in both lung parenchyma. There are minimal bronchiectasis in both lungs, more prominent in the central and left lower lobe. A few nonspecific nodules, up to 5 mm in diameter, were observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the vertebrae. Impression:  Aortic and coronary artery atherosclerosis, ectasia in pulmonary arteries.  Emphysema, sequelae changes, bronchiectasis, mosaic density differences in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_168/valid_168_a/valid_168_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Heart contour and size are normal. Pericardial effusion was not detected. The central venous catheter placed from the right ends in the superior vena cava. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the pulmonary trunk was 33 mm, the diameter of the right main pulmonary artery was 33 mm, and the diameter of the left main pulmonary artery was 30 mm and increased. A few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions, and no significant difference was found between their number and size. No enlarged lymph node was detected in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and increased peribronchial thickness are observed. Pleural effusion with a thickness of 2 cm in the right hemithorax and 2.5 cm in the left hemithorax is observed. Minimal fissural effusion is observed on the left. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). There are more prominent inter-intralobular septal thickness increases and ground glass areas in the lower lobe posterior segments of both lungs. There are minimal emphysematous changes in both lungs. There are areas of linear atelectasis in both lungs. A few millimetric nonspecific nodules are observed in both lungs and are stable. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Bridging osteophytes are observed in the anterior corners of the thoracic vertebra corpus within the sections. No lytic-destructive lesion was observed in bone structures. Impression:  Bilateral pleural effusion, more pronounced inter-intralobular septal thickness increases and ground-glass areas in the lower lobes of both lungs.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Emphysematous changes in both lungs, bilateral minimal bronchiectasis and increased peribronchial thickness.  Several millimetric nonspecific nodules in both lungs.  Calcific atheroma plaques in the aorta and coronary arteries, dilatation in the pulmonary arteries.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_168/valid_168_b/valid_168_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_386",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Heart contour and size are normal. Pericardial effusion was not detected. The central venous catheter placed from the right ends in the superior vena cava. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the pulmonary trunk was 33 mm, the diameter of the right main pulmonary artery was 33 mm, and the diameter of the left main pulmonary artery was 30 mm and increased. A few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions, and no significant difference was found between their number and size. No enlarged lymph node was detected in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and increased peribronchial thickness are observed. Pleural effusion with a thickness of 2 cm in the right hemithorax and 2.5 cm in the left hemithorax is observed. Minimal fissural effusion is observed on the left. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). There are more prominent inter-intralobular septal thickness increases and ground glass areas in the lower lobe posterior segments of both lungs. There are minimal emphysematous changes in both lungs. There are areas of linear atelectasis in both lungs. A few millimetric nonspecific nodules are observed in both lungs and are stable. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Bridging osteophytes are observed in the anterior corners of the thoracic vertebra corpus within the sections. No lytic-destructive lesion was observed in bone structures. Impression:  Bilateral pleural effusion, more pronounced inter-intralobular septal thickness increases and ground-glass areas in the lower lobes of both lungs.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Emphysematous changes in both lungs, bilateral minimal bronchiectasis and increased peribronchial thickness.  Several millimetric nonspecific nodules in both lungs.  Calcific atheroma plaques in the aorta and coronary arteries, dilatation in the pulmonary arteries.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_168/valid_168_b/valid_168_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_387",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules were observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic vertebrae are mildly degenerative. Impression:  Millimetric nonspecific nodules in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_169/valid_169_a/valid_169_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_388",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules were observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic vertebrae are mildly degenerative. Impression:  Millimetric nonspecific nodules in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_169/valid_169_a/valid_169_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_389",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of the aortic arch is at the maximal physiological limit. Calibration of other major mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. Sequelae changes are observed in the middle lobe on the right and the lingular segment on the left in both lungs. There is a subpleural 2 mm diameter nonspecific nodule in the middle lobe on the right. There is a 3 mm diameter nonspecific nodule in the right lung lower lobe laterobasal segment. A nonspecific nodule with a diameter of 2 mm is observed in the superior segment of the lower lobe. There is a focal ground-glass-like density increase in the superior segment of the lower lobe. Basal sequelae changes are observed in the left lung. In the lower lobe of the left lung, there are peribronchial thickening in the center and sequelae changes around it, and there are ground-glass-like density increases around it. Appearance is nonspecific. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. There is a nonspecific ciliary hypodense appearance adjacent to the falciform ligament. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both kidneys are atrophic. Cortical cysts are observed in both kidneys. A solid lesion with a posterior orientation of approximately 5 mm in diameter and a density of 60 HU is observed in the middle part of the right kidney. Millimetric sized partially calcific nodular formation is observed in the neighborhood of the descending colon (lymph node?). There is a millimetric diverticulum in the descending colon. No sign of diverticulitis was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Impression: Sequelae changes in both lungs. Sequelae changes along the peribronchial sheath in the central peribronchial sheath in the left lung basal, ground glass density increases in the right lower lobe superior segment, focal ground glass density increase in the right lower lobe, the described findings are atypical for Covid pneumonia. However, it is recommended to be evaluated together with clinical and laboratory findings.  Hepatosteatosis. Bilateral atrophic kidney, millimetric renal cortical cysts. Millimetric solid lesion in the middle part posterior of the right kidney. Significant degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_170/valid_170_a/valid_170_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_390",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of the aortic arch is at the maximal physiological limit. Calibration of other major mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. Sequelae changes are observed in the middle lobe on the right and the lingular segment on the left in both lungs. There is a subpleural 2 mm diameter nonspecific nodule in the middle lobe on the right. There is a 3 mm diameter nonspecific nodule in the right lung lower lobe laterobasal segment. A nonspecific nodule with a diameter of 2 mm is observed in the superior segment of the lower lobe. There is a focal ground-glass-like density increase in the superior segment of the lower lobe. Basal sequelae changes are observed in the left lung. In the lower lobe of the left lung, there are peribronchial thickening in the center and sequelae changes around it, and there are ground-glass-like density increases around it. Appearance is nonspecific. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. There is a nonspecific ciliary hypodense appearance adjacent to the falciform ligament. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both kidneys are atrophic. Cortical cysts are observed in both kidneys. A solid lesion with a posterior orientation of approximately 5 mm in diameter and a density of 60 HU is observed in the middle part of the right kidney. Millimetric sized partially calcific nodular formation is observed in the neighborhood of the descending colon (lymph node?). There is a millimetric diverticulum in the descending colon. No sign of diverticulitis was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Impression: Sequelae changes in both lungs. Sequelae changes along the peribronchial sheath in the central peribronchial sheath in the left lung basal, ground glass density increases in the right lower lobe superior segment, focal ground glass density increase in the right lower lobe, the described findings are atypical for Covid pneumonia. However, it is recommended to be evaluated together with clinical and laboratory findings.  Hepatosteatosis. Bilateral atrophic kidney, millimetric renal cortical cysts. Millimetric solid lesion in the middle part posterior of the right kidney. Significant degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_170/valid_170_a/valid_170_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_391",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial consolidations, thickening of the bronchial wall, and subpleural ground-glass densities are observed in both lung parenchyma, more prominently in the posterobasal segments in the lat lobes. There are also patchy ground glass densities in the bilateral upper lobes. A subpleural nodule with a diameter of 5 mm is observed in the posterobasal segment of the lower lobe of the right lung. Upper abdominal organs included in the sections are normal. Spleen size increased (132 mm). Both kidneys are atrophic as far as they enter the section. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Widespread osteodegenerative changes are observed in the vertebrae. Impression: Significant findings in terms of Covid in both lung poranchyma. Splenomegaly Bilateral renal atrophy. Vertebral osteodegenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_170/valid_170_b/valid_170_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_392",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial consolidations, thickening of the bronchial wall, and subpleural ground-glass densities are observed in both lung parenchyma, more prominently in the posterobasal segments in the lat lobes. There are also patchy ground glass densities in the bilateral upper lobes. A subpleural nodule with a diameter of 5 mm is observed in the posterobasal segment of the lower lobe of the right lung. Upper abdominal organs included in the sections are normal. Spleen size increased (132 mm). Both kidneys are atrophic as far as they enter the section. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Widespread osteodegenerative changes are observed in the vertebrae. Impression: Significant findings in terms of Covid in both lung poranchyma. Splenomegaly Bilateral renal atrophy. Vertebral osteodegenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_170/valid_170_b/valid_170_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. No lymph node reaching pathological dimensions was observed in the mediastinum. There are nonspecific mediastinal lymph nodes. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected. There is a pure calcified benign pulmonary nodule in the basal segment of the lower lobe of the left lung. In the evaluation of upper abdominal sections, there is a hypodense lesion with a diameter of approximately 18 mm, which cannot be characterized by this examination, in the 7-8 localization of the liver segment. Dynamic contrast upper abdominal MRI examination is recommended. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Pneumonia was not observed.  In the case of a hypodense lesion in the liver that cannot be characterized by this examination, advanced examination with upper abdomen MRI is recommended in terms of lesion characterization in the case with a primary one."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_171/valid_171_a/valid_171_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. No lymph node reaching pathological dimensions was observed in the mediastinum. There are nonspecific mediastinal lymph nodes. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected. There is a pure calcified benign pulmonary nodule in the basal segment of the lower lobe of the left lung. In the evaluation of upper abdominal sections, there is a hypodense lesion with a diameter of approximately 18 mm, which cannot be characterized by this examination, in the 7-8 localization of the liver segment. Dynamic contrast upper abdominal MRI examination is recommended. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Pneumonia was not observed.  In the case of a hypodense lesion in the liver that cannot be characterized by this examination, advanced examination with upper abdomen MRI is recommended in terms of lesion characterization in the case with a primary one."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_171/valid_171_a/valid_171_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A small amount of soft tissue density is observed in the upper mediastinum, compatible with the residual thymus tissue in the anterior aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A small amount of soft tissue density compatible with residual thymus tissue in the aorta anterior in the upper mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_172/valid_172_a/valid_172_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_396",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A small amount of soft tissue density is observed in the upper mediastinum, compatible with the residual thymus tissue in the anterior aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A small amount of soft tissue density compatible with residual thymus tissue in the aorta anterior in the upper mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_172/valid_172_a/valid_172_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_397",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Loculated pleural effusion reaching 8 mm in thickness was observed in the pericardial space anteriorly. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Dependent density increases were observed in the posterior segments of both lungs. Nonspecific parenchymal nodules, 5 mm in diameter, were observed in the medial and lateral segments of the right lung middle lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. In the upper abdominal organs included in the sections, a focal small area of fat was observed in the liver segment 4B, adjacent to the falciform ligament. A 9 mm diameter calculus was observed in the anterior of the left kidney mid-lower pole junction. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal pericardial effusion to the anterior loculated  Nonspecific dependent density increases in the posterior in both lungs  Millimetric nonspecific parenchymal nodules in the middle lobe of the right lung  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_173/valid_173_a/valid_173_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_398",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Loculated pleural effusion reaching 8 mm in thickness was observed in the pericardial space anteriorly. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Dependent density increases were observed in the posterior segments of both lungs. Nonspecific parenchymal nodules, 5 mm in diameter, were observed in the medial and lateral segments of the right lung middle lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. In the upper abdominal organs included in the sections, a focal small area of fat was observed in the liver segment 4B, adjacent to the falciform ligament. A 9 mm diameter calculus was observed in the anterior of the left kidney mid-lower pole junction. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal pericardial effusion to the anterior loculated  Nonspecific dependent density increases in the posterior in both lungs  Millimetric nonspecific parenchymal nodules in the middle lobe of the right lung  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_173/valid_173_a/valid_173_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the thoracic aorta-supraaortic branches and coronary artery walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Tubular bronchiectasis and peribronchial thickening were observed in both lungs, which became prominent in the center. In both lungs, interlobular septal thickenings accompanied by ground glass densities were observed in the peripheral subpleural areas of the lower lobe posterobasal, bilateral upper lobe anterior and lower lobe superior segments. The findings described in the case who received RT were initially considered as post-RT changes. Paraseptal-centracinar emphysema areas were observed in both lung apexes. Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the patient known to have prostate Ca, sclerotic-lytic bone lesions consistent with metastasis were observed in all bones within the sections. Impression:  Diffuse atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary artery walls.  Significant post-RT sequelae changes in the upper lobe anterior and lower lobe posterobasal segments of both lungs.  Tubular bronchiectasis-peribronchial thickening that becomes prominent in the center of both lungs.  Lytic-sclerotic metastases in all bones within the sections."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_174/valid_174_a/valid_174_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_400",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the thoracic aorta-supraaortic branches and coronary artery walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Tubular bronchiectasis and peribronchial thickening were observed in both lungs, which became prominent in the center. In both lungs, interlobular septal thickenings accompanied by ground glass densities were observed in the peripheral subpleural areas of the lower lobe posterobasal, bilateral upper lobe anterior and lower lobe superior segments. The findings described in the case who received RT were initially considered as post-RT changes. Paraseptal-centracinar emphysema areas were observed in both lung apexes. Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the patient known to have prostate Ca, sclerotic-lytic bone lesions consistent with metastasis were observed in all bones within the sections. Impression:  Diffuse atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary artery walls.  Significant post-RT sequelae changes in the upper lobe anterior and lower lobe posterobasal segments of both lungs.  Tubular bronchiectasis-peribronchial thickening that becomes prominent in the center of both lungs.  Lytic-sclerotic metastases in all bones within the sections."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_174/valid_174_a/valid_174_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_401",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Liver parenchyma density in the cross-sectional area decreased diffusely, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_175/valid_175_a/valid_175_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_402",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Liver parenchyma density in the cross-sectional area decreased diffusely, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_175/valid_175_a/valid_175_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_403",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Linear atelectasis areas are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Liver parenchyma density decreased (mean -6 HU) in line with severe adiposity. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear areas of atelectasis in both lungs.  Advanced hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_176/valid_176_a/valid_176_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_404",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Linear atelectasis areas are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Liver parenchyma density decreased (mean -6 HU) in line with severe adiposity. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear areas of atelectasis in both lungs.  Advanced hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_176/valid_176_a/valid_176_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas and occasional consolidations are observed in both lungs, more prominently in the lower lobes and peripheral areas. The findings described during the pandemic process were evaluated in favor of Covid-19 pneumonia. There are nodules in both lungs, many of which are calcific. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_177/valid_177_a/valid_177_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_406",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas and occasional consolidations are observed in both lungs, more prominently in the lower lobes and peripheral areas. The findings described during the pandemic process were evaluated in favor of Covid-19 pneumonia. There are nodules in both lungs, many of which are calcific. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_177/valid_177_a/valid_177_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_407",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening was not detected. Minimal effusion is observed in the inferior percardium. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Bilateral peribronchial thickenings are observed. A wide area of pneumonic consolidation is observed in the basal segments of the lower lobe of the left lung. It was evaluated in favor of the infective process. Post-treatment control is recommended. Subsegmental atelectasis areas are noted in the posterobasal segment of the lower lobe of the right lung. Emphysematous changes are present in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Emphysematous changes in both lungs, peribronchial thickenings. Minimal calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery, minimal pericardial effusion.  Areas of subsegmental atelectasis in the lower lobe of the right lung. Large area of consolidation in the lower lobe of the left lung (recommended to evaluate for infectious process)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_178/valid_178_a/valid_178_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_408",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening was not detected. Minimal effusion is observed in the inferior percardium. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Bilateral peribronchial thickenings are observed. A wide area of pneumonic consolidation is observed in the basal segments of the lower lobe of the left lung. It was evaluated in favor of the infective process. Post-treatment control is recommended. Subsegmental atelectasis areas are noted in the posterobasal segment of the lower lobe of the right lung. Emphysematous changes are present in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Emphysematous changes in both lungs, peribronchial thickenings. Minimal calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery, minimal pericardial effusion.  Areas of subsegmental atelectasis in the lower lobe of the right lung. Large area of consolidation in the lower lobe of the left lung (recommended to evaluate for infectious process)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_178/valid_178_a/valid_178_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_409",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases with septal thickenings are observed in the upper and lower lobes of both lungs, and crayz paving appearances are observed in the laterobasal segment of the lower lobes of both lungs. There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. No pleural effusion was detected. Liver parenchyma density was diffusely decreased in the upper abdominal sections included in the study area. Two millimetric calculus were observed in the left kidney. A hypodense lesion with a diameter of 25 mm was observed in the upper pole of the left kidney (cyst). Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hepatosteatosis.  Left renal hypodense lesion (cyst) , left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_179/valid_179_a/valid_179_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_410",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases with septal thickenings are observed in the upper and lower lobes of both lungs, and crayz paving appearances are observed in the laterobasal segment of the lower lobes of both lungs. There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. No pleural effusion was detected. Liver parenchyma density was diffusely decreased in the upper abdominal sections included in the study area. Two millimetric calculus were observed in the left kidney. A hypodense lesion with a diameter of 25 mm was observed in the upper pole of the left kidney (cyst). Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hepatosteatosis.  Left renal hypodense lesion (cyst) , left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_179/valid_179_a/valid_179_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with short axes reaching 8 mm are observed in the mediastinum. When examined in the lung parenchyma window; Peripheral weighted ground glass densities are present in the lower lobe of both lungs. Some calcific millimetric nodules were observed in both lungs. Pleural effusion-thickening was not detected. In the upper abdominal sections, the gallbladder was operated. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mediastinal lymph nodes.  Findings consistent with viral pneumonia in the lungs.  Millimetric nonspecific nodules in both lungs.  Cholestectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_180/valid_180_a/valid_180_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with short axes reaching 8 mm are observed in the mediastinum. When examined in the lung parenchyma window; Peripheral weighted ground glass densities are present in the lower lobe of both lungs. Some calcific millimetric nodules were observed in both lungs. Pleural effusion-thickening was not detected. In the upper abdominal sections, the gallbladder was operated. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mediastinal lymph nodes.  Findings consistent with viral pneumonia in the lungs.  Millimetric nonspecific nodules in both lungs.  Cholestectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_180/valid_180_a/valid_180_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Widespread patchy ground-glass densities are observed, which is more prominent in the subpleural areas of both lungs. The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. The liver density in the cross-sectional area has decreased to be compatible with hepatosteatosis intervertebral joint. Minimal hiatal hernia is observed. Impression:  Appearances evaluated in favor of typical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_180/valid_180_b/valid_180_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Widespread patchy ground-glass densities are observed, which is more prominent in the subpleural areas of both lungs. The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. The liver density in the cross-sectional area has decreased to be compatible with hepatosteatosis intervertebral joint. Minimal hiatal hernia is observed. Impression:  Appearances evaluated in favor of typical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_180/valid_180_b/valid_180_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: A pacemaker is observed on the left chest wall. The ascending aorta is 43 mm, the descending aorta is 29 mm, the pulmonary concus is 33 mm, and the right pulmonary artery is wider than normal at 30 mm. An increase in the cardiothoracic ratio in favor of the heart is observed. Widespread calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a sliding type hiatal hernia at the lower end. Trachea and both main bronchi were open and no obstructive pathology was detected. Significant increase in bilateral thyroid gland size is observed, and there are nodular lesions with calcified walls. USG verification is recommended. No lymph nodes in pathological size and appearance were detected in both axillary regions. In the mediastinum, lymph nodes with a fusiform configuration are observed, the largest of which is in the right paratracheal area, with a short diameter of 12 mm. When examined in the lung parenchyma window; Although both lung parenchyma cannot be evaluated optimally due to the activity of the examination, no mass lesion was detected in both lung parenchyma. There are emphysematous changes. In the right lung upper lobe posterior, middle lobe lateral segment, and lower lobe posterobasal segment, indistinct ground glass densities-centriacinar nodules in the appearance of a bud tree are observed. Infective pathologies are considered in the etiology of the described findings. It is recommended to be evaluated together with clinical and physical examination findings and control after treatment. Nodular lesions measuring 4 mm in size are observed in the posterobasal segment of the left lung lower lobe in both lung parenchyma. In the upper abdominal sections within the image, there are extensive calcified atheromatous plaques on the wall of the abdominal aorta and major vascular structures originating from the aorta. Intraabdominal free fluid, loculated collection, solid mass are not observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus elevations were preserved. Left-facing scoliosis and an increase in thoracic kyphosis are observed in the thoracic vertebral column. There are osteophytic degenerative changes that tend to coalesce in the vertebral corpus corners, and reticular density increases in the vertebral bodies, which are considered secondary to osteopenia. Impression: Bilateral increase in thyroid gland size, nodular lesions with calcified walls; USG verification is recommended.  Larger than normal appearance in the ascending aorta, descending aorta, pulmonary conus and right pulmonary artery, increased cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of the aorta and coronary vascular structures . Esophagus Sliding type hiatal hernia at the lower end . Emphysematous changes in both lungs . Indistinct ground-glass densities-bud tree appearances in the right lung upper lobe posterior, middle lobe lateral segment and lower lobe posterobasal segment; infective pathologies are considered in the etiology of the described findings. Clinical and physical examination findings It is recommended to evaluate together and control after treatment, millimeter-sized nonspecific nodules in both lung parenchyma . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_181/valid_181_a/valid_181_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_416",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A pacemaker is observed on the left chest wall. The ascending aorta is 43 mm, the descending aorta is 29 mm, the pulmonary concus is 33 mm, and the right pulmonary artery is wider than normal at 30 mm. An increase in the cardiothoracic ratio in favor of the heart is observed. Widespread calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a sliding type hiatal hernia at the lower end. Trachea and both main bronchi were open and no obstructive pathology was detected. Significant increase in bilateral thyroid gland size is observed, and there are nodular lesions with calcified walls. USG verification is recommended. No lymph nodes in pathological size and appearance were detected in both axillary regions. In the mediastinum, lymph nodes with a fusiform configuration are observed, the largest of which is in the right paratracheal area, with a short diameter of 12 mm. When examined in the lung parenchyma window; Although both lung parenchyma cannot be evaluated optimally due to the activity of the examination, no mass lesion was detected in both lung parenchyma. There are emphysematous changes. In the right lung upper lobe posterior, middle lobe lateral segment, and lower lobe posterobasal segment, indistinct ground glass densities-centriacinar nodules in the appearance of a bud tree are observed. Infective pathologies are considered in the etiology of the described findings. It is recommended to be evaluated together with clinical and physical examination findings and control after treatment. Nodular lesions measuring 4 mm in size are observed in the posterobasal segment of the left lung lower lobe in both lung parenchyma. In the upper abdominal sections within the image, there are extensive calcified atheromatous plaques on the wall of the abdominal aorta and major vascular structures originating from the aorta. Intraabdominal free fluid, loculated collection, solid mass are not observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus elevations were preserved. Left-facing scoliosis and an increase in thoracic kyphosis are observed in the thoracic vertebral column. There are osteophytic degenerative changes that tend to coalesce in the vertebral corpus corners, and reticular density increases in the vertebral bodies, which are considered secondary to osteopenia. Impression: Bilateral increase in thyroid gland size, nodular lesions with calcified walls; USG verification is recommended.  Larger than normal appearance in the ascending aorta, descending aorta, pulmonary conus and right pulmonary artery, increased cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of the aorta and coronary vascular structures . Esophagus Sliding type hiatal hernia at the lower end . Emphysematous changes in both lungs . Indistinct ground-glass densities-bud tree appearances in the right lung upper lobe posterior, middle lobe lateral segment and lower lobe posterobasal segment; infective pathologies are considered in the etiology of the described findings. Clinical and physical examination findings It is recommended to evaluate together and control after treatment, millimeter-sized nonspecific nodules in both lung parenchyma . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_181/valid_181_a/valid_181_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. The heart and mediastinal structures are deviated to the right. There are calcified atheromatous plaques on the wall of the coronary vascular structures in the thoracic aorta. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was detected in the thoracic esophagus. Bilateral hilus could not be evaluated optimally. In the mediastinum, there are lymphadenopathies that have lost their fusiform configuration, the largest of which is 12 mm in diameter at the precarinal level. No lymph nodes in pathological size and appearance were detected in both axillary regions and bilateral supraclavicular fossa as far as can be observed. There is a large soft tissue density mass that fills the upper lobe of the left lung almost completely and extends to the lower lobe anteromedial segment, whose borders cannot be clearly distinguished from the adjacent atelectic lung parenchyma within the borders of non-contrast CT, and whose borders cannot be distinguished from the left pulmonary artery, aortic arch, and descending aorta. There is no aeration in the left lung. There is free effusion up to 15 cm in the deepest part of the left pleural space. Effusion is not observed in the right pleural space and pericardial space. There is a decrease in the volume of the right lung. The heart and mediastinal vascular structures are deviated to the right, and density increases, which are considered secondary to compressive atelectasis, are observed in the right lung. There was no finding in favor of active infiltration in the right lung. In the pleural-based axial sections of the right lung lower lobe posterobasal segment, a 20x15 mm nodule with a slightly irregular border is observed (metastasis?). As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; An increase in thickness is observed in the lateral crus and corpus of the left adrenal gland (metastasis?). No free fluid-collection was detected. No lytic or destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights are preserved. Degenerative changes are observed. Impression:  A mass of soft tissue density that almost completely fills the upper lobe of the left lung and extends to the anteromedial segment of the lower lobe and cannot be clearly distinguished from the post-obstructive atelectesis lung parenchyma adjacent to the uncontracted CT borders.  Lymphadenopathies with a short diameter over 1 cm in the mediastinum that lost their fusiform configuration in places  Calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures  Left pleural effusion  Nodular lesion (metastasis?) to the posterobasal segment of the lower lobe of the right lung  Left adrenal gland corpus and lateral thickening of the crus (metastasis?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_182/valid_182_a/valid_182_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_418",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. The heart and mediastinal structures are deviated to the right. There are calcified atheromatous plaques on the wall of the coronary vascular structures in the thoracic aorta. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was detected in the thoracic esophagus. Bilateral hilus could not be evaluated optimally. In the mediastinum, there are lymphadenopathies that have lost their fusiform configuration, the largest of which is 12 mm in diameter at the precarinal level. No lymph nodes in pathological size and appearance were detected in both axillary regions and bilateral supraclavicular fossa as far as can be observed. There is a large soft tissue density mass that fills the upper lobe of the left lung almost completely and extends to the lower lobe anteromedial segment, whose borders cannot be clearly distinguished from the adjacent atelectic lung parenchyma within the borders of non-contrast CT, and whose borders cannot be distinguished from the left pulmonary artery, aortic arch, and descending aorta. There is no aeration in the left lung. There is free effusion up to 15 cm in the deepest part of the left pleural space. Effusion is not observed in the right pleural space and pericardial space. There is a decrease in the volume of the right lung. The heart and mediastinal vascular structures are deviated to the right, and density increases, which are considered secondary to compressive atelectasis, are observed in the right lung. There was no finding in favor of active infiltration in the right lung. In the pleural-based axial sections of the right lung lower lobe posterobasal segment, a 20x15 mm nodule with a slightly irregular border is observed (metastasis?). As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; An increase in thickness is observed in the lateral crus and corpus of the left adrenal gland (metastasis?). No free fluid-collection was detected. No lytic or destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights are preserved. Degenerative changes are observed. Impression:  A mass of soft tissue density that almost completely fills the upper lobe of the left lung and extends to the anteromedial segment of the lower lobe and cannot be clearly distinguished from the post-obstructive atelectesis lung parenchyma adjacent to the uncontracted CT borders.  Lymphadenopathies with a short diameter over 1 cm in the mediastinum that lost their fusiform configuration in places  Calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures  Left pleural effusion  Nodular lesion (metastasis?) to the posterobasal segment of the lower lobe of the right lung  Left adrenal gland corpus and lateral thickening of the crus (metastasis?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_182/valid_182_a/valid_182_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_419",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. There is a sliding type hiatal hernia. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Sentracinar and paraseptal mild emphysema is observed in the upper lobes. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. There is a 3 mm diameter nonspecific nodule in the posterior segment of the right lung upper lobe. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Pneumonia was not observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_183/valid_183_a/valid_183_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_420",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. There is a sliding type hiatal hernia. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Sentracinar and paraseptal mild emphysema is observed in the upper lobes. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. There is a 3 mm diameter nonspecific nodule in the posterior segment of the right lung upper lobe. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Pneumonia was not observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_183/valid_183_a/valid_183_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_421",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 34.5 mm, which is above normal. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pulmonary artery diameters are normal. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. Pleuroparenchymal sequelae atelectatic changes were observed in the medial segments of the right lung middle lobe, the left lung upper lobe inferior lingular and both lung lower lobes basal segments. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration was detected in both lungs. As far as can be seen inside the sections; Calculus images of 4.8 mm diameter in the upper pole of the right kidney and 3.5 mm in diameter in the middle pole of the left kidney were observed. Apart from this, the upper abdominal organs are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Impression: Fusiform aneurysmatic dilatation in the ascending aorta, cardiomegaly, calcific atheroma plaques in the aortic arch and coronary arteries. Sequelae fibroatelectatic changes in both lungs, mosaic attenuation pattern. Reticulonodular sequela fibrotic density increases in both lung apexes. Bilateral nephrolithiasis. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_184/valid_184_a/valid_184_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 34.5 mm, which is above normal. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pulmonary artery diameters are normal. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. Pleuroparenchymal sequelae atelectatic changes were observed in the medial segments of the right lung middle lobe, the left lung upper lobe inferior lingular and both lung lower lobes basal segments. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration was detected in both lungs. As far as can be seen inside the sections; Calculus images of 4.8 mm diameter in the upper pole of the right kidney and 3.5 mm in diameter in the middle pole of the left kidney were observed. Apart from this, the upper abdominal organs are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Impression: Fusiform aneurysmatic dilatation in the ascending aorta, cardiomegaly, calcific atheroma plaques in the aortic arch and coronary arteries. Sequelae fibroatelectatic changes in both lungs, mosaic attenuation pattern. Reticulonodular sequela fibrotic density increases in both lung apexes. Bilateral nephrolithiasis. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_184/valid_184_a/valid_184_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_423",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the coronary artery. Other mediastinal major vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Sliding type hiatal hernia was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcified atherosclerotic changes in the coronary artery wall.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_185/valid_185_a/valid_185_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the coronary artery. Other mediastinal major vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Sliding type hiatal hernia was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcified atherosclerotic changes in the coronary artery wall.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_185/valid_185_a/valid_185_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_425",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Pulmonary trunk calibration was measured as 31 mm and was above normal. The aortic arch calibration is 31 mm. It is above normal. However, the calibration of other vascular structures is natural. There are millimetric-sized calcific atheroma plaques in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild sequelae changes were observed bilaterally at the apical level. Right lung upper lobe anterior segment, 3x2 mm nodule in the lateral subpleural area, mild sequelae changes were observed in the middle lobe. There are sequelae changes in the left lung lingular segment. No pneumonia, pneumothorax or pleural effusion was observed. In the sections passing through the upper abdomen, there is an appearance compatible with hepatosteatosis in the liver. Degenerative changes were observed in the bone structure. Impression: No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_186/valid_186_a/valid_186_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Pulmonary trunk calibration was measured as 31 mm and was above normal. The aortic arch calibration is 31 mm. It is above normal. However, the calibration of other vascular structures is natural. There are millimetric-sized calcific atheroma plaques in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild sequelae changes were observed bilaterally at the apical level. Right lung upper lobe anterior segment, 3x2 mm nodule in the lateral subpleural area, mild sequelae changes were observed in the middle lobe. There are sequelae changes in the left lung lingular segment. No pneumonia, pneumothorax or pleural effusion was observed. In the sections passing through the upper abdomen, there is an appearance compatible with hepatosteatosis in the liver. Degenerative changes were observed in the bone structure. Impression: No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_186/valid_186_a/valid_186_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_427",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Intense ground glass densities were observed in and around the focal consolidative area in which air bronchograms were observed in the lateral segment of the right lung middle lobe. The outlook is highly suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. In the right lung middle lobe lateral segment, a nonspecific pulmonary nodule with a diameter of 5 mm with fibrotic recessions around it was observed, adjacent to the minor fissure. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Liver, gall bladder, spleen, pancreas, and both adrenal glands are normal as far as can be observed in the non-contrast examination. No stones were observed in both kidneys within the sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Dense ground glass densities in and around the consolidative area in which air bronchograms are observed in the right lung middle lobe lateral segment; It is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory.  Millimetric nonspecific pulmonary nodule in the left lung middle lobe lateral segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_187/valid_187_a/valid_187_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_428",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Intense ground glass densities were observed in and around the focal consolidative area in which air bronchograms were observed in the lateral segment of the right lung middle lobe. The outlook is highly suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. In the right lung middle lobe lateral segment, a nonspecific pulmonary nodule with a diameter of 5 mm with fibrotic recessions around it was observed, adjacent to the minor fissure. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Liver, gall bladder, spleen, pancreas, and both adrenal glands are normal as far as can be observed in the non-contrast examination. No stones were observed in both kidneys within the sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Dense ground glass densities in and around the consolidative area in which air bronchograms are observed in the right lung middle lobe lateral segment; It is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory.  Millimetric nonspecific pulmonary nodule in the left lung middle lobe lateral segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_187/valid_187_a/valid_187_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The pulmonary trunk is at the maximal physiological limit. Right and left pulmonary arteries are normal. Calibration of the aortic arch is natural. Calibration of other major vascular structures in the mediastinal is natural. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. There is an appearance secondary to tracheostomy. At the tracheostomy level, an increase in adjacent circular density is observed. Metallic circular density is available. Tracheal calibration was markedly increased at the tracheostomy level. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; The left lung is observed as hypovolemic. There are sequelae changes at the apical level. There are findings consistent with emphysema in both lungs. At the apical level of the upper lobe of the right lung, a slightly heterogeneous internal nodule with a diameter of approximately 6 mm is observed in the center. It was not detected in the old CT examination. There is a subpleural 2 mm diameter nodule at the anterior and posterior segment transition in the right upper lobe. It is also observed in the old review. There are focal coarse reticulonodular density increases in the posterior segment of the upper lobe, adjacent to the fissure, which were not observed in the previous examination. In the upper lobe, reitculonodular density increases are observed in the vicinity of the fissure. There are fine reticulonodular density increments at the posterobasal level in the lower lobe. There is bilateral thickening of the peribronchial sheath. There are faint reticulonodular density increments in the left inferior and lingular segments. In the lower lobe of the left lung, increased calibration in the segmental bronchioles and thickening of the peribronchial sheath, mucus impactions at this level are observed in places. Reticulonodular density increases are also observed in the left lung adjacent to the fissure. There is a smear-like pleural effusion in both lungs. It is also partially followed in his previous review. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with steatosis is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The muscle structures in the study area have atrophic appearance, especially in the paraspinal area. Degenerative changes are observed in bone structures. Impression: Findings consistent with emphysema in both lungs, fibroatelectatic density increases. Reticulonodular density increases were observed in the upper-middle zones, which were slightly more prominent on the right, but were not detected in the old CT examination. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes.  Calibration increase, peribronchial thickening and mucus impactions in the segmental bronchi in the basal segment in the lower lobe of the left lung were not detected in the previous examination.  A 6 mm slightly heterogeneous internally structured nodule at the apical level of the right lung upper lobe was not detected in the previous examination. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_188/valid_188_a/valid_188_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_430",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The pulmonary trunk is at the maximal physiological limit. Right and left pulmonary arteries are normal. Calibration of the aortic arch is natural. Calibration of other major vascular structures in the mediastinal is natural. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. There is an appearance secondary to tracheostomy. At the tracheostomy level, an increase in adjacent circular density is observed. Metallic circular density is available. Tracheal calibration was markedly increased at the tracheostomy level. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; The left lung is observed as hypovolemic. There are sequelae changes at the apical level. There are findings consistent with emphysema in both lungs. At the apical level of the upper lobe of the right lung, a slightly heterogeneous internal nodule with a diameter of approximately 6 mm is observed in the center. It was not detected in the old CT examination. There is a subpleural 2 mm diameter nodule at the anterior and posterior segment transition in the right upper lobe. It is also observed in the old review. There are focal coarse reticulonodular density increases in the posterior segment of the upper lobe, adjacent to the fissure, which were not observed in the previous examination. In the upper lobe, reitculonodular density increases are observed in the vicinity of the fissure. There are fine reticulonodular density increments at the posterobasal level in the lower lobe. There is bilateral thickening of the peribronchial sheath. There are faint reticulonodular density increments in the left inferior and lingular segments. In the lower lobe of the left lung, increased calibration in the segmental bronchioles and thickening of the peribronchial sheath, mucus impactions at this level are observed in places. Reticulonodular density increases are also observed in the left lung adjacent to the fissure. There is a smear-like pleural effusion in both lungs. It is also partially followed in his previous review. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with steatosis is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The muscle structures in the study area have atrophic appearance, especially in the paraspinal area. Degenerative changes are observed in bone structures. Impression: Findings consistent with emphysema in both lungs, fibroatelectatic density increases. Reticulonodular density increases were observed in the upper-middle zones, which were slightly more prominent on the right, but were not detected in the old CT examination. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes.  Calibration increase, peribronchial thickening and mucus impactions in the segmental bronchi in the basal segment in the lower lobe of the left lung were not detected in the previous examination.  A 6 mm slightly heterogeneous internally structured nodule at the apical level of the right lung upper lobe was not detected in the previous examination. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_188/valid_188_a/valid_188_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_431",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Mediastinal and midline structures are observed as deviated to the left. Arch aortic calibration is 30 mm. It is wider than normal. Calcific atheroma plaques are observed in the descending aorta in the aortic arch. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Calibration of the trachea is increased at the level of the thoracic entry and there is a tracheostomy appearance. At this level, soft tissue density, which gives the appearance of dependent leveling, is observed. When examined in the lung parenchyma window; Ground-glass-like density increases and consolidation are observed in both lungs, more prominently in the posterior segments of the upper lobe and in the posterobasal segments of the lower lobe. There are thickenings of the peribronchial sheath. There are similar appearances in the middle lobe on the right and the lingular segment on the left. It is recommended to evaluate the case with clinical and laboratory findings in terms of aspiration pneumonia. Mild emphysematous changes are present in both lungs. In the upper abdominal organs, including sections; A slight decrease in density, consistent with steatosis, is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression:   There are ground-glass-style density increases in both lungs in the upper lobe posterior segments, the middle zone and the lower lobe posterobasal sections, which go to consolidation from place to place.  In the proximal part of the trachea, an increased caliber and dependant density giving the appearance of leveling is observed. There is a tracheostomy. It is recommended to evaluate the case together with clinical and laboratory findings in terms of aspiration pneumonia.  There are findings consistent with emphysema in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_188/valid_188_b/valid_188_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_432",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Mediastinal and midline structures are observed as deviated to the left. Arch aortic calibration is 30 mm. It is wider than normal. Calcific atheroma plaques are observed in the descending aorta in the aortic arch. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Calibration of the trachea is increased at the level of the thoracic entry and there is a tracheostomy appearance. At this level, soft tissue density, which gives the appearance of dependent leveling, is observed. When examined in the lung parenchyma window; Ground-glass-like density increases and consolidation are observed in both lungs, more prominently in the posterior segments of the upper lobe and in the posterobasal segments of the lower lobe. There are thickenings of the peribronchial sheath. There are similar appearances in the middle lobe on the right and the lingular segment on the left. It is recommended to evaluate the case with clinical and laboratory findings in terms of aspiration pneumonia. Mild emphysematous changes are present in both lungs. In the upper abdominal organs, including sections; A slight decrease in density, consistent with steatosis, is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression:   There are ground-glass-style density increases in both lungs in the upper lobe posterior segments, the middle zone and the lower lobe posterobasal sections, which go to consolidation from place to place.  In the proximal part of the trachea, an increased caliber and dependant density giving the appearance of leveling is observed. There is a tracheostomy. It is recommended to evaluate the case together with clinical and laboratory findings in terms of aspiration pneumonia.  There are findings consistent with emphysema in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_188/valid_188_b/valid_188_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_433",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific subpleural nodule with a diameter of 3.1 mm was observed in the lateral segment of the right lung middle lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. The upper abdominal organs are normal as far as can be observed in the non-contrast examination. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits except for a nonspecific millimetric nodule in the lateral segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_189/valid_189_a/valid_189_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_434",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific subpleural nodule with a diameter of 3.1 mm was observed in the lateral segment of the right lung middle lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. The upper abdominal organs are normal as far as can be observed in the non-contrast examination. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits except for a nonspecific millimetric nodule in the lateral segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_189/valid_189_a/valid_189_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_435",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectatic changes were observed in the left lung lower lobe anteromediobasal and upper lobe lingular segments. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia . Linear atelectatic changes in the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_190/valid_190_a/valid_190_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_436",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectatic changes were observed in the left lung lower lobe anteromediobasal and upper lobe lingular segments. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia . Linear atelectatic changes in the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_190/valid_190_a/valid_190_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_437",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild centrilobular and paraseptal emphysema are observed at the apical levels in the upper lobes of both lungs. Linear atelectatic changes are observed in the paracardiac areas in the paramediastinal and paracardiac areas in the basal parts of the upper lobes of both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Millimetric hypodense finding at the level of segment 3 in the superior left lobe of the liver was primarily evaluated in the direction of cyst. Except as described, the upper abdominal organs were partially included in the study and were evaluated as suboptimal. Left kidney cannot be observed (operated). Bone structures in the examination area are natural. There are mild degenerative hypertrophic tapering in the anterior end plates of the vertebral corpuscles. Impression: Mild centrilobular and paraseptal emphysema at the apical levels of the upper lobes of both lungs . Linear atelectasis in the anterobasal parts of the upper lobes of both lungs . There is spur formaston at the L1-L2 level extending to the retroperitoneal area adjacent to the aorta. Hypertrophic osteophytic tapering in the anterior end plates of the vertebral corpuscles"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_191/valid_191_a/valid_191_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_438",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild centrilobular and paraseptal emphysema are observed at the apical levels in the upper lobes of both lungs. Linear atelectatic changes are observed in the paracardiac areas in the paramediastinal and paracardiac areas in the basal parts of the upper lobes of both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Millimetric hypodense finding at the level of segment 3 in the superior left lobe of the liver was primarily evaluated in the direction of cyst. Except as described, the upper abdominal organs were partially included in the study and were evaluated as suboptimal. Left kidney cannot be observed (operated). Bone structures in the examination area are natural. There are mild degenerative hypertrophic tapering in the anterior end plates of the vertebral corpuscles. Impression: Mild centrilobular and paraseptal emphysema at the apical levels of the upper lobes of both lungs . Linear atelectasis in the anterobasal parts of the upper lobes of both lungs . There is spur formaston at the L1-L2 level extending to the retroperitoneal area adjacent to the aorta. Hypertrophic osteophytic tapering in the anterior end plates of the vertebral corpuscles"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_191/valid_191_a/valid_191_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_439",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Mild thickening of the peribronchial sheath is observed. There are sequelae changes at the apical level. On the right, a nonspecific nodule with a diameter of 2 mm is observed superposed on the minor fissure. Sequelae changes are observed in the middle lobe. There are sequelae changes at the anterobasal level. A subpleural 2 mm diameter nodule is observed in the upper lobe posterior segment lateral in the right lung. Plevropaanchymal sequelae changes are observed in the inferior lingular segment. There is a 2 mm diameter nodule in the apicoposterior segment of the left lung upper lobe. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with steatosis is observed in the liver. The gallbladder appears contracted. There are faint densities in the lumen that can be compatible with millimetric sized calculus. If necessary, sonographic examination is recommended. It could not be observed in the left kidney lodge. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. A fracture line with minimal detachment is observed in the spinous process of the D5 vertebra. Impression:  Mild sequelae changes in both lungs, a few millimeter-sized nonspecific nodules.  Mild hepatosteatosis was not observed in the left kidney lodge.  The gallbladder has a contracted appearance. There are faint densities in the lumen that can be compatible with millimetric sized calculus. Sonographic examination is recommended if necessary.  Degenerative changes in bone structure. Fracture line with minimal separation in the spinous process of the D5 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_191/valid_191_b/valid_191_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_440",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Mild thickening of the peribronchial sheath is observed. There are sequelae changes at the apical level. On the right, a nonspecific nodule with a diameter of 2 mm is observed superposed on the minor fissure. Sequelae changes are observed in the middle lobe. There are sequelae changes at the anterobasal level. A subpleural 2 mm diameter nodule is observed in the upper lobe posterior segment lateral in the right lung. Plevropaanchymal sequelae changes are observed in the inferior lingular segment. There is a 2 mm diameter nodule in the apicoposterior segment of the left lung upper lobe. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with steatosis is observed in the liver. The gallbladder appears contracted. There are faint densities in the lumen that can be compatible with millimetric sized calculus. If necessary, sonographic examination is recommended. It could not be observed in the left kidney lodge. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. A fracture line with minimal detachment is observed in the spinous process of the D5 vertebra. Impression:  Mild sequelae changes in both lungs, a few millimeter-sized nonspecific nodules.  Mild hepatosteatosis was not observed in the left kidney lodge.  The gallbladder has a contracted appearance. There are faint densities in the lumen that can be compatible with millimetric sized calculus. Sonographic examination is recommended if necessary.  Degenerative changes in bone structure. Fracture line with minimal separation in the spinous process of the D5 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_191/valid_191_b/valid_191_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. Pleural effusion-thickening was not detected in both hemithorax. An increase in favor of the heart is observed in CTO. The ascending aorta is wider than normal at 46 mm. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are smooth interlobular septal thickness increases in both lung parenchyma, and it has been evaluated as secondary to heart failure. In the sections passing through the upper part of the abdomen, enlargement of the hepatitis veins, which is considered secondary to right heart failure, is observed. No lytic or destructive lesions were detected in bone structures. Degenerative changes are observed in the bone structures within the image. Impression: An increase in CTO in favor of the heart, aneurysmatic dilatation in the ascending aorta, enlargement of the hepatic veins considered secondary to heart failure, and active infiltration or mass lesions in both lungs are not detected. Interlobular septal thickness increases are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_192/valid_192_a/valid_192_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. Pleural effusion-thickening was not detected in both hemithorax. An increase in favor of the heart is observed in CTO. The ascending aorta is wider than normal at 46 mm. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are smooth interlobular septal thickness increases in both lung parenchyma, and it has been evaluated as secondary to heart failure. In the sections passing through the upper part of the abdomen, enlargement of the hepatitis veins, which is considered secondary to right heart failure, is observed. No lytic or destructive lesions were detected in bone structures. Degenerative changes are observed in the bone structures within the image. Impression: An increase in CTO in favor of the heart, aneurysmatic dilatation in the ascending aorta, enlargement of the hepatic veins considered secondary to heart failure, and active infiltration or mass lesions in both lungs are not detected. Interlobular septal thickness increases are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_192/valid_192_a/valid_192_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_443",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal compressive atelectasis were observed in the left lung inferior lingular segment and right lung middle lobe medial segment. Nonspecific subpleural nodules less than 5 mm in diameter were observed in both lungs, the largest of which was in the posterior segment of the right lung upper lobe. In addition, a peripheral subpleural millimetric calcific nodule was observed in the right lung middle lobe lateral segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No mass with distinguishable borders was observed in the liver, gallbladder, spleen, and parencreas that entered the cross-sectional area. Both adrenal glands are normal. No stones were detected in both kidneys. Bone structures in the study area are natural. Minimal hypertrophic degenerative changes were observed in the vertebrae. Impression: Bilateral gynecomastia . Minimal compressive atelectatic changes in both lungs . A few subpelvral nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_193/valid_193_a/valid_193_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_444",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal compressive atelectasis were observed in the left lung inferior lingular segment and right lung middle lobe medial segment. Nonspecific subpleural nodules less than 5 mm in diameter were observed in both lungs, the largest of which was in the posterior segment of the right lung upper lobe. In addition, a peripheral subpleural millimetric calcific nodule was observed in the right lung middle lobe lateral segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No mass with distinguishable borders was observed in the liver, gallbladder, spleen, and parencreas that entered the cross-sectional area. Both adrenal glands are normal. No stones were detected in both kidneys. Bone structures in the study area are natural. Minimal hypertrophic degenerative changes were observed in the vertebrae. Impression: Bilateral gynecomastia . Minimal compressive atelectatic changes in both lungs . A few subpelvral nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_193/valid_193_a/valid_193_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_445",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 39 mm in diameter and shows slight dilatation. No dilatation was detected in the pulmonary arteries. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type hiatal hernia was observed. Mediastinal upper-lower paratracheal prevascular, subcarinal lymph nodes with millimeter size were observed. When examined in the lung parenchyma window; Emphysematous areas were observed in the upper lobes of both lungs. Peripheral minimal focal consolidation area was observed in the left lung upper lobe anterior segment and lower lobe superior segment (infectious process?). Post-treatment control is recommended. In both lung parenchyma, bronchiectatic changes and peribronchial thickenings that become prominent in the center are observed. In both lungs apical bulla formations are observed, the largest of which is 57 mm on the right. Soft tissue density, which is primarily compatible with parenchymal fibrosis, which causes structural distortion and volume loss in the left lung apex, was observed. It contains millimetric sized calcifications. If available, it is recommended to be evaluated together with the previous CT examination. Several parenchymal pulmonary nodules were observed in both lungs, the largest of which was 7.6 mm in the middle lobe in the right lung, and 5.5 mm in diameter in the subpleural neighborhood of the lower lobe laterobasal segment in the left lung. In the posterobasal segment of the lower lobe of the right lung, band-like sequelae gliotic density increases were observed. Gallbladder wall thickness increased in the upper abdominal sections included in the study area. Irregularity and thickening are observed in the wall, and its borders cannot be distinguished in the liver parenchyma. There are calculi in the gallbladder lumen. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. A few lymph nodes, the larger one measuring 1 cm in diameter, were observed in the retrocrural area. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. An increase in trabeculation was observed in the bone structures in the study area. It has been evaluated as compatible with osteopenia. Sclerotic lesions with faint borders were observed in T7, T9, L2 vertebrae. Impression: Mediastinal millimetric lymph nodes, retrocrural lymphadenopathies . Diffuse thickening of the gallbladder wall (infection? tm?), cholelithiasis.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . Emphysematous changes and bullae formations in both lungs . Parenchymal fibrosis area in the left lung apical; if any, it is recommended to be evaluated together with previous tests.  Pulmonary parenchymal nodules in both lungs.  Peripheral focal areas of consolidation (infectious process?) in the upper lobe of the left lung and in the superior segment of the lower lobe; clinical and laboratory correlation is recommended.  Sclerotic lesions with faint borders in bone structures . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_194/valid_194_a/valid_194_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 39 mm in diameter and shows slight dilatation. No dilatation was detected in the pulmonary arteries. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type hiatal hernia was observed. Mediastinal upper-lower paratracheal prevascular, subcarinal lymph nodes with millimeter size were observed. When examined in the lung parenchyma window; Emphysematous areas were observed in the upper lobes of both lungs. Peripheral minimal focal consolidation area was observed in the left lung upper lobe anterior segment and lower lobe superior segment (infectious process?). Post-treatment control is recommended. In both lung parenchyma, bronchiectatic changes and peribronchial thickenings that become prominent in the center are observed. In both lungs apical bulla formations are observed, the largest of which is 57 mm on the right. Soft tissue density, which is primarily compatible with parenchymal fibrosis, which causes structural distortion and volume loss in the left lung apex, was observed. It contains millimetric sized calcifications. If available, it is recommended to be evaluated together with the previous CT examination. Several parenchymal pulmonary nodules were observed in both lungs, the largest of which was 7.6 mm in the middle lobe in the right lung, and 5.5 mm in diameter in the subpleural neighborhood of the lower lobe laterobasal segment in the left lung. In the posterobasal segment of the lower lobe of the right lung, band-like sequelae gliotic density increases were observed. Gallbladder wall thickness increased in the upper abdominal sections included in the study area. Irregularity and thickening are observed in the wall, and its borders cannot be distinguished in the liver parenchyma. There are calculi in the gallbladder lumen. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. A few lymph nodes, the larger one measuring 1 cm in diameter, were observed in the retrocrural area. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. An increase in trabeculation was observed in the bone structures in the study area. It has been evaluated as compatible with osteopenia. Sclerotic lesions with faint borders were observed in T7, T9, L2 vertebrae. Impression: Mediastinal millimetric lymph nodes, retrocrural lymphadenopathies . Diffuse thickening of the gallbladder wall (infection? tm?), cholelithiasis.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . Emphysematous changes and bullae formations in both lungs . Parenchymal fibrosis area in the left lung apical; if any, it is recommended to be evaluated together with previous tests.  Pulmonary parenchymal nodules in both lungs.  Peripheral focal areas of consolidation (infectious process?) in the upper lobe of the left lung and in the superior segment of the lower lobe; clinical and laboratory correlation is recommended.  Sclerotic lesions with faint borders in bone structures . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_194/valid_194_a/valid_194_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_447",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. Wall calcifications consistent with tracheobronchopathia osteochondroplastica are observed in the lumen of the trachea and both main bronchi. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 39 mm in diameter and shows slight dilatation. No dilatation was detected in the pulmonary arteries. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type hiatal hernia was observed at the lower end. In mediastinal upper-lower paratracheal, prevascular, and subcarinal localization, lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed. When examined in the lung parenchyma window; Emphysematous areas were observed in the upper lobes of both lungs. Peripheral minimal consolidation areas are observed in the left lung upper lobe anterior, lower lobe superior segment, and right lung upper lobe posterior segment. Although those in the left lobe were observed in the previous examination, the ones in the right lobe have recently emerged in the current examination. In the left lung lingular segment, wide thin-walled cavitary lesions anterior to the mediastinal vascular structures and a focal consolidation area are observed in its vicinity. In addition, cavitary lesions are observed in the posterobasal and laterobasal segments of the left lung lower lobe. The cavitary lesions observed in the lingular segment and the lower lobe superior segment have only recently emerged in the current examination. Although the findings were initially evaluated in favor of specific infections, metastasis cannot be excluded in a patient with gallbladder carcinoma, and further investigation is recommended. In both lung parenchyma, bronchiectatic changes and peribronchial thickenings that become prominent in the center are observed. In both lungs apical bulla formations are observed, the largest of which is 57 mm on the right. Soft tissue density, which is primarily compatible with parenchymal fibrosis, which causes structural distortion and volume loss in the left lung apex, was observed. It contains millimetric sized calcifications. Parenchymal pulmonary nodules were observed in both lungs, with a diameter of 7.6 mm in the right lung, the largest in the middle lobe, and 5.5 mm in diameter in the left lung, in the lower lobe laterobasal segment, adjacent to the subpleural area. In the posterobasal segment of the lower lobe of the right lung, band-like sequela fibrotic density increases were observed. Minimal effusion is observed in both pleural spaces. Passive atelectatic changes are observed in the lung areas adjacent to the effusion in the basal segments of the lower lobes of both lungs. In the upper abdominal sections in the study area; gallbladder wall thickness increased. Irregularity and thickening are observed in the wall, and its borders cannot be distinguished from the liver parenchyma. It is compatible with gallbladder carcinoma stated in the clinical preliminary diagnosis. There are calculi in the gallbladder lumen. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Nodular soft tissue density reaching 11 mm in diameter was observed under the skin in the anterior chest wall on the right, adjacent to the right 6th rib, and it was also present in previous examinations. It shows minimal size increase in current examination. However, it shows less than 20% growth. It was evaluated in favor of metastasis in the first plan. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. An increase in trabeculation was observed in the bone structures in the study area. It has been evaluated as compatible with osteopenia. Sclerotic lesions with faint borders were observed in T8, T9, T10, L2 vertebrae. Impression: Stable mediastinal and retrocrural lymphadenopathies. Gallbladder carcinoma and cholelithiasis.  Emphysematous changes with bullae formation in the apical segments of both lungs.  Left lung lingular, lower lobe superior and lower lobe laterobasal segment, cavitary lesions, consolidation adjacent to the lingular segment, although the findings were initially evaluated in favor of specific infection, metastasis cannot be ruled out. Further examination is recommended.  Left lung upper lobe anterior and right lung lower lobe superior Areas of focal consolidation in the segment were newly revealed in the current examination of the right lung. In the first place, it was evaluated in favor of infective processes. Correlation with clinical is recommended. Stable sclerotic lesions with faint borders in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_194/valid_194_b/valid_194_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_448",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. Wall calcifications consistent with tracheobronchopathia osteochondroplastica are observed in the lumen of the trachea and both main bronchi. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 39 mm in diameter and shows slight dilatation. No dilatation was detected in the pulmonary arteries. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type hiatal hernia was observed at the lower end. In mediastinal upper-lower paratracheal, prevascular, and subcarinal localization, lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed. When examined in the lung parenchyma window; Emphysematous areas were observed in the upper lobes of both lungs. Peripheral minimal consolidation areas are observed in the left lung upper lobe anterior, lower lobe superior segment, and right lung upper lobe posterior segment. Although those in the left lobe were observed in the previous examination, the ones in the right lobe have recently emerged in the current examination. In the left lung lingular segment, wide thin-walled cavitary lesions anterior to the mediastinal vascular structures and a focal consolidation area are observed in its vicinity. In addition, cavitary lesions are observed in the posterobasal and laterobasal segments of the left lung lower lobe. The cavitary lesions observed in the lingular segment and the lower lobe superior segment have only recently emerged in the current examination. Although the findings were initially evaluated in favor of specific infections, metastasis cannot be excluded in a patient with gallbladder carcinoma, and further investigation is recommended. In both lung parenchyma, bronchiectatic changes and peribronchial thickenings that become prominent in the center are observed. In both lungs apical bulla formations are observed, the largest of which is 57 mm on the right. Soft tissue density, which is primarily compatible with parenchymal fibrosis, which causes structural distortion and volume loss in the left lung apex, was observed. It contains millimetric sized calcifications. Parenchymal pulmonary nodules were observed in both lungs, with a diameter of 7.6 mm in the right lung, the largest in the middle lobe, and 5.5 mm in diameter in the left lung, in the lower lobe laterobasal segment, adjacent to the subpleural area. In the posterobasal segment of the lower lobe of the right lung, band-like sequela fibrotic density increases were observed. Minimal effusion is observed in both pleural spaces. Passive atelectatic changes are observed in the lung areas adjacent to the effusion in the basal segments of the lower lobes of both lungs. In the upper abdominal sections in the study area; gallbladder wall thickness increased. Irregularity and thickening are observed in the wall, and its borders cannot be distinguished from the liver parenchyma. It is compatible with gallbladder carcinoma stated in the clinical preliminary diagnosis. There are calculi in the gallbladder lumen. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Nodular soft tissue density reaching 11 mm in diameter was observed under the skin in the anterior chest wall on the right, adjacent to the right 6th rib, and it was also present in previous examinations. It shows minimal size increase in current examination. However, it shows less than 20% growth. It was evaluated in favor of metastasis in the first plan. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. An increase in trabeculation was observed in the bone structures in the study area. It has been evaluated as compatible with osteopenia. Sclerotic lesions with faint borders were observed in T8, T9, T10, L2 vertebrae. Impression: Stable mediastinal and retrocrural lymphadenopathies. Gallbladder carcinoma and cholelithiasis.  Emphysematous changes with bullae formation in the apical segments of both lungs.  Left lung lingular, lower lobe superior and lower lobe laterobasal segment, cavitary lesions, consolidation adjacent to the lingular segment, although the findings were initially evaluated in favor of specific infection, metastasis cannot be ruled out. Further examination is recommended.  Left lung upper lobe anterior and right lung lower lobe superior Areas of focal consolidation in the segment were newly revealed in the current examination of the right lung. In the first place, it was evaluated in favor of infective processes. Correlation with clinical is recommended. Stable sclerotic lesions with faint borders in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_194/valid_194_b/valid_194_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A band atelectatic change was observed in the middle lobe of the right lung. Linear fibroatelectasis sequelae change was observed in the left lung inferior lingular segment. Accessory fissure was observed in the lingular segment of the left lung. Central tubular bronchiectasis was observed in both lungs. A millimetric nonspecific parenchymal nodule was observed in the middle lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed in the non-contrast sections, the liver parenchyma density decreased in line with the adiposity. Gallbladder, both kidneys, both adrenal glands, pancreas are normal. Accessory spleen with a diameter of 12.6 mm was observed in the inferior of the splenic hilum. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Band atelectatic change in middle lobe of right lung. Left upper lobe lingular segment accessory fissure.  Linear fibroatelectasis sequelae change in the left lung lingular segment. Tubular bronchiectasis prominent in the center of both lungs. Millimetric nonspecific nodule in the middle lobe of the right lung. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_195/valid_195_a/valid_195_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_450",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A band atelectatic change was observed in the middle lobe of the right lung. Linear fibroatelectasis sequelae change was observed in the left lung inferior lingular segment. Accessory fissure was observed in the lingular segment of the left lung. Central tubular bronchiectasis was observed in both lungs. A millimetric nonspecific parenchymal nodule was observed in the middle lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed in the non-contrast sections, the liver parenchyma density decreased in line with the adiposity. Gallbladder, both kidneys, both adrenal glands, pancreas are normal. Accessory spleen with a diameter of 12.6 mm was observed in the inferior of the splenic hilum. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Band atelectatic change in middle lobe of right lung. Left upper lobe lingular segment accessory fissure.  Linear fibroatelectasis sequelae change in the left lung lingular segment. Tubular bronchiectasis prominent in the center of both lungs. Millimetric nonspecific nodule in the middle lobe of the right lung. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_195/valid_195_a/valid_195_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_451",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A solitary pulmonary nodule, 14x11 mm in size, partially smooth-contoured, with coarse calcifications around it, and slightly spiculated extensions to the surrounding parenchyma and pleura, was observed in the superior segment of the right lung lower lobe, causing shrinkage and distortion in the major fissure. Follow-up is recommended. Central tubular bronchiectasis was observed in both lungs. Apart from this, no nodular or infiltrative lesions were detected in both lungs. In the upper abdominal organs included in the sections, liver, gall bladder, spleen, pancreas, bilateral adrenal glands were normal and no space-occupying lesion was detected in the non-contrast examination borders. It was not observed in the left kidney lodge. No stone was observed in the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No lytic-destructive lesion in favor of metastasis was observed in the vertebrae. Impression: Partially well-circumscribed solitary pulmonary nodule in which coarse calcifications are observed, showing spicule extensions to the parenchyma and pleura in the superior, causing distortion and retraction in the major fissure in the right lung lower lobe superior segment, it is recommended to follow up.  Central tubular bronchiectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_196/valid_196_a/valid_196_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A solitary pulmonary nodule, 14x11 mm in size, partially smooth-contoured, with coarse calcifications around it, and slightly spiculated extensions to the surrounding parenchyma and pleura, was observed in the superior segment of the right lung lower lobe, causing shrinkage and distortion in the major fissure. Follow-up is recommended. Central tubular bronchiectasis was observed in both lungs. Apart from this, no nodular or infiltrative lesions were detected in both lungs. In the upper abdominal organs included in the sections, liver, gall bladder, spleen, pancreas, bilateral adrenal glands were normal and no space-occupying lesion was detected in the non-contrast examination borders. It was not observed in the left kidney lodge. No stone was observed in the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No lytic-destructive lesion in favor of metastasis was observed in the vertebrae. Impression: Partially well-circumscribed solitary pulmonary nodule in which coarse calcifications are observed, showing spicule extensions to the parenchyma and pleura in the superior, causing distortion and retraction in the major fissure in the right lung lower lobe superior segment, it is recommended to follow up.  Central tubular bronchiectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_196/valid_196_a/valid_196_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_453",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: As far as the mediastinum can be observed in the non-contrast examination; Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial-pleural effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the coronary arteries and aortic arch. Prevascular, right upper, bilateral lower, subcarinal, aortopulmonary lymph nodes, the largest of which is 15x10 mm, some of which reach pathological dimensions. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding hiatal hernia was observed in the distal esophagus. When examined in the lung parenchyma window; In the basal segment of the lower lobe of the left lung, a consolidation area of approximately 46x63x101 mm in which air bronchograms are observed is observed. In addition, a focal consolidation area was observed in the middle lobe of the right lung. Ground glass densities and interlobular septal thickenings were observed in the consolidation periphery of both lobes. The findings were evaluated in favor of pneumonic infiltration. Correlation with clinical and laboratory is recommended. Millimetric acinonodular infiltrates were observed in the anterior segment of the right lung upper lobe. Paraseptal emphysema areas were observed in the upper lobes of both lungs. Fibroatelectatic sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Liver, spleen, pancreas and both adrenal glands are normal as far as can be seen on non-contrast images. No stones were observed in both kidneys within the sections. Vertebral corpus heights within the sections were preserved. Impression: Numerous lymph nodes in the mediastinum, some of which reach pathological dimensions. Condolidation areas in the left lung lower lobe basal segment and right lung middle lobe basal part, ground glass densities and interlobular septal thickenings in their peripheries, findings were evaluated in favor of pneumonic infiltration, correlation with clinical and laboratory is recommended.  Sequelae changes in both lungs and areas of paraseptal emphysema in the upper lobe of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_197/valid_197_a/valid_197_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_454",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: As far as the mediastinum can be observed in the non-contrast examination; Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial-pleural effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the coronary arteries and aortic arch. Prevascular, right upper, bilateral lower, subcarinal, aortopulmonary lymph nodes, the largest of which is 15x10 mm, some of which reach pathological dimensions. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding hiatal hernia was observed in the distal esophagus. When examined in the lung parenchyma window; In the basal segment of the lower lobe of the left lung, a consolidation area of approximately 46x63x101 mm in which air bronchograms are observed is observed. In addition, a focal consolidation area was observed in the middle lobe of the right lung. Ground glass densities and interlobular septal thickenings were observed in the consolidation periphery of both lobes. The findings were evaluated in favor of pneumonic infiltration. Correlation with clinical and laboratory is recommended. Millimetric acinonodular infiltrates were observed in the anterior segment of the right lung upper lobe. Paraseptal emphysema areas were observed in the upper lobes of both lungs. Fibroatelectatic sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Liver, spleen, pancreas and both adrenal glands are normal as far as can be seen on non-contrast images. No stones were observed in both kidneys within the sections. Vertebral corpus heights within the sections were preserved. Impression: Numerous lymph nodes in the mediastinum, some of which reach pathological dimensions. Condolidation areas in the left lung lower lobe basal segment and right lung middle lobe basal part, ground glass densities and interlobular septal thickenings in their peripheries, findings were evaluated in favor of pneumonic infiltration, correlation with clinical and laboratory is recommended.  Sequelae changes in both lungs and areas of paraseptal emphysema in the upper lobe of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_197/valid_197_a/valid_197_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_455",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Density increases consistent with thymic remnant are observed in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal emphysematous changes and tubular bronchiectasis are observed in both lungs. There are linear atelectasis areas in the left lung upper lobe lingular segment and right lung middle lobe medial segment. There are several millimeter diameter nonspecific nodules in the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. In the thoracic region, left-facing scoliosis is observed. Vacuum phenomenon consistent with degeneration is observed at the level of both sternoclavicular joints. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Minimal emphysematous changes and tubular bronchiectasis in both lungs.  Linear areas of atelectasis in both lungs.  Several millimetric nonspecific nodules in the left lung.  Left-facing scoliosis in the thoracic region."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_198/valid_198_a/valid_198_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_456",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Density increases consistent with thymic remnant are observed in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal emphysematous changes and tubular bronchiectasis are observed in both lungs. There are linear atelectasis areas in the left lung upper lobe lingular segment and right lung middle lobe medial segment. There are several millimeter diameter nonspecific nodules in the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. In the thoracic region, left-facing scoliosis is observed. Vacuum phenomenon consistent with degeneration is observed at the level of both sternoclavicular joints. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Minimal emphysematous changes and tubular bronchiectasis in both lungs.  Linear areas of atelectasis in both lungs.  Several millimetric nonspecific nodules in the left lung.  Left-facing scoliosis in the thoracic region."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_198/valid_198_a/valid_198_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary, narrow mediastinal lymph nodes not exceeding 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum. There is a right peribronchial calcified lymph node. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the bilateral right lung upper lobe anterior segment, more prominently in the right lung, consolidation areas in crazy paving appearance accompanied by numerous interlobular septa and ground glass are observed. It extends into the subpleural space. In addition, consolidation area with several large bronchi and accompanying subsegmental atelectasis are observed in the middle lobe of the right lung. In the sections passing through the upper part of the abdomen, calculus is observed in the gallbladder. There is no lytic-destructive lesion in bone structures. Impression: Consolidation areas with crazy paving appearance accompanied by a large number of interlobular septa and ground glass in the bilateral right lung upper lobe anterior segment, especially in the right lung, were primarily evaluated as compatible with viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_199/valid_199_a/valid_199_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_458",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary, narrow mediastinal lymph nodes not exceeding 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum. There is a right peribronchial calcified lymph node. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the bilateral right lung upper lobe anterior segment, more prominently in the right lung, consolidation areas in crazy paving appearance accompanied by numerous interlobular septa and ground glass are observed. It extends into the subpleural space. In addition, consolidation area with several large bronchi and accompanying subsegmental atelectasis are observed in the middle lobe of the right lung. In the sections passing through the upper part of the abdomen, calculus is observed in the gallbladder. There is no lytic-destructive lesion in bone structures. Impression: Consolidation areas with crazy paving appearance accompanied by a large number of interlobular septa and ground glass in the bilateral right lung upper lobe anterior segment, especially in the right lung, were primarily evaluated as compatible with viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_199/valid_199_a/valid_199_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are ground glass densities detected in the halo signs in which the expansion of the vascular structures is also observed in the small, mostly subpleural localized in a diffuse patchy manner. It was evaluated in favor of Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_200/valid_200_a/valid_200_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are ground glass densities detected in the halo signs in which the expansion of the vascular structures is also observed in the small, mostly subpleural localized in a diffuse patchy manner. It was evaluated in favor of Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_200/valid_200_a/valid_200_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus was monitored at normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. It was thought that the nodular density increases in the subdiaphragmatic area of the right lung middle lobe, located in the subpleural area, may primarily belong to the atelectatic parenchyma. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There is a pure calcified millimetric nodule in the mediobasal segment of the lower lobe of the right lung. In the upper abdomen sections, there is a hypodense lesion located in the left kidney with a diameter of 10 mm and cannot be characterized by this examination. No lytic-destructive lesions were detected in bone structures. Impression: Pneumonic infiltration is not observed in the lung parenchyma. The density increase in the subdiaphragmatic area of the right lung middle lobe, located subpleural, may belong to the atelectatic parenchyma.  Hypodense lesion in the left kidney that cannot be characterized in this examination due to its dimensions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_201/valid_201_a/valid_201_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus was monitored at normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. It was thought that the nodular density increases in the subdiaphragmatic area of the right lung middle lobe, located in the subpleural area, may primarily belong to the atelectatic parenchyma. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There is a pure calcified millimetric nodule in the mediobasal segment of the lower lobe of the right lung. In the upper abdomen sections, there is a hypodense lesion located in the left kidney with a diameter of 10 mm and cannot be characterized by this examination. No lytic-destructive lesions were detected in bone structures. Impression: Pneumonic infiltration is not observed in the lung parenchyma. The density increase in the subdiaphragmatic area of the right lung middle lobe, located subpleural, may belong to the atelectatic parenchyma.  Hypodense lesion in the left kidney that cannot be characterized in this examination due to its dimensions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_201/valid_201_a/valid_201_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_463",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. Lymph nodes are observed in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was approximately 10 mm. No pathological wall thickness increase was observed in the esophagus within the sections. Bilateral pleural effusion is observed, more prominently on the right. Pleural effusion is locally loculated on the right. No pleural thickening was detected. There is no obstructive pathology in the trachea and both main bronchi. Consolidations and volume loss are observed in the medial sections of both lungs. The described appearances are more prominent especially in the lower lobe. Atelectasis is observed in the lung adjacent to the pleural effusion. The lower lobe of the right lung is almost completely atelectatic. The described appearances were prioritized in favor of sequelae changes. Ground glass appearance and consolidation were observed in the left lung lower lobe superior segment. In this appearance, the sequela may belong to a change or pneumonic infiltration. It is recommended to evaluate the patient together with laboratory findings. There are surgical suture materials adjacent to the medial part of the lower lobe of the right lung and the superior segment of the lower lobe of the left lung. Uniform interlobular septal thickenings and occasional interstitial thickenings and ground-glass appearance are observed in both lungs. It is understood that the described views are just emerging. The appearances described in the presence of primary disease were thought to primarily belong to lymphangitis carcinomatosa. There are nodules with irregular borders in both lungs and were evaluated in favor of metastases. The largest metastatic lesions described are observed in the apical-posterior segment of the upper lobe of the right lung and the apicoposterior segment of the upper lobe of the left lung, and their longest diameters were measured as 20 mm each. A mass in both lungs was not detected in this examination. No upper abdominal collection was detected in the sections. There are nodular density increases in the omentum. These appearances can also be observed in the PET-CT examination of the patient. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Colonic ca, pericardial and pleural effusion in follow-up, interlobular septal and interstitial thickenings in both lungs (lymphangitis carcinomatosa?), metastatic nodules in both lungs . Consolidations and volume loss in the medial parts of both lungs (sequelae change?) . Superior lower lobe of the left lung consolidation and ground glass appearance in the segment (pneumonic infiltration?) . Thickening and density increases in the omentum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_202/valid_202_a/valid_202_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_464",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. Lymph nodes are observed in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was approximately 10 mm. No pathological wall thickness increase was observed in the esophagus within the sections. Bilateral pleural effusion is observed, more prominently on the right. Pleural effusion is locally loculated on the right. No pleural thickening was detected. There is no obstructive pathology in the trachea and both main bronchi. Consolidations and volume loss are observed in the medial sections of both lungs. The described appearances are more prominent especially in the lower lobe. Atelectasis is observed in the lung adjacent to the pleural effusion. The lower lobe of the right lung is almost completely atelectatic. The described appearances were prioritized in favor of sequelae changes. Ground glass appearance and consolidation were observed in the left lung lower lobe superior segment. In this appearance, the sequela may belong to a change or pneumonic infiltration. It is recommended to evaluate the patient together with laboratory findings. There are surgical suture materials adjacent to the medial part of the lower lobe of the right lung and the superior segment of the lower lobe of the left lung. Uniform interlobular septal thickenings and occasional interstitial thickenings and ground-glass appearance are observed in both lungs. It is understood that the described views are just emerging. The appearances described in the presence of primary disease were thought to primarily belong to lymphangitis carcinomatosa. There are nodules with irregular borders in both lungs and were evaluated in favor of metastases. The largest metastatic lesions described are observed in the apical-posterior segment of the upper lobe of the right lung and the apicoposterior segment of the upper lobe of the left lung, and their longest diameters were measured as 20 mm each. A mass in both lungs was not detected in this examination. No upper abdominal collection was detected in the sections. There are nodular density increases in the omentum. These appearances can also be observed in the PET-CT examination of the patient. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Colonic ca, pericardial and pleural effusion in follow-up, interlobular septal and interstitial thickenings in both lungs (lymphangitis carcinomatosa?), metastatic nodules in both lungs . Consolidations and volume loss in the medial parts of both lungs (sequelae change?) . Superior lower lobe of the left lung consolidation and ground glass appearance in the segment (pneumonic infiltration?) . Thickening and density increases in the omentum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_202/valid_202_a/valid_202_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_465",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: KT port is observed in the right anterior hemithorax. Trachea and main bronchi are open. The cardiothoracic index is natural. There is a precardial effusion with bilateral smearing, which was also observed in the previous examination. A stable pleural effusion is observed in the left hemithorax in the previous examination, which measured approximately 4 cm at its thickest point on the left. Slight regression is observed in the pleural effusion observed in the previous PET-CT in the right hemithorax. It is approximately 5.5 mm on the right at its thickest point in the previous examination, and 4 cm in the current examination. Atelectasis is observed in the lower lobes of both lungs. Also available in previous reviews. In addition, a large number of lesions thought to be compatible with metastasis with irregular contours are observed in both lung parenchyma, and there is no significant difference in size with the previous examination. In addition, significant thickenings of the interlobular septa are observed in both lung parenchyma, which were also present in previous examinations. Apart from these, crazy paving pattern is observed in the right lung upper lobe posterior segment and middle lobe, which is more pronounced than previous examinations. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands partially entered the examination area. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion is observed in bone structures. Impression: Stable mediastinal lymphadenopathies. Stable pericardial and right pleural effusion, left pleural effusion, slightly reduced in thickness from previous examination. Irregularly bordered stable metastatic nodules and stable interlobular septal thickenings, lymphangitis carcinomatosus in both lungs?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_202/valid_202_b/valid_202_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_466",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: KT port is observed in the right anterior hemithorax. Trachea and main bronchi are open. The cardiothoracic index is natural. There is a precardial effusion with bilateral smearing, which was also observed in the previous examination. A stable pleural effusion is observed in the left hemithorax in the previous examination, which measured approximately 4 cm at its thickest point on the left. Slight regression is observed in the pleural effusion observed in the previous PET-CT in the right hemithorax. It is approximately 5.5 mm on the right at its thickest point in the previous examination, and 4 cm in the current examination. Atelectasis is observed in the lower lobes of both lungs. Also available in previous reviews. In addition, a large number of lesions thought to be compatible with metastasis with irregular contours are observed in both lung parenchyma, and there is no significant difference in size with the previous examination. In addition, significant thickenings of the interlobular septa are observed in both lung parenchyma, which were also present in previous examinations. Apart from these, crazy paving pattern is observed in the right lung upper lobe posterior segment and middle lobe, which is more pronounced than previous examinations. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands partially entered the examination area. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion is observed in bone structures. Impression: Stable mediastinal lymphadenopathies. Stable pericardial and right pleural effusion, left pleural effusion, slightly reduced in thickness from previous examination. Irregularly bordered stable metastatic nodules and stable interlobular septal thickenings, lymphangitis carcinomatosus in both lungs?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_202/valid_202_b/valid_202_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_467",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs, the largest of which is in the lower lobe of the right lung and measuring approximately 3mm. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaque is observed in the left anterior descending coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. A mass measuring approximately 3.5 cm in diameter and evaluated in favor of myelolipoma is observed in the left adrenal gland. Apart from this, there is no mass with discernible borders as far as it can be observed within the borders of non-contrast CT in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Millimetric nonspecific nodules in both lungs. A mass in the left adrenal gland evaluated in favor of myelolipoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_203/valid_203_a/valid_203_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_468",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs, the largest of which is in the lower lobe of the right lung and measuring approximately 3mm. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaque is observed in the left anterior descending coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. A mass measuring approximately 3.5 cm in diameter and evaluated in favor of myelolipoma is observed in the left adrenal gland. Apart from this, there is no mass with discernible borders as far as it can be observed within the borders of non-contrast CT in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Millimetric nonspecific nodules in both lungs. A mass in the left adrenal gland evaluated in favor of myelolipoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_203/valid_203_a/valid_203_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is observed in normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Inspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_204/valid_204_a/valid_204_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is observed in normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Inspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_204/valid_204_a/valid_204_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_471",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Patchy ground glass density increases were observed in both lungs. Bilateral mild peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Patchy ground-glass density increases in both lungs, bilateral peribronchial thickenings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_205/valid_205_a/valid_205_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_472",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Patchy ground glass density increases were observed in both lungs. Bilateral mild peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Patchy ground-glass density increases in both lungs, bilateral peribronchial thickenings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_205/valid_205_a/valid_205_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications are observed in the thoracic aorta and coronary arteries. Surgical material secondary to valvuloplasty is observed at the level of the aortic valve. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No lymph nodes were observed in pathological size and appearance in bilateral supraclavicular axillary fossae. When examined in the lung parenchyma window; Peribronchial thickening was observed in subsegmental bronchi in both lungs, and their lumens were narrowed. There is a mosaic attenuation pattern in both lungs. It was thought to be secondary to small airway disease. Interlobular septal thickenings in the peripheral areas of both lungs, micro-retractions in the pleura, irregularity and accompanying ground glass densities are observed. The described findings may be compatible with cardiac stasis-fibrosis. Pleural parenchymal fibroatelectasis sequelae changes are observed in the right lung middle lobe and left lung upper lobe inferior lingular segment, and both lung lower lobe basal segments. No mass lesion-active infiltration was detected in both lungs. The left caudate lobe of the liver is prominent as far as can be seen on non-contrast sections. Liver contours are irregular (clinical and laboratory evaluation is recommended for chronic parenchymal disease). Sequelae linear calcifications are observed in the spleen capsule. Cortical cysts of approximately 68x44 mm are observed in both kidneys, the largest of which includes calcified septa in the middle part of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression:  Diffuse atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries, surgical material secondary to valvuloplasty at the aortic valve level  Findings consistent with cardiac stasis-lung fibrosis, pleural parenchymal sequelae changes in the lung parenchyma  No finding in favor of pneumonia-mass in the lung parenchyma.  Findings that may be compatible with chronic parenchymal disease in the liver are recommended to be evaluated together with clinical and laboratory  Cortical cysts with calcified septa in both kidneys on the left  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_206/valid_206_a/valid_206_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_474",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications are observed in the thoracic aorta and coronary arteries. Surgical material secondary to valvuloplasty is observed at the level of the aortic valve. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No lymph nodes were observed in pathological size and appearance in bilateral supraclavicular axillary fossae. When examined in the lung parenchyma window; Peribronchial thickening was observed in subsegmental bronchi in both lungs, and their lumens were narrowed. There is a mosaic attenuation pattern in both lungs. It was thought to be secondary to small airway disease. Interlobular septal thickenings in the peripheral areas of both lungs, micro-retractions in the pleura, irregularity and accompanying ground glass densities are observed. The described findings may be compatible with cardiac stasis-fibrosis. Pleural parenchymal fibroatelectasis sequelae changes are observed in the right lung middle lobe and left lung upper lobe inferior lingular segment, and both lung lower lobe basal segments. No mass lesion-active infiltration was detected in both lungs. The left caudate lobe of the liver is prominent as far as can be seen on non-contrast sections. Liver contours are irregular (clinical and laboratory evaluation is recommended for chronic parenchymal disease). Sequelae linear calcifications are observed in the spleen capsule. Cortical cysts of approximately 68x44 mm are observed in both kidneys, the largest of which includes calcified septa in the middle part of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression:  Diffuse atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries, surgical material secondary to valvuloplasty at the aortic valve level  Findings consistent with cardiac stasis-lung fibrosis, pleural parenchymal sequelae changes in the lung parenchyma  No finding in favor of pneumonia-mass in the lung parenchyma.  Findings that may be compatible with chronic parenchymal disease in the liver are recommended to be evaluated together with clinical and laboratory  Cortical cysts with calcified septa in both kidneys on the left  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_206/valid_206_a/valid_206_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_475",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The size of the right thyroid gland increased and calcific nodules were observed in both thyroid glands. It is recommended to be evaluated together with US. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 33 mm, larger than normal. The transverse diameter of the pulmonary conus was 34 mm, the diameter of the right pulmonary artery was 27 mm, and the diameter of the left pulmonary artery was 26 mm, which was larger than normal. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, more common centrally located nodular consolidation areas and accompanying ground glass densities were observed in the upper lobes. Centriacinar nodular infiltrates and budding tree appearance are present in both lungs, most commonly in the left lung lower lobe basal. The outlook is compatible with infective processes but nonspecific. Viral and fungal infections are considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Paraseptal emphysematous changes were observed in the apex of both lungs. Multiple millimetric nonspecific nodules, some of them calcific, were observed in both lungs. Linear subsegmental atelectatic changes were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. Sequelae thickening was observed in the posterior costal pleura in the left hemithorax. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A 2.5 cm diameter hypodense nodular lesion area was observed in the upper pole of the right kidney (cyst?). Calculus with a diameter of 6.5 mm was observed in the lower pole of the left kidney. Millimetric calcific atheroma plaques were observed in the orifices of the abdominal aorta and visceral branches. No intra-abdominal free fluid or pathological lymph nodes were detected in the sections. At the thoracic level, left-facing scoliosis was observed. Impression:  Fusiform aneurysmatic dilatation in the thoracic aorta, increased pulmonary artery diameters, cardiomegaly, atheroslerotic wall calcifications in the thoracic aorta and coronary arteries.  Areas of nodular consolidation accompanied by ground glass densities in the lung parenchyma and accompanying budding tree view; appearance is nonspecific. It may be compatible with fungal bacterial or viral pneumonias. It is recommended to be evaluated together with clinical and laboratory.  Paraseptal emphysematous changes in the apex of both lungs, linear sequela atelectasis.  Millimetric nonspecific pulmonary nodules in both lungs.  Hypodense nodular lesion (cyst?) in the upper pole of the right kidney.  Left nephrolithiasis.  Left-facing scoliosis at the thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_207/valid_207_a/valid_207_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_476",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The size of the right thyroid gland increased and calcific nodules were observed in both thyroid glands. It is recommended to be evaluated together with US. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 33 mm, larger than normal. The transverse diameter of the pulmonary conus was 34 mm, the diameter of the right pulmonary artery was 27 mm, and the diameter of the left pulmonary artery was 26 mm, which was larger than normal. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, more common centrally located nodular consolidation areas and accompanying ground glass densities were observed in the upper lobes. Centriacinar nodular infiltrates and budding tree appearance are present in both lungs, most commonly in the left lung lower lobe basal. The outlook is compatible with infective processes but nonspecific. Viral and fungal infections are considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Paraseptal emphysematous changes were observed in the apex of both lungs. Multiple millimetric nonspecific nodules, some of them calcific, were observed in both lungs. Linear subsegmental atelectatic changes were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. Sequelae thickening was observed in the posterior costal pleura in the left hemithorax. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A 2.5 cm diameter hypodense nodular lesion area was observed in the upper pole of the right kidney (cyst?). Calculus with a diameter of 6.5 mm was observed in the lower pole of the left kidney. Millimetric calcific atheroma plaques were observed in the orifices of the abdominal aorta and visceral branches. No intra-abdominal free fluid or pathological lymph nodes were detected in the sections. At the thoracic level, left-facing scoliosis was observed. Impression:  Fusiform aneurysmatic dilatation in the thoracic aorta, increased pulmonary artery diameters, cardiomegaly, atheroslerotic wall calcifications in the thoracic aorta and coronary arteries.  Areas of nodular consolidation accompanied by ground glass densities in the lung parenchyma and accompanying budding tree view; appearance is nonspecific. It may be compatible with fungal bacterial or viral pneumonias. It is recommended to be evaluated together with clinical and laboratory.  Paraseptal emphysematous changes in the apex of both lungs, linear sequela atelectasis.  Millimetric nonspecific pulmonary nodules in both lungs.  Hypodense nodular lesion (cyst?) in the upper pole of the right kidney.  Left nephrolithiasis.  Left-facing scoliosis at the thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_207/valid_207_a/valid_207_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Uncontrasted thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_208/valid_208_a/valid_208_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Uncontrasted thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_208/valid_208_a/valid_208_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Uncontrasted thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_208/valid_208_a/valid_208_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_480",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Uncontrasted thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_208/valid_208_a/valid_208_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Uncontrasted thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_208/valid_208_a/valid_208_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_482",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, multilobar-multisegmental, central-peripheral, nodular consolidation areas with crazy paving pattern, around which ground glass areas are observed, were observed. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A few millimetric nonspecific pulmonary nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with the clinic and laboratory.  Several millimetric nonspecific pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_209/valid_209_a/valid_209_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, multilobar-multisegmental, central-peripheral, nodular consolidation areas with crazy paving pattern, around which ground glass areas are observed, were observed. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A few millimetric nonspecific pulmonary nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with the clinic and laboratory.  Several millimetric nonspecific pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_209/valid_209_a/valid_209_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_484",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Pulmonary trunk calibration is 31 mm. Both pulmonary artery calibrations are normal. Calibration of other major vascular structures in the mediastinum is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. At the right hilar level, one lymph node with a short axis of 9 mm is observed. A mild hiatal hernia appearance is observed in the distal esophagus. In the evaluation of both lungs in the parenchyma window; A faint focal ground-glass-like density increase is observed in the middle lobe of the right lung. Appearance is nonspecific. There was no finding compatible with pneumonia in both lungs. Pleural effusion-pneumothorax was not observed. In the upper abdominal organs included in the sections, there is a hypodense lesion of approximately 10 mm in diameter with faint borders caudally at the transition of the liver right lobe posterior-anterior segment. A decrease in density is observed in the liver, which is compatible with mild adiposity. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Impression: A faint focal ground-glass-like density increase in the middle lobe of the right lung. Degenerative changes in bone structure.  Mild steatosis to the liver and a hypodense lesion of approximately 10 mm in diameter with faint borders caudally at the right lobe posterior-anterior segment transition."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_210/valid_210_a/valid_210_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Pulmonary trunk calibration is 31 mm. Both pulmonary artery calibrations are normal. Calibration of other major vascular structures in the mediastinum is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. At the right hilar level, one lymph node with a short axis of 9 mm is observed. A mild hiatal hernia appearance is observed in the distal esophagus. In the evaluation of both lungs in the parenchyma window; A faint focal ground-glass-like density increase is observed in the middle lobe of the right lung. Appearance is nonspecific. There was no finding compatible with pneumonia in both lungs. Pleural effusion-pneumothorax was not observed. In the upper abdominal organs included in the sections, there is a hypodense lesion of approximately 10 mm in diameter with faint borders caudally at the transition of the liver right lobe posterior-anterior segment. A decrease in density is observed in the liver, which is compatible with mild adiposity. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Impression: A faint focal ground-glass-like density increase in the middle lobe of the right lung. Degenerative changes in bone structure.  Mild steatosis to the liver and a hypodense lesion of approximately 10 mm in diameter with faint borders caudally at the right lobe posterior-anterior segment transition."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_210/valid_210_a/valid_210_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_486",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are bronchiectatic changes in the bronchi in both lungs. Centriacinar ground glass nodular densities are observed in both lungs. The appearance may be compatible with small airway disease or bronchiolitis. A 14 mm diameter hypodense nodular lesion is observed in the right lobe segment 6 of the liver (cyst?). USG correlation is recommended if clinically necessary. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bronchiectatic changes. Centriacinar ground-glass opacities in both lungs (small airway disease? Bronchiolitis?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_210/valid_210_b/valid_210_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_211/valid_211_a/valid_211_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_211/valid_211_a/valid_211_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_489",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 38 mm, and the anterior-posterior diameter of the descending aorta was 28 mm. The thoracic aorta is slightly dilated. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries and thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequelae density increases were observed in both lung apexes. Ground-glass-like centriacinar nodular infiltration was observed in the subpleural areas in the posterior segment of the right lung upper lobe and posterior part of the apical segment. It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia. There are traction bronchiectasis accompanying atelectasis in the medial segment of the right lung middle lobe. A similar appearance was also observed in the inferior lingular segment of the left lung. Millimetric nonspecific parenchymal nodules were observed in both lungs. A nonspecific hypodense lesion with a diameter of 6 mm was observed in segment 4 at the level of the liver dome (cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Ectasia in the thoracic aorta, atherosclerotic wall calcifications in the coronary arteries and thoracic aorta.  Ground-glass centriacinar nodules in the apical and posterior segments of the upper lobe of the right lung; It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia.  Atelectatic changes accompanied by traction bronchiectasis in both lungs, nonspecific parenchymal nodules.  Nonspecific hypodense lesion (cyst?) at the level of the liver dome (segment 4)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_212/valid_212_a/valid_212_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_490",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 38 mm, and the anterior-posterior diameter of the descending aorta was 28 mm. The thoracic aorta is slightly dilated. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries and thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequelae density increases were observed in both lung apexes. Ground-glass-like centriacinar nodular infiltration was observed in the subpleural areas in the posterior segment of the right lung upper lobe and posterior part of the apical segment. It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia. There are traction bronchiectasis accompanying atelectasis in the medial segment of the right lung middle lobe. A similar appearance was also observed in the inferior lingular segment of the left lung. Millimetric nonspecific parenchymal nodules were observed in both lungs. A nonspecific hypodense lesion with a diameter of 6 mm was observed in segment 4 at the level of the liver dome (cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Ectasia in the thoracic aorta, atherosclerotic wall calcifications in the coronary arteries and thoracic aorta.  Ground-glass centriacinar nodules in the apical and posterior segments of the upper lobe of the right lung; It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia.  Atelectatic changes accompanied by traction bronchiectasis in both lungs, nonspecific parenchymal nodules.  Nonspecific hypodense lesion (cyst?) at the level of the liver dome (segment 4)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_212/valid_212_a/valid_212_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calibration of other major vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a mediastinal short axis smaller than 1 cm and stable according to the previous examination were observed. No lymph node was detected in pathological size and appearance. When examined in the lung parenchyma window; There are mild bronchiectatic changes in both lungs that become prominent in the center. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. No significant change is detected in the current examination. In the left lung inferior lingular segment, band-like sequela fibrotic density increases are observed. Bilateral pleural thickening-effusion was not detected. Subsegmental atelectasis was observed in the posterobasal segment of the left lung lower lobe. No lytic-destructive lesion was detected in bone structures. Impression:  Atherosclerotic changes.  Changes in the right lung upper lobe posterior, sequelae of bronchiolitis.  Mild bronchiectatic changes, sequelae changes in both lungs.  Stable nonspecific parenchymal nodules in both lungs, some of which are calcified.  Stable millimetrically sized nonspecific hypodense lesion in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_212/valid_212_b/valid_212_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_492",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calibration of other major vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a mediastinal short axis smaller than 1 cm and stable according to the previous examination were observed. No lymph node was detected in pathological size and appearance. When examined in the lung parenchyma window; There are mild bronchiectatic changes in both lungs that become prominent in the center. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. No significant change is detected in the current examination. In the left lung inferior lingular segment, band-like sequela fibrotic density increases are observed. Bilateral pleural thickening-effusion was not detected. Subsegmental atelectasis was observed in the posterobasal segment of the left lung lower lobe. No lytic-destructive lesion was detected in bone structures. Impression:  Atherosclerotic changes.  Changes in the right lung upper lobe posterior, sequelae of bronchiolitis.  Mild bronchiectatic changes, sequelae changes in both lungs.  Stable nonspecific parenchymal nodules in both lungs, some of which are calcified.  Stable millimetrically sized nonspecific hypodense lesion in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_212/valid_212_b/valid_212_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is 37 mm, slightly ectatic. Calcific atheroma plaques are observed in the coronary arteries. Calibration of other mediastinal major vascular structures is normal. Heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are milimetric lymph nodes in the mediastinum that do not reach pathological size and appearance. When examined in the lung parenchyma window; There is an emphysematous appearance in both lungs, more prominent in the upper lobes. Band-like atelectatic changes, thickening of the bronchial wall and sequelae changes are observed in the middle lobe of the right lung and the lingula of the left lung. There are fine reticular densities in the form of sequelae in the posterobasal region of the lower lobe of the right lung. There are nodules up to 4 mm in size in the bilateral lung. In the upper abdominal organs, including sections; gallbladder is operated. Cysts with a size of 49x33 mm were observed in the left lobe of the liver parenchyma. Bone structures in the study area are natural. Osteophytes were observed in the vertebrae. Impression:  Ectasia of the ascending aorta, coronary atherosclerosis.  Emphysema in both lungs, millimetric non-specific nodules.  Sequelae changes in the middle lobe of the right lung and the lingula of the left lung.  Simple cysts and cholecystectomy in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_213/valid_213_a/valid_213_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_494",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is 37 mm, slightly ectatic. Calcific atheroma plaques are observed in the coronary arteries. Calibration of other mediastinal major vascular structures is normal. Heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are milimetric lymph nodes in the mediastinum that do not reach pathological size and appearance. When examined in the lung parenchyma window; There is an emphysematous appearance in both lungs, more prominent in the upper lobes. Band-like atelectatic changes, thickening of the bronchial wall and sequelae changes are observed in the middle lobe of the right lung and the lingula of the left lung. There are fine reticular densities in the form of sequelae in the posterobasal region of the lower lobe of the right lung. There are nodules up to 4 mm in size in the bilateral lung. In the upper abdominal organs, including sections; gallbladder is operated. Cysts with a size of 49x33 mm were observed in the left lobe of the liver parenchyma. Bone structures in the study area are natural. Osteophytes were observed in the vertebrae. Impression:  Ectasia of the ascending aorta, coronary atherosclerosis.  Emphysema in both lungs, millimetric non-specific nodules.  Sequelae changes in the middle lobe of the right lung and the lingula of the left lung.  Simple cysts and cholecystectomy in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_213/valid_213_a/valid_213_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aortic arch. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric atheroma plaques in the aortic arch"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_214/valid_214_a/valid_214_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_496",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aortic arch. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric atheroma plaques in the aortic arch"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_214/valid_214_a/valid_214_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_497",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a large hiatal hernia. There is a port catheter extending into the superior vena cava. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Lymph nodes with a short axis measuring up to 7 mm are observed in the mediastinum. When examined in the lung parenchyma window; In the left lung upper lobe, apicoposterior, lateral, subpleural located crazy paving pattern, left lung lower lobe posterobasal level, patchy style, right lung upper lobe posterior, lower lobe superior, together with bronchiectatic changes, patchy ground glass densities are observed. Mild emphysematous changes are observed in the apical levels of the upper lobes of both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There is diffuse density reduction in bone structures. Degenerative changes are observed in the end plates. Impression:  Findings described in the lung parenchyma were initially evaluated in favor of infectious processes, and further examination is recommended due to clinical laboratory correlation, close follow-up, and known primary of the patient.  Large hiatal hernia.  Lymph nodes with a short axis measuring up to 7 mm in the mediastinum.  Mild emphysematous changes in the apical levels of the upper lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_215/valid_215_a/valid_215_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_498",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a large hiatal hernia. There is a port catheter extending into the superior vena cava. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Lymph nodes with a short axis measuring up to 7 mm are observed in the mediastinum. When examined in the lung parenchyma window; In the left lung upper lobe, apicoposterior, lateral, subpleural located crazy paving pattern, left lung lower lobe posterobasal level, patchy style, right lung upper lobe posterior, lower lobe superior, together with bronchiectatic changes, patchy ground glass densities are observed. Mild emphysematous changes are observed in the apical levels of the upper lobes of both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There is diffuse density reduction in bone structures. Degenerative changes are observed in the end plates. Impression:  Findings described in the lung parenchyma were initially evaluated in favor of infectious processes, and further examination is recommended due to clinical laboratory correlation, close follow-up, and known primary of the patient.  Large hiatal hernia.  Lymph nodes with a short axis measuring up to 7 mm in the mediastinum.  Mild emphysematous changes in the apical levels of the upper lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_215/valid_215_a/valid_215_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_499",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa and in the axilla within the section. There are nonspecific lymph nodes with short diameters less than 1 cm located in the right upper paratracheal, bilateral lower paratracheal, paraaortic, and subcarinal mediastinum. Long segment calcific atherosclerotic plaques are observed in LAD. There is a paraesophageal hiatal hernia. The gastric fundus and corpus are herniated from the esophageal hiatus to the paraesophageal space. The stomach appears collapsed. In his current examination, there is a cavitary lesion in which air-fluid leveling is observed, which is thought to be between the pleural leaves in the newly developed left hemithorax. This cavitary lesion caused multisegmental atelectasis in the left upper lobe posterior segment and lower lobe. Lower lobe aeration was markedly decreased. The relation of the cavitary lesion in the left hemithorax with fluid in it and the bronchial system cannot be distinguished. The AP diameter was 14 cm, and the superoinferior diameter was 14 cm. In the upper lobe of the left lung, acinar nodules are observed predominantly in the form of a budding tree view. There are milimetric nodules with irregular borders in the superior segment and apical segment of the lower lobe. Nodules with a similar appearance are also observed in the right lung. Nodular consolidations are observed in the posterobasal segment of the right lung lower lobe and in the lateral segment of the middle lobe. Widespread centriacinar ground glass densities are observed in the middle and lower lobe basal segments of the right lung. Findings are not available in the old imaging. The budding tree pattern and ground glass nodules in the lung were primarily evaluated in favor of bronchopneumonic infiltration. Imaging will be appropriate to confirm the regression after treatment in the primary case where nodular consolidations in the right lung and milimetric nodules with irregular borders in both lungs may have developed on the basis of infection. No features were detected in the upper abdomen sections. No space-occupying lesions were detected in bone structures that can be distinguished by lytic-destructive CT. Impression:  Paraesophageal hiatal hernia.  A cavitary lesion with leveling in the left hemithorax  Findings evaluated in favor of bronchopneumonic infiltration in both lungs, newly developed millimetric nodules and nodular consolidations were evaluated primarily in favor of the infectious process on the basis of bronchopneumonia. However, since the patient has a primary malignancy, it would be appropriate to confirm the regression with imaging at the end of antibiotic therapy.  Mediastinal millimetric nonspecific lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_215/valid_215_b/valid_215_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_500",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa and in the axilla within the section. There are nonspecific lymph nodes with short diameters less than 1 cm located in the right upper paratracheal, bilateral lower paratracheal, paraaortic, and subcarinal mediastinum. Long segment calcific atherosclerotic plaques are observed in LAD. There is a paraesophageal hiatal hernia. The gastric fundus and corpus are herniated from the esophageal hiatus to the paraesophageal space. The stomach appears collapsed. In his current examination, there is a cavitary lesion in which air-fluid leveling is observed, which is thought to be between the pleural leaves in the newly developed left hemithorax. This cavitary lesion caused multisegmental atelectasis in the left upper lobe posterior segment and lower lobe. Lower lobe aeration was markedly decreased. The relation of the cavitary lesion in the left hemithorax with fluid in it and the bronchial system cannot be distinguished. The AP diameter was 14 cm, and the superoinferior diameter was 14 cm. In the upper lobe of the left lung, acinar nodules are observed predominantly in the form of a budding tree view. There are milimetric nodules with irregular borders in the superior segment and apical segment of the lower lobe. Nodules with a similar appearance are also observed in the right lung. Nodular consolidations are observed in the posterobasal segment of the right lung lower lobe and in the lateral segment of the middle lobe. Widespread centriacinar ground glass densities are observed in the middle and lower lobe basal segments of the right lung. Findings are not available in the old imaging. The budding tree pattern and ground glass nodules in the lung were primarily evaluated in favor of bronchopneumonic infiltration. Imaging will be appropriate to confirm the regression after treatment in the primary case where nodular consolidations in the right lung and milimetric nodules with irregular borders in both lungs may have developed on the basis of infection. No features were detected in the upper abdomen sections. No space-occupying lesions were detected in bone structures that can be distinguished by lytic-destructive CT. Impression:  Paraesophageal hiatal hernia.  A cavitary lesion with leveling in the left hemithorax  Findings evaluated in favor of bronchopneumonic infiltration in both lungs, newly developed millimetric nodules and nodular consolidations were evaluated primarily in favor of the infectious process on the basis of bronchopneumonia. However, since the patient has a primary malignancy, it would be appropriate to confirm the regression with imaging at the end of antibiotic therapy.  Mediastinal millimetric nonspecific lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_215/valid_215_b/valid_215_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_501",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Nasogastric tube is available. CTO is within the normal range. Pulmonary trunk calibration is 28 mm, which is at the upper limit of normal. Calibration of other major mediastinal vascular structures is normal. Calcific atheroma plaques are observed in the coronary artery. It cannot be evaluated clearly due to the consolidation around the left hilar. It can be evaluated in non-contrast examination at the right hilar level. No lymph node was detected in pathological size and configuration. When examined in the lung parenchyma window; In the distal part of the trachea, just before the bifurcation, there are intralumenal densities compatible with mucus secretion. There is a cavitary lesion measuring approximately 100x55 mm in the axial plane at the basal level of the lower lobe of the left lung, with dimensions of 133x63 mm in the previous examination, giving air-fluid leveling. Slight regression is observed according to his previous review. In the middle lobe of the right lung, the focal consolidation area observed in the previous examination regressed. However, cavitation of approximately 16x10 mm has developed in it. The air cyst in the neighborhood persists. It is observed that cavitation develops in the focal consolidation area, which is observed at the posterobasal level in the right lung, with thick walls and subcentimetric dimensions. In the lower lobe segments of the left lung, a consolidative parenchyma area with airbronchograms is observed adjacent to the cavitary lesion. There are widespread millimetric nodules and sequelae changes in both lungs. Centrilobular ground-glass-like density increments observed in the previous review have significantly regressed in the current review. Bilateral pleural effusion was not detected. Upper abdominal organs included in the sections are normal. There is a mixed type hiatal hernia. Mild degenerative changes are observed in the bone structure. Impression:   There is a decrease in the size of the cavitary lesion, which gives the appearance of leveling in the left lung in the previous examination. The contiguous parenchyma area, which includes airbronchograms, persists.  In the previous examination, millimetric cavitary lesion developed in focal consolidation areas observed in two localizations in the right lung.  Millimetric nonspecific nodules and sequela changes observed in the previous examination persist. However, centrilobular ground-glass density increases observed in the previous examination have decreased significantly in the current examination.  Mixed hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_215/valid_215_c/valid_215_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Nasogastric tube is available. CTO is within the normal range. Pulmonary trunk calibration is 28 mm, which is at the upper limit of normal. Calibration of other major mediastinal vascular structures is normal. Calcific atheroma plaques are observed in the coronary artery. It cannot be evaluated clearly due to the consolidation around the left hilar. It can be evaluated in non-contrast examination at the right hilar level. No lymph node was detected in pathological size and configuration. When examined in the lung parenchyma window; In the distal part of the trachea, just before the bifurcation, there are intralumenal densities compatible with mucus secretion. There is a cavitary lesion measuring approximately 100x55 mm in the axial plane at the basal level of the lower lobe of the left lung, with dimensions of 133x63 mm in the previous examination, giving air-fluid leveling. Slight regression is observed according to his previous review. In the middle lobe of the right lung, the focal consolidation area observed in the previous examination regressed. However, cavitation of approximately 16x10 mm has developed in it. The air cyst in the neighborhood persists. It is observed that cavitation develops in the focal consolidation area, which is observed at the posterobasal level in the right lung, with thick walls and subcentimetric dimensions. In the lower lobe segments of the left lung, a consolidative parenchyma area with airbronchograms is observed adjacent to the cavitary lesion. There are widespread millimetric nodules and sequelae changes in both lungs. Centrilobular ground-glass-like density increments observed in the previous review have significantly regressed in the current review. Bilateral pleural effusion was not detected. Upper abdominal organs included in the sections are normal. There is a mixed type hiatal hernia. Mild degenerative changes are observed in the bone structure. Impression:   There is a decrease in the size of the cavitary lesion, which gives the appearance of leveling in the left lung in the previous examination. The contiguous parenchyma area, which includes airbronchograms, persists.  In the previous examination, millimetric cavitary lesion developed in focal consolidation areas observed in two localizations in the right lung.  Millimetric nonspecific nodules and sequela changes observed in the previous examination persist. However, centrilobular ground-glass density increases observed in the previous examination have decreased significantly in the current examination.  Mixed hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_215/valid_215_c/valid_215_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. CTO is within normal limits. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are peripherally located and scattered-looking ground-glass-like density increments. Evaluation with clinical and laboratory findings is recommended in terms of Covid pneumonia. No pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Peripheral and diffuse-appearing ground-glass-like density increments in both lungs. Evaluation with clinical and laboratory findings is recommended in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_216/valid_216_a/valid_216_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_504",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. CTO is within normal limits. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are peripherally located and scattered-looking ground-glass-like density increments. Evaluation with clinical and laboratory findings is recommended in terms of Covid pneumonia. No pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Peripheral and diffuse-appearing ground-glass-like density increments in both lungs. Evaluation with clinical and laboratory findings is recommended in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_216/valid_216_a/valid_216_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. The thoracic esophagus is calibrated. No pathological wall thickening was detected. No lymph node reaching mediastinal pathological dimension was detected. No lymph node was detected in the bilateral supraclavicular region and axillary pathological dimension. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_217/valid_217_a/valid_217_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_506",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. The thoracic esophagus is calibrated. No pathological wall thickening was detected. No lymph node reaching mediastinal pathological dimension was detected. No lymph node was detected in the bilateral supraclavicular region and axillary pathological dimension. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_217/valid_217_a/valid_217_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_507",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung upper-lower lobe, in the upper lobe anterior segment, in the paracardiac area, centriacinar nodular infiltrates of diffuse ground glass density and a budding tree view are observed in places. The appearance was evaluated in favor of pneumonic infiltration with endobronchial spread. No mass-infiltration was detected in the right lung. Nonspecific subpleural nodules less than 5 mm in diameter were observed in both lungs. Upper abdominal organs are normal on non-contrast sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: In the upper and lower lobes of the left lung, centriacinar nodular infiltrates of diffuse ground glass density forming consolidation in the upper lobe anterior segment paracardiac area and budding tree view, the findings were evaluated in favor of pneumonic infiltration with endobronchial spread. It is recommended to be evaluated together with clinical and laboratory. In both lungs nonspecific subpleural nodules less than 5 mm in diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_218/valid_218_a/valid_218_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung upper-lower lobe, in the upper lobe anterior segment, in the paracardiac area, centriacinar nodular infiltrates of diffuse ground glass density and a budding tree view are observed in places. The appearance was evaluated in favor of pneumonic infiltration with endobronchial spread. No mass-infiltration was detected in the right lung. Nonspecific subpleural nodules less than 5 mm in diameter were observed in both lungs. Upper abdominal organs are normal on non-contrast sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: In the upper and lower lobes of the left lung, centriacinar nodular infiltrates of diffuse ground glass density forming consolidation in the upper lobe anterior segment paracardiac area and budding tree view, the findings were evaluated in favor of pneumonic infiltration with endobronchial spread. It is recommended to be evaluated together with clinical and laboratory. In both lungs nonspecific subpleural nodules less than 5 mm in diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_218/valid_218_a/valid_218_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_509",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. There is a nodule about 15 mm in diameter in the right lobe of the thyroid gland. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Nodule in the right lobe of the thyroid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_219/valid_219_a/valid_219_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. There is a nodule about 15 mm in diameter in the right lobe of the thyroid gland. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Nodule in the right lobe of the thyroid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_219/valid_219_a/valid_219_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_511",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A 6 mm diameter subpleural, slightly irregularly circumscribed solid nodule was observed in the posterior subsegment of the left lung upper lobe apicoposterior segment. It is recommended to evaluate and follow-up together with previous examinations, if any. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). As far as can be seen within the sections; upper abdominal organs are normal. A 13 mm diameter nodular mass lesion with macroscopic fat was observed at the level of the left adrenal gland body and was evaluated in favor of adenoma. Calcific atheroma plaques were observed in the abdominal aorta. Long segment bridging spur formations were observed in the right anterolateral corners of the thoracic vertebrae. Impression:  Fusiform aneurysmatic dilatation in the ascending aorta, diffuse atheroslerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries  Hiatal hernia  Mosaic attenuation pattern in the lung parenchyma (small airway disease?, small vessel disease?), atelectatic changes in both lungs.  Slightly irregularly circumscribed, solid nodule in the apicoposterior segment of the upper lobe of the left lung; If there is, it is recommended to evaluate and follow up with previous examinations.  Left adrenal adenoma.  Diffuse idiopathic bone hyperostosis in thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_220/valid_220_a/valid_220_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_512",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A 6 mm diameter subpleural, slightly irregularly circumscribed solid nodule was observed in the posterior subsegment of the left lung upper lobe apicoposterior segment. It is recommended to evaluate and follow-up together with previous examinations, if any. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). As far as can be seen within the sections; upper abdominal organs are normal. A 13 mm diameter nodular mass lesion with macroscopic fat was observed at the level of the left adrenal gland body and was evaluated in favor of adenoma. Calcific atheroma plaques were observed in the abdominal aorta. Long segment bridging spur formations were observed in the right anterolateral corners of the thoracic vertebrae. Impression:  Fusiform aneurysmatic dilatation in the ascending aorta, diffuse atheroslerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries  Hiatal hernia  Mosaic attenuation pattern in the lung parenchyma (small airway disease?, small vessel disease?), atelectatic changes in both lungs.  Slightly irregularly circumscribed, solid nodule in the apicoposterior segment of the upper lobe of the left lung; If there is, it is recommended to evaluate and follow up with previous examinations.  Left adrenal adenoma.  Diffuse idiopathic bone hyperostosis in thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_220/valid_220_a/valid_220_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_513",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. An area of atelectasis-consolidation was observed in the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. Nonspecific density increases were observed in both lower lobe posterobasal segments of both lungs, which may cause a dependent increase in density. It is recommended to be evaluated together with clinical and laboratory findings. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. Mild scoliosis with left opening was observed in the thoracic vertebrae. Impression: Atelectasis- consolidation in the lingular segment of the left lung. Subpleural nonspecific ground-glass density increases in the posterobasal segment of the lower lobe of both lungs. Clinical and laboratory correlation is recommended.  Hepatosteatosis. Left-facing scoliosis of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_221/valid_221_a/valid_221_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_514",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. An area of atelectasis-consolidation was observed in the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. Nonspecific density increases were observed in both lower lobe posterobasal segments of both lungs, which may cause a dependent increase in density. It is recommended to be evaluated together with clinical and laboratory findings. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. Mild scoliosis with left opening was observed in the thoracic vertebrae. Impression: Atelectasis- consolidation in the lingular segment of the left lung. Subpleural nonspecific ground-glass density increases in the posterobasal segment of the lower lobe of both lungs. Clinical and laboratory correlation is recommended.  Hepatosteatosis. Left-facing scoliosis of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_221/valid_221_a/valid_221_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_515",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal linear fibrotic recession was observed in the posterior segment of the right lung upper lobe. Minimal passive atelectatic changes were observed in the paracardiac area in the medial segment of the right lung middle lobe. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Linear pleuroparenchymal fibrotic recession in the posterior segment of the right lung upper lobe. Paracardiac minimal passive atelectasis change in the medial segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_222/valid_222_a/valid_222_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_516",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal linear fibrotic recession was observed in the posterior segment of the right lung upper lobe. Minimal passive atelectatic changes were observed in the paracardiac area in the medial segment of the right lung middle lobe. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Linear pleuroparenchymal fibrotic recession in the posterior segment of the right lung upper lobe. Paracardiac minimal passive atelectasis change in the medial segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_222/valid_222_a/valid_222_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_517",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs.  Minimal emphysematous changes in both lungs.  Atherosclerotic changes in the aorta.  HiYatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_223/valid_223_a/valid_223_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_518",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs.  Minimal emphysematous changes in both lungs.  Atherosclerotic changes in the aorta.  HiYatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_223/valid_223_a/valid_223_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_519",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. KTO is in normal calibration. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Multiple millimetric lymph nodes are observed in the mediastinum. The largest was measured in the subcarinal area and measures approximately 14x9 mm. There are millimetric lymph nodes at both hilar levels. When examined in the lung parenchyma window; Scattered and peripherally located ground-glass-like density increases are observed in both lungs, and they are consolidated in places. In the first place, it suggests Covid pneumonia. Clinical laboratory correlation is recommended. Pleural effusion-pneumothorax was not detected. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. Impression:  It is recommended to evaluate the case for Covid pneumonia together with clinical and laboratory findings  Hepatosteatosis  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_224/valid_224_a/valid_224_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. KTO is in normal calibration. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Multiple millimetric lymph nodes are observed in the mediastinum. The largest was measured in the subcarinal area and measures approximately 14x9 mm. There are millimetric lymph nodes at both hilar levels. When examined in the lung parenchyma window; Scattered and peripherally located ground-glass-like density increases are observed in both lungs, and they are consolidated in places. In the first place, it suggests Covid pneumonia. Clinical laboratory correlation is recommended. Pleural effusion-pneumothorax was not detected. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. Impression:  It is recommended to evaluate the case for Covid pneumonia together with clinical and laboratory findings  Hepatosteatosis  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_224/valid_224_a/valid_224_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_521",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are in the midline and no obstructive pathology is observed in the lumen. Although the mediastinum could not be evaluated optimally in the non-contrast examination, the cap contour size of the main vascular structures in the mediastinum is normal. Pericardial effusion-thickening was not observed. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Liver, gall bladder, spleen, both adrenal glands and both kidneys are normal as far as can be observed in non-contrast tests. At the thoracic level, mild scoliosis with right-facing scoliosis was observed. Impression: Mild scoliosis with right-facing thoracic opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_225/valid_225_a/valid_225_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_522",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are in the midline and no obstructive pathology is observed in the lumen. Although the mediastinum could not be evaluated optimally in the non-contrast examination, the cap contour size of the main vascular structures in the mediastinum is normal. Pericardial effusion-thickening was not observed. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Liver, gall bladder, spleen, both adrenal glands and both kidneys are normal as far as can be observed in non-contrast tests. At the thoracic level, mild scoliosis with right-facing scoliosis was observed. Impression: Mild scoliosis with right-facing thoracic opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_225/valid_225_a/valid_225_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. In the superior jugular vein, the appearance of a catheter extending towards the right atrium appendix is observed. No pathological size and configuration lymph nodes were detected in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathological size and configuration lymph nodes were observed at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. The aeration of the parenchyma of both lungs is normal, and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Right-facing scoliosis is observed in the dorsal region. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_225/valid_225_b/valid_225_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_524",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. In the superior jugular vein, the appearance of a catheter extending towards the right atrium appendix is observed. No pathological size and configuration lymph nodes were detected in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathological size and configuration lymph nodes were observed at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. The aeration of the parenchyma of both lungs is normal, and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Right-facing scoliosis is observed in the dorsal region. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_225/valid_225_b/valid_225_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_525",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour, and the size are natural. Pericardial effusion-thickening was not observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions, and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density densities and areas of increase in density consistent with consolidation are observed in both lung parenchyma, most of which are peripheral subpleural, and viral pneumonias are considered in the etiology of the findings. In terms of Covid-19 pneumonia, evaluation together with clinical and laboratory findings is recommended. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Peripheral, subpleural ground-glass density increases in both lung parenchyma and areas of density increase compatible with consolidation; viral pneumonias are considered in the etiology of the findings, and evaluation together with clinical and laboratory findings in terms of Covid-19 pneumonia is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_226/valid_226_a/valid_226_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_526",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour, and the size are natural. Pericardial effusion-thickening was not observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions, and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density densities and areas of increase in density consistent with consolidation are observed in both lung parenchyma, most of which are peripheral subpleural, and viral pneumonias are considered in the etiology of the findings. In terms of Covid-19 pneumonia, evaluation together with clinical and laboratory findings is recommended. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Peripheral, subpleural ground-glass density increases in both lung parenchyma and areas of density increase compatible with consolidation; viral pneumonias are considered in the etiology of the findings, and evaluation together with clinical and laboratory findings in terms of Covid-19 pneumonia is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_226/valid_226_a/valid_226_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pulmonary trunk calibration is at the maximal physiological limit. Both pulmonary artery calibrations are normal. The aortic arch calibration is 32 mm, wider than normal. Millimetric-sized calcific atheroma plaques are observed in the descending aorta at the level of the aortic arch. A stent appearance is observed in the left descending coronary artery. Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected. A few subcentimetric lymph nodes are observed in the aorticopulmonary window. No pathological lymph nodes were detected at both hilar levels. In the evaluation of the parenchymal window of both lungs; Both hemithorax are symmetrical. Calibration of trachea and main bronchus is natural. Lumens are clear. Sequelae changes are observed at the apical level of both lungs. Sequela pleuroparenchymal density increases are observed in the middle lobe of the right lung. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. No significant pathology was detected in the sections passing through the upper abdomen. Degenerative changes are observed in bone structures. Impression: Pleuroparenchymal sequelae changes at the apical level in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_227/valid_227_a/valid_227_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pulmonary trunk calibration is at the maximal physiological limit. Both pulmonary artery calibrations are normal. The aortic arch calibration is 32 mm, wider than normal. Millimetric-sized calcific atheroma plaques are observed in the descending aorta at the level of the aortic arch. A stent appearance is observed in the left descending coronary artery. Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected. A few subcentimetric lymph nodes are observed in the aorticopulmonary window. No pathological lymph nodes were detected at both hilar levels. In the evaluation of the parenchymal window of both lungs; Both hemithorax are symmetrical. Calibration of trachea and main bronchus is natural. Lumens are clear. Sequelae changes are observed at the apical level of both lungs. Sequela pleuroparenchymal density increases are observed in the middle lobe of the right lung. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. No significant pathology was detected in the sections passing through the upper abdomen. Degenerative changes are observed in bone structures. Impression: Pleuroparenchymal sequelae changes at the apical level in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_227/valid_227_a/valid_227_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_529",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. Numerous parenchymal nodules were observed in the bilateral lung, the largest of which was 4 mm in the right lung middle lobe lateral segment and millimeter diameter in the left lung upper lobe anterior segment. In the left lung, an appearance compatible with the intrapulmonary lymph node was observed adjacent to the fissure in the lower lobe superior segment. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Degenerative changes were observed in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Pulmonary nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_228/valid_228_a/valid_228_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_530",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes measuring 16x8 mm in the right upper and bilateral lower paratracheal, aortopulmonary and bilateral hilar levels, the largest in the right lower paratracheal, did not reach pathological dimensions. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. Peribronchial thickening and luminal narrowing were observed in the segmental-subsegmental bronchi of both lungs. Mosaic attenuation pattern was observed in both lungs. Mosaic attenuation was thought to belong to small airway stenosis. Millimetric-sized stable parenchymal nodules were observed in both lungs. A nodular density increase of 6.5x5.5 mm was observed in the posterobasal segment of the lower lobe of the right lung, and a 10x8 mm nodular consolidation area was observed at this level in the previous examination. The appearance in the current examination was thought to be a residual-sequelae of consolidation. In the current examination, no distinguishable mass lesion-active infiltration was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the case, which was learned to have multiple myeloma, mulitple lytic bone lesions were observed in the bone structures within the sections. Height loss was observed in T12 vertebra and pathological fracture was observed. Cement material was placed in T11 and T12 vertebrae. Impression:  Sequelae changes in both lungs, mosaic attenuation pattern secondary to small airway stenosis, millimetric stable nonspecific nodules.  Resolution period in the posterobasal segment of the lower lobe of the right lung, consistent with infection-sequelae.  Lytic bone lesions consistent with metastasis in bone structures, pathological compression fracture in T12 vertebrae, cement material placed in T11 and T12 vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_229/valid_229_a/valid_229_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes measuring 16x8 mm in the right upper and bilateral lower paratracheal, aortopulmonary and bilateral hilar levels, the largest in the right lower paratracheal, did not reach pathological dimensions. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. Peribronchial thickening and luminal narrowing were observed in the segmental-subsegmental bronchi of both lungs. Mosaic attenuation pattern was observed in both lungs. Mosaic attenuation was thought to belong to small airway stenosis. Millimetric-sized stable parenchymal nodules were observed in both lungs. A nodular density increase of 6.5x5.5 mm was observed in the posterobasal segment of the lower lobe of the right lung, and a 10x8 mm nodular consolidation area was observed at this level in the previous examination. The appearance in the current examination was thought to be a residual-sequelae of consolidation. In the current examination, no distinguishable mass lesion-active infiltration was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the case, which was learned to have multiple myeloma, mulitple lytic bone lesions were observed in the bone structures within the sections. Height loss was observed in T12 vertebra and pathological fracture was observed. Cement material was placed in T11 and T12 vertebrae. Impression:  Sequelae changes in both lungs, mosaic attenuation pattern secondary to small airway stenosis, millimetric stable nonspecific nodules.  Resolution period in the posterobasal segment of the lower lobe of the right lung, consistent with infection-sequelae.  Lytic bone lesions consistent with metastasis in bone structures, pathological compression fracture in T12 vertebrae, cement material placed in T11 and T12 vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_229/valid_229_a/valid_229_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_532",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. There are linear atelectasis in the lower lobe of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung upper lobe. Millimetric nonspecific nodules, almost all of which are calcific, were observed in both lungs. There was no evidence of mass or pneumonic infiltration in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: There is a central venous catheter on the right. The catheter terminates in the right atrium. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the subcarinal region and its short diameter measured 10 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Lytic bone lesions are observed in the bone structures within the sections. The described appearances are consistent with the diagnosis of multiple myelia stated in the clinical pre-diagnosis. Compression and height loss are observed in the T12 vertebral body. Height loss is around 75% at most. Surgical filling materials are observed in T12 vertebrae and T11 vertebrae. Other thoracic vertebral body heights are normal. Impression:  Atelectasis in both lungs.  Emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Lytic bone lesions in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_229/valid_229_b/valid_229_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_533",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. There are linear atelectasis in the lower lobe of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung upper lobe. Millimetric nonspecific nodules, almost all of which are calcific, were observed in both lungs. There was no evidence of mass or pneumonic infiltration in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: There is a central venous catheter on the right. The catheter terminates in the right atrium. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the subcarinal region and its short diameter measured 10 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Lytic bone lesions are observed in the bone structures within the sections. The described appearances are consistent with the diagnosis of multiple myelia stated in the clinical pre-diagnosis. Compression and height loss are observed in the T12 vertebral body. Height loss is around 75% at most. Surgical filling materials are observed in T12 vertebrae and T11 vertebrae. Other thoracic vertebral body heights are normal. Impression:  Atelectasis in both lungs.  Emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Lytic bone lesions in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_229/valid_229_b/valid_229_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_534",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. There is a right upper paratracheal, millimetric lymph node. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; predominant ground glass densities-patch consolidations are observed in the peripheral lung tissue in the right lung middle lobe and both lung lower lobes. Pleuroparenchymal sequelae and ectasia in several bronchi are observed in the major fissure localization in the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression:  Predominant ground-glass densities-patchical consolidations in the peripheral lung tissue in the middle lobe of the right lung, lower lobes of both lungs. Typical findings for Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_230/valid_230_a/valid_230_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_535",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. There is a right upper paratracheal, millimetric lymph node. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; predominant ground glass densities-patch consolidations are observed in the peripheral lung tissue in the right lung middle lobe and both lung lower lobes. Pleuroparenchymal sequelae and ectasia in several bronchi are observed in the major fissure localization in the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression:  Predominant ground-glass densities-patchical consolidations in the peripheral lung tissue in the middle lobe of the right lung, lower lobes of both lungs. Typical findings for Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_230/valid_230_a/valid_230_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Contour irregularities in the posterobasal segment of the lower lobes of both lungs and densities evaluated primarily in favor of a dependency increase are observed. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Dependent density increases in both lung parenchyma. Mild bronchiectatic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_231/valid_231_a/valid_231_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Contour irregularities in the posterobasal segment of the lower lobes of both lungs and densities evaluated primarily in favor of a dependency increase are observed. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Dependent density increases in both lung parenchyma. Mild bronchiectatic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_231/valid_231_a/valid_231_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_538",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Since the mediastinal main vascular structures and heart examination were performed without IV contrast material, it could not be evaluated optimally, and the calibration of the vascular structures, heart contour, and size were normal. No pleural, pericardial effusion or increased thickness was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Sequelae fibrotic bands are observed in bilateral apex. No active infiltration or mass lesion was detected in both lungs. There is diffuse mild ectasia and increased peribronchial thickness in both lung bronchial structures. Several nonspecific nodules are observed in both lungs, the largest of which is 3.5 mm in size in the posterior segment of the left lung upper lobe. No solid mass was detected in the non-contrast CT margins of the upper abdominal sections included in the sections. No lytic-destructive lesion was observed in the bone structures in the study area, and the vertebral corpus heights were preserved. Impression: There are no signs in favor of pneumonic infiltration in both lungs, and there are a few nonspecific nodules in millimetric sizes. Diffuse mild ectasia and peribronchial thickness increases are observed in the bronchial structures of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_232/valid_232_a/valid_232_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Since the mediastinal main vascular structures and heart examination were performed without IV contrast material, it could not be evaluated optimally, and the calibration of the vascular structures, heart contour, and size were normal. No pleural, pericardial effusion or increased thickness was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Sequelae fibrotic bands are observed in bilateral apex. No active infiltration or mass lesion was detected in both lungs. There is diffuse mild ectasia and increased peribronchial thickness in both lung bronchial structures. Several nonspecific nodules are observed in both lungs, the largest of which is 3.5 mm in size in the posterior segment of the left lung upper lobe. No solid mass was detected in the non-contrast CT margins of the upper abdominal sections included in the sections. No lytic-destructive lesion was observed in the bone structures in the study area, and the vertebral corpus heights were preserved. Impression: There are no signs in favor of pneumonic infiltration in both lungs, and there are a few nonspecific nodules in millimetric sizes. Diffuse mild ectasia and peribronchial thickness increases are observed in the bronchial structures of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_232/valid_232_a/valid_232_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_540",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open and no occlusive pathology is detected. Mediastinal vascular structures and heart were evaluated suboptimally due to the lack of contrast of the examination. No obvious pathology was detected. No pericardial effusion or thickening was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; In the anterior segment of the upper lobe of the right lung, a pleural-based solid lesion of approximately HU density with spiculated contours of 25x23 mm with pleural base and macrolobule contours is observed. It is stable. Tissue diagnosis is recommended. Bilateral lung basal fibroatelectatic changes are observed. Nonspecific millimetric parenchymal nodules are observed in both lungs, the largest of which is 4 mm in diameter in the apical segment of the upper lobe of the right lung. Hepatosplenomegaly is present in the evaluation of the upper abdominal organs within the image. There are atrophic findings and millimetric stones in both kidneys consistent with renal parenchymal disease. No lytic-destructive lesion was observed in the bone structures within the image. Impression: Right lung upper lobe anterior segment pleural-based nodular lesion (stable). Tissue diagnosis is recommended.  Nonspecific stable parenchymal nodules in both lung parenchyma.  Renal parenchymal disease and hepatosplenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_233/valid_233_a/valid_233_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial-pleural effusion was not detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window: Linear sequela parenchymal changes were observed in the left lung upper lobe inferior lingular segment. No active infiltration or mass lesion was detected in both lungs. A few millimeter-sized nonspecific nodules were observed. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  No active infiltration or mass lesion was detected in both lungs.  Sequela parenchymal changes in the inferior lingular segment of the left lung upper lobe and a few millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_234/valid_234_a/valid_234_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_542",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial-pleural effusion was not detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window: Linear sequela parenchymal changes were observed in the left lung upper lobe inferior lingular segment. No active infiltration or mass lesion was detected in both lungs. A few millimeter-sized nonspecific nodules were observed. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  No active infiltration or mass lesion was detected in both lungs.  Sequela parenchymal changes in the inferior lingular segment of the left lung upper lobe and a few millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_234/valid_234_a/valid_234_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_543",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There is thymic tissue in the anterior mediastinum without mass effect. The aortic arch calibration is 33 mm. It is slightly wider than normal. Calibration of other mediastinal major vascular structures is normal. No lymph node was detected in pathological size and appearance at the mediastinal and hilar level. When examined in the lung parenchyma window; There are emphysematous changes in the parenchyma. A short segment of parenchyma at the level of the costophrenic sinus in both lungs did not enter the image area. There was no finding compatible with pneumonia in both lungs. In the sections passing through the upper abdomen, there is a decrease in density consistent with mild hepatosteatosis in the liver. Mild hiatal hernia is observed. Degenerative changes are observed in the bone structure entering the examination area. Impression: No finding compatible with pneumonia. Mild hiatal hernia and mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_235/valid_235_a/valid_235_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_544",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are pleuroparenchymal sequelae changes in both lung apex. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_236/valid_236_a/valid_236_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_545",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are pleuroparenchymal sequelae changes in both lung apex. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_236/valid_236_a/valid_236_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_546",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial, pleural effusion-thickening was not observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are areas of multilobar, peripheral, subpleural, mostly dorsal location with indistinctly circumscribed ground glass and density increase compatible with consolidation. Viral pneumonias are considered in the etiology of the symptoms. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_237/valid_237_a/valid_237_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial, pleural effusion-thickening was not observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are areas of multilobar, peripheral, subpleural, mostly dorsal location with indistinctly circumscribed ground glass and density increase compatible with consolidation. Viral pneumonias are considered in the etiology of the symptoms. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_237/valid_237_a/valid_237_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_548",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Nodules with ground glass areas and surrounding ground glass areas were observed, more prominently in both lungs, lower lobes and peripheral areas. The described manifestations are the findings frequently observed in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the left anterior descending coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_238/valid_238_a/valid_238_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_549",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: There is an oval-shaped soft tissue lesion with a diameter of 7 mm in the prepectoral area in the lateral part of the right breast just inferior to the nipple (intramammary lymph node?). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There is wall calcification in the posterior wall of the truncus brachiocephalicus. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There are subsegmental atelectasis in the middle lobe of the right lung and the upper lobe lingula of the left lung. The bronchi are dilated in both lungs. There is one nodule smaller than 5 mm in the right lung major fissure (lymph node?). Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are multiple lymph nodes, the mesenteric one of which is 16x9 mm in size, and the mesenteric root has a slightly edematous appearance. There are degenerative changes in the bones in the examination area. There is mild scoliosis with the opening facing left. Impression: Right breast, at the level of the nipple just inferior to the nipple, in the prepectoral area, 7 mm in diameter, oval shaped lesion of soft tissue density (intramammary lymph node?). Wall calcification in the posterior wall of the truncus brachiocephalicus,.  Pleuroparenchymal sequelae densities in the apicoposterior segments of the bilateral upper lobe of the lung. Subsegmental atelectasis in the right lung middle lobe and left lung upper lobe lingula.  Bronchi appear dilated in both lungs. One nodule (lymph node?) smaller than 5 mm in the right lung major fissure.  Multiple lymph nodes, the mesenteric one being 16x9 mm in size, are present and the mesenteric root is mildly edematous. Degenerative changes in the bones in the examination area, mild scoliosis with the opening facing left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_239/valid_239_a/valid_239_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_550",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: There is an oval-shaped soft tissue lesion with a diameter of 7 mm in the prepectoral area in the lateral part of the right breast just inferior to the nipple (intramammary lymph node?). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There is wall calcification in the posterior wall of the truncus brachiocephalicus. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There are subsegmental atelectasis in the middle lobe of the right lung and the upper lobe lingula of the left lung. The bronchi are dilated in both lungs. There is one nodule smaller than 5 mm in the right lung major fissure (lymph node?). Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are multiple lymph nodes, the mesenteric one of which is 16x9 mm in size, and the mesenteric root has a slightly edematous appearance. There are degenerative changes in the bones in the examination area. There is mild scoliosis with the opening facing left. Impression: Right breast, at the level of the nipple just inferior to the nipple, in the prepectoral area, 7 mm in diameter, oval shaped lesion of soft tissue density (intramammary lymph node?). Wall calcification in the posterior wall of the truncus brachiocephalicus,.  Pleuroparenchymal sequelae densities in the apicoposterior segments of the bilateral upper lobe of the lung. Subsegmental atelectasis in the right lung middle lobe and left lung upper lobe lingula.  Bronchi appear dilated in both lungs. One nodule (lymph node?) smaller than 5 mm in the right lung major fissure.  Multiple lymph nodes, the mesenteric one being 16x9 mm in size, are present and the mesenteric root is mildly edematous. Degenerative changes in the bones in the examination area, mild scoliosis with the opening facing left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_239/valid_239_a/valid_239_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Heart size and contours are normal. There are calcific atheromatous plaques in the aorta and coronary arteries. Stable thickness increases are observed in both pleura, more prominently in the right lung pleura. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. In the previous examinations of the patient, it was understood that he had a primary mass in the left lung hilum extending to the upper and lower lobes. In the current examination, a wide consolidation area with irregular borders is observed in this mass localization, and sequelae pleuroparenchymal bands and bronchiectasis extending from this consolidation area to the pleura are observed. Therefore, when evaluated together with the previous examination, although there was a minimal increase in size, it was evaluated as a stable appearance. In addition, linear subsegmental atelectasis and sequela fibrotic densities are observed in both lungs. Impression:  When evaluated together with the previous examinations of the patient in the left lung, the consolidation area, which is evaluated primarily in favor of treatment-related sequelae, is observed. Apart from this, appearances evaluated in favor of sequelae changes are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_240/valid_240_a/valid_240_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_552",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Heart size and contours are normal. There are calcific atheromatous plaques in the aorta and coronary arteries. Stable thickness increases are observed in both pleura, more prominently in the right lung pleura. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. In the previous examinations of the patient, it was understood that he had a primary mass in the left lung hilum extending to the upper and lower lobes. In the current examination, a wide consolidation area with irregular borders is observed in this mass localization, and sequelae pleuroparenchymal bands and bronchiectasis extending from this consolidation area to the pleura are observed. Therefore, when evaluated together with the previous examination, although there was a minimal increase in size, it was evaluated as a stable appearance. In addition, linear subsegmental atelectasis and sequela fibrotic densities are observed in both lungs. Impression:  When evaluated together with the previous examinations of the patient in the left lung, the consolidation area, which is evaluated primarily in favor of treatment-related sequelae, is observed. Apart from this, appearances evaluated in favor of sequelae changes are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_240/valid_240_a/valid_240_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No pericardial pleural effusion or thickening was detected. No pathological increase in thoracic esophagus wall thickness is observed. Trachea, both main bronchi are open and no occlusive pathology is detected. There are no lymph nodes in pathological size and appearance in the mediastinum and in the fossa in both axillary regions. When examined in the lung parenchyma window; In both lung parenchyma, areas of increase in density are observed in the right lower lobe superior segment, left lung lower lobe superior and posterobasal segments, consistent with ground glass and consolidation, and viral pneumonias are considered in the etiology of the findings. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. Ventilation of both lungs is natural. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: In the right lung lower lobe superior and left lung lower lobe superior - posterobasal segments, areas of density increase consistent with ground glass and consolidation are observed, and viral pneumonias are considered in the etiology of the findings. Clinical and laboratory evaluation is recommended in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_241/valid_241_a/valid_241_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No pericardial pleural effusion or thickening was detected. No pathological increase in thoracic esophagus wall thickness is observed. Trachea, both main bronchi are open and no occlusive pathology is detected. There are no lymph nodes in pathological size and appearance in the mediastinum and in the fossa in both axillary regions. When examined in the lung parenchyma window; In both lung parenchyma, areas of increase in density are observed in the right lower lobe superior segment, left lung lower lobe superior and posterobasal segments, consistent with ground glass and consolidation, and viral pneumonias are considered in the etiology of the findings. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. Ventilation of both lungs is natural. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: In the right lung lower lobe superior and left lung lower lobe superior - posterobasal segments, areas of density increase consistent with ground glass and consolidation are observed, and viral pneumonias are considered in the etiology of the findings. Clinical and laboratory evaluation is recommended in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_241/valid_241_a/valid_241_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_555",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Millimetric stones were observed in bilateral kidneys. No obvious pathology was detected in bone structures. Impression: Bilateral nephrolithiasis Note: No signs of infection were detected. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_242/valid_242_a/valid_242_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Millimetric stones were observed in bilateral kidneys. No obvious pathology was detected in bone structures. Impression: Bilateral nephrolithiasis Note: No signs of infection were detected. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_242/valid_242_a/valid_242_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_557",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral pleural effusion is observed. The pleural effusion measured approximately 40 mm at its thickest point. The effusion continues to the lung apex while the patient is in the supine position. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas and interlobular septal thickenings are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung, especially in the central areas. When the described findings are evaluated together with pleural effusion, it suggests that it primarily belongs to pulmonary edema-cardiac pathology. It is recommended to evaluate the patient together with laboratory findings. There are also nodular appearances with ground glass areas around them in the peripheral areas of both lungs. The presence of the described nodules has cast doubt on Covid-19 pneumonia. It is recommended that the patient be evaluated together with the laboratory findings. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is pericardial effusion measuring 12 mm in its thickest part. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. There is a central venous catheter on the right. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Pleural and pericardial effusion, ground glass appearance in the central parts of both lungs, and smooth interlobular septal thickenings (secondary to cardiac pathology?).  Nodules with ground glass surrounding them in the peripheral parts of both lungs (recommended to evaluate for viral pneumonia)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_243/valid_243_a/valid_243_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_558",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral pleural effusion is observed. The pleural effusion measured approximately 40 mm at its thickest point. The effusion continues to the lung apex while the patient is in the supine position. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas and interlobular septal thickenings are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung, especially in the central areas. When the described findings are evaluated together with pleural effusion, it suggests that it primarily belongs to pulmonary edema-cardiac pathology. It is recommended to evaluate the patient together with laboratory findings. There are also nodular appearances with ground glass areas around them in the peripheral areas of both lungs. The presence of the described nodules has cast doubt on Covid-19 pneumonia. It is recommended that the patient be evaluated together with the laboratory findings. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is pericardial effusion measuring 12 mm in its thickest part. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. There is a central venous catheter on the right. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Pleural and pericardial effusion, ground glass appearance in the central parts of both lungs, and smooth interlobular septal thickenings (secondary to cardiac pathology?).  Nodules with ground glass surrounding them in the peripheral parts of both lungs (recommended to evaluate for viral pneumonia)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_243/valid_243_a/valid_243_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_559",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Since the patient is not breathing properly, the lung parenchyma cannot be evaluated clearly due to motion artifacts. As far as can be observed: There is an appearance evaluated in favor of atelectasis in the anterobasal segment and middle lobe in the lower lobe of the right lung. There is also a similar appearance in the posterior segment of the right lung upper lobe. Linear atelectasis were also observed in the lower lobe and upper lobe of the left lung. There are emphysematous changes in both lungs. In the apical segment of the upper lobe of the right lung, there is a nodule with a ground-glass appearance around it, measuring approximately 6 mm in diameter. In addition, there are millimetric nonspecific nodules in both lungs. No mass or appearance evaluated in favor of pneumonic infiltration was detected in both lungs. Bilateral central venous catheters are observed. It terminates in the right atrium through the central venous catheter. Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta. There is no pathological wall thickness increase in the esophagus within the sections. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar region. Atelectasis is also observed in the lower lobe of the left lung. Intraabdominal diffuse free fluid is observed. No intraabdominal collection was detected. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Atherosclerotic changes in the aorta.  Atelectasis in both lungs.  Emphysematous changes in both lungs.  A ground glass nodule in the upper lobe of the right lung.  Millimetric nodules in both lungs.  Intraabdominal free fluid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_244/valid_244_a/valid_244_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Since the patient is not breathing properly, the lung parenchyma cannot be evaluated clearly due to motion artifacts. As far as can be observed: There is an appearance evaluated in favor of atelectasis in the anterobasal segment and middle lobe in the lower lobe of the right lung. There is also a similar appearance in the posterior segment of the right lung upper lobe. Linear atelectasis were also observed in the lower lobe and upper lobe of the left lung. There are emphysematous changes in both lungs. In the apical segment of the upper lobe of the right lung, there is a nodule with a ground-glass appearance around it, measuring approximately 6 mm in diameter. In addition, there are millimetric nonspecific nodules in both lungs. No mass or appearance evaluated in favor of pneumonic infiltration was detected in both lungs. Bilateral central venous catheters are observed. It terminates in the right atrium through the central venous catheter. Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta. There is no pathological wall thickness increase in the esophagus within the sections. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar region. Atelectasis is also observed in the lower lobe of the left lung. Intraabdominal diffuse free fluid is observed. No intraabdominal collection was detected. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Atherosclerotic changes in the aorta.  Atelectasis in both lungs.  Emphysematous changes in both lungs.  A ground glass nodule in the upper lobe of the right lung.  Millimetric nodules in both lungs.  Intraabdominal free fluid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_244/valid_244_a/valid_244_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_561",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Hiatal hernia. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_245/valid_245_a/valid_245_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_562",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Hiatal hernia. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_245/valid_245_a/valid_245_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_563",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight patchy ground glass densities in both lungs, especially in the upper lobes of the right lung, were evaluated in favor of the infectious process. It can be seen in Covid-19 viral pneumonia in imaging features. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  The findings described above were evaluated in favor of infectious processes, and imaging features can be seen in Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_246/valid_246_a/valid_246_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_564",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight patchy ground glass densities in both lungs, especially in the upper lobes of the right lung, were evaluated in favor of the infectious process. It can be seen in Covid-19 viral pneumonia in imaging features. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  The findings described above were evaluated in favor of infectious processes, and imaging features can be seen in Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_246/valid_246_a/valid_246_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_565",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequelae density increases were observed in both lung apexes. Focal ground glass area is observed in the right lung middle lobe lateral segment, and the appearance is nonspecific. A few ground-glass nodules less than 5 mm in diameter were observed in the peripheral subpleural areas of the right lung lower lobe laterobasal and upper lobe posterior segment, and the left lung upper lobe apicoposterior segment. Appearance is nonspecific. It is recommended to evaluate and follow-up together with previous examinations, if any. Apart from this, a few millimetric nonspecific parenchymal nodules were observed in both lungs. As far as it can be seen in the sections, a 47x43 mm hypodense well-circumscribed nodular lesion was observed in the upper pole of the right kidney (cyst?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. An increase in trabeculation consistent with osteopenia was observed in the vertebrae. Vertebral corpus heights are preserved. Impression: Calcified atheroma plaques in the arcus aorta . Reticulonodular sequelae fibrotic density increases in both lung apexes . Peripheral subpleural millimetric ground glass nodules in both lungs, the appearance is nonspecific. Evaluation and follow-up with previous examinations, if any, is recommended. Focal ground glass in the right lung middle lobe lateral segment density is nonspecific.  A few millimetric nonspecific parenchymal nodules in both lungs . Hypodense well-circumscribed nodular lesion (cyst?) in the upper pole of the right kidney . Osteopenia in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_247/valid_247_a/valid_247_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_566",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequelae density increases were observed in both lung apexes. Focal ground glass area is observed in the right lung middle lobe lateral segment, and the appearance is nonspecific. A few ground-glass nodules less than 5 mm in diameter were observed in the peripheral subpleural areas of the right lung lower lobe laterobasal and upper lobe posterior segment, and the left lung upper lobe apicoposterior segment. Appearance is nonspecific. It is recommended to evaluate and follow-up together with previous examinations, if any. Apart from this, a few millimetric nonspecific parenchymal nodules were observed in both lungs. As far as it can be seen in the sections, a 47x43 mm hypodense well-circumscribed nodular lesion was observed in the upper pole of the right kidney (cyst?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. An increase in trabeculation consistent with osteopenia was observed in the vertebrae. Vertebral corpus heights are preserved. Impression: Calcified atheroma plaques in the arcus aorta . Reticulonodular sequelae fibrotic density increases in both lung apexes . Peripheral subpleural millimetric ground glass nodules in both lungs, the appearance is nonspecific. Evaluation and follow-up with previous examinations, if any, is recommended. Focal ground glass in the right lung middle lobe lateral segment density is nonspecific.  A few millimetric nonspecific parenchymal nodules in both lungs . Hypodense well-circumscribed nodular lesion (cyst?) in the upper pole of the right kidney . Osteopenia in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_247/valid_247_a/valid_247_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_567",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Peribronchial and centriacinar nodules are generally observed in all lobes and segments of both lungs. These nodules are observed more intensely in the apex part of the lung and tend to merge with each other. Linear fibrotic densities extending from the central to the periphery, more prominently in the apical regions of both lungs, are observed. There are centriacinar emphysematous changes in the peripheral parts of the lung. Focal ground-glass opacity is observed in the posterior segment paraspinal area in the lower lobe of the right lung. The outlook casts doubt on Covid-19. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The left kidney renal pelvis included in the imaging is prominent. In case of clinical necessity, it is appropriate to evaluate the patient with US. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There are emphysematous changes in both lungs. Focal ground-glass opacity in the posterior segment of the lower lobe of the right lung, Covid-19 pneumonia?. Multiple centriacinar nodules and fibrotic bands with pleural extension are observed in both lungs, which are more prominent in the upper segments and central areas. First of all, it was interpreted in favor of pneumoconiosis. It is appropriate to evaluate the patient together with the clinic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_248/valid_248_a/valid_248_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_568",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Peribronchial and centriacinar nodules are generally observed in all lobes and segments of both lungs. These nodules are observed more intensely in the apex part of the lung and tend to merge with each other. Linear fibrotic densities extending from the central to the periphery, more prominently in the apical regions of both lungs, are observed. There are centriacinar emphysematous changes in the peripheral parts of the lung. Focal ground-glass opacity is observed in the posterior segment paraspinal area in the lower lobe of the right lung. The outlook casts doubt on Covid-19. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The left kidney renal pelvis included in the imaging is prominent. In case of clinical necessity, it is appropriate to evaluate the patient with US. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There are emphysematous changes in both lungs. Focal ground-glass opacity in the posterior segment of the lower lobe of the right lung, Covid-19 pneumonia?. Multiple centriacinar nodules and fibrotic bands with pleural extension are observed in both lungs, which are more prominent in the upper segments and central areas. First of all, it was interpreted in favor of pneumoconiosis. It is appropriate to evaluate the patient together with the clinic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_248/valid_248_a/valid_248_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_569",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The diameter of the ascending aorta is 41 mm and shows dilatation. Postoperative changes in the aortic valve were observed. Heart size has increased (cardiomegaly). Postoperative air images are observed in the mediastinum. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. An image of a catheter extending superiorly to the vena cava was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; A large area of pneumothorax is observed on the right. Uniform interlobular septal thickenings and patchy ground glass density increases are observed in both lungs. Acinar opacities are observed in the lower lobe of the right lung and the posterior upper lobe. Acinar opacities are observed in the left lung inferior lingular segment. It is recommended to be evaluated together with clinical and laboratory data in terms of infective process. Subsegmental atelectasis areas are observed in both lung lower lobes. There is minimal pleural effusion measuring 1 cm in thickness on the left. In the upper abdominal sections included in the examination area, there are minimal focal postoperative collection areas in the epigastic region on subcutaneous fatty planes and metallic densities of the electrode extending to the mediastinum. There are diffuse calcific atherosclerotic changes in the wall of the abdominal aorta. Diffuse degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy in the sternum. Impression: Cardiomeali. Pneumothorax right.  Fusiform dilatation of the thoracic aorta, aortic valve replacement, calcified atherosclerotic changes in the thoracic aorta and coronary artery wall. Cardiomegaly. Minimal pericardial effusion. Left mild pleural effusion.  Acinar opacities in the upper lobe of the right lung, the lower lobe and the inferior lingular segment of the left lung, clinical and laboratory correlations are recommended in terms of infectious process. There is an external drainage catheter extending to the right hemithorax. Subsegmental areas of atelectasis in both lungs. Smooth interlobular septal thickenings, patchy ground-glass density increases in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_249/valid_249_a/valid_249_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The diameter of the ascending aorta is 41 mm and shows dilatation. Postoperative changes in the aortic valve were observed. Heart size has increased (cardiomegaly). Postoperative air images are observed in the mediastinum. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. An image of a catheter extending superiorly to the vena cava was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; A large area of pneumothorax is observed on the right. Uniform interlobular septal thickenings and patchy ground glass density increases are observed in both lungs. Acinar opacities are observed in the lower lobe of the right lung and the posterior upper lobe. Acinar opacities are observed in the left lung inferior lingular segment. It is recommended to be evaluated together with clinical and laboratory data in terms of infective process. Subsegmental atelectasis areas are observed in both lung lower lobes. There is minimal pleural effusion measuring 1 cm in thickness on the left. In the upper abdominal sections included in the examination area, there are minimal focal postoperative collection areas in the epigastic region on subcutaneous fatty planes and metallic densities of the electrode extending to the mediastinum. There are diffuse calcific atherosclerotic changes in the wall of the abdominal aorta. Diffuse degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy in the sternum. Impression: Cardiomeali. Pneumothorax right.  Fusiform dilatation of the thoracic aorta, aortic valve replacement, calcified atherosclerotic changes in the thoracic aorta and coronary artery wall. Cardiomegaly. Minimal pericardial effusion. Left mild pleural effusion.  Acinar opacities in the upper lobe of the right lung, the lower lobe and the inferior lingular segment of the left lung, clinical and laboratory correlations are recommended in terms of infectious process. There is an external drainage catheter extending to the right hemithorax. Subsegmental areas of atelectasis in both lungs. Smooth interlobular septal thickenings, patchy ground-glass density increases in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_249/valid_249_a/valid_249_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_571",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. A mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?). In the upper lobe of the left lung, consolidation in the anterior segment-lingular segment and a ground glass area are observed around it. Millimetric centriacinar nodules are also observed in this localization. It is understood that the described appearance emerged in this examination and was evaluated primarily in favor of pneumonic infiltration. Consolidation is observed in a small area in the posterobasal segment of the lower lobe of the right lung. When the previous examination of the patient is examined, consolidation and frosted glass areas are observed in the lower lobes of both lungs, more prominently on the right, and it is understood that the described finding has almost completely disappeared. No mass was detected in both lungs. There are nonspecific nodules in both lungs, the larger of which is calcific. The nodules described were also present in the patient's previous examination and no difference was found in their size and appearance. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: the heart is larger than normal. There is minimal pericardial effusion. Minimal pleural effusion is observed on the right. There are calcific atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. As far as can be observed in this examination, no mass with distinguishable borders was detected in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Findings evaluated primarily in favor of pneumonic infiltration in the upper lobe of the left lung . Minimal pleural and pericardial effusion on the right, cardiomegaly, atherosclerotic changes in the aorta and coronary arteries . Mediastinal and hilar lymph nodes . Mosaic attenuation pattern in both lungs . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_a/valid_250_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_572",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. A mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?). In the upper lobe of the left lung, consolidation in the anterior segment-lingular segment and a ground glass area are observed around it. Millimetric centriacinar nodules are also observed in this localization. It is understood that the described appearance emerged in this examination and was evaluated primarily in favor of pneumonic infiltration. Consolidation is observed in a small area in the posterobasal segment of the lower lobe of the right lung. When the previous examination of the patient is examined, consolidation and frosted glass areas are observed in the lower lobes of both lungs, more prominently on the right, and it is understood that the described finding has almost completely disappeared. No mass was detected in both lungs. There are nonspecific nodules in both lungs, the larger of which is calcific. The nodules described were also present in the patient's previous examination and no difference was found in their size and appearance. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: the heart is larger than normal. There is minimal pericardial effusion. Minimal pleural effusion is observed on the right. There are calcific atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. As far as can be observed in this examination, no mass with distinguishable borders was detected in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Findings evaluated primarily in favor of pneumonic infiltration in the upper lobe of the left lung . Minimal pleural and pericardial effusion on the right, cardiomegaly, atherosclerotic changes in the aorta and coronary arteries . Mediastinal and hilar lymph nodes . Mosaic attenuation pattern in both lungs . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_a/valid_250_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_573",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques are observed in the mediastinal main vascular structures. The diameter of the ascending aorta was 38 mm. The heart is larger than normal. Pericardial effusion-thickening was not observed. It was resorbed in the current examination. Calcifications are present in the coronary arteries. The thoracic esophagus is in normal calibration. Type 1 hiatal hernia is observed distal. Lymph nodes with a short diameter of up to 5 mm are observed in the mediastinal prevascular area and paratracheal area. In the current examination, significant reduction in size of the lymph nodes is observed. In the previous examination, their short diameter reaches 1 cm. When examined in the lung parenchyma window; In the left lung, there is only atelectatic changes and minimal ground-glass appearance in the area previously described as pneumonia. However, consolidations in this area showed significant resorption. There are several calcifications in this area. A few peripherally located parenchymal nodules were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes are observed in bone structures. Impression: Atelectasis and ground-glass appearances secondary to previous pneumonia in the left lung lingula superior segment. Lymph nodes showing mediastinal size reduction. Type 1 hiatal hernia. Osteodegenerative bone disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_b/valid_250_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques are observed in the mediastinal main vascular structures. The diameter of the ascending aorta was 38 mm. The heart is larger than normal. Pericardial effusion-thickening was not observed. It was resorbed in the current examination. Calcifications are present in the coronary arteries. The thoracic esophagus is in normal calibration. Type 1 hiatal hernia is observed distal. Lymph nodes with a short diameter of up to 5 mm are observed in the mediastinal prevascular area and paratracheal area. In the current examination, significant reduction in size of the lymph nodes is observed. In the previous examination, their short diameter reaches 1 cm. When examined in the lung parenchyma window; In the left lung, there is only atelectatic changes and minimal ground-glass appearance in the area previously described as pneumonia. However, consolidations in this area showed significant resorption. There are several calcifications in this area. A few peripherally located parenchymal nodules were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes are observed in bone structures. Impression: Atelectasis and ground-glass appearances secondary to previous pneumonia in the left lung lingula superior segment. Lymph nodes showing mediastinal size reduction. Type 1 hiatal hernia. Osteodegenerative bone disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_b/valid_250_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_575",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Although the mediastinum cannot be evaluated optimally in the non-contrast examination, the calibration of the thoracic aorta is natural. The diameters of the pulmonary trunk and both pulmonary arteries increased by 31mm, 25, and 24mm, respectively. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Right upper, bilateral lower, aortopulmonary lymph nodes with a size of 7.6x8.4 mm (6.6x4.4 mm in the previous examination) that did not reach pathological dimensions were observed. No lymph nodes in pathological size and appearance were observed in both axilla and supraclavicular level. When examined in the lung parenchyma window; Calcified lymph nodes are observed in the left lung hilum and it is in favor of granulomatous infection sequelae. There is soft tissue density narrowing the left lung upper lobe bronchus anterior to the pulmonary artery. It measures approximately 2 cm in size. It causes significant narrowing of the upper lobe bronchus calibration. Air trapping secondary to bronchial narrowing is observed in the upper lobe. More prominent centriacinar millimetrically circumscribed ground-glass nodules were observed in the upper lobes of both lungs. Hypersensitivity pneumonia or respiratory bronchiolitis can be considered in the differential diagnosis. Nonspecific parenchymal nodular lesions with a diameter of 4 mm located in the superior segment of the right lung lower lobe, 2 mm in diameter sitting in the fissure in the right lung major fissure, and 3 m in diameter in the posterobasal segment of the lower lobe were observed. Liver and spleen sizes have increased as can be seen in the non-contrast examination. The pancreas is natural. No stones were observed in both kidneys. A 3 cm diameter cortical exophytic cystic lesion was observed in the upper pole posterior of the right kidney. Vertebral corpus heights are normal. There are osteophyte formations bridging each other at the anterolateral corners at the thoracic level. Impression: Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_c/valid_250_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Although the mediastinum cannot be evaluated optimally in the non-contrast examination, the calibration of the thoracic aorta is natural. The diameters of the pulmonary trunk and both pulmonary arteries increased by 31mm, 25, and 24mm, respectively. Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Right upper, bilateral lower, aortopulmonary lymph nodes with a size of 7.6x8.4 mm (6.6x4.4 mm in the previous examination) that did not reach pathological dimensions were observed. No lymph nodes in pathological size and appearance were observed in both axilla and supraclavicular level. When examined in the lung parenchyma window; Calcified lymph nodes are observed in the left lung hilum and it is in favor of granulomatous infection sequelae. There is soft tissue density narrowing the left lung upper lobe bronchus anterior to the pulmonary artery. It measures approximately 2 cm in size. It causes significant narrowing of the upper lobe bronchus calibration. Air trapping secondary to bronchial narrowing is observed in the upper lobe. More prominent centriacinar millimetrically circumscribed ground-glass nodules were observed in the upper lobes of both lungs. Hypersensitivity pneumonia or respiratory bronchiolitis can be considered in the differential diagnosis. Nonspecific parenchymal nodular lesions with a diameter of 4 mm located in the superior segment of the right lung lower lobe, 2 mm in diameter sitting in the fissure in the right lung major fissure, and 3 m in diameter in the posterobasal segment of the lower lobe were observed. Liver and spleen sizes have increased as can be seen in the non-contrast examination. The pancreas is natural. No stones were observed in both kidneys. A 3 cm diameter cortical exophytic cystic lesion was observed in the upper pole posterior of the right kidney. Vertebral corpus heights are normal. There are osteophyte formations bridging each other at the anterolateral corners at the thoracic level. Impression: Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_c/valid_250_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  The nasogastric tube terminates infradiaphragmally. Tracheal tube placed in the trachea is observed and the tracheal tube terminates approximately 3 cm proximal to the carina. Trachea, both main bronchi are open. No occlusive pathology was observed in the trachea and both main bronchi. There are prominent calcific plaque formations in the arch of the aorta and the wall of the descending aorta. Calcific plaques are also observed in the walls of the coronary artery and the aortic valve. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the previous examination, significant regression was observed in the consolidation areas observed in the left upper lobe of the lung, and in the current examination, sequelae changes are observed only in the peribronchial area in the apicoposterior segment. In addition, a calcific nodule is observed adjacent to the fissure and its dimensions are stable. Left hilar partial calcific lymph nodes are stable in size. In the current examination, nodular consolidation areas are observed in almost all of the right lung lower lobe and in the left lung lower lobe posterobasal segment, and atelectatic areas in the form of bands extending to the pleura in the right lung lower lobe posterobasal segment. Occasionally, air bronchograms and frosted glass densities are accompanied. It was evaluated in favor of pneumonic infiltration. No feature was found in the upper abdominal organs included in the study area. When the bone is examined in the window, there is an increase in thoracic kyphosis with left-facing thoracic scoliosis. Syndesmophytes, which tend to merge with each other, are observed in the right halves of the distal thoracic vertebrae. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Significant regression in the consolidation observed in the previous examination in the upper lobe of the left lung, sequelae changes are observed only in the peribronchial area at this level, and there is a calcific nodule adjacent to the fissure. In the lower lobes of both lungs, the newly formed nodular consolidation areas and air bronchograms, more prominent in the entire lower lobe on the right, and in the posterobasal segment on the left. Pneumonic infiltration accompanied by band-like atelectatic areas in the posterobasal segment of the lower lobe of the right lung.  Calcific plaque formations in the walls of the coronary artery in the aortic arch.  Increase in thoracic kyphosis, prominent thoracic spondylosis findings. Intensive care access routes are observed as regular."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_d/valid_250_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  The nasogastric tube terminates infradiaphragmally. Tracheal tube placed in the trachea is observed and the tracheal tube terminates approximately 3 cm proximal to the carina. Trachea, both main bronchi are open. No occlusive pathology was observed in the trachea and both main bronchi. There are prominent calcific plaque formations in the arch of the aorta and the wall of the descending aorta. Calcific plaques are also observed in the walls of the coronary artery and the aortic valve. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the previous examination, significant regression was observed in the consolidation areas observed in the left upper lobe of the lung, and in the current examination, sequelae changes are observed only in the peribronchial area in the apicoposterior segment. In addition, a calcific nodule is observed adjacent to the fissure and its dimensions are stable. Left hilar partial calcific lymph nodes are stable in size. In the current examination, nodular consolidation areas are observed in almost all of the right lung lower lobe and in the left lung lower lobe posterobasal segment, and atelectatic areas in the form of bands extending to the pleura in the right lung lower lobe posterobasal segment. Occasionally, air bronchograms and frosted glass densities are accompanied. It was evaluated in favor of pneumonic infiltration. No feature was found in the upper abdominal organs included in the study area. When the bone is examined in the window, there is an increase in thoracic kyphosis with left-facing thoracic scoliosis. Syndesmophytes, which tend to merge with each other, are observed in the right halves of the distal thoracic vertebrae. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Significant regression in the consolidation observed in the previous examination in the upper lobe of the left lung, sequelae changes are observed only in the peribronchial area at this level, and there is a calcific nodule adjacent to the fissure. In the lower lobes of both lungs, the newly formed nodular consolidation areas and air bronchograms, more prominent in the entire lower lobe on the right, and in the posterobasal segment on the left. Pneumonic infiltration accompanied by band-like atelectatic areas in the posterobasal segment of the lower lobe of the right lung.  Calcific plaque formations in the walls of the coronary artery in the aortic arch.  Increase in thoracic kyphosis, prominent thoracic spondylosis findings. Intensive care access routes are observed as regular."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_d/valid_250_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_579",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Tracheal cannula is observed. Trachea and main bronchi are open. Mucus densities are observed in the right upper lateral part of the trachea and in the right intermediate bronchus. The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the abdominal aorta in the aortic arch, descending and ascending aorta. Right upper-bilateral lower paratracheal and aortopulmonary noncalcified lymph nodes smaller than 1 cm and left hilar, peribronchial calcified lymph nodes are observed. Pleural effusion-thickening was not detected in both hemithorax. In addition to these spicule extensions in the left lung lingular segment, there are ground glass appearances and consolidation areas and sequelae areas with calcification in the left lung lingular segment. Apart from this, peribronchial wall thickening is observed around the left lung upper lobe bronchus. Apart from these, more prominent alveolar interstitial density increases are observed in the right lung upper lobe posterior and lower lobe superior and basal segments. In sections passing through the upper part of the west; The liver and spleen, which have partially entered the examination area, appear to have increased in size. The right kidney has partially entered the examination area. Lobulation, which may be compatible with a postcontrast hypodense cyst, is chosen. No obvious pathology was detected in bone structures. Impression:  Slightly regressed consolidation areas in the right lung upper lobe posterior, lower lobe superior and basal segments, which were also observed in previous examinations . Regression in cavitary lesions observed in the left lung upper lobe apicoposterior segment in previous examinations"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_e/valid_250_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_580",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Tracheal cannula is observed. Trachea and main bronchi are open. Mucus densities are observed in the right upper lateral part of the trachea and in the right intermediate bronchus. The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the abdominal aorta in the aortic arch, descending and ascending aorta. Right upper-bilateral lower paratracheal and aortopulmonary noncalcified lymph nodes smaller than 1 cm and left hilar, peribronchial calcified lymph nodes are observed. Pleural effusion-thickening was not detected in both hemithorax. In addition to these spicule extensions in the left lung lingular segment, there are ground glass appearances and consolidation areas and sequelae areas with calcification in the left lung lingular segment. Apart from this, peribronchial wall thickening is observed around the left lung upper lobe bronchus. Apart from these, more prominent alveolar interstitial density increases are observed in the right lung upper lobe posterior and lower lobe superior and basal segments. In sections passing through the upper part of the west; The liver and spleen, which have partially entered the examination area, appear to have increased in size. The right kidney has partially entered the examination area. Lobulation, which may be compatible with a postcontrast hypodense cyst, is chosen. No obvious pathology was detected in bone structures. Impression:  Slightly regressed consolidation areas in the right lung upper lobe posterior, lower lobe superior and basal segments, which were also observed in previous examinations . Regression in cavitary lesions observed in the left lung upper lobe apicoposterior segment in previous examinations"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_e/valid_250_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  The examination was performed on the clinical system without contrast. Mediastinal structures were evaluated as suboptimal. As far as can be observed: Tracheostomy appearance and tracheal cannula were observed in the case. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. According to the previous examination, stable multiple calcified lymph nodes were observed in the peribronchial area in the noncalcified left hilar region with a short axis smaller than 1 cm in the upper-lower paratracheal, prevascular, precarinal, and subcarinal localizations. No significant changes were found in the size and number of lymph nodes in the current examination. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. When examined in the lung parenchyma window; In the non-contrast examination, as far as can be distinguished, an irregularly limited soft tissue density was observed in the left hilar localization, extending to the parenchyma spiculate, adjacent to the left main pulmonary artery. As a result, diffuse narrowing of the upper lobe bronchi was observed. With the described lesion, an indistinguishable, large bronchopneumonic consolidation area extending towards the upper lobe is remarkable. The described finding has only recently emerged in the current review. In addition, newly emerged nodular consolidation areas in the left lung upper lobe apicoposterior segment and right lung upper lobe posterior segment are also noteworthy in the current examination. In addition, there are soft tissue densities in the middle lobe of the right lung, the anterior segment of the upper lobe, and the posterobasal segment of the lower lobe of the lung, which are evaluated in favor of stable primarily fibroatelectasis changes according to the previous examination. Liver and spleen sizes increased in the upper abdominal sections included in the study area. In the current intra-abdominal examination, there is newly emerging free fluid. Between the bilateral pleural leaves, there is an effusion measuring 1 cm in thickness on the left and 5 mm on the right. No lytic-destructive lesion was detected in bone structures. Impression: In the left hilus localization, adjacent to the left main pulmonary artery, there is a mass lesion with spiculated contours whose borders cannot be clearly defined since the examination is uncontrasted, and a newly emerged large bronchopneumonic infiltration area in the current examination in the distal of the mass. Apart from this, in the current examination in both lungs, there is a newly emerging ground-glass density increase around it. There are areas of nodular consolidation. The appearance suggests fungal pneumonia. Clinical-laboratory correlation and post-treatment control are recommended.  Hepatosplenomegaly.  Free intra-abdominal fluid; has just emerged in the current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_f/valid_250_f_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_582",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The examination was performed on the clinical system without contrast. Mediastinal structures were evaluated as suboptimal. As far as can be observed: Tracheostomy appearance and tracheal cannula were observed in the case. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. According to the previous examination, stable multiple calcified lymph nodes were observed in the peribronchial area in the noncalcified left hilar region with a short axis smaller than 1 cm in the upper-lower paratracheal, prevascular, precarinal, and subcarinal localizations. No significant changes were found in the size and number of lymph nodes in the current examination. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. When examined in the lung parenchyma window; In the non-contrast examination, as far as can be distinguished, an irregularly limited soft tissue density was observed in the left hilar localization, extending to the parenchyma spiculate, adjacent to the left main pulmonary artery. As a result, diffuse narrowing of the upper lobe bronchi was observed. With the described lesion, an indistinguishable, large bronchopneumonic consolidation area extending towards the upper lobe is remarkable. The described finding has only recently emerged in the current review. In addition, newly emerged nodular consolidation areas in the left lung upper lobe apicoposterior segment and right lung upper lobe posterior segment are also noteworthy in the current examination. In addition, there are soft tissue densities in the middle lobe of the right lung, the anterior segment of the upper lobe, and the posterobasal segment of the lower lobe of the lung, which are evaluated in favor of stable primarily fibroatelectasis changes according to the previous examination. Liver and spleen sizes increased in the upper abdominal sections included in the study area. In the current intra-abdominal examination, there is newly emerging free fluid. Between the bilateral pleural leaves, there is an effusion measuring 1 cm in thickness on the left and 5 mm on the right. No lytic-destructive lesion was detected in bone structures. Impression: In the left hilus localization, adjacent to the left main pulmonary artery, there is a mass lesion with spiculated contours whose borders cannot be clearly defined since the examination is uncontrasted, and a newly emerged large bronchopneumonic infiltration area in the current examination in the distal of the mass. Apart from this, in the current examination in both lungs, there is a newly emerging ground-glass density increase around it. There are areas of nodular consolidation. The appearance suggests fungal pneumonia. Clinical-laboratory correlation and post-treatment control are recommended.  Hepatosplenomegaly.  Free intra-abdominal fluid; has just emerged in the current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_250/valid_250_f/valid_250_f_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_583",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_251/valid_251_a/valid_251_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_584",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_251/valid_251_a/valid_251_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_585",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_252/valid_252_a/valid_252_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_586",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_252/valid_252_a/valid_252_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_587",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the CTO ratio increased significantly in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. In both lungs, sequelae bands were observed in the peripheral areas of the right lung lower lobe and middle lobe, most prominently. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions are detected in bone structures, osteopenia and osteophytic degenerative changes Impression: Sequelae bands observed in peripheral areas in the right lung lower lobe and middle lobe most prominently in both lungs Significant increase in CTO ratio in favor of the heart Osteopenia and osteophytic degenerative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_253/valid_253_a/valid_253_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_588",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread pleuroparenchymal density increases-atelectasis changes accompanied by ground glass densities were observed in the right lung upper lobe posterior, middle lobe lateral segment and lower lobes, left lung upper lobe anterior segment and lower lobe posterobasal and mediobasal segments. The findings were evaluated in favor of pneumonia in the resolution period. Bronchiectatic changes are observed in the left upper lobe anterior segment of the left lung, causing structural distortion accompanied by fibrotic recessions. Millimetric pulmonary nodules were observed in both lungs. Accessory spleen with a diameter of 19 mm was observed in the medial neighborhood of the lower pole of the spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Sequelae changes in both lungs.  Findings that may be compatible with pneumonia in the resolution period in the lower lobe basal segments of both lungs; It is recommended to be evaluated together with clinical and laboratory.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_254/valid_254_a/valid_254_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_589",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread pleuroparenchymal density increases-atelectasis changes accompanied by ground glass densities were observed in the right lung upper lobe posterior, middle lobe lateral segment and lower lobes, left lung upper lobe anterior segment and lower lobe posterobasal and mediobasal segments. The findings were evaluated in favor of pneumonia in the resolution period. Bronchiectatic changes are observed in the left upper lobe anterior segment of the left lung, causing structural distortion accompanied by fibrotic recessions. Millimetric pulmonary nodules were observed in both lungs. Accessory spleen with a diameter of 19 mm was observed in the medial neighborhood of the lower pole of the spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Sequelae changes in both lungs.  Findings that may be compatible with pneumonia in the resolution period in the lower lobe basal segments of both lungs; It is recommended to be evaluated together with clinical and laboratory.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_254/valid_254_a/valid_254_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_590",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_255/valid_255_a/valid_255_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_591",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_255/valid_255_a/valid_255_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: There are changes secondary to tracheostemia. CTO increased in favor of the heart. Pericardial effusion is present. The heart is observed to be larger than normal in 4 chambers. There is calcific atheroma plaque in the coronary arteries. The aortic arch calibration is 33 mm. It is larger than normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta. Pulmonary trunk calibration is 28 mm. It is at the maximal physiological limit. Other mediastinal major vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a pleural effusion in both lungs, extending from the basal to the upper lobe, reaching a thickness of 45 mm on the right and 25 mm on the left at its thickest point, with atelectatic lung segments in its vicinity. The patient has a mosaic attenuation pattern (small vessel disease?, small airway disease?). Densities compatible with pleuroparenchymal sequelae are observed in the upper lobe and middle lobe of the right lung, and in the anterior segment of the left lung upper lobe. Branches with buds are seen in both lungs at the posterior levels of the upper lobe and in the superior segment of the lower lobe on the right. Densities compatible with pleuroparenchymal sequelae are observed at the level of the cardiophrenic sinus in the anterior segment of the upper lobe on the right. In sections passing through the upper abdomen, there is an increase in density consistent with hepatosteatosis in the liver. Mild effusion is observed in the perihepatic area. Since the pancreatic head is partially included in the image, it cannot be evaluated clearly. However, it looks slightly plump. Degenerative changes are observed in the bone structure. In L1 and L2 vertebrae, there are decreases in corpus height due to large Schmorl nodule impression. Impression: Significant effusion in both pleural spaces, adjacent atelectatic lung segments . Cardiomegaly, increased caliber in mediastinal main vascular structures, atelectatic changes, mosaic attenuation appearance in both lungs . There are bud branches in the ventilated lung parenchyma areas. Findings may be consistent with aspiration pneumonia. Although the findings are atypical for Covid pneumonia, clinical-laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_256/valid_256_a/valid_256_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_593",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: There are changes secondary to tracheostemia. CTO increased in favor of the heart. Pericardial effusion is present. The heart is observed to be larger than normal in 4 chambers. There is calcific atheroma plaque in the coronary arteries. The aortic arch calibration is 33 mm. It is larger than normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta. Pulmonary trunk calibration is 28 mm. It is at the maximal physiological limit. Other mediastinal major vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a pleural effusion in both lungs, extending from the basal to the upper lobe, reaching a thickness of 45 mm on the right and 25 mm on the left at its thickest point, with atelectatic lung segments in its vicinity. The patient has a mosaic attenuation pattern (small vessel disease?, small airway disease?). Densities compatible with pleuroparenchymal sequelae are observed in the upper lobe and middle lobe of the right lung, and in the anterior segment of the left lung upper lobe. Branches with buds are seen in both lungs at the posterior levels of the upper lobe and in the superior segment of the lower lobe on the right. Densities compatible with pleuroparenchymal sequelae are observed at the level of the cardiophrenic sinus in the anterior segment of the upper lobe on the right. In sections passing through the upper abdomen, there is an increase in density consistent with hepatosteatosis in the liver. Mild effusion is observed in the perihepatic area. Since the pancreatic head is partially included in the image, it cannot be evaluated clearly. However, it looks slightly plump. Degenerative changes are observed in the bone structure. In L1 and L2 vertebrae, there are decreases in corpus height due to large Schmorl nodule impression. Impression: Significant effusion in both pleural spaces, adjacent atelectatic lung segments . Cardiomegaly, increased caliber in mediastinal main vascular structures, atelectatic changes, mosaic attenuation appearance in both lungs . There are bud branches in the ventilated lung parenchyma areas. Findings may be consistent with aspiration pneumonia. Although the findings are atypical for Covid pneumonia, clinical-laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_256/valid_256_a/valid_256_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_594",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Depanden atelectasis areas are observed in both lung lower lobe basal segments. Traumatic pneumothorax, hemithorax, alveolar contusion were not observed. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. Suture materials belonging to sleeve gastrectomy are observed in upper abdominal sections. No feature was detected in the section. No fractures were observed in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_257/valid_257_a/valid_257_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_595",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Depanden atelectasis areas are observed in both lung lower lobe basal segments. Traumatic pneumothorax, hemithorax, alveolar contusion were not observed. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. Suture materials belonging to sleeve gastrectomy are observed in upper abdominal sections. No feature was detected in the section. No fractures were observed in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_257/valid_257_a/valid_257_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_596",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Depanden atelectasis areas are observed in both lung lower lobe basal segments. Traumatic pneumothorax, hemithorax, alveolar contusion were not observed. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. Suture materials belonging to sleeve gastrectomy are observed in upper abdominal sections. No feature was detected in the section. No fractures were observed in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_257/valid_257_a/valid_257_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_597",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Depanden atelectasis areas are observed in both lung lower lobe basal segments. Traumatic pneumothorax, hemithorax, alveolar contusion were not observed. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. Suture materials belonging to sleeve gastrectomy are observed in upper abdominal sections. No feature was detected in the section. No fractures were observed in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_257/valid_257_a/valid_257_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_598",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Depanden atelectasis areas are observed in both lung lower lobe basal segments. Traumatic pneumothorax, hemithorax, alveolar contusion were not observed. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. Suture materials belonging to sleeve gastrectomy are observed in upper abdominal sections. No feature was detected in the section. No fractures were observed in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_257/valid_257_a/valid_257_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_599",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density is observed secondary to the thymic remnant in the anterior mediastinum. Trachea and main bronchi are open. Right upper-lower paratracheal millimetric size 1-2 lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_258/valid_258_a/valid_258_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density is observed secondary to the thymic remnant in the anterior mediastinum. Trachea and main bronchi are open. Right upper-lower paratracheal millimetric size 1-2 lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_258/valid_258_a/valid_258_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nonspecific nodule in the upper lobe of the left lung. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: There is a central venous catheter on the right. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodule in the upper lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_258/valid_258_b/valid_258_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_602",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nonspecific nodule in the upper lobe of the left lung. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: There is a central venous catheter on the right. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodule in the upper lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_258/valid_258_b/valid_258_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The catheter port extending to the right atrium is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific nodule of approximately 3 mm is observed in the apicoposterior segment of the left lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric nonspecific nodule in the upper lobe of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_258/valid_258_c/valid_258_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_604",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a venous catheter in the superior vena cava. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the upper lobe of the left lung, there is a subpleural nodule in the paracardiac area (in serial 2 image 230), measuring up to 5 mm in diameter, with nonatelectatic changes from an atelectatic mass around it. The spleen enters the study partially and its size has increased. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A nodule in the upper lobe of the left lung with atelectasis around it, which does not show any nonspecific significant difference in the paracardiac area.  Increase in spleen size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_258/valid_258_d/valid_258_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a venous catheter in the superior vena cava. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the upper lobe of the left lung, there is a subpleural nodule in the paracardiac area (in serial 2 image 230), measuring up to 5 mm in diameter, with nonatelectatic changes from an atelectatic mass around it. The spleen enters the study partially and its size has increased. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A nodule in the upper lobe of the left lung with atelectasis around it, which does not show any nonspecific significant difference in the paracardiac area.  Increase in spleen size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_258/valid_258_d/valid_258_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_606",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures and heart contour size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdomen sections within the image. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_259/valid_259_a/valid_259_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_607",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures and heart contour size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdomen sections within the image. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_259/valid_259_a/valid_259_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_608",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; There are non-specific nodules measuring 8 mm in diameter with a pleural base in the right lung lower lobe posterobasal segment and 7 mm in diameter at the pleural base in the left lung lower lobe laterobasal segment. Follow-up is recommended. There are sequela parenchymal changes in the apex of both lungs. More prominently on the right, areas of increase in density consistent with indistinct ground glass consolidation are observed in both lung lower lobe superior and posterobasal segments. Viral pneumonias are considered in its etiology. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  Peripheral subpleural ground glass in both lung lower lobe superior and posterobasal segments, more prominent on the right, and areas of increased density consistent with consolidation; Viral pneumonias are considered in the etiology. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia.  There are pleural-based non-specific nodules in the lower lobes of both lungs, the largest measuring 8 mm in diameter on the right; follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_260/valid_260_a/valid_260_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_609",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; There are non-specific nodules measuring 8 mm in diameter with a pleural base in the right lung lower lobe posterobasal segment and 7 mm in diameter at the pleural base in the left lung lower lobe laterobasal segment. Follow-up is recommended. There are sequela parenchymal changes in the apex of both lungs. More prominently on the right, areas of increase in density consistent with indistinct ground glass consolidation are observed in both lung lower lobe superior and posterobasal segments. Viral pneumonias are considered in its etiology. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  Peripheral subpleural ground glass in both lung lower lobe superior and posterobasal segments, more prominent on the right, and areas of increased density consistent with consolidation; Viral pneumonias are considered in the etiology. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia.  There are pleural-based non-specific nodules in the lower lobes of both lungs, the largest measuring 8 mm in diameter on the right; follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_260/valid_260_a/valid_260_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are peripheral subpleural reticular density increases in both lung parenchyma, air cyst and bronchiectasis in the left lingular segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The hypodense lesion consistent with an adenoma of 20 mm in the right adrenal gland is stable. The fracture, which causes 50% height loss in the T12 vertebral body, is stable. Impression:  Stable findings consistent with interstitial lung disease in both lung parenchyma  Millimetric lymph nodes in the mediastinum.  Right adrenal stable adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_261/valid_261_a/valid_261_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_611",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are peripheral subpleural reticular density increases in both lung parenchyma, air cyst and bronchiectasis in the left lingular segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The hypodense lesion consistent with an adenoma of 20 mm in the right adrenal gland is stable. The fracture, which causes 50% height loss in the T12 vertebral body, is stable. Impression:  Stable findings consistent with interstitial lung disease in both lung parenchyma  Millimetric lymph nodes in the mediastinum.  Right adrenal stable adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_261/valid_261_a/valid_261_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Rest thymic tissue is observed in the anterior mediastinum. Mediastinal main vascular structures are normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the sections passing through the upper abdomen, there is a peripherally located cystic lesion in the posterior segment of the liver right lobe adjacent to the vena cava (WHO classification type II hydatid cyst?). Both adrenals are normal. Degenerative changes are observed in the bone structure entering the examination area. Impression: No findings in favor of pneumonia were detected. Hydatid cyst stage II according to WHO calcification in the posterior segment of the liver right lobe?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_262/valid_262_a/valid_262_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_613",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Rest thymic tissue is observed in the anterior mediastinum. Mediastinal main vascular structures are normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the sections passing through the upper abdomen, there is a peripherally located cystic lesion in the posterior segment of the liver right lobe adjacent to the vena cava (WHO classification type II hydatid cyst?). Both adrenals are normal. Degenerative changes are observed in the bone structure entering the examination area. Impression: No findings in favor of pneumonia were detected. Hydatid cyst stage II according to WHO calcification in the posterior segment of the liver right lobe?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_262/valid_262_a/valid_262_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_614",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Breath artifacts were present in the study and were evaluated as suboptimal. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A calcific nodule measuring 6 mm in size is observed in the paramediastinal area in the anterior upper lobe of the right lung. There are calcific atheroma plaques in the coronary arteries and aortic arch. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There are irregularities in the cortical structure of both kidneys, and partial hypodense finding in the left kidney that may be compatible with a cortical cyst. No lytic-destructive lesion was detected in bone structures. Impression: Calcific nodule 6 mm in size in anterior upper lobe of right lung. Cortical thinning in kidney cortical structures.  A hypodense oval-shaped finding (cyst?) partially entering the images in the left kidney. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_263/valid_263_a/valid_263_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Breath artifacts were present in the study and were evaluated as suboptimal. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A calcific nodule measuring 6 mm in size is observed in the paramediastinal area in the anterior upper lobe of the right lung. There are calcific atheroma plaques in the coronary arteries and aortic arch. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There are irregularities in the cortical structure of both kidneys, and partial hypodense finding in the left kidney that may be compatible with a cortical cyst. No lytic-destructive lesion was detected in bone structures. Impression: Calcific nodule 6 mm in size in anterior upper lobe of right lung. Cortical thinning in kidney cortical structures.  A hypodense oval-shaped finding (cyst?) partially entering the images in the left kidney. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_263/valid_263_a/valid_263_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Heart size increased. A smear-like pericardial effusion was observed. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Right upper-lower paratracheal, subcarinal calcific lymph nodes were observed. There were no enlarged lymph nodes in prevascular, pretracheal, bilateral hilar-axillary pathological dimensions. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; Large ground glass consolidations forming a multilobar, multisegmental, crazy paving pattern extending from the central to the periphery were observed in the lung parenchyma, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A nonspecific calcific nodule with a diameter of 6 mm was observed in the paramediastinal area in the anterior segment of the right lung upper lobe. Fluid effusion was observed in both hemithorax. As far as can be seen in the sections, cortical irregularities compatible with sequelae in both kidney parenchyma and a 2.8 cm diameter nodular lesion area in the upper pole of the left kidney were observed (cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was observed in bone structures. Impression: Calcific atheromatous plaques in the thoracic aorta and coronary arteries. Cardiomegaly, smear-like pericardial effusion.  Hiatal hernia . Bilateral smear-like pleural effusion, highly suspicious findings for Covid-19 pneumonia in the lung parenchyma.  Millimetric nonspecific calcific nodule in the anterior segment of the upper lobe of the right lung. Sequelae changes in bilateral renal cortical structures, cortical cyst in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_263/valid_263_b/valid_263_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Heart size increased. A smear-like pericardial effusion was observed. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Right upper-lower paratracheal, subcarinal calcific lymph nodes were observed. There were no enlarged lymph nodes in prevascular, pretracheal, bilateral hilar-axillary pathological dimensions. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; Large ground glass consolidations forming a multilobar, multisegmental, crazy paving pattern extending from the central to the periphery were observed in the lung parenchyma, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A nonspecific calcific nodule with a diameter of 6 mm was observed in the paramediastinal area in the anterior segment of the right lung upper lobe. Fluid effusion was observed in both hemithorax. As far as can be seen in the sections, cortical irregularities compatible with sequelae in both kidney parenchyma and a 2.8 cm diameter nodular lesion area in the upper pole of the left kidney were observed (cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was observed in bone structures. Impression: Calcific atheromatous plaques in the thoracic aorta and coronary arteries. Cardiomegaly, smear-like pericardial effusion.  Hiatal hernia . Bilateral smear-like pleural effusion, highly suspicious findings for Covid-19 pneumonia in the lung parenchyma.  Millimetric nonspecific calcific nodule in the anterior segment of the upper lobe of the right lung. Sequelae changes in bilateral renal cortical structures, cortical cyst in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_263/valid_263_b/valid_263_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally due to the absence of IV contrast in the cardiac examination, and the calibration of the Vvascular structures, heart contour and size are normal. No pericardial-pleural effusion or increased thickness was detected. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. In both lungs, diffuse mild ectasia and peribronchial thickness increases are evident in the central bronchial structures. There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment, right lung middle lobe medial segment and both lung apices. In the upper abdominal sections within the image, no pathology was observed within the borders of non-contrast CT. A low-density nodular lesion of 18x13 mm was observed in the corpus of the right adrenal gland. It was evaluated in favor of adenoma. No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved. Impression:  Diffuse mild ectasia and peribronchial thickness increases and local sequela parenchymal changes in the bronchial structures of both lungs that are prominent in the center; no finding in favor of pneumonic infiltration was detected.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Nodular lesion consistent with adenoma in the corpus of the right adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_264/valid_264_a/valid_264_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_619",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally due to the absence of IV contrast in the cardiac examination, and the calibration of the Vvascular structures, heart contour and size are normal. No pericardial-pleural effusion or increased thickness was detected. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. In both lungs, diffuse mild ectasia and peribronchial thickness increases are evident in the central bronchial structures. There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment, right lung middle lobe medial segment and both lung apices. In the upper abdominal sections within the image, no pathology was observed within the borders of non-contrast CT. A low-density nodular lesion of 18x13 mm was observed in the corpus of the right adrenal gland. It was evaluated in favor of adenoma. No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved. Impression:  Diffuse mild ectasia and peribronchial thickness increases and local sequela parenchymal changes in the bronchial structures of both lungs that are prominent in the center; no finding in favor of pneumonic infiltration was detected.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Nodular lesion consistent with adenoma in the corpus of the right adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_264/valid_264_a/valid_264_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_620",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Linear atelectasis and minimal pleuroparenchymal sequelae changes were also observed in both lungs. There are millimetric nonspecific nodules in both lungs. No appearance to be evaluated in favor of a mass or infiltration was detected in both lungs. No pleural or pericardial effusion is observed, but there are calcified pleural plaques in both hemithorax, costal and diaphragmatic pleura. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. Atheroma plaques were observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Sliding type minimal hiatal hernia is observed at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Vertebral corpus heights, alignments and densities are normal within the sections. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Calcified pleural plaques in both hemithorax  Mosaic attenuation pattern in both lungs  Local atelectasis and minimal pleuroparenchymal sequelae changes in both lungs  Millimetric nonspecific nodules in both lungs  Atherosclerotic changes in aorta and coronary arteries  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_265/valid_265_a/valid_265_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_621",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Linear atelectasis and minimal pleuroparenchymal sequelae changes were also observed in both lungs. There are millimetric nonspecific nodules in both lungs. No appearance to be evaluated in favor of a mass or infiltration was detected in both lungs. No pleural or pericardial effusion is observed, but there are calcified pleural plaques in both hemithorax, costal and diaphragmatic pleura. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. Atheroma plaques were observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Sliding type minimal hiatal hernia is observed at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Vertebral corpus heights, alignments and densities are normal within the sections. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Calcified pleural plaques in both hemithorax  Mosaic attenuation pattern in both lungs  Local atelectasis and minimal pleuroparenchymal sequelae changes in both lungs  Millimetric nonspecific nodules in both lungs  Atherosclerotic changes in aorta and coronary arteries  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_265/valid_265_a/valid_265_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_622",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_266/valid_266_a/valid_266_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_623",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_266/valid_266_a/valid_266_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_267/valid_267_a/valid_267_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_267/valid_267_a/valid_267_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_626",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation in the medial part of the right lung lower lobe superior segment and a ground glass area around it are observed. A ground glass area is also observed in the left lung lower lobe superior segment. The views described are not specific. These appearances were thought to belong primarily to a pneumonic infiltration. The presence of a ground glass area in the superior segment of the lower lobe of the left lung suggests that this appearance may be a viral pneumonia. It is recommended to evaluate the patient together with clinical, physical examination and laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No enlarged lymph nodes in pathological dimensions were detected. In the liver parenchyma density, there is a decrease in density compatible with advanced adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. The neural foramina are open. Impression: Appearances compatible with pneumonic infiltration in the right lung lower lobe superior segment and left lung lower lobe . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_268/valid_268_a/valid_268_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_627",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation in the medial part of the right lung lower lobe superior segment and a ground glass area around it are observed. A ground glass area is also observed in the left lung lower lobe superior segment. The views described are not specific. These appearances were thought to belong primarily to a pneumonic infiltration. The presence of a ground glass area in the superior segment of the lower lobe of the left lung suggests that this appearance may be a viral pneumonia. It is recommended to evaluate the patient together with clinical, physical examination and laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No enlarged lymph nodes in pathological dimensions were detected. In the liver parenchyma density, there is a decrease in density compatible with advanced adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. The neural foramina are open. Impression: Appearances compatible with pneumonic infiltration in the right lung lower lobe superior segment and left lung lower lobe . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_268/valid_268_a/valid_268_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_628",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi were open and no obstructive pathology was detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There is an area of increase in density consistent with linear atelectasis in the medial segment of the right lung middle lobe. In addition, several nonspecific nodules measuring 3 mm in size are observed in the middle lobe of the right lung. Ventilation of both lungs is natural. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: An area of increase in density consistent with linear atelectasis in the medial segment of the middle lobe of the right lung and a few millimetric nodules in the right lung; no finding in favor of pneumonic infiltration in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_269/valid_269_a/valid_269_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_629",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Cystic bronchiectatic changes are observed in the lower lobe basal segments of both lungs, more prominently on the left, in the upper lobe of the left lung, inferior lingula, and in the middle lobe of the right lung. Nodular ground glass density is observed in both lungs, the largest of which is at the basal level of the lower lobe of the right lung, in series 2 image 233. The findings are also atypical in terms of early viral pneumonia, and due to the current pandemic, clinical lab is recommended for better differential diagnosis. blind. recommended. Peribronchial thickenings and recessions are observed in the right lung middle lobe anterior accompanied by pleural calcifications. Pleural recessions and calcifications are observed in the lower lobe and upper lobe pleural structures of the left lung, more prominently in the anterior middle lobe of the right lung. There are lymph nodes with more than one short axis measuring up to 9 mm in the mediastinum. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are several multiple calcifications in the gallbladder. There is diffuse density reduction in bone structures. Hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles. Impression: Cystic bronchiectasis in both lungs, especially in the lower lobe basal segments, cystic bronchiectatic changes, peribronchial thickening, pleural retraction and millimetric calcific foci.  Diffuse density reduction in bone structures, degenerative sharpening in vertebral bodies, end plates.  Cholelithiasis. Nodular ground glass density is observed in both lungs. The findings are also atypical in terms of early viral pneumonia, and due to the current pandemic, clinical lab is recommended for better differential diagnosis. blind. recommended . Small lymph nodes in the mediastinum with a short axis of the size described above."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_270/valid_270_a/valid_270_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_630",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Cystic bronchiectatic changes are observed in the lower lobe basal segments of both lungs, more prominently on the left, in the upper lobe of the left lung, inferior lingula, and in the middle lobe of the right lung. Nodular ground glass density is observed in both lungs, the largest of which is at the basal level of the lower lobe of the right lung, in series 2 image 233. The findings are also atypical in terms of early viral pneumonia, and due to the current pandemic, clinical lab is recommended for better differential diagnosis. blind. recommended. Peribronchial thickenings and recessions are observed in the right lung middle lobe anterior accompanied by pleural calcifications. Pleural recessions and calcifications are observed in the lower lobe and upper lobe pleural structures of the left lung, more prominently in the anterior middle lobe of the right lung. There are lymph nodes with more than one short axis measuring up to 9 mm in the mediastinum. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are several multiple calcifications in the gallbladder. There is diffuse density reduction in bone structures. Hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles. Impression: Cystic bronchiectasis in both lungs, especially in the lower lobe basal segments, cystic bronchiectatic changes, peribronchial thickening, pleural retraction and millimetric calcific foci.  Diffuse density reduction in bone structures, degenerative sharpening in vertebral bodies, end plates.  Cholelithiasis. Nodular ground glass density is observed in both lungs. The findings are also atypical in terms of early viral pneumonia, and due to the current pandemic, clinical lab is recommended for better differential diagnosis. blind. recommended . Small lymph nodes in the mediastinum with a short axis of the size described above."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_270/valid_270_a/valid_270_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; more than one patchy ground glass densities in both lungs, mostly peripheral and centrally located patchy ground glass densities are observed. The findings were evaluated in favor of Covid-19 viral pneumonia. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are partially included in the examination and were evaluated as suboptimal. A partial hypodense area measuring 33 mm in the right kidney is observed and evaluated as suboptimal (cyst?). In case of doubt, USG correlation is recommended. The gallbladder is operated. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia.  Partially observed hypodense lesion (cyst?) measuring 34 mm in the right kidney. USG correlation is recommended.  The gallbladder is operated."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_271/valid_271_a/valid_271_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_632",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; more than one patchy ground glass densities in both lungs, mostly peripheral and centrally located patchy ground glass densities are observed. The findings were evaluated in favor of Covid-19 viral pneumonia. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are partially included in the examination and were evaluated as suboptimal. A partial hypodense area measuring 33 mm in the right kidney is observed and evaluated as suboptimal (cyst?). In case of doubt, USG correlation is recommended. The gallbladder is operated. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia.  Partially observed hypodense lesion (cyst?) measuring 34 mm in the right kidney. USG correlation is recommended.  The gallbladder is operated."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_271/valid_271_a/valid_271_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_633",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. There is no pathological LAP in the mediastinum, and there are lymph nodes with a short diameter of 9 mm, the largest of which is at the subcrinal level. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Consolidation areas were noted in the bilateral multisegmental subpleural area. It is one of the common findings of Covid -19 pneumonia and the patient's clinical lab. It is recommended to be evaluated together with the examinations. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: In the evaluation of both lung parenchyma, areas of consolidation in the bilateral multisegmental subpleural area were noted. It is one of the common findings of Covid -19 pneumonia and it is recommended to evaluate the patient together with clinical laboratory examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_272/valid_272_a/valid_272_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the calibration of mediastinal vascular structures, heart contour and size are normal. In mediastinal lymph node stations, no lymph nodes were detected in pathological size and appearance at both hilus levels. Trachea and both main bronchi are open and no obstructive pathology is detected. There is no pathological increase in wall thickness in the esophagus, and there is a mild hiatal hernia at the level of the esophagogastric junction. No pericardial, pleural effusion or thickening was detected. When examined in the lung parenchyma window; Both lung aeration is natural, and nonspecific nodules, some of them calcified, in millimetric sizes, are observed in the bilateral lungs. There is nodular thickening of 7x5 mmm, which is evaluated in favor of a superposed subpleural lymph node on the soda major fissure. Abdominal sections within the image are natural as far as they can be evaluated within the limits of non-contrast CT. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lesion suggestive of lytic-destructive metastasis was detected in the bone structures within the image. Vertebral corpus heights are preserved. Impression: A few nonspecific intrapulmonary nodules, some of them calcified in millimeters in both lungs, and two nodular thickenings superposed on the major fissure on the left, primarily subpleural lymph node evaluated. Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_273/valid_273_a/valid_273_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_635",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Anasarca-like edema is present in all skin and subcutaneous soft tissues within the section. Density increase due to edema is observed in mediastinal fat plans. No contrast agent was given. Under these conditions, no lymph node in pathological size and appearance was observed in the mediastinum. Cardiac pacemaker catheter is monitored. Heart size increased. Biventricular diameter increase is observed. Stent materials are observed in LAD and RCA. Pericardial effusion was not detected. The trachea and both main bronchial air columns are open. There is a pleural effusion reaching 5.5 cm in diameter between the left pleural leaves. There is a pleural effusion reaching 8 cm in diameter between the pleural leaves, adjacent to the lower lobe superior segment, between the right pleural leaves. The lower lobe of the right lung is almost not ventilated. Segmentary atelectasis areas are observed in the upper lobe posterior segment and middle lobe. No pneumonic infiltration was detected in the aerated lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. In the abdominal sections entering the image area, there is widespread free fluid in the abdomen. No lytic-destructive lesions were detected in bone structures. Impression: Anasarca-style edema in all skin and subcutaneous soft tissues. Diffuse intra-abdominal fluid and bilateral pleural effusion.  The lower lobe of the right lung is not ventilated. There are segmental atelectasis areas in the upper and middle lobes. No pneumonia is observed in the ventilated lung parenchyma. Stent and cardiac pacemaker catheter in the coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_274/valid_274_a/valid_274_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Electrodes showing the density of the pacemaker and extending to the level of the ventricle were observed on the anterior wall of the left chest. When examined in the lung parenchyma window; In the lower lobe of the right lung, diffuse interlobular septal thickenings accompanied by diffuse interlobular septal thickenings accompanied by ground-glass-like density increases and peribronchial thickenings were observed. Peribronchial ground glass density pulses were observed in the posterobasal segment of the left lung lower lobe, in the subpleural area and in the right lung upper lobe posterior. The described manifestations can be observed in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Density increases consistent with diffuse edema-inflammation were observed under the entire skin in the thorax sections included in the study area. In the upper abdominal sections that entered the examination area, diffuse free fluid was observed in the abdomen. It is also observed in the previous examination and no significant change was detected. No lytic-destructive lesion was detected in bone structures. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_274/valid_274_b/valid_274_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_637",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Electrodes showing the density of the pacemaker and extending to the level of the ventricle were observed on the anterior wall of the left chest. When examined in the lung parenchyma window; In the lower lobe of the right lung, diffuse interlobular septal thickenings accompanied by diffuse interlobular septal thickenings accompanied by ground-glass-like density increases and peribronchial thickenings were observed. Peribronchial ground glass density pulses were observed in the posterobasal segment of the left lung lower lobe, in the subpleural area and in the right lung upper lobe posterior. The described manifestations can be observed in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Density increases consistent with diffuse edema-inflammation were observed under the entire skin in the thorax sections included in the study area. In the upper abdominal sections that entered the examination area, diffuse free fluid was observed in the abdomen. It is also observed in the previous examination and no significant change was detected. No lytic-destructive lesion was detected in bone structures. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_274/valid_274_b/valid_274_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_638",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: LVAD is monitored. There is a small amount of periventricular effusion. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Moderate amount of effusion is observed in both hemithorax, more prominent on the right. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are atelectatic changes in both lungs, more prominent in the lower lobe on the right. No nodular or infiltrative lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in bone structures and a decrease in density. Impression: There was no finding in favor of an infectious process in the visible lung parenchyma. There are atelectasis and volume losses in the lower lobes of both lungs, more prominent on the right. Moderate amount of pleural effusion, more prominent on the right bilaterally. Pericardial effusion in the form of smearing, LVAD is observed.  Degenerative changes in bone structures and decrease in density."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_274/valid_274_c/valid_274_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_639",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: LVAD is monitored. There is a small amount of periventricular effusion. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Moderate amount of effusion is observed in both hemithorax, more prominent on the right. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are atelectatic changes in both lungs, more prominent in the lower lobe on the right. No nodular or infiltrative lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in bone structures and a decrease in density. Impression: There was no finding in favor of an infectious process in the visible lung parenchyma. There are atelectasis and volume losses in the lower lobes of both lungs, more prominent on the right. Moderate amount of pleural effusion, more prominent on the right bilaterally. Pericardial effusion in the form of smearing, LVAD is observed.  Degenerative changes in bone structures and decrease in density."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_274/valid_274_c/valid_274_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The dimensions of the thyroid gland have increased, and a hypodense nodule of 30x40 mm, extending towards the mediastinum, is observed in the left lobe. The cardiothoracic ratio increased in favor of the heart. The diameter of the ascending aorta was 39 mm and increased. Several lymph nodes with a diameter of 6.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the aortopulmonary window, and no enlarged lymph nodes in pathological size and appearance were detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Pericardial 1 cm thick low-density effusion is observed. Pleural effusion with a thickness of 1.5 cm in the right hemithorax and 1 cm in the left hemithorax is observed. There is minimal effusion in the left major fissure. There is bilateral minimal tubular bronchiectasis and accompanying peribronchial thickness increase. There are increased interlobular septal thickness, accompanying ground glass areas and subsegmental atelectasis in both lower lobes of the lungs (secondary to cardiac failure?). Sliding type hiatal hernia is observed at the esophagogastric junction. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There is an increase in trabeculation in the bone structures within the sections and millimetric osteophytes in the vertebral corpus corners in places. No lytic-destructive lesion was observed. Impression:  Cardiomegaly, pericardial effusion, bilateral pleural effusion, increased interlobular septal thickness in the lower lobes of both lungs, accompanying ground glass areas and subsegmental atelectasis (secondary to cardiac failure?).  Bilateral tubular bronchiectasis, accompanying peribronchial thickening.  Dilatation of the ascending aorta.  Hiatal hernia.  Increased size of the thyroid gland, hypodense nodule extending to the mediastinum in the left lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_275/valid_275_a/valid_275_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_641",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The dimensions of the thyroid gland have increased, and a hypodense nodule of 30x40 mm, extending towards the mediastinum, is observed in the left lobe. The cardiothoracic ratio increased in favor of the heart. The diameter of the ascending aorta was 39 mm and increased. Several lymph nodes with a diameter of 6.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the aortopulmonary window, and no enlarged lymph nodes in pathological size and appearance were detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Pericardial 1 cm thick low-density effusion is observed. Pleural effusion with a thickness of 1.5 cm in the right hemithorax and 1 cm in the left hemithorax is observed. There is minimal effusion in the left major fissure. There is bilateral minimal tubular bronchiectasis and accompanying peribronchial thickness increase. There are increased interlobular septal thickness, accompanying ground glass areas and subsegmental atelectasis in both lower lobes of the lungs (secondary to cardiac failure?). Sliding type hiatal hernia is observed at the esophagogastric junction. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There is an increase in trabeculation in the bone structures within the sections and millimetric osteophytes in the vertebral corpus corners in places. No lytic-destructive lesion was observed. Impression:  Cardiomegaly, pericardial effusion, bilateral pleural effusion, increased interlobular septal thickness in the lower lobes of both lungs, accompanying ground glass areas and subsegmental atelectasis (secondary to cardiac failure?).  Bilateral tubular bronchiectasis, accompanying peribronchial thickening.  Dilatation of the ascending aorta.  Hiatal hernia.  Increased size of the thyroid gland, hypodense nodule extending to the mediastinum in the left lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_275/valid_275_a/valid_275_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_642",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures and heart are deviated to the left. Pericardial effusion was not observed. The effusion observed in the left pleural space in the previous examination was not detected in the current examination. Thoracic aorta diameter is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the previous examination of the right lung, total loss of aeration was observed, and in the current examination, minimal aeration is observed in the upper lobes. There are mass lesions that almost completely fill the right lung and right hemithorax, extend to the mediastinum and intercostal spaces, tend to encircle the trachea, completely obliterate the right main bronchus, completely surround the right pulmonary artery, erase the fatty planes between the right atrium and the left atrium, and encircle the aortic arch. . In the current examination of the left lung parenchyma, patchy ground glass densities in crazy paving pattern and new infectious processes are observed, especially in the upper lobe. Multiple mass lesions measuring up to 55 mm are observed on the right anterior chest wall. No significant difference was detected. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Operated RCC  Large nodular metastases, extending to the mediastinum, which almost completely fills the right lung, extending into the intercostal spaces, surrounding some of the mediastinal vascular structures, and tending to encircle some of them.  Metastatic masses in the right anterior chest wall that do not differ significantly  New infectious processes in the left lung parenchyma  The effusion observed in the left hemithorax shows complete resolution.  Slight increases in aeration are observed in the right lung parenchyma. In the previous examination, there was almost complete loss of aeration, and in the current examination, aeration in the upper lobe of the right lung is observed in the right lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_276/valid_276_a/valid_276_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_643",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures and heart are deviated to the left. Pericardial effusion was not observed. The effusion observed in the left pleural space in the previous examination was not detected in the current examination. Thoracic aorta diameter is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the previous examination of the right lung, total loss of aeration was observed, and in the current examination, minimal aeration is observed in the upper lobes. There are mass lesions that almost completely fill the right lung and right hemithorax, extend to the mediastinum and intercostal spaces, tend to encircle the trachea, completely obliterate the right main bronchus, completely surround the right pulmonary artery, erase the fatty planes between the right atrium and the left atrium, and encircle the aortic arch. . In the current examination of the left lung parenchyma, patchy ground glass densities in crazy paving pattern and new infectious processes are observed, especially in the upper lobe. Multiple mass lesions measuring up to 55 mm are observed on the right anterior chest wall. No significant difference was detected. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Operated RCC  Large nodular metastases, extending to the mediastinum, which almost completely fills the right lung, extending into the intercostal spaces, surrounding some of the mediastinal vascular structures, and tending to encircle some of them.  Metastatic masses in the right anterior chest wall that do not differ significantly  New infectious processes in the left lung parenchyma  The effusion observed in the left hemithorax shows complete resolution.  Slight increases in aeration are observed in the right lung parenchyma. In the previous examination, there was almost complete loss of aeration, and in the current examination, aeration in the upper lobe of the right lung is observed in the right lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_276/valid_276_a/valid_276_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_644",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are appearances compatible with pleuroparenchymal sequelae changes in both lung apexes, more prominent on the right. There are appearances compatible with sequelae changes in both lung lower lobes. Atelectasis, which was understood to be due to osteophyte compression, was observed in the medial superior segment of the lower lobe of the right lung. A similar appearance is also observed in the neighborhood of the anterior segment of the upper lobe of the right lung. There are sometimes linear atelectasis in both lungs. There are emphysematous changes in both lungs. Millimetric nodules were observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Sliding type hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Emphysematous changes in both lungs.  Stable millimetric nodules in both lungs.  Sequelae changes and atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_a/valid_277_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are appearances compatible with pleuroparenchymal sequelae changes in both lung apexes, more prominent on the right. There are appearances compatible with sequelae changes in both lung lower lobes. Atelectasis, which was understood to be due to osteophyte compression, was observed in the medial superior segment of the lower lobe of the right lung. A similar appearance is also observed in the neighborhood of the anterior segment of the upper lobe of the right lung. There are sometimes linear atelectasis in both lungs. There are emphysematous changes in both lungs. Millimetric nodules were observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Sliding type hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Emphysematous changes in both lungs.  Stable millimetric nodules in both lungs.  Sequelae changes and atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_a/valid_277_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Minimal calcified atherosclerotic changes were observed in the thoracic aortic wall. Pericardial effusion-thickening was not observed. Sliding type hiatal hernia was observed. Mediastinal and hilar pathological lymph nodes were not detected. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Millimetric parenchymal nodules were observed in both lungs. A newly emerged 8.5 mm diameter nodular consolidation area was observed in the apical right lung in the current examination. It may be compatible with an infectious process. Post-treatment control is recommended. It just appeared in the current review. There are fibroatelectasis changes observed in the previous examination in both lungs. In the upper abdominal sections in the study area; hypodense lesions were observed in both kidneys (cyst?). No lytic-destructive lesion was detected in bone structures. Impression:  Emphysematous changes in both lungs, minimal atherosclerotic changes.  Sequelae changes-atelectasis in both lungs.  Newly revealed area of nodular consolidation on current examination in the apical right lung; may be compatible with an infectious process. Clinical evaluation and post-treatment control are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_b/valid_277_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_647",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Minimal calcified atherosclerotic changes were observed in the thoracic aortic wall. Pericardial effusion-thickening was not observed. Sliding type hiatal hernia was observed. Mediastinal and hilar pathological lymph nodes were not detected. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Millimetric parenchymal nodules were observed in both lungs. A newly emerged 8.5 mm diameter nodular consolidation area was observed in the apical right lung in the current examination. It may be compatible with an infectious process. Post-treatment control is recommended. It just appeared in the current review. There are fibroatelectasis changes observed in the previous examination in both lungs. In the upper abdominal sections in the study area; hypodense lesions were observed in both kidneys (cyst?). No lytic-destructive lesion was detected in bone structures. Impression:  Emphysematous changes in both lungs, minimal atherosclerotic changes.  Sequelae changes-atelectasis in both lungs.  Newly revealed area of nodular consolidation on current examination in the apical right lung; may be compatible with an infectious process. Clinical evaluation and post-treatment control are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_b/valid_277_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  There are emphysematous changes in both lungs. Millimetrically sized parenchymal nodules were observed. The size of the nodular lesion with an irregular border, whose diameter was approximately 8 mm, observed in the apical segment of the right lung upper lobe in the previous CT examination, was measured as 5 mm in the current examination and decreased. In addition, there are nodules in millimeter sizes in both lungs. The number and dimensions are stable. There are occasional sequela fibrotic atelectasis changes in both lungs, which were also observed in the previous CT examination of the patient. Sliding type hiatal hernia was observed at the lower end of the esophagus. No lymph node was detected in pathological size and appearance in the mediastinum. Pericardial and pleural effusion was not detected. Upper abdominal sections within the image show hypodense stable lesions (cyst?) in both kidneys. A slightly hyperdense appearance with leveling in the gallbladder lumen was noted, and when evaluated together with USG, it was understood that it belonged to biliary sludge. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  No newly developed pathology was detected. Other findings described in the previous CT examination are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_c/valid_277_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_649",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  There are emphysematous changes in both lungs. Millimetrically sized parenchymal nodules were observed. The size of the nodular lesion with an irregular border, whose diameter was approximately 8 mm, observed in the apical segment of the right lung upper lobe in the previous CT examination, was measured as 5 mm in the current examination and decreased. In addition, there are nodules in millimeter sizes in both lungs. The number and dimensions are stable. There are occasional sequela fibrotic atelectasis changes in both lungs, which were also observed in the previous CT examination of the patient. Sliding type hiatal hernia was observed at the lower end of the esophagus. No lymph node was detected in pathological size and appearance in the mediastinum. Pericardial and pleural effusion was not detected. Upper abdominal sections within the image show hypodense stable lesions (cyst?) in both kidneys. A slightly hyperdense appearance with leveling in the gallbladder lumen was noted, and when evaluated together with USG, it was understood that it belonged to biliary sludge. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  No newly developed pathology was detected. Other findings described in the previous CT examination are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_c/valid_277_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_650",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: There are emphysematous changes in both lungs. The size of the nodular lesion with an irregular border, whose diameter was measured as approximately 5 mm in the apical segment of the right lung upper lobe in the previous CT examination, was measured as 8 mm in the current examination and increased. In addition, there are nodules in millimeter sizes in both lungs. The number and dimensions are stable. Stable sequela fibrotic atelectasis changes, which were also observed in the previous CT examination of the patient, were observed in both lungs. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pericardial and pleural effusion was not observed. A millimetric nonspecific hypodense lesion was observed in the left lobe (segment 2) of the liver (cyst?). Hypodense lesions were observed in both kidneys. Among the lesions, the left kidney has a hyperdense appearance in the upper pole (hemorrhagic ?). Impression:   The size of the nodule located in the apical segment of the upper lobe of the right lung has increased in the current examination. Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_d/valid_277_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_651",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: There are emphysematous changes in both lungs. The size of the nodular lesion with an irregular border, whose diameter was measured as approximately 5 mm in the apical segment of the right lung upper lobe in the previous CT examination, was measured as 8 mm in the current examination and increased. In addition, there are nodules in millimeter sizes in both lungs. The number and dimensions are stable. Stable sequela fibrotic atelectasis changes, which were also observed in the previous CT examination of the patient, were observed in both lungs. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pericardial and pleural effusion was not observed. A millimetric nonspecific hypodense lesion was observed in the left lobe (segment 2) of the liver (cyst?). Hypodense lesions were observed in both kidneys. Among the lesions, the left kidney has a hyperdense appearance in the upper pole (hemorrhagic ?). Impression:   The size of the nodule located in the apical segment of the upper lobe of the right lung has increased in the current examination. Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_d/valid_277_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Apart from this, no significant changes were detected in the size and appearance of the millimetric nodules observed in the previous examination in both lungs. Sequela fibroatelectasis, which was observed in the previous examinations of the patient, was observed in both lungs. The pleural effusion area on the left, which was observed in the previous examination, was not detected in the current examination. Sliding type hiatal hernia was observed. Pericardial thickening-effusion was not detected. A millimetric hypodense lesion was observed at the level of segment 2 in the left lobe of the liver (cyst?). There is a millimetric hyperdense lesion in the upper pole of the left kidney (hemorrhagic cyst?). There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_e/valid_277_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_653",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Apart from this, no significant changes were detected in the size and appearance of the millimetric nodules observed in the previous examination in both lungs. Sequela fibroatelectasis, which was observed in the previous examinations of the patient, was observed in both lungs. The pleural effusion area on the left, which was observed in the previous examination, was not detected in the current examination. Sliding type hiatal hernia was observed. Pericardial thickening-effusion was not detected. A millimetric hypodense lesion was observed at the level of segment 2 in the left lobe of the liver (cyst?). There is a millimetric hyperdense lesion in the upper pole of the left kidney (hemorrhagic cyst?). There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_e/valid_277_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_654",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Apart from this, no significant changes were detected in the size and appearance of the nodules in the apical segment of the upper lobe of the right lung, around which ground glass density increases were observed. A pleural effusion measuring 1 cm in thickness was observed in the current examination between the pleural leaves on the left, and it has recently emerged in the current examination. Sliding type hiatal hernia was observed. Pericardial thickening-effusion was not detected. A millimetric hypodense lesion was observed at the level of segment 2 of the left lobe of the liver (cyst?). No significant change was found in the other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_f/valid_277_f_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_655",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Apart from this, no significant changes were detected in the size and appearance of the nodules in the apical segment of the upper lobe of the right lung, around which ground glass density increases were observed. A pleural effusion measuring 1 cm in thickness was observed in the current examination between the pleural leaves on the left, and it has recently emerged in the current examination. Sliding type hiatal hernia was observed. Pericardial thickening-effusion was not detected. A millimetric hypodense lesion was observed at the level of segment 2 of the left lobe of the liver (cyst?). No significant change was found in the other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_f/valid_277_f_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_656",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Because of the streak artifact, the examination is of suboptimal diagnostic quality. There are several nodules with a diameter of 12 mm in the left lobe and isthmus of the thyroid gland, and the largest in the isthmus. It is stable. Heart contour and size are normal. Pleural effusion with a diameter of 1 cm is observed in the pericardial space. It has just emerged. The widths of the mediastinal main vascular structures are normal. The port chamber is observed on the anterior wall of the left thorax, and the catheter tip ends at the superior-right atrium junction of the vena cava. Endotracheal tube is available. No occlusive pathology was detected in the trachea and both main bronchi. There is 4.5 cm thick effusion in the right hemithorax and 4 cm in the left hemithorax. There is an atelectasis-consolidation complex in which air bronchograms are observed in the lower lobe of both lungs and the lingular segment of the left lung upper lobe adjacent to the effusion. There are interlobular septal thickness increases in both upper lobes of the lungs (secondary to stasis?). Emphysematous changes are observed in both upper lobe apical segments of both lungs prominent on the right. There are patchy consolidation areas in the upper lobe of the right lung and ground glass areas in the upper lobes of both lungs. The nasogastric tube ending in the stomach is observed. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Bilateral pleural effusion, pericardial effusion; has just emerged.  Atelectasis-consolidation complex in both lungs; newly appeared on the right, increased prevalence on the left.  Minimal emphysematous changes in both lungs.  Increases in interlobular septal thickness in both lungs (secondary to stasis?).  Several hypodense nodules in the thyroid gland; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_g/valid_277_g_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_657",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Because of the streak artifact, the examination is of suboptimal diagnostic quality. There are several nodules with a diameter of 12 mm in the left lobe and isthmus of the thyroid gland, and the largest in the isthmus. It is stable. Heart contour and size are normal. Pleural effusion with a diameter of 1 cm is observed in the pericardial space. It has just emerged. The widths of the mediastinal main vascular structures are normal. The port chamber is observed on the anterior wall of the left thorax, and the catheter tip ends at the superior-right atrium junction of the vena cava. Endotracheal tube is available. No occlusive pathology was detected in the trachea and both main bronchi. There is 4.5 cm thick effusion in the right hemithorax and 4 cm in the left hemithorax. There is an atelectasis-consolidation complex in which air bronchograms are observed in the lower lobe of both lungs and the lingular segment of the left lung upper lobe adjacent to the effusion. There are interlobular septal thickness increases in both upper lobes of the lungs (secondary to stasis?). Emphysematous changes are observed in both upper lobe apical segments of both lungs prominent on the right. There are patchy consolidation areas in the upper lobe of the right lung and ground glass areas in the upper lobes of both lungs. The nasogastric tube ending in the stomach is observed. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Bilateral pleural effusion, pericardial effusion; has just emerged.  Atelectasis-consolidation complex in both lungs; newly appeared on the right, increased prevalence on the left.  Minimal emphysematous changes in both lungs.  Increases in interlobular septal thickness in both lungs (secondary to stasis?).  Several hypodense nodules in the thyroid gland; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_277/valid_277_g/valid_277_g_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_658",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures is natural. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. There is a plaque-like increase in calcified thickness in the pleura. No pathological increase in wall thickness is observed in the thoracic esophagus. Multiple lymph nodes are observed in the mediastinum, in the prevascular, aorticopulmonary window, paratracheal, precarinal and subcarinal areas, the largest of which reaches 13 mm in diameter at the right upper paratracheal level, and has lost its fusiform configuration in places. In both axillary regions, no lymph nodes are observed in the supraclavicular fossa in pathological size and appearance. In both pleural spaces, there is effusion accompanied by diffuse thickness increase in the pleural leaves, which is evaluated in favor of empyema reaching a depth of 90 mm on the left and 35 mm on the right. Density increase areas compatible with linear atelectasis and pleuroparenchymal sequelae bands are observed in both lung parenchyma adjacent to the effusion, in the left lung superior and inferior lingular segment and in the upper lobe apical segment, in the right lung upper lobe anterior and middle lobe. There are paraseptal emphysematous changes in the apex of both lungs. No active infiltration or mass lesion was detected in both lung parenchyma. There are diffuse mild ectasia and peribronchial thickness increases in the bronchial structures in both lungs. In the upper abdominal sections within the image, as far as can be seen within the borders of non-contrast CT, there are lesions in the upper pole and middle zone of the right kidney with slightly hyperdense cortical localization, the larger of which is considered to be a hemorrhagic cyst measuring 7 mm in diameter in the middle zone. In addition, there are hypodense lesions of cortical localized hypodense fluid density in the middle zone of the right kidney and in the upper pole of the left kidney, which cannot be clearly characterized within the borders of unenhanced CT. First of all, it is thought that it may be a cyst. Intraabdominal free liqu- ulated collection is not observed. A lymph node of approximately 15x13 mm in size, which lost its fusiform configuration, was observed adjacent to the gastric cardia. Apart from this, no lymph node was detected in pathological size and appearance as far as can be seen in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Plaque-like calcified thickening of the pericardium.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Multiple lymph nodes, the largest of which is at the right upper paratracheal level in the mediastinum, with a short diameter over 1 cm, some of which have lost their fusiform configuration, and a short nodule over 1 cm in diameter, which has lost its fusiform configuration in the upper abdominal sections within the image, adjacent to the stomach cardia right lateral.  Effusion in both pleural spaces with increased thickness of more prominent pleural leaves on the right; firstly it was evaluated in favor of empyema.  Millimetrically sized hyperdense lesions (hemorrhagic cyst?) located cortical in the right kidney and lesions of hypodense fluid density in both kidneys with cortical localized exophytic extension (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_278/valid_278_a/valid_278_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_659",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures is natural. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. There is a plaque-like increase in calcified thickness in the pleura. No pathological increase in wall thickness is observed in the thoracic esophagus. Multiple lymph nodes are observed in the mediastinum, in the prevascular, aorticopulmonary window, paratracheal, precarinal and subcarinal areas, the largest of which reaches 13 mm in diameter at the right upper paratracheal level, and has lost its fusiform configuration in places. In both axillary regions, no lymph nodes are observed in the supraclavicular fossa in pathological size and appearance. In both pleural spaces, there is effusion accompanied by diffuse thickness increase in the pleural leaves, which is evaluated in favor of empyema reaching a depth of 90 mm on the left and 35 mm on the right. Density increase areas compatible with linear atelectasis and pleuroparenchymal sequelae bands are observed in both lung parenchyma adjacent to the effusion, in the left lung superior and inferior lingular segment and in the upper lobe apical segment, in the right lung upper lobe anterior and middle lobe. There are paraseptal emphysematous changes in the apex of both lungs. No active infiltration or mass lesion was detected in both lung parenchyma. There are diffuse mild ectasia and peribronchial thickness increases in the bronchial structures in both lungs. In the upper abdominal sections within the image, as far as can be seen within the borders of non-contrast CT, there are lesions in the upper pole and middle zone of the right kidney with slightly hyperdense cortical localization, the larger of which is considered to be a hemorrhagic cyst measuring 7 mm in diameter in the middle zone. In addition, there are hypodense lesions of cortical localized hypodense fluid density in the middle zone of the right kidney and in the upper pole of the left kidney, which cannot be clearly characterized within the borders of unenhanced CT. First of all, it is thought that it may be a cyst. Intraabdominal free liqu- ulated collection is not observed. A lymph node of approximately 15x13 mm in size, which lost its fusiform configuration, was observed adjacent to the gastric cardia. Apart from this, no lymph node was detected in pathological size and appearance as far as can be seen in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Plaque-like calcified thickening of the pericardium.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Multiple lymph nodes, the largest of which is at the right upper paratracheal level in the mediastinum, with a short diameter over 1 cm, some of which have lost their fusiform configuration, and a short nodule over 1 cm in diameter, which has lost its fusiform configuration in the upper abdominal sections within the image, adjacent to the stomach cardia right lateral.  Effusion in both pleural spaces with increased thickness of more prominent pleural leaves on the right; firstly it was evaluated in favor of empyema.  Millimetrically sized hyperdense lesions (hemorrhagic cyst?) located cortical in the right kidney and lesions of hypodense fluid density in both kidneys with cortical localized exophytic extension (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_278/valid_278_a/valid_278_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_660",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Diffuse patchy crazy paving pattern ground glass densities are observed in both lungs. There is fluid localization in the fissure on the right side. There was no significant difference in the dimensions of loculated effusion in the right hemithorax. There is a loculated effusion in the left hemithorax with air-fluid leveling. No significant difference was found in the consolidation area, which includes air bronchogram signs, observed at the basal level of the lower lobe of the left lung. In the previous examination, the large hematoma area observed in the right axillary region was significantly resolved. Pericardial large calcific plaques are present. In the mediastinum, no significant difference was found in the size and number of lymph nodes observed in the previous examination in the pre-paratracheal, subcarinal, and aorticopulmonary window. New contaminations are observed in the current examination of mediastinal fatty planes. It is recommended to monitor the clinical correlation for mediastinitis. There are diffuse crescentic atherosclerotic plaques in vascular structures. Bilateral partial cortical cysts are observed. Cortical cyst in the left kidney. There are findings consistent with liver parenchymal disease. Diffuse density reduction in bone structures and tapering in end plates are observed. Impression:  Findings compatible with new infectious processes in both lungs, space-occupying lesion in the consolidation areas observed at the level of the described infectious processes and crazy paving patterns cannot be differentiated.  The large hematoma area observed in the right axillary region in the previous examination has significantly resolved and is not observed in the current examination.  Lymph nodes in the mediastinum that do not show significant dimensional and numerical differences in the pre-paratracheal, subcarinal, aorticopulmonary window.  Atelectatic changes in the lower lobes of both lungs.  Mild bronchiectasis.  Fluid loculations, effusions, showing air-fluid leveling on the left in both hemithorax.  Pericardial large calcific plaques.  New loculated effusion within the fissure in the right hemithorax.  Diffuse density reduction in bone structures, tapering in end plates.  Cortical cyst in left kidney.  There are findings consistent with liver parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_278/valid_278_b/valid_278_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_661",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Diffuse patchy crazy paving pattern ground glass densities are observed in both lungs. There is fluid localization in the fissure on the right side. There was no significant difference in the dimensions of loculated effusion in the right hemithorax. There is a loculated effusion in the left hemithorax with air-fluid leveling. No significant difference was found in the consolidation area, which includes air bronchogram signs, observed at the basal level of the lower lobe of the left lung. In the previous examination, the large hematoma area observed in the right axillary region was significantly resolved. Pericardial large calcific plaques are present. In the mediastinum, no significant difference was found in the size and number of lymph nodes observed in the previous examination in the pre-paratracheal, subcarinal, and aorticopulmonary window. New contaminations are observed in the current examination of mediastinal fatty planes. It is recommended to monitor the clinical correlation for mediastinitis. There are diffuse crescentic atherosclerotic plaques in vascular structures. Bilateral partial cortical cysts are observed. Cortical cyst in the left kidney. There are findings consistent with liver parenchymal disease. Diffuse density reduction in bone structures and tapering in end plates are observed. Impression:  Findings compatible with new infectious processes in both lungs, space-occupying lesion in the consolidation areas observed at the level of the described infectious processes and crazy paving patterns cannot be differentiated.  The large hematoma area observed in the right axillary region in the previous examination has significantly resolved and is not observed in the current examination.  Lymph nodes in the mediastinum that do not show significant dimensional and numerical differences in the pre-paratracheal, subcarinal, aorticopulmonary window.  Atelectatic changes in the lower lobes of both lungs.  Mild bronchiectasis.  Fluid loculations, effusions, showing air-fluid leveling on the left in both hemithorax.  Pericardial large calcific plaques.  New loculated effusion within the fissure in the right hemithorax.  Diffuse density reduction in bone structures, tapering in end plates.  Cortical cyst in left kidney.  There are findings consistent with liver parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_278/valid_278_b/valid_278_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_662",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of mediastinal vascular structures and heart contour size are normal. Pericardial, pleural effusion is not detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. When examined in the lung parenchyma window; Density increases in ground glass density were observed in both lungs, the majority of which were multilobar located in the peripheral subpleural. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. There is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis in the upper abdominal sections within the image. A 6x4 mm hyperdense stone was observed in the middle zone of the left kidney. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Findings consistent with viral pneumonia in both lungs  Hepatosteatosis  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_279/valid_279_a/valid_279_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_663",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of mediastinal vascular structures and heart contour size are normal. Pericardial, pleural effusion is not detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. When examined in the lung parenchyma window; Density increases in ground glass density were observed in both lungs, the majority of which were multilobar located in the peripheral subpleural. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. There is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis in the upper abdominal sections within the image. A 6x4 mm hyperdense stone was observed in the middle zone of the left kidney. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Findings consistent with viral pneumonia in both lungs  Hepatosteatosis  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_279/valid_279_a/valid_279_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_664",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_280/valid_280_a/valid_280_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_665",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_280/valid_280_a/valid_280_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_666",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Focal lightly limited ground glass density increases were observed in the right lung upper lobe posterior segment and lower lobe. The outlook can be observed during the resolution period of Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Millimetric nonspecific parenchymal nodules were observed in both lungs. Upper abdominal organs included in the sections; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Sequelae changes in both lungs.  Focal, faintly circumscribed ground-glass density increases were observed in the right lung upper lobe posterior segment and lower lobe. The outlook can be observed during the resolution period of Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_281/valid_281_a/valid_281_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_667",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Focal lightly limited ground glass density increases were observed in the right lung upper lobe posterior segment and lower lobe. The outlook can be observed during the resolution period of Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Millimetric nonspecific parenchymal nodules were observed in both lungs. Upper abdominal organs included in the sections; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Sequelae changes in both lungs.  Focal, faintly circumscribed ground-glass density increases were observed in the right lung upper lobe posterior segment and lower lobe. The outlook can be observed during the resolution period of Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_281/valid_281_a/valid_281_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Calcific atheroma plaques were observed in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. In the right lung middle lobe, left lung upper lobe inferior lingular, right lung lower lobe basal segments, and pleuroparenchymal fibroatelectasis sequelae changes were observed. Nonspecific parenchymal nodules with a diameter of 6.2 mm were observed in both lungs, the largest of which was in the laterobasal segment of the lower lobe of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheromatous plaques in coronary arteries.  Sequelae changes in both lungs.  Tubular bronchiectasis that becomes prominent in the center of both lungs, minimal peribronchial thickening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_282/valid_282_a/valid_282_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_669",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Calcific atheroma plaques were observed in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. In the right lung middle lobe, left lung upper lobe inferior lingular, right lung lower lobe basal segments, and pleuroparenchymal fibroatelectasis sequelae changes were observed. Nonspecific parenchymal nodules with a diameter of 6.2 mm were observed in both lungs, the largest of which was in the laterobasal segment of the lower lobe of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheromatous plaques in coronary arteries.  Sequelae changes in both lungs.  Tubular bronchiectasis that becomes prominent in the center of both lungs, minimal peribronchial thickening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_282/valid_282_a/valid_282_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_670",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Focal pleural thickening was detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. There are millimetric non-specific nodules and sequela fibroatelectasis in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. There are degenerative changes in bone structures and osteoporosis. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_283/valid_283_a/valid_283_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a small hiatal hernia. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Linear atelectatic changes are observed in the basal segments of the lower lobes of both lungs. A hypodense sign of 11 mm in size, which was considered suboptimal in the uncontrast-free images at the right lung segment 4 level, was initially evaluated in favor of a cyst. Upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mild atelectasis changes at basal levels of lower lobes of both lungs  Suspicious cyst in liver right lobe segment 4  Small hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_284/valid_284_a/valid_284_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_672",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a small hiatal hernia. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Linear atelectatic changes are observed in the basal segments of the lower lobes of both lungs. A hypodense sign of 11 mm in size, which was considered suboptimal in the uncontrast-free images at the right lung segment 4 level, was initially evaluated in favor of a cyst. Upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mild atelectasis changes at basal levels of lower lobes of both lungs  Suspicious cyst in liver right lobe segment 4  Small hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_284/valid_284_a/valid_284_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_673",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal osteodegenerative changes were observed in bone structures. Impression:  Several millimetric nonspecific parenchymal nodules in both lungs.  Minimal osteodegenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_285/valid_285_a/valid_285_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal osteodegenerative changes were observed in bone structures. Impression:  Several millimetric nonspecific parenchymal nodules in both lungs.  Minimal osteodegenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_285/valid_285_a/valid_285_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_286/valid_286_a/valid_286_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_676",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_286/valid_286_a/valid_286_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_677",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The aortic arch calibration is 29 mm. It is larger than normal. Calibration of other vascular structures is natural. Millimetric sized lymph nodes are observed at the prevascular level in the upper-lower paratracheal area, in the aorticopulmonary window. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; trachea and both main bronchi are normal. In almost all lung segments, multiple ground-glass-like density increments are observed with scattered round appearance. There are interstitial scars on the floor. The findings are typical for Covid-19 pneumonia. Other viral pneumonias are included in the differential diagnosis. Clinical and laboratory correlation is recommended. There is a 3 mm diameter nodule at the apical level of the upper lobe of the right lung. No bilateral pleural effusion or pneumothorax was detected. Accessory spleen is observed adjacent to the spleen in sections passing through the upper abdomen. Both adrenal glands are normal. Diverticulum appearance is observed in the neighborhood of the descending colon. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in bone structures. Impression: The findings are significant for Covid-19 pneumonia. Other viral pneumonias are included in the differential diagnosis. Clinical laboratory verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_287/valid_287_a/valid_287_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The aortic arch calibration is 29 mm. It is larger than normal. Calibration of other vascular structures is natural. Millimetric sized lymph nodes are observed at the prevascular level in the upper-lower paratracheal area, in the aorticopulmonary window. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; trachea and both main bronchi are normal. In almost all lung segments, multiple ground-glass-like density increments are observed with scattered round appearance. There are interstitial scars on the floor. The findings are typical for Covid-19 pneumonia. Other viral pneumonias are included in the differential diagnosis. Clinical and laboratory correlation is recommended. There is a 3 mm diameter nodule at the apical level of the upper lobe of the right lung. No bilateral pleural effusion or pneumothorax was detected. Accessory spleen is observed adjacent to the spleen in sections passing through the upper abdomen. Both adrenal glands are normal. Diverticulum appearance is observed in the neighborhood of the descending colon. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in bone structures. Impression: The findings are significant for Covid-19 pneumonia. Other viral pneumonias are included in the differential diagnosis. Clinical laboratory verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_287/valid_287_a/valid_287_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the axilla and supraclavicular fossa. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Oesophageal calibration is natural. No pneumonic infiltrative involvement or consolidation area was detected in the lung parenchyma. Bronchial wall thickness increases are observed in segmental bronchi. In places, parenchymal air trapping areas are secondary to small airway involvement. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No lytic-destructive lesions were detected in bone structures. There is a nodular lesion compatible with an adenoma of 13 mm in the left adrenal gland. The gallbladder was not observed (operated). Impression: Increased bronchial wall thickness in segment bronchi and air trapping areas in lung parenchyma, left adrenal adenoma, cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_288/valid_288_a/valid_288_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the axilla and supraclavicular fossa. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Oesophageal calibration is natural. No pneumonic infiltrative involvement or consolidation area was detected in the lung parenchyma. Bronchial wall thickness increases are observed in segmental bronchi. In places, parenchymal air trapping areas are secondary to small airway involvement. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No lytic-destructive lesions were detected in bone structures. There is a nodular lesion compatible with an adenoma of 13 mm in the left adrenal gland. The gallbladder was not observed (operated). Impression: Increased bronchial wall thickness in segment bronchi and air trapping areas in lung parenchyma, left adrenal adenoma, cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_288/valid_288_a/valid_288_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_681",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart size increased. Biventricular diameter increase is observed. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, mediastinum and axilla in pathological size and appearance. In lung parenchyma evaluation; Consolidation areas are observed in both lung parenchyma with increasing prevalence towards the bases. Radiological findings are consistent with atypical pneumonia, covid pneumonia. No features were detected in the upper abdomen sections. No space-occupying lesions were detected in bone structures that can be distinguished by CT. Impression:  Atypical infiltration areas consistent with Covid pneumonia in both lungs.  Increase in heart size, increase in biventricular diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_289/valid_289_a/valid_289_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_682",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart size increased. Biventricular diameter increase is observed. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, mediastinum and axilla in pathological size and appearance. In lung parenchyma evaluation; Consolidation areas are observed in both lung parenchyma with increasing prevalence towards the bases. Radiological findings are consistent with atypical pneumonia, covid pneumonia. No features were detected in the upper abdomen sections. No space-occupying lesions were detected in bone structures that can be distinguished by CT. Impression:  Atypical infiltration areas consistent with Covid pneumonia in both lungs.  Increase in heart size, increase in biventricular diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_289/valid_289_a/valid_289_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass nodule was detected in both lung parenchyma. No pleural effusion was detected. Focal nodular ground-glass density increases were observed in both lower lobe posterobasal segments of both lungs and in the left upper lobe lingular segment of the left lung. The outlook may be seen in the early phase of Covid-19 pneumonia or in the resolution phase, but is not specific. Clinical and laboratory correlation and control is recommended. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Difficultly distinguishable focal nodular ground glass density increases were observed in both lung lower lobe posterobasal segments and left lung upper lobe lingular segment. Appearance may be seen in the early or resolution phase of Covid-19 pneumonia, but is not specific. Clinical and laboratory correlation and control are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_290/valid_290_a/valid_290_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_684",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass nodule was detected in both lung parenchyma. No pleural effusion was detected. Focal nodular ground-glass density increases were observed in both lower lobe posterobasal segments of both lungs and in the left upper lobe lingular segment of the left lung. The outlook may be seen in the early phase of Covid-19 pneumonia or in the resolution phase, but is not specific. Clinical and laboratory correlation and control is recommended. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Difficultly distinguishable focal nodular ground glass density increases were observed in both lung lower lobe posterobasal segments and left lung upper lobe lingular segment. Appearance may be seen in the early or resolution phase of Covid-19 pneumonia, but is not specific. Clinical and laboratory correlation and control are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_290/valid_290_a/valid_290_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_685",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The aortic arch calibration is 31 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is natural. The thyroid gland extends to the thoracic inlet of the right lobe and there is heterogeneity covering almost the entire lobe. At this level, it is thought to be a large nodule measuring approximately 55x45 mm. It is recommended to be evaluated together with the USG findings. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed in the esophagus. When examined in the lung parenchyma window; The trachea appears to be displaced to the left due to the large nodule defined in the right lobe of the thyroid gland. However, the calibration of the trachea and main bronchi is normal and their lumens are clear. Both hemithorax are symmetrical. A subpleural nodule with a diameter of 4 mm is observed in the anterobasal segment of the lower lobe of the right lung. Pleuroparenchymal sequelae increase in density is observed in the inferior lingular segment. There are faint ground glass-like density increments accompanying the mosaic attenuation pattern in the lower-middle zones of both lungs. It is recommended to be evaluated together with clinical and laboratory findings. The liver and spleen parenchyma in the examination area have a natural appearance. Right adrenal is normal. There is a nodular appearance of approximately 7 mm in diameter in the left adrenal lateral crus. Degenerative changes are observed in the bone structures in the study area. There is left-facing scoliosis in the thoracic region. Impression: Mosaic attenuation pattern in the upper-lower zones of both lungs and accompanying faint ground-glass-like density increments. The thyroid gland extends to the thoracic inlet of the right lobe and there is heterogeneity covering almost the entire lobe. At this level, it is thought to be a large nodule measuring approximately 55x45 mm. It is recommended to be evaluated together with the USG findings.  Degenerative changes are observed in bone structures. Scoliosis with left-facing opening in the thoracic region. Nodular appearance, approximately 7 mm in diameter, in the left adrenal lateral crus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_291/valid_291_a/valid_291_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_686",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The aortic arch calibration is 31 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is natural. The thyroid gland extends to the thoracic inlet of the right lobe and there is heterogeneity covering almost the entire lobe. At this level, it is thought to be a large nodule measuring approximately 55x45 mm. It is recommended to be evaluated together with the USG findings. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed in the esophagus. When examined in the lung parenchyma window; The trachea appears to be displaced to the left due to the large nodule defined in the right lobe of the thyroid gland. However, the calibration of the trachea and main bronchi is normal and their lumens are clear. Both hemithorax are symmetrical. A subpleural nodule with a diameter of 4 mm is observed in the anterobasal segment of the lower lobe of the right lung. Pleuroparenchymal sequelae increase in density is observed in the inferior lingular segment. There are faint ground glass-like density increments accompanying the mosaic attenuation pattern in the lower-middle zones of both lungs. It is recommended to be evaluated together with clinical and laboratory findings. The liver and spleen parenchyma in the examination area have a natural appearance. Right adrenal is normal. There is a nodular appearance of approximately 7 mm in diameter in the left adrenal lateral crus. Degenerative changes are observed in the bone structures in the study area. There is left-facing scoliosis in the thoracic region. Impression: Mosaic attenuation pattern in the upper-lower zones of both lungs and accompanying faint ground-glass-like density increments. The thyroid gland extends to the thoracic inlet of the right lobe and there is heterogeneity covering almost the entire lobe. At this level, it is thought to be a large nodule measuring approximately 55x45 mm. It is recommended to be evaluated together with the USG findings.  Degenerative changes are observed in bone structures. Scoliosis with left-facing opening in the thoracic region. Nodular appearance, approximately 7 mm in diameter, in the left adrenal lateral crus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_291/valid_291_a/valid_291_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_687",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. No lymph node was detected in the mediastinum and in both hilar levels in pathological size and configuration. In both lungs, there is a pleural effusion reaching 30 mm on the right and 25 mm on the left in the thickest part of the area extending from the basal to the apex. There are common consolidative areas in both lungs and some ground glass-like density increases around it. Parenchymal bands are observed. There are sequelae changes at the apical level of the right lung. In the right lung, several 3-4 mm nodules, one of which is calcific, are observed in the upper lobe anterior segment. There is a calcific nodule of approximately 7 mm in diameter in the lower lobe laterobasal segment of the left lung. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression: Findings consistent with Covid-19 pneumonia. Clinical laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis.  Bilateral pleural effusion. Slight degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_292/valid_292_a/valid_292_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_688",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_293/valid_293_a/valid_293_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_689",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_293/valid_293_a/valid_293_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_690",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are several short axis lymph nodes measuring up to 7 mm in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse, diffuse, patchy in both lungs, peripherally located ground-glass densities, mostly in the posterobasal parts, are observed. Clinical and laboratory correlation of the findings in terms of viral pneumonia and close follow-up are recommended. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Diffuse, patchy, ground-glass densities in both lungs, mostly in the posterobasal parts, Clinical and laboratory correlation of the findings in terms of viral pneumonia and close follow-up is recommended.  Small lymph nodes in the mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_294/valid_294_a/valid_294_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are several short axis lymph nodes measuring up to 7 mm in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse, diffuse, patchy in both lungs, peripherally located ground-glass densities, mostly in the posterobasal parts, are observed. Clinical and laboratory correlation of the findings in terms of viral pneumonia and close follow-up are recommended. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Diffuse, patchy, ground-glass densities in both lungs, mostly in the posterobasal parts, Clinical and laboratory correlation of the findings in terms of viral pneumonia and close follow-up is recommended.  Small lymph nodes in the mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_294/valid_294_a/valid_294_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_692",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Since the examination was performed without contrast, mediastinal vascular structures and heart could not be evaluated optimally. As far as can be seen; Bilateral increase in thyroid gland size and heterogeneous density are observed. Evaluation with USG examination is recommended. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. On the wall of the mediastinal vascular structures, there are calcified atheromatous plaques on the wall of the coronary vascular structures. Pulmonary trunk diameter increased by 35 mm. Heart contour, size is normal. Pericardial, pleural effusion was not observed. No significant tumoral wall thickening was detected in the thoracic esophagus. There is a slippery mild hiatal hernia at the lower end. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There is a mosaic attenuation pattern in both lungs (Small airway disease? , Small vessel disease?). There are sequela parenchymal changes in both lungs. In both lungs, pure calcified nodules in millimetric sizes are observed. There are diffuse mild thickness increases and peribrochial thickenings in the bronchial structures, which are more prominent in the lower lobes of both lungs. There is a 1 cm diameter nodule with irregular border in the posterior segment of the left lung lower lobe. There are sequelae changes in the lung parenchyma adjacent to the nodule (Fibrotic nodular formation?). In the upper abdominal organs included in the study area; No solid mass was detected as far as can be observed within the borders of non-contrast CT. There are no lytic or destructive lesions in the bone structures within the image, and there are findings of a left-weighted old compression fracture in the L1 vertebra corpus inferior end plateau. Impression: Calcific atheroma plaques on the wall of mediastinal vascular structures, increased pulmonary conus caliber.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Sequelae parenchymal changes in both lungs, millimeter-sized pure calcified nodules in both lungs and irregular border nodule in the posterior segment of the left lung lower lobe, and sequelae changes in the adjacent lung parenchyma (Fibrotic nodular formation?).  More prominently observed in the lower lobes of both lungs diffuse mild ectasia and peribronchial thickness increases in bronchial structures.  Old compression fracture in L1 vertebra corpus lower end plateau and degenerative changes in bone structures. Increase in thoracic kyphosis and thoracic spondylosis findings.  Increase in thyroid gland size and heterogeneous appearance; evaluation with USG is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_295/valid_295_a/valid_295_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Since the examination was performed without contrast, mediastinal vascular structures and heart could not be evaluated optimally. As far as can be seen; Bilateral increase in thyroid gland size and heterogeneous density are observed. Evaluation with USG examination is recommended. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. On the wall of the mediastinal vascular structures, there are calcified atheromatous plaques on the wall of the coronary vascular structures. Pulmonary trunk diameter increased by 35 mm. Heart contour, size is normal. Pericardial, pleural effusion was not observed. No significant tumoral wall thickening was detected in the thoracic esophagus. There is a slippery mild hiatal hernia at the lower end. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There is a mosaic attenuation pattern in both lungs (Small airway disease? , Small vessel disease?). There are sequela parenchymal changes in both lungs. In both lungs, pure calcified nodules in millimetric sizes are observed. There are diffuse mild thickness increases and peribrochial thickenings in the bronchial structures, which are more prominent in the lower lobes of both lungs. There is a 1 cm diameter nodule with irregular border in the posterior segment of the left lung lower lobe. There are sequelae changes in the lung parenchyma adjacent to the nodule (Fibrotic nodular formation?). In the upper abdominal organs included in the study area; No solid mass was detected as far as can be observed within the borders of non-contrast CT. There are no lytic or destructive lesions in the bone structures within the image, and there are findings of a left-weighted old compression fracture in the L1 vertebra corpus inferior end plateau. Impression: Calcific atheroma plaques on the wall of mediastinal vascular structures, increased pulmonary conus caliber.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Sequelae parenchymal changes in both lungs, millimeter-sized pure calcified nodules in both lungs and irregular border nodule in the posterior segment of the left lung lower lobe, and sequelae changes in the adjacent lung parenchyma (Fibrotic nodular formation?).  More prominently observed in the lower lobes of both lungs diffuse mild ectasia and peribronchial thickness increases in bronchial structures.  Old compression fracture in L1 vertebra corpus lower end plateau and degenerative changes in bone structures. Increase in thoracic kyphosis and thoracic spondylosis findings.  Increase in thyroid gland size and heterogeneous appearance; evaluation with USG is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_295/valid_295_a/valid_295_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_694",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. Active infiltration or mass lesion is not detected in both lungs, and there are a few millimeter-sized nonspecific nodules. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Active infiltration or mass lesion is not detected in both lungs, and there are a few millimetric nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_296/valid_296_a/valid_296_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_695",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are ground glass densities in both lungs with a common tendency to coalesce. Coronary atherosclerotic calcific plaques are observed. Pleural effusion-thickening was not detected. There are cortical millimetric cysts in the liver and in the left kidney within the sections. The right kidney was not observed in its normal localization. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings consistent with Covid pneumonia.  Coronary atherosclerosis . Polycystic liver and kidney disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_297/valid_297_a/valid_297_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_696",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. There are atypical pneumonic infiltration areas of ground glass density in several subpleural and peribronchial foci in both lungs. Radiological findings are compatible with Covid pneumonia. There is mild parenchymal involvement. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  There are findings compatible with Covid pneumonia, mild parenchymal involvement."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_298/valid_298_a/valid_298_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_697",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. There are atypical pneumonic infiltration areas of ground glass density in several subpleural and peribronchial foci in both lungs. Radiological findings are compatible with Covid pneumonia. There is mild parenchymal involvement. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  There are findings compatible with Covid pneumonia, mild parenchymal involvement."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_298/valid_298_a/valid_298_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_698",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. The gallbladder is operated. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There is a finding in favor of left-facing scoliosis in the dorsal vertebrae. Degenerative changes are observed in bone structures. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_299/valid_299_a/valid_299_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_699",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. The gallbladder is operated. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There is a finding in favor of left-facing scoliosis in the dorsal vertebrae. Degenerative changes are observed in bone structures. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_299/valid_299_a/valid_299_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_700",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. In the anterior mediastinum, thymic tissue, which did not show a mass effect, is partially fatty invaded. Calibration of mediastinal major vascular structures is natural. Several lymph nodes are observed in the mediastinum, the largest of which is in the aorticopulmonary window and the short axis is 7 mm. There were no pathologically sized and configured lymph nodes at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed in the esophagus. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Thin, centrlobular nodules are observed in both lungs, being more prominent in the upper zones. The appearance is non-specific (bronchiolitis?, secondary to infection?, hypersensitivity pneumonia?). Emphysematous density decreases are observed in both lungs. There is a 2 mm diameter non-specific nodule at the posterobasal level of the lower lobe of the right lung. A 2 mm diameter nodule is observed in the lower lobe superior segment of the left lung. No bilateral pleural effusion or pneumothorax was detected. In the upper abdominal organs, including sections; There is a slight decrease in density consistent with steatosis in the liver. A well-defined, hypodense non-specific lesion of approximately 17x15 mm is observed at the level of subsegment 7 in the right lobe posterior segment superior of the liver. In the middle part of the right kidney, several densities are observed, which are adjacent to each other and partially superposed, the largest of which is considered to be compatible with a 4x3 mm calculus. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are diverticula appearances at the level of the descending colon. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Thin, centrlobular nodules (bronchiolitis?, secondary to infection?, hypersensitivity pneumonitis?), more prominent in the upper zones of both lungs.  Right nephrolithiasis.  Non-specific hypodense nodule in the superior right lobe of the liver.  Diverticulum appearances at the level of the descending colon.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_300/valid_300_a/valid_300_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_701",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. In the anterior mediastinum, thymic tissue, which did not show a mass effect, is partially fatty invaded. Calibration of mediastinal major vascular structures is natural. Several lymph nodes are observed in the mediastinum, the largest of which is in the aorticopulmonary window and the short axis is 7 mm. There were no pathologically sized and configured lymph nodes at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed in the esophagus. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Thin, centrlobular nodules are observed in both lungs, being more prominent in the upper zones. The appearance is non-specific (bronchiolitis?, secondary to infection?, hypersensitivity pneumonia?). Emphysematous density decreases are observed in both lungs. There is a 2 mm diameter non-specific nodule at the posterobasal level of the lower lobe of the right lung. A 2 mm diameter nodule is observed in the lower lobe superior segment of the left lung. No bilateral pleural effusion or pneumothorax was detected. In the upper abdominal organs, including sections; There is a slight decrease in density consistent with steatosis in the liver. A well-defined, hypodense non-specific lesion of approximately 17x15 mm is observed at the level of subsegment 7 in the right lobe posterior segment superior of the liver. In the middle part of the right kidney, several densities are observed, which are adjacent to each other and partially superposed, the largest of which is considered to be compatible with a 4x3 mm calculus. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are diverticula appearances at the level of the descending colon. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Thin, centrlobular nodules (bronchiolitis?, secondary to infection?, hypersensitivity pneumonitis?), more prominent in the upper zones of both lungs.  Right nephrolithiasis.  Non-specific hypodense nodule in the superior right lobe of the liver.  Diverticulum appearances at the level of the descending colon.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_300/valid_300_a/valid_300_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_702",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and cardiac examination were evaluated suboptimally. No obvious pathology was detected. Pericardial effusion reaching 1 cm thickness was observed. Aberrant right subclavian artery is observed. The esophagus is in normal calibration. No pathological wall thickening was detected. A sliding type hiatal hernia was observed at the esophagogastric junction. Port chamber is observed in the left hemithorax. The port catheter terminates in the superior vena cava. A few calcified lymph nodes that did not reach the mediastinal pathological dimension were observed. It is stable. When examined in the lung parenchyma window; A pleural effusion was observed in the current examination, which reached approximately 2 cm in the bilateral thickest part. Interlobular septal prominence and ground-glass appearance, which is thought to have lymphajitic spread, were observed in both lungs. In addition, consolidations including pleural-based dense air bronchograms reaching fissural surfaces accompanying fibroatelectatic changes were observed in both lungs. Multiple parenchymal nodules, thought to be primarily metastatic, were observed in both lungs, the largest of which was 8 mm in diameter in the posterior right lung upper lobe. Parenchymal nodules were formed in the current examination. Operation materials were observed in the right breast. In the evaluation of the upper abdominal organs included in the sections, diffuse density reduction consistent with hepatosteatosis was observed in the liver. Apart from this, the upper abdominal organs are natural. Lesions compatible with metastasis were observed in the T6, T10-T12 and L1 vertebrae, and in the right clavicle. Impression: Operated breast ca, multiple metastatic masses in both lungs, interlobular septal prominences compatible with lymphajitic spread, ground glass appearances, consolidations including pleural fluid and air bronchograms associated with the pleura (formed in the current examination, metastatic disease is thought to be associated with infective pathologies), bilateral pleural mayii. Multiple bone metastases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_301/valid_301_a/valid_301_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and cardiac examination were evaluated suboptimally. No obvious pathology was detected. Pericardial effusion reaching 1 cm thickness was observed. Aberrant right subclavian artery is observed. The esophagus is in normal calibration. No pathological wall thickening was detected. A sliding type hiatal hernia was observed at the esophagogastric junction. Port chamber is observed in the left hemithorax. The port catheter terminates in the superior vena cava. A few calcified lymph nodes that did not reach the mediastinal pathological dimension were observed. It is stable. When examined in the lung parenchyma window; A pleural effusion was observed in the current examination, which reached approximately 2 cm in the bilateral thickest part. Interlobular septal prominence and ground-glass appearance, which is thought to have lymphajitic spread, were observed in both lungs. In addition, consolidations including pleural-based dense air bronchograms reaching fissural surfaces accompanying fibroatelectatic changes were observed in both lungs. Multiple parenchymal nodules, thought to be primarily metastatic, were observed in both lungs, the largest of which was 8 mm in diameter in the posterior right lung upper lobe. Parenchymal nodules were formed in the current examination. Operation materials were observed in the right breast. In the evaluation of the upper abdominal organs included in the sections, diffuse density reduction consistent with hepatosteatosis was observed in the liver. Apart from this, the upper abdominal organs are natural. Lesions compatible with metastasis were observed in the T6, T10-T12 and L1 vertebrae, and in the right clavicle. Impression: Operated breast ca, multiple metastatic masses in both lungs, interlobular septal prominences compatible with lymphajitic spread, ground glass appearances, consolidations including pleural fluid and air bronchograms associated with the pleura (formed in the current examination, metastatic disease is thought to be associated with infective pathologies), bilateral pleural mayii. Multiple bone metastases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_301/valid_301_a/valid_301_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; At the basal level of the lower lobe of the left lung, slightly budding tree images with patchy ground glass densities are observed. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings evaluated in terms of infectious processes at the basal level of the lower lobe of the left lung; clinical, laboratory correlation, and post-treatment follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_302/valid_302_a/valid_302_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; At the basal level of the lower lobe of the left lung, slightly budding tree images with patchy ground glass densities are observed. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings evaluated in terms of infectious processes at the basal level of the lower lobe of the left lung; clinical, laboratory correlation, and post-treatment follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_302/valid_302_a/valid_302_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a peripherally located round shaped consolidation in the medial part of the right lung lower lobe superior segment. In addition, a nodular lesion with a ground glass appearance was observed in the anterior segment of the right lung upper lobe anterior segment. The views described are not specific. However, similar lesions can be observed in Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Peripherally located round-shaped consolidation in the right lung lower lobe superior segment, nodule with a ground glass area around the right lung upper lobe anterior segment (it is recommended to evaluate the patient for Covid-19 pneumonia)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_303/valid_303_a/valid_303_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_707",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a peripherally located round shaped consolidation in the medial part of the right lung lower lobe superior segment. In addition, a nodular lesion with a ground glass appearance was observed in the anterior segment of the right lung upper lobe anterior segment. The views described are not specific. However, similar lesions can be observed in Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Peripherally located round-shaped consolidation in the right lung lower lobe superior segment, nodule with a ground glass area around the right lung upper lobe anterior segment (it is recommended to evaluate the patient for Covid-19 pneumonia)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_303/valid_303_a/valid_303_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed in crazy paving pattern, which includes a halo sign around it, more prominently on the right, especially at the lower lobe posterobasal levels. The findings were evaluated in favor of covid-19 viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings compatible with Covid-19 viral pneumonia, clinical and laboratory correlation follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_304/valid_304_a/valid_304_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_709",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed in crazy paving pattern, which includes a halo sign around it, more prominently on the right, especially at the lower lobe posterobasal levels. The findings were evaluated in favor of covid-19 viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings compatible with Covid-19 viral pneumonia, clinical and laboratory correlation follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_304/valid_304_a/valid_304_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A 20 mm diameter cystic nodule was observed in the right lobe of the thyroid gland. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral subpleural, faintly circumscribed, ground glass densities were observed in both lung parenchyma. There are millimetric nonspecific nodules in both lungs, the largest of which reaches 5 mm in diameter. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with viral pneumonia  Millimetric nonspecific nodules in both lungs  Cystic nodule in the right lobe of the thyroid gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_305/valid_305_a/valid_305_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_711",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A 20 mm diameter cystic nodule was observed in the right lobe of the thyroid gland. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral subpleural, faintly circumscribed, ground glass densities were observed in both lung parenchyma. There are millimetric nonspecific nodules in both lungs, the largest of which reaches 5 mm in diameter. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with viral pneumonia  Millimetric nonspecific nodules in both lungs  Cystic nodule in the right lobe of the thyroid gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_305/valid_305_a/valid_305_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are observed in the aorta and coronary artery branches. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes in the mediastinum, the size of which does not exceed 10 mm in the short axis. When examined in the lung parenchyma window; There is diffuse emphysematous appearance in both lungs. In the left lung, there is a lobulated contoured mass with irregular borders, measuring 43x34 mm at its widest point, with an AP diameter of 110 mm, starting from the hilar level and extending to the inferior, surrounding the lower lobe bronchi. There are subpleural ground glass densities in the posterobasal part of the left lower lobe posterior to the mass. Millimetric calcific nodules are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular lesions of 21x16 mm on the right and 12x11 mm on the left are observed in both adrenal gland genera. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Contrast-enhanced examination is recommended for the differentiation of pulmonary thrombus in the left lung, since it extends from the hilus to the lower lobe with peribronchial extension, lobulated contoured and irregularly circumscribed mass image, and also extends along the pulmonary artery trace.  Aortic and coronary artery atherosclerosis.  Mediastinal millimetric lymph nodes.  Millimetric nodules in the lung and emphysematous appearance in both lungs.  Bilateral adrenal nodular lesions (suspected metastasis)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_306/valid_306_a/valid_306_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_713",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are observed in the aorta and coronary artery branches. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes in the mediastinum, the size of which does not exceed 10 mm in the short axis. When examined in the lung parenchyma window; There is diffuse emphysematous appearance in both lungs. In the left lung, there is a lobulated contoured mass with irregular borders, measuring 43x34 mm at its widest point, with an AP diameter of 110 mm, starting from the hilar level and extending to the inferior, surrounding the lower lobe bronchi. There are subpleural ground glass densities in the posterobasal part of the left lower lobe posterior to the mass. Millimetric calcific nodules are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular lesions of 21x16 mm on the right and 12x11 mm on the left are observed in both adrenal gland genera. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Contrast-enhanced examination is recommended for the differentiation of pulmonary thrombus in the left lung, since it extends from the hilus to the lower lobe with peribronchial extension, lobulated contoured and irregularly circumscribed mass image, and also extends along the pulmonary artery trace.  Aortic and coronary artery atherosclerosis.  Mediastinal millimetric lymph nodes.  Millimetric nodules in the lung and emphysematous appearance in both lungs.  Bilateral adrenal nodular lesions (suspected metastasis)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_306/valid_306_a/valid_306_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_714",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_307/valid_307_a/valid_307_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_715",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_307/valid_307_a/valid_307_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_716",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. Mediastinal main vascular structures, heart contour, size are normal. Calcified atheroma plaques are observed in the thoracic aortic wall. There is minimal pericardial effusion. No pleural effusion or thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lung parenchyma, and there are a few millimeter-sized pleural-based nonspecific nodules in both lungs. In the posterobasal segment of the lower lobe of the left lung, there is an area of increased density consistent with sequelae linear atelectasis. In the upper abdominal sections within the image, no solid mass was observed within the limits of CT without contrast. Liver parenchyma density has a diffuse hypodense appearance secondary to hepatosteatosis. No lytic-destructive lesion was observed in the bone structures within the image. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No signs of pneumonic infiltration were detected in both lungs, a few millimetrically sized pleural-based non-specific well-circumscribed nodules, sequelae linear atelectasis in the posterobasal segment of the left lung lower lobe. Calcified atheroma plaques and minimal pericardial effusion in the thoracic aortic wall. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_308/valid_308_a/valid_308_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_717",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. Mediastinal main vascular structures, heart contour, size are normal. Calcified atheroma plaques are observed in the thoracic aortic wall. There is minimal pericardial effusion. No pleural effusion or thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lung parenchyma, and there are a few millimeter-sized pleural-based nonspecific nodules in both lungs. In the posterobasal segment of the lower lobe of the left lung, there is an area of increased density consistent with sequelae linear atelectasis. In the upper abdominal sections within the image, no solid mass was observed within the limits of CT without contrast. Liver parenchyma density has a diffuse hypodense appearance secondary to hepatosteatosis. No lytic-destructive lesion was observed in the bone structures within the image. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No signs of pneumonic infiltration were detected in both lungs, a few millimetrically sized pleural-based non-specific well-circumscribed nodules, sequelae linear atelectasis in the posterobasal segment of the left lung lower lobe. Calcified atheroma plaques and minimal pericardial effusion in the thoracic aortic wall. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_308/valid_308_a/valid_308_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_718",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. The heart and mediastinal vascular structures have a natural appearance. Right upper-lower paratracheal milimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Pleural effusion-thickening was not observed in both hemithorax. In the evaluation of both lung parenchyma; In the anterior segment of the upper lobe of the right lung, a 6.5 mm diameter nodule with irregular contours and linear pleuroparenchymal sequelae changes are observed around this nodule. In addition, there are minimal pleuroparenchymal sequelae in the right lung apex. Apart from this, a 5 mm diameter subpleural nodule is observed in the left lung lower lobe laterobasal segment. Bilateral adrenal glands in the upper abdomen sections entering the examination area have a natural appearance. Additional pathology was not distinguished. No lytic-destructive lesion was observed in bone structures. Impression: Right lung upper lobe posterior segment irregular contour, nodule and pleuro parenchymal sequelae around this nodule . 5 mm diameter subpleural nodule in the left lung lower lobe laterobasal segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_309/valid_309_a/valid_309_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_719",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. The heart and mediastinal vascular structures have a natural appearance. Right upper-lower paratracheal milimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Pleural effusion-thickening was not observed in both hemithorax. In the evaluation of both lung parenchyma; In the anterior segment of the upper lobe of the right lung, a 6.5 mm diameter nodule with irregular contours and linear pleuroparenchymal sequelae changes are observed around this nodule. In addition, there are minimal pleuroparenchymal sequelae in the right lung apex. Apart from this, a 5 mm diameter subpleural nodule is observed in the left lung lower lobe laterobasal segment. Bilateral adrenal glands in the upper abdomen sections entering the examination area have a natural appearance. Additional pathology was not distinguished. No lytic-destructive lesion was observed in bone structures. Impression: Right lung upper lobe posterior segment irregular contour, nodule and pleuro parenchymal sequelae around this nodule . 5 mm diameter subpleural nodule in the left lung lower lobe laterobasal segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_309/valid_309_a/valid_309_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_720",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A calcified lymph node with a short axis of right upper paratracheal smaller than 1 cm was observed. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Significant peripheral subpleural ground-glass density increases were observed in the lower lobes of both lungs. The outlook is consistent with typical-likely findings for Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Millimetric parenchymal nodules were observed in both lungs. The largest of the nodules measured 6.5 mm in diameter in the right lung lower lobe laterobasal segment. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures: No lytic-destructive lesion was detected. Impression: Significant peripheral subpleural nodular ground-glass density increases in the lower lobes of both lungs; appearance is consistent with typical-probable findings of Covid-19. Other viral pneumonias may be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Calcified atherosclerotic changes in the aorta and coronary arteries.  Nonspecific parenchymal nodules in bilateral lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_310/valid_310_a/valid_310_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_721",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A calcified lymph node with a short axis of right upper paratracheal smaller than 1 cm was observed. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Significant peripheral subpleural ground-glass density increases were observed in the lower lobes of both lungs. The outlook is consistent with typical-likely findings for Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Millimetric parenchymal nodules were observed in both lungs. The largest of the nodules measured 6.5 mm in diameter in the right lung lower lobe laterobasal segment. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures: No lytic-destructive lesion was detected. Impression: Significant peripheral subpleural nodular ground-glass density increases in the lower lobes of both lungs; appearance is consistent with typical-probable findings of Covid-19. Other viral pneumonias may be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Calcified atherosclerotic changes in the aorta and coronary arteries.  Nonspecific parenchymal nodules in bilateral lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_310/valid_310_a/valid_310_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_722",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There is thymic tissue in the anterior mediastinum with conical configuration and hypodense areas compatible with fatty involution, which does not show mass effect. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the right upper paratracheal area, there is a well-defined hypodense lesion measuring approximately 35x25 mm in size with a density of 18 HU (lymphadenomegaly?). Mediastinal and hilar prominent lymph nodes were not detected at other levels. Fatty planes at the level of the upper mediastinum are slightly soiled. When examined in the lung parenchyma window; Mild sequela changes are observed in the middle lobe. A nodule with a diameter of 3 mm is observed in the superior segment of the left lung lower lobe. There was no finding consistent with significant pleural effusion, pneumothorax or pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No findings compatible with pneumonia were detected.  Smooth possible lymphadenomegaly in the right upper paratracheal area and contamination in fatty planes in the upper mediastinum (edema-inflammation?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_311/valid_311_a/valid_311_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_723",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the subsegment of the middle lobe of the right lung and the inferior lingular segment of the left lung. No nodule mass-infiltration was detected in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_312/valid_312_a/valid_312_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_724",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the subsegment of the middle lobe of the right lung and the inferior lingular segment of the left lung. No nodule mass-infiltration was detected in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_312/valid_312_a/valid_312_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_725",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequela fibrotic changes are observed in the superior lingular segment of the left lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequela fibrotic changes in the left lung superior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_313/valid_313_a/valid_313_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_726",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequela fibrotic changes are observed in the superior lingular segment of the left lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequela fibrotic changes in the left lung superior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_313/valid_313_a/valid_313_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_727",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The image of the catheter, which is thought to belong to the pacemaker and extends to the right atrium, is observed on the left anterior wall of the patient's chest. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. The trachea is in the midline and both main bronchi are open. Thickness increases are observed in the peribronchovascular areas. Minimal effusion is observed in the pericardial space. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance within the limits of non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific mosaic attenuation pattern was noted in the lower lobes of both lungs. No active infiltration-consolidation or space-occupying lesion was detected. Pleural effusion-thickening was not detected. In the upper abdomen images included in the examination, no obvious pathological appearance was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No fracture, lytic or sclerotic lesion area was detected in the bone structures included in the study area. Vertebral corpus heights are preserved. Impression:  Minimal effusion is observed in the pericardial space.  A nonspecific mosaic attenuation pattern was noted in the lower lobes of both lungs (small airway disease, small vessel disease).  An image that may belong to a pacemaker or port catheter is seen on the left anterior chest wall.  Minimal wall thickness increases were observed in peribronchovascular areas."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_314/valid_314_a/valid_314_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_728",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The image of the catheter, which is thought to belong to the pacemaker and extends to the right atrium, is observed on the left anterior wall of the patient's chest. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. The trachea is in the midline and both main bronchi are open. Thickness increases are observed in the peribronchovascular areas. Minimal effusion is observed in the pericardial space. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance within the limits of non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific mosaic attenuation pattern was noted in the lower lobes of both lungs. No active infiltration-consolidation or space-occupying lesion was detected. Pleural effusion-thickening was not detected. In the upper abdomen images included in the examination, no obvious pathological appearance was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No fracture, lytic or sclerotic lesion area was detected in the bone structures included in the study area. Vertebral corpus heights are preserved. Impression:  Minimal effusion is observed in the pericardial space.  A nonspecific mosaic attenuation pattern was noted in the lower lobes of both lungs (small airway disease, small vessel disease).  An image that may belong to a pacemaker or port catheter is seen on the left anterior chest wall.  Minimal wall thickness increases were observed in peribronchovascular areas."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_314/valid_314_a/valid_314_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_729",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are present in coronary arteries, LAD. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. When examined in the lung parenchyma window; In both lung parenchyma, diffuse ground glass density increases, consolidations and slight enlargement of the bronchi within these densities are observed. Minimal thickening is observed in the pleura accompanying the ground glass in the upper lobe on the right and the lower lobe posterior on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Osseous degenerative changes are observed in the vertebrae. Impression:  Findings consistent with Covid pneumonia, accompanying focal pleural thickening  Mediastinal millimetric lymph nodes  Aorta, coronary artery atherosclerosis  Degenerative changes in vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_315/valid_315_a/valid_315_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_730",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are present in coronary arteries, LAD. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. When examined in the lung parenchyma window; In both lung parenchyma, diffuse ground glass density increases, consolidations and slight enlargement of the bronchi within these densities are observed. Minimal thickening is observed in the pleura accompanying the ground glass in the upper lobe on the right and the lower lobe posterior on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Osseous degenerative changes are observed in the vertebrae. Impression:  Findings consistent with Covid pneumonia, accompanying focal pleural thickening  Mediastinal millimetric lymph nodes  Aorta, coronary artery atherosclerosis  Degenerative changes in vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_315/valid_315_a/valid_315_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_731",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_316/valid_316_a/valid_316_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_732",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_316/valid_316_a/valid_316_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_733",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in the lower lobes of both lungs (small airway disease? small vessel disease?). In addition, ground glass densities are observed in the subpleural distance in the right lung middle lobe, left lung lingular segment and left lung lower lobe laterobasal segment. Although not typical, it may be significant for concomitant viral pneumonias. In the presence of a pandemic, Covid-19 pneumonia cannot be excluded. In sections passing through the upper part of the west; liver parenchyma density decreased in line with steatosis. Bilateral adrenal glands appear natural. No lytic-destructive lesion was observed in bone structures. Dorsal kyphosis is increased. Impression: Ground glass densities in the subpleural distance in the right lung middle lobe, left lung lingular segment and left lung lower lobe laterobasal segment may be significant in terms of viral infection. In the presence of a pandemic, Covid-19 pneumonia cannot be excluded."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_317/valid_317_a/valid_317_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in the lower lobes of both lungs (small airway disease? small vessel disease?). In addition, ground glass densities are observed in the subpleural distance in the right lung middle lobe, left lung lingular segment and left lung lower lobe laterobasal segment. Although not typical, it may be significant for concomitant viral pneumonias. In the presence of a pandemic, Covid-19 pneumonia cannot be excluded. In sections passing through the upper part of the west; liver parenchyma density decreased in line with steatosis. Bilateral adrenal glands appear natural. No lytic-destructive lesion was observed in bone structures. Dorsal kyphosis is increased. Impression: Ground glass densities in the subpleural distance in the right lung middle lobe, left lung lingular segment and left lung lower lobe laterobasal segment may be significant in terms of viral infection. In the presence of a pandemic, Covid-19 pneumonia cannot be excluded."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_317/valid_317_a/valid_317_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_735",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are patchy ground glass densities in both lungs, more prominently in the lower lobes. Clinical laboratory correlation and close follow-up of the findings in terms of early viral pneumonia are recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There are patchy ground-glass densities in both lungs, more prominent in the lower lobes. The findings were evaluated for early viral pneumonia (Covid-19), and clinical laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_318/valid_318_a/valid_318_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_736",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are patchy ground glass densities in both lungs, more prominently in the lower lobes. Clinical laboratory correlation and close follow-up of the findings in terms of early viral pneumonia are recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There are patchy ground-glass densities in both lungs, more prominent in the lower lobes. The findings were evaluated for early viral pneumonia (Covid-19), and clinical laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_318/valid_318_a/valid_318_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_737",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nodules of 5 mm in size (series 2 image 201) in the left lung superior posterior in the upper lobe (series 2 image 128), in the left lung lower lobe, in the superior anterior region, adjacent to the fissure (series 2 image 188), in the left lung lower lobe, in the superior posterior, adjacent to the subpleural area (series 2 image 201) is monitored. In the paravertebral area, mild density increases are observed in the lung parenchyma, especially in the right lower lobe, secondary to osteophytes, in the paravertebral area (secondary to atelectasis). There are linear atelectatic changes in the basal margins of both lungs in the upper lobes. The upper abdominal organs do not work and enter the partial state, and findings in favor of steatosis and increase in size are observed in the liver. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several nodules measuring up to 5 mm in the left lung.  Slight atelectasis changes in the paravertebral area and bilateral lower lobe and bilateral upper lobe basal parts of the right lung.  Hepatosteatosis, hepatomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_319/valid_319_a/valid_319_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nodules of 5 mm in size (series 2 image 201) in the left lung superior posterior in the upper lobe (series 2 image 128), in the left lung lower lobe, in the superior anterior region, adjacent to the fissure (series 2 image 188), in the left lung lower lobe, in the superior posterior, adjacent to the subpleural area (series 2 image 201) is monitored. In the paravertebral area, mild density increases are observed in the lung parenchyma, especially in the right lower lobe, secondary to osteophytes, in the paravertebral area (secondary to atelectasis). There are linear atelectatic changes in the basal margins of both lungs in the upper lobes. The upper abdominal organs do not work and enter the partial state, and findings in favor of steatosis and increase in size are observed in the liver. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several nodules measuring up to 5 mm in the left lung.  Slight atelectasis changes in the paravertebral area and bilateral lower lobe and bilateral upper lobe basal parts of the right lung.  Hepatosteatosis, hepatomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_319/valid_319_a/valid_319_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific pulmonary nodules in both lungs.  No signs in favor of pneumonic infiltration were detected in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_320/valid_320_a/valid_320_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific pulmonary nodules in both lungs.  No signs in favor of pneumonic infiltration were detected in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_320/valid_320_a/valid_320_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The consolidation areas observed in the previous examination dated 0.08.2020 have turned into diffusely located ground glass densities in the subpleural areas in the current examination. It is observed that it shows regression. When examined in the lung parenchyma window; In the lung parenchyma, there are a few nodules measuring up to 6 mm in a faint nature. In the upper abdominal organs included in the sections, a 9 mm hypodense oval-shaped finding, which can be difficult to distinguish from the parenchyma in the right lobe of the liver, was evaluated in favor of a suspicious cyst. It was evaluated as suboptimal within the limits of the study. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a diffuse density decrease in bone structures. Degenerative changes are present. On the left 6th and 7th ribs, there are calluses secondary to previous fractures. There are hypertrophic-osteophytic taperings in the vertebral corpus endplates. Impression: Clinical and laboratory correlation and follow-up of the regressing findings described in the lung parenchyma in terms of an ongoing infectious process is recommended.  Hypodense lesion (suspicious cyst?) in the right lobe of the liver was evaluated as suboptimal within the limits of the examination.  Diffuse density reduction in bone structures. Hypertrophic-osteophytic tapering, degenerative changes in the vertebral corpus end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_321/valid_321_a/valid_321_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_742",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The consolidation areas observed in the previous examination dated 0.08.2020 have turned into diffusely located ground glass densities in the subpleural areas in the current examination. It is observed that it shows regression. When examined in the lung parenchyma window; In the lung parenchyma, there are a few nodules measuring up to 6 mm in a faint nature. In the upper abdominal organs included in the sections, a 9 mm hypodense oval-shaped finding, which can be difficult to distinguish from the parenchyma in the right lobe of the liver, was evaluated in favor of a suspicious cyst. It was evaluated as suboptimal within the limits of the study. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a diffuse density decrease in bone structures. Degenerative changes are present. On the left 6th and 7th ribs, there are calluses secondary to previous fractures. There are hypertrophic-osteophytic taperings in the vertebral corpus endplates. Impression: Clinical and laboratory correlation and follow-up of the regressing findings described in the lung parenchyma in terms of an ongoing infectious process is recommended.  Hypodense lesion (suspicious cyst?) in the right lobe of the liver was evaluated as suboptimal within the limits of the examination.  Diffuse density reduction in bone structures. Hypertrophic-osteophytic tapering, degenerative changes in the vertebral corpus end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_321/valid_321_a/valid_321_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_743",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Focal calcific atherosclerotic plaque is present in LAD. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Inspection within normal limits.  Focal calcific atherosclerotic plaque in LAD."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_322/valid_322_a/valid_322_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi, lobar and segmental bronchi, air passages are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Focal calcific atherosclerotic plaque is present in LAD. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Inspection within normal limits.  Focal calcific atherosclerotic plaque in LAD."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_322/valid_322_a/valid_322_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_745",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A catheter image extending to the superior vena cava-right atrium junction was observed. Asymmetrical thickness increase was observed in the left breast skin, subcutaneous fat planes were fuller than the right, and widespread heterogeneity and irregular density increases were observed. It is recommended to be evaluated together with breast US. Thyroid gland sizes increased. Its parenchyma is heterogeneous and shows retrosternal extension. It is recommended to be evaluated together with US for planjuan goiter. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; calcibration of major mediastinal vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse ground glass densities were observed in both lungs. Appearance is nonspecific. It may be compatible with cardiac stasis or viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Diffuse subsegmental atelectatic changes were observed in the posterior and lower lobes of the right lung upper lobe. No mass lesion with distinguishable borders was observed in the lung parenchyma. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Density increases were observed in the gallbladder lumen, which may be compatible with stone-sludge. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the thoracic level, scoliosis and vertebral corpus bridging spur formations were observed at the corners of the vertebral body. Impression:  Cardiomegaly, diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries.  Planjuan goiter  Diffuse ground glass densities in lung parenchyma; may be compatible with cardiac stasis or viral pneumonias. It is recommended to be evaluated together with clinical and laboratory.  Diffuse subsegmental atelectatic changes in the posterior and lower lobes of the right lung upper lobe.  Stone-mud in the lumen of the gallbladder.  Scoliosis with left-facing scoliosis at the thoracic level, spur formations bridging with each other."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_323/valid_323_a/valid_323_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: A catheter image extending to the superior vena cava-right atrium junction was observed. Asymmetrical thickness increase was observed in the left breast skin, subcutaneous fat planes were fuller than the right, and widespread heterogeneity and irregular density increases were observed. It is recommended to be evaluated together with breast US. Thyroid gland sizes increased. Its parenchyma is heterogeneous and shows retrosternal extension. It is recommended to be evaluated together with US for planjuan goiter. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; calcibration of major mediastinal vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse ground glass densities were observed in both lungs. Appearance is nonspecific. It may be compatible with cardiac stasis or viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Diffuse subsegmental atelectatic changes were observed in the posterior and lower lobes of the right lung upper lobe. No mass lesion with distinguishable borders was observed in the lung parenchyma. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Density increases were observed in the gallbladder lumen, which may be compatible with stone-sludge. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the thoracic level, scoliosis and vertebral corpus bridging spur formations were observed at the corners of the vertebral body. Impression:  Cardiomegaly, diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries.  Planjuan goiter  Diffuse ground glass densities in lung parenchyma; may be compatible with cardiac stasis or viral pneumonias. It is recommended to be evaluated together with clinical and laboratory.  Diffuse subsegmental atelectatic changes in the posterior and lower lobes of the right lung upper lobe.  Stone-mud in the lumen of the gallbladder.  Scoliosis with left-facing scoliosis at the thoracic level, spur formations bridging with each other."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_323/valid_323_a/valid_323_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_747",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Calcific atheroma plaques are observed in the left coronary artery. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. There are faint ground-glass-like density increases in both lungs, which are scattered and mildly peripherally located. It is recommended to be evaluated together with clinical and laboratory in terms of Covid pneumonia. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; A decrease in density consistent with mild steatosis is observed in the liver. In the anterior part of the left kidney, there is a hypodense appearance, which may be cortical cysts. Degenerative changes are observed in bone structures. Impression:  It is recommended to evaluate the case with clinical and laboratory findings in terms of covid pneumonia.  Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_324/valid_324_a/valid_324_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_748",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Calcific atheroma plaques are observed in the left coronary artery. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. There are faint ground-glass-like density increases in both lungs, which are scattered and mildly peripherally located. It is recommended to be evaluated together with clinical and laboratory in terms of Covid pneumonia. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; A decrease in density consistent with mild steatosis is observed in the liver. In the anterior part of the left kidney, there is a hypodense appearance, which may be cortical cysts. Degenerative changes are observed in bone structures. Impression:  It is recommended to evaluate the case with clinical and laboratory findings in terms of covid pneumonia.  Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_324/valid_324_a/valid_324_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Linear atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_325/valid_325_a/valid_325_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_750",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Linear atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_325/valid_325_a/valid_325_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_751",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. No effusion was detected between pericardial leaves. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Septal thickening, ground glass opacity and consolidation areas are observed in the posterior segment of the right lung upper lobe. In addition, patchy ground glass opacity areas are observed in both lungs. Findings are consistent with viral pneumonia. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: There is pneumonic infiltrative involvement in alveolar pattern in both lungs and radiological findings were evaluated as compatible with viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_326/valid_326_a/valid_326_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_752",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. No effusion was detected between pericardial leaves. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Septal thickening, ground glass opacity and consolidation areas are observed in the posterior segment of the right lung upper lobe. In addition, patchy ground glass opacity areas are observed in both lungs. Findings are consistent with viral pneumonia. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: There is pneumonic infiltrative involvement in alveolar pattern in both lungs and radiological findings were evaluated as compatible with viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_326/valid_326_a/valid_326_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_753",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the examination made in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lungs. Ventilation of both lungs is natural. There are sequela parenchymal changes in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. Free fluid, loculated collection is not observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_327/valid_327_a/valid_327_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_754",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the examination made in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lungs. Ventilation of both lungs is natural. There are sequela parenchymal changes in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. Free fluid, loculated collection is not observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_327/valid_327_a/valid_327_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_755",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Minimal calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calibration of other thoracic major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Minimal pleuroparenchymal sequelae density increases were observed in the posterior of both lungs upper lobes. In addition, minimal pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. No mass nodule-infiltration was detected in both lung parenchyma. A calcified non-specific parenchymal nodule with a diameter of 3 mm was observed in the lateral segment of the middle lobe of the right lung. Bilateral pleural thickening \u2013 effusion was not detected. In the upper abdominal sections in the study area; An area of parenchymal calcification with a diameter of 5 mm was observed in the medial segment of the left lobe of the liver. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Right lung millimeter-sized, calcified, non-specific parenchymal nodule.  No sign of pneumonia was detected.  Atherosclerotic changes.  Minimal sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_328/valid_328_a/valid_328_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_756",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Minimal calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calibration of other thoracic major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Minimal pleuroparenchymal sequelae density increases were observed in the posterior of both lungs upper lobes. In addition, minimal pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. No mass nodule-infiltration was detected in both lung parenchyma. A calcified non-specific parenchymal nodule with a diameter of 3 mm was observed in the lateral segment of the middle lobe of the right lung. Bilateral pleural thickening \u2013 effusion was not detected. In the upper abdominal sections in the study area; An area of parenchymal calcification with a diameter of 5 mm was observed in the medial segment of the left lobe of the liver. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Right lung millimeter-sized, calcified, non-specific parenchymal nodule.  No sign of pneumonia was detected.  Atherosclerotic changes.  Minimal sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_328/valid_328_a/valid_328_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_757",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus, but there is a mixed type hiatal hernia at the lower end of the esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. No active infiltration or mass lesion was detected in both lungs. Millimetric-sized nonspecific nodules were observed in the right lung. Minimal emphysematous changes were observed in both lungs. No pathology was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  Mixed type hiatal hernia at the lower end of the esophagus.  Millimeter-sized nonspecific nodules in the right lung and minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_329/valid_329_a/valid_329_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_758",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus, but there is a mixed type hiatal hernia at the lower end of the esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. No active infiltration or mass lesion was detected in both lungs. Millimetric-sized nonspecific nodules were observed in the right lung. Minimal emphysematous changes were observed in both lungs. No pathology was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  Mixed type hiatal hernia at the lower end of the esophagus.  Millimeter-sized nonspecific nodules in the right lung and minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_329/valid_329_a/valid_329_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_759",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the left coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Segmentary-subsegmental peribronchial thickening and mild bronchiectatic changes that became prominent in the center were observed in both lungs. The volume of the right lung middle lobe was markedly reduced. Bronchiectatic changes accompanied by atelectasis were observed in the middle lobe of the right lung. Atelectasis changes with air bronchograms were also observed in the inferior lingular segment of the left lung upper lobe. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative Schmorl nodule impressions were observed in the end plateaus at the lower thoracic level. Impression:  Atherosclerotic wall calcifications in the left coronary arteries.  Centrally prominent tubular bronchiectasis accompanied by peribronchial thickenings in both lungs.  Focal atelectasis area with marked decrease in right lung middle lobe volume and bronchiectasis.  Focal atelectasis in the inferior lingular segment of the left lung upper lobe.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_330/valid_330_a/valid_330_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_760",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the left coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Segmentary-subsegmental peribronchial thickening and mild bronchiectatic changes that became prominent in the center were observed in both lungs. The volume of the right lung middle lobe was markedly reduced. Bronchiectatic changes accompanied by atelectasis were observed in the middle lobe of the right lung. Atelectasis changes with air bronchograms were also observed in the inferior lingular segment of the left lung upper lobe. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative Schmorl nodule impressions were observed in the end plateaus at the lower thoracic level. Impression:  Atherosclerotic wall calcifications in the left coronary arteries.  Centrally prominent tubular bronchiectasis accompanied by peribronchial thickenings in both lungs.  Focal atelectasis area with marked decrease in right lung middle lobe volume and bronchiectasis.  Focal atelectasis in the inferior lingular segment of the left lung upper lobe.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_330/valid_330_a/valid_330_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_761",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. The ascending aorta measures 36 mm in diameter and shows slight dilatation. Minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Calcifications are observed in the aortic valve. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. sliding type hiatal hernia is observed. Lymph nodes with a short axis smaller than 7 mm are observed in the mediastinal upper-lower paratracheal, prevascular subcarinal area. No lymph node was detected in pathological size and appearance. No lymph nodes were detected in pathological size and appearance in both supraclavicular regions. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Widely randomized centriole acinar ground glass density increases are observed in both lungs, prominent in the upper lobes (secondary to asthma ? secondary to smoking?). Bilateral peribronchial thickenings were observed. In both lungs, pleuroparenchymal sequelae increase in apical density is observed. In the posterior segment of the right lung upper lobe, there are several parenchymal nodules, one of which is calcified, with irregular borders, the larger one measuring 6.1x5.3 mm. A calcified nonspecific parenchymal nodule with a diameter of 4 mm was observed in the lower lobe of the left lung. No mass infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Cortical cysts are observed in both kidneys. Diffuse heterogeneous density increases are observed in bone structures in the study area. It is recommended to be evaluated together with clinical and laboratory data in terms of possible metabolic bone diseases. Impression: Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the thoracic aorta and coronary artery wall. Centriacinar ground-glass density increases (secondary to asthma ? secondary to smoking?) with a widely randomized distribution, prominent in the upper lobes of both lungs.  Sequelae changes and mild emphysematous changes in both lungs, bilateral peribronchial thickenings. There was no significant change in the size and appearance of the other nodules.  It is recommended that diffuse heterogeneous density increases in bone structures within the study area be evaluated together with clinical and laboratory data in terms of possible metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_a/valid_331_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. The ascending aorta measures 36 mm in diameter and shows slight dilatation. Minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Calcifications are observed in the aortic valve. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. sliding type hiatal hernia is observed. Lymph nodes with a short axis smaller than 7 mm are observed in the mediastinal upper-lower paratracheal, prevascular subcarinal area. No lymph node was detected in pathological size and appearance. No lymph nodes were detected in pathological size and appearance in both supraclavicular regions. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Widely randomized centriole acinar ground glass density increases are observed in both lungs, prominent in the upper lobes (secondary to asthma ? secondary to smoking?). Bilateral peribronchial thickenings were observed. In both lungs, pleuroparenchymal sequelae increase in apical density is observed. In the posterior segment of the right lung upper lobe, there are several parenchymal nodules, one of which is calcified, with irregular borders, the larger one measuring 6.1x5.3 mm. A calcified nonspecific parenchymal nodule with a diameter of 4 mm was observed in the lower lobe of the left lung. No mass infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Cortical cysts are observed in both kidneys. Diffuse heterogeneous density increases are observed in bone structures in the study area. It is recommended to be evaluated together with clinical and laboratory data in terms of possible metabolic bone diseases. Impression: Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the thoracic aorta and coronary artery wall. Centriacinar ground-glass density increases (secondary to asthma ? secondary to smoking?) with a widely randomized distribution, prominent in the upper lobes of both lungs.  Sequelae changes and mild emphysematous changes in both lungs, bilateral peribronchial thickenings. There was no significant change in the size and appearance of the other nodules.  It is recommended that diffuse heterogeneous density increases in bone structures within the study area be evaluated together with clinical and laboratory data in terms of possible metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_a/valid_331_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_763",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are natural. Pericardial effusion - no thickening was detected. The ascending aorta measures 37 mm in diameter and shows slight dilatation. Calcification was observed in the aortic valve. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed. When both lung parenchyma windows are evaluated; Widely ramdomized centriacinar ground glass density increases were observed in both lungs, prominent in the upper lobes (secondary to asthma? secondary to tobacco use?). Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases in both lungs apical and emphysematous changes in both lungs were observed. In the right lung upper lobe posterior segment, there are several parenchymal nodules, one of which is calcified, with irregular borders, the largest one measuring 6.1x5.3 mm. A calcified nonspecific parenchymal nodule with a diameter of 4 mm was observed in the lower lobe of the left lung. Bilateral pleural thickening-effusion was not detected. No mass-infiltration was detected in both lung parenchyma. A nonspecific hypodense lesion of 6 mm in diameter was observed at the level of liver segment 6 in the upper abdominal sections in the examination area. Cortical cysts were observed in both kidneys. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Diffuse heterogeneous density increases were observed in the bone structures in the study area. It is recommended to evaluate it together with clinical and laboratory data in terms of possible metabolic bone diseases. Impression: Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery. Centriacinar ground-glass density increases (secondary to asthma?, secondary to tobacco use) with a marked ramdomized distribution, prominent in the upper lobes of both lungs.  Sequelae changes and mild emphysematous changes in both lungs, bilateral peribronchial thickening. Stable nonspecific hypodense lesion in the liver, bilateral renal cysts. Clinical and laboratory verification is recommended in terms of diffuse heterogeneous density increases in bone structures within the examination area, possible metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_b/valid_331_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are natural. Pericardial effusion - no thickening was detected. The ascending aorta measures 37 mm in diameter and shows slight dilatation. Calcification was observed in the aortic valve. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed. When both lung parenchyma windows are evaluated; Widely ramdomized centriacinar ground glass density increases were observed in both lungs, prominent in the upper lobes (secondary to asthma? secondary to tobacco use?). Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases in both lungs apical and emphysematous changes in both lungs were observed. In the right lung upper lobe posterior segment, there are several parenchymal nodules, one of which is calcified, with irregular borders, the largest one measuring 6.1x5.3 mm. A calcified nonspecific parenchymal nodule with a diameter of 4 mm was observed in the lower lobe of the left lung. Bilateral pleural thickening-effusion was not detected. No mass-infiltration was detected in both lung parenchyma. A nonspecific hypodense lesion of 6 mm in diameter was observed at the level of liver segment 6 in the upper abdominal sections in the examination area. Cortical cysts were observed in both kidneys. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Diffuse heterogeneous density increases were observed in the bone structures in the study area. It is recommended to evaluate it together with clinical and laboratory data in terms of possible metabolic bone diseases. Impression: Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery. Centriacinar ground-glass density increases (secondary to asthma?, secondary to tobacco use) with a marked ramdomized distribution, prominent in the upper lobes of both lungs.  Sequelae changes and mild emphysematous changes in both lungs, bilateral peribronchial thickening. Stable nonspecific hypodense lesion in the liver, bilateral renal cysts. Clinical and laboratory verification is recommended in terms of diffuse heterogeneous density increases in bone structures within the examination area, possible metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_b/valid_331_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_765",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are natural. Pericardial effusion - no thickening was detected. The ascending aorta measures 37 mm in diameter and shows slight dilatation. Calcification was observed in the aortic valve. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed. When both lung parenchyma windows are evaluated; Diffuse centriacinar ground glass density increases were observed in both lungs, especially in the upper lobes (secondary to tobacco use?, allergic alveolitis?). Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases in both lungs apical and emphysematous changes in both lungs were observed. In the posterior segment of the right lung upper lobe, there are several parenchymal nodules, one of which is calcified, with irregular borders, the largest of which is 6 mm in size in series 2 image 125. A calcified nonspecific parenchymal nodule with a diameter of 4 mm was observed in the lower lobe of the left lung. Bilateral pleural effusion was not detected. No mass-infiltration was detected in both lung parenchyma. A nonspecific hypodense lesion of 6 mm in diameter was observed at the level of liver segment 6 in the upper abdominal sections in the examination area. Cortical cysts were observed in both kidneys. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Diffuse heterogeneous density increases were observed in the bone structures in the study area. It is recommended to evaluate it together with clinical and laboratory data in terms of possible metabolic bone diseases. Impression: Diffuse centriacinar ground-glass density increases in both lungs, prominent in the upper lobes (allergic alveolitis secondary to tobacco use?).  Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery. Sequelae changes and mild emphysematous changes in both lungs, bilateral peribronchial thickenings. Stable hypodense lesion in the liver, bilateral renal cysts. Diffuse heterogeneous density increases in bone structures within the examination area, clinical and laboratory correlation is recommended in terms of possible metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_c/valid_331_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are natural. Pericardial effusion - no thickening was detected. The ascending aorta measures 37 mm in diameter and shows slight dilatation. Calcification was observed in the aortic valve. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed. When both lung parenchyma windows are evaluated; Diffuse centriacinar ground glass density increases were observed in both lungs, especially in the upper lobes (secondary to tobacco use?, allergic alveolitis?). Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases in both lungs apical and emphysematous changes in both lungs were observed. In the posterior segment of the right lung upper lobe, there are several parenchymal nodules, one of which is calcified, with irregular borders, the largest of which is 6 mm in size in series 2 image 125. A calcified nonspecific parenchymal nodule with a diameter of 4 mm was observed in the lower lobe of the left lung. Bilateral pleural effusion was not detected. No mass-infiltration was detected in both lung parenchyma. A nonspecific hypodense lesion of 6 mm in diameter was observed at the level of liver segment 6 in the upper abdominal sections in the examination area. Cortical cysts were observed in both kidneys. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Diffuse heterogeneous density increases were observed in the bone structures in the study area. It is recommended to evaluate it together with clinical and laboratory data in terms of possible metabolic bone diseases. Impression: Diffuse centriacinar ground-glass density increases in both lungs, prominent in the upper lobes (allergic alveolitis secondary to tobacco use?).  Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery. Sequelae changes and mild emphysematous changes in both lungs, bilateral peribronchial thickenings. Stable hypodense lesion in the liver, bilateral renal cysts. Diffuse heterogeneous density increases in bone structures within the examination area, clinical and laboratory correlation is recommended in terms of possible metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_c/valid_331_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  In the upper lobes of both lungs, plebroparenchymal sequelae density increases at apical levels and diffuse mild emphysematous changes are observed in both lungs. In the posterior segment of the right lung upper lobe, nodules that do not show significant dimensional, structural and numerical differences are observed in multiple phases, the largest of which is 5.5 mm in series 2 image 88. Several calcified nonspecific parenchymal nodules measuring up to 4 mm are observed in both lungs. Bilateral pericardial and pleural effusion was not detected. Widespread centriacinar ground glass density increases are observed in both lungs, more prominently in the upper lobes. It does not differ significantly from the previous examination (Secondary to tobacco use? Allergic alveolitis?). There are bilateral peribronchial thickenings that do not differ significantly. The diameter of the ascending aorta is measured up to 37 mm. It does not show a significant difference in minimal dilatation. The hypodense finding observed at the level of segment 6 of the right lobe of the liver, which was included in the examination area in the previous examination, is measured up to 8 mm within the limits of the examination in the current examination and does not show a significant difference. A few cortical cysts are observed in both kidneys. There are diffuse heterogeneous density increases in bone structures, and clinical and laboratory correlation follow-up is recommended in terms of metabolic bone diseases. It does not differ significantly. Small lymph nodes with a short axis measuring up to 6 mm are observed in the mediastinal upper and lower paratracheal, paravascular and subcarinal areas. There was no significant difference in the number and size of these lymph nodes. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. Impression:  Stable calcific-noncalcific parenchymal nodules in both lungs based on previous examination.  Sequelae changes, mild emphysematous changes and peribronchial thickenings, more prominent at the apical levels in the upper lobes of both lungs.  Centriacinar ground glass density increases in both lungs, more pronounced in the upper lobes.  Mild dilatation of the ascending aorta.  Calcified atherosclerotic changes in the wall of the thoraco-abdominal aorta and coronary artery.  Hypodense lesion in the liver.  Bilateral cortical cysts.  Heterogeneous density increases in bone structures. Clinical and laboratory correlation is recommended for metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_d/valid_331_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_768",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  In the upper lobes of both lungs, plebroparenchymal sequelae density increases at apical levels and diffuse mild emphysematous changes are observed in both lungs. In the posterior segment of the right lung upper lobe, nodules that do not show significant dimensional, structural and numerical differences are observed in multiple phases, the largest of which is 5.5 mm in series 2 image 88. Several calcified nonspecific parenchymal nodules measuring up to 4 mm are observed in both lungs. Bilateral pericardial and pleural effusion was not detected. Widespread centriacinar ground glass density increases are observed in both lungs, more prominently in the upper lobes. It does not differ significantly from the previous examination (Secondary to tobacco use? Allergic alveolitis?). There are bilateral peribronchial thickenings that do not differ significantly. The diameter of the ascending aorta is measured up to 37 mm. It does not show a significant difference in minimal dilatation. The hypodense finding observed at the level of segment 6 of the right lobe of the liver, which was included in the examination area in the previous examination, is measured up to 8 mm within the limits of the examination in the current examination and does not show a significant difference. A few cortical cysts are observed in both kidneys. There are diffuse heterogeneous density increases in bone structures, and clinical and laboratory correlation follow-up is recommended in terms of metabolic bone diseases. It does not differ significantly. Small lymph nodes with a short axis measuring up to 6 mm are observed in the mediastinal upper and lower paratracheal, paravascular and subcarinal areas. There was no significant difference in the number and size of these lymph nodes. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. Impression:  Stable calcific-noncalcific parenchymal nodules in both lungs based on previous examination.  Sequelae changes, mild emphysematous changes and peribronchial thickenings, more prominent at the apical levels in the upper lobes of both lungs.  Centriacinar ground glass density increases in both lungs, more pronounced in the upper lobes.  Mild dilatation of the ascending aorta.  Calcified atherosclerotic changes in the wall of the thoraco-abdominal aorta and coronary artery.  Hypodense lesion in the liver.  Bilateral cortical cysts.  Heterogeneous density increases in bone structures. Clinical and laboratory correlation is recommended for metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_d/valid_331_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_769",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi are open and no obstructive pathology is detected. The mediastinal vascular structures and heart could not be evaluated optimally because the examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. In the evaluation made in the lung parenchyma window: There are stable paraseptal emphysematous changes in both lung parenchyma. In both lungs, areas of increased density were observed in the centriacinar ground glass density, which showed a randomized distribution, which was more prominent in the upper lobes. There are diffuse mild thickness increases in the peribronchial region, which are more prominent in the center of both lungs. No active infiltration or mass lesion was detected in both lungs. Stable in number and size, some of them calcified nodules, which were also observed in the patient's previous CT examinations, were observed. In the upper abdominal sections within the image, there are lesions of stable hypodense cyst fluid density located parapelvic or cortical in both kidneys. First of all, it was evaluated in favor of the cyst. Diffuse heterogeneous density increase was observed in the bone structures within the image. It is recommended to be evaluated in terms of metabolic bone diseases. Impression:  Calcified atheromatous plaques on the walls of thoracic aorta, coronary vascular structures structures.  Areas of increased density in centriacinar ground glass density with a randomized distribution, more prominent in the upper lobes of both lungs.  Parenchymal nodules, some of which are calcified, in both lungs.  The described findings are also observed in the patient's previous CT examinations and are stable.  Diffuse heterogeneous density increase is observed in bone structures and it is recommended to be evaluated in terms of possible metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_e/valid_331_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi are open and no obstructive pathology is detected. The mediastinal vascular structures and heart could not be evaluated optimally because the examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. In the evaluation made in the lung parenchyma window: There are stable paraseptal emphysematous changes in both lung parenchyma. In both lungs, areas of increased density were observed in the centriacinar ground glass density, which showed a randomized distribution, which was more prominent in the upper lobes. There are diffuse mild thickness increases in the peribronchial region, which are more prominent in the center of both lungs. No active infiltration or mass lesion was detected in both lungs. Stable in number and size, some of them calcified nodules, which were also observed in the patient's previous CT examinations, were observed. In the upper abdominal sections within the image, there are lesions of stable hypodense cyst fluid density located parapelvic or cortical in both kidneys. First of all, it was evaluated in favor of the cyst. Diffuse heterogeneous density increase was observed in the bone structures within the image. It is recommended to be evaluated in terms of metabolic bone diseases. Impression:  Calcified atheromatous plaques on the walls of thoracic aorta, coronary vascular structures structures.  Areas of increased density in centriacinar ground glass density with a randomized distribution, more prominent in the upper lobes of both lungs.  Parenchymal nodules, some of which are calcified, in both lungs.  The described findings are also observed in the patient's previous CT examinations and are stable.  Diffuse heterogeneous density increase is observed in bone structures and it is recommended to be evaluated in terms of possible metabolic bone diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_331/valid_331_e/valid_331_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_771",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung lower lobe posterior segment, there is a finding consistent with small consolidation in which ground glass densities are observed in the periphery of 17 mm in size, located subpelvally at the costovertebral junction level. Clinical laboratory correlation and close follow-up are recommended for early viral pneumonia (Covid-19). No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Consolidation area at the level described in the paracostavertebral junction area in the posterior lower lobe of the right lung. Clinical laboratory correlation and close follow-up of the described infiltration finding is recommended for suspected early viral pneumonia (Covid-19).  Sleeve gastrectomy is being followed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_332/valid_332_a/valid_332_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_772",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung lower lobe posterior segment, there is a finding consistent with small consolidation in which ground glass densities are observed in the periphery of 17 mm in size, located subpelvally at the costovertebral junction level. Clinical laboratory correlation and close follow-up are recommended for early viral pneumonia (Covid-19). No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Consolidation area at the level described in the paracostavertebral junction area in the posterior lower lobe of the right lung. Clinical laboratory correlation and close follow-up of the described infiltration finding is recommended for suspected early viral pneumonia (Covid-19).  Sleeve gastrectomy is being followed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_332/valid_332_a/valid_332_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Bilateral breast prosthesis is available. There is a smear-like effusion around the prosthesis on the left. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Surgical suture materials secondary to the operation at the perigastric level were observed as far as could be observed within the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative Schmorl nodule impressions were observed in the middle and lower end plateaus of the thoracic vertebrae. Impression: Minimal effusion around the breast prosthesis on the right. There was no finding in favor of pneumonia in the lung parenchyma.  Degenerative Schmorl nodule impressions in thoracic end plateaus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_332/valid_332_b/valid_332_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Bilateral breast prosthesis is available. There is a smear-like effusion around the prosthesis on the left. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Surgical suture materials secondary to the operation at the perigastric level were observed as far as could be observed within the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative Schmorl nodule impressions were observed in the middle and lower end plateaus of the thoracic vertebrae. Impression: Minimal effusion around the breast prosthesis on the right. There was no finding in favor of pneumonia in the lung parenchyma.  Degenerative Schmorl nodule impressions in thoracic end plateaus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_332/valid_332_b/valid_332_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_775",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A peripheral subcapsular crazy paving pattern was formed in the posterobasal segment of the right lung, nodular ground glass opacity was observed, and the appearance is highly suspicious for ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A millimetric nonspecific parenchymal nodule was observed in the lateralabasal segment of the lower lobe of the left lung. No mass lesion with distinguishable borders was detected in both lungs. As far as can be seen in the sections, millimetric calculus was observed in the middle part of the right kidney. Accessory spleen with a diameter of 13 mm was observed adjacent to the lower pole of the spleen. Other upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: High suspicious findings for ultra-early period Covid-19 pneumonia in the right lung posterobasal segment; it is recommended to be evaluated together with clinical and laboratory. Millimetric nonspecific parenchymal nodule in the lateralabasal segment of the left lung lower lobe . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_333/valid_333_a/valid_333_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A peripheral subcapsular crazy paving pattern was formed in the posterobasal segment of the right lung, nodular ground glass opacity was observed, and the appearance is highly suspicious for ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A millimetric nonspecific parenchymal nodule was observed in the lateralabasal segment of the lower lobe of the left lung. No mass lesion with distinguishable borders was detected in both lungs. As far as can be seen in the sections, millimetric calculus was observed in the middle part of the right kidney. Accessory spleen with a diameter of 13 mm was observed adjacent to the lower pole of the spleen. Other upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: High suspicious findings for ultra-early period Covid-19 pneumonia in the right lung posterobasal segment; it is recommended to be evaluated together with clinical and laboratory. Millimetric nonspecific parenchymal nodule in the lateralabasal segment of the left lung lower lobe . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_333/valid_333_a/valid_333_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_777",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass densities are observed in the superior levels of the lower lobe of the left lung, which can hardly be distinguished from the nodular centriacinar parenchyma, which was not observed in the previous thorax CT. findings were evaluated in favor of an infectious process (atypical viral pneumonias?). clinical laboratory correlation and close follow-up are recommended. There was no significant difference in millimetric nonspecific parenchymal nodule in the left lung lower lobe laterobasal segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is mild loss of height in the upper end plate of the L1 vertebral corpus, which was not observed in the previous thorax CT. It was evaluated as degenerative in the first plan. Impression:  Newly observed findings in the lower lobe of the left lung that were not observed in the previous Thorax CT; It was initially evaluated in favor of atypical viral pneumonias, and clinical laboratory correlation follow-up is recommended.  No significant difference was found in millimetric nonspecific parenchymal nodule in the left lung lower lobe laterobasal segment.  Slight loss of height in the upper end plate of the L1 vertebral corpus that was not observed in the previous thorax CT; It was initially considered as degenerative."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_333/valid_333_b/valid_333_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_778",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass densities are observed in the superior levels of the lower lobe of the left lung, which can hardly be distinguished from the nodular centriacinar parenchyma, which was not observed in the previous thorax CT. findings were evaluated in favor of an infectious process (atypical viral pneumonias?). clinical laboratory correlation and close follow-up are recommended. There was no significant difference in millimetric nonspecific parenchymal nodule in the left lung lower lobe laterobasal segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is mild loss of height in the upper end plate of the L1 vertebral corpus, which was not observed in the previous thorax CT. It was evaluated as degenerative in the first plan. Impression:  Newly observed findings in the lower lobe of the left lung that were not observed in the previous Thorax CT; It was initially evaluated in favor of atypical viral pneumonias, and clinical laboratory correlation follow-up is recommended.  No significant difference was found in millimetric nonspecific parenchymal nodule in the left lung lower lobe laterobasal segment.  Slight loss of height in the upper end plate of the L1 vertebral corpus that was not observed in the previous thorax CT; It was initially considered as degenerative."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_333/valid_333_b/valid_333_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_779",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_334/valid_334_a/valid_334_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_780",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_334/valid_334_a/valid_334_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_781",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_334/valid_334_a/valid_334_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi were deviated to the left, and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinum and heart slightly deviated to the left. The diameter of the ascending aorta was 43 mm wider than normal. The diameter of the descending aorta is 30 mm in the upper limits. Heart contour, size is normal. Pericardial effusion-thickening was not observed. There is a stent in the LAD. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; More extensive centriacinar-paraseptal emphysema areas were observed in the upper lobes of both lungs. There are pleural irregularities and micro-retractions in both lungs. Right lung volume was minimally decreased. Atelectatic changes were observed in the right lung middle lobe and lower lobe basal areas adjacent to the major fissure, and the nodular form in the right lung lower lobe basal was acquired (round atelectasis?). A minimally loculated pleural effusion was observed in the area adjacent to the right lung lower lobe basal. Nonspecific parenchymal nodules with a diameter of 4 mm were observed in the upper lobes of both lungs, the largest of which was in the apicoposterior segment of the upper lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not observed. Liver, gallbladder, spleen, pancreas, right adrenal gland are normal as far as can be seen on non-contrast images. Diffuse thickening was observed in the left adrenal gland corpus. In the left kidney, hypodense nodular lesion areas with a diameter of 2.5 cm were observed (cyst?). No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Aneurysmatic dilatation in the ascending aorta . Hiatal hernia . Minimal decrease in the volume of the right lung, deviation to the left in the mediastinum and heart . Diffuse paraseptal-centracinar emphysemetous changes in the upper lobes of both lungs, microretraction in the pleura, and diffuse interlobular septal thickening, (sequelae changes-fibrosis) . Right Atelectatic changes in the middle and lower lobe of the lung adjacent to the major fissure . Nodular consolidation appearance (round atelectasis?) in the lower lobe of the right lung basal.  Minimal pleural effusion adjacent to the left lung baseline . Thickening of the left adrenal gland corpus . Hypodense nodular lesion areas (cyst?) in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_335/valid_335_a/valid_335_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_783",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi were deviated to the left, and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinum and heart slightly deviated to the left. The diameter of the ascending aorta was 43 mm wider than normal. The diameter of the descending aorta is 30 mm in the upper limits. Heart contour, size is normal. Pericardial effusion-thickening was not observed. There is a stent in the LAD. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; More extensive centriacinar-paraseptal emphysema areas were observed in the upper lobes of both lungs. There are pleural irregularities and micro-retractions in both lungs. Right lung volume was minimally decreased. Atelectatic changes were observed in the right lung middle lobe and lower lobe basal areas adjacent to the major fissure, and the nodular form in the right lung lower lobe basal was acquired (round atelectasis?). A minimally loculated pleural effusion was observed in the area adjacent to the right lung lower lobe basal. Nonspecific parenchymal nodules with a diameter of 4 mm were observed in the upper lobes of both lungs, the largest of which was in the apicoposterior segment of the upper lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not observed. Liver, gallbladder, spleen, pancreas, right adrenal gland are normal as far as can be seen on non-contrast images. Diffuse thickening was observed in the left adrenal gland corpus. In the left kidney, hypodense nodular lesion areas with a diameter of 2.5 cm were observed (cyst?). No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Aneurysmatic dilatation in the ascending aorta . Hiatal hernia . Minimal decrease in the volume of the right lung, deviation to the left in the mediastinum and heart . Diffuse paraseptal-centracinar emphysemetous changes in the upper lobes of both lungs, microretraction in the pleura, and diffuse interlobular septal thickening, (sequelae changes-fibrosis) . Right Atelectatic changes in the middle and lower lobe of the lung adjacent to the major fissure . Nodular consolidation appearance (round atelectasis?) in the lower lobe of the right lung basal.  Minimal pleural effusion adjacent to the left lung baseline . Thickening of the left adrenal gland corpus . Hypodense nodular lesion areas (cyst?) in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_335/valid_335_a/valid_335_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_784",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Bilateral pleural effusion-thickening was not detected. Liver, spleen, pancreas, both kidneys, both adrenal glands are normal as far as can be observed in the non-contrast examination. The gallbladder was not observed (operated). No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT scan within normal limits . Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_336/valid_336_a/valid_336_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_785",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Bilateral pleural effusion-thickening was not detected. Liver, spleen, pancreas, both kidneys, both adrenal glands are normal as far as can be observed in the non-contrast examination. The gallbladder was not observed (operated). No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT scan within normal limits . Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_336/valid_336_a/valid_336_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. A port chamber is observed in the subcutaneous adipose tissue in the right hemithorax. The port catheter terminates at the superior-right atrium junction of the vena cava. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A few millimetric nonspecific nodules were observed in both lungs. The described nodules can also be observed in the previous examination of the patient, and no difference was found in their size and appearance. There are density increases in the lateral and posterobasal segment of the right lung lower lobe and in the left inferior lingular segment, which are evaluated primarily in favor of atelectasis, which is observed to have newly developed. No mass or infiltrative lesion was observed in both lungs. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Impression: A few millimetric nonspecific nodules were observed in both lungs. The described nodules can also be observed in the previous examination of the patient, and no difference was found in their size and appearance. There are density increases in the lateral and posterobasal segment of the right lung lower lobe and in the left inferior lingular segment, which are evaluated primarily in favor of atelectasis, which is observed to have newly developed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_337/valid_337_a/valid_337_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. A port chamber is observed in the subcutaneous adipose tissue in the right hemithorax. The port catheter terminates at the superior-right atrium junction of the vena cava. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A few millimetric nonspecific nodules were observed in both lungs. The described nodules can also be observed in the previous examination of the patient, and no difference was found in their size and appearance. There are density increases in the lateral and posterobasal segment of the right lung lower lobe and in the left inferior lingular segment, which are evaluated primarily in favor of atelectasis, which is observed to have newly developed. No mass or infiltrative lesion was observed in both lungs. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Impression: A few millimetric nonspecific nodules were observed in both lungs. The described nodules can also be observed in the previous examination of the patient, and no difference was found in their size and appearance. There are density increases in the lateral and posterobasal segment of the right lung lower lobe and in the left inferior lingular segment, which are evaluated primarily in favor of atelectasis, which is observed to have newly developed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_337/valid_337_a/valid_337_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_788",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The diameter of the pulmonary trunk was 32 mm, the diameter of the right pulmonary artery was 29 mm, and the diameter of the left pulmonary artery was 30 mm, and it was wider than normal. Trachea, both main bronchi are open. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Type 1 hiatal hernia is observed at the esophagogastric junction. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. A few millimetric nonspecific nodules measuring 2.5 mm in diameter and the largest in the posterobasal segment of the right lung are observed in both lungs. In the left lung upper lobe lingular segment, inferior subsegmental mild atelectasis areas are observed in the right lung middle lobe medial segment. Pleural effusion-thickening was not detected. The upper abdominal organs are normal as far as can be seen in non-contrast CT scans. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis has increased and degenerative changes consistent with Scheuermann's disease are observed. A chronic compression fracture of less than 30% is observed in the T11 vertebral body. Impression: Cardiomegaly, enlargement of the pulmonary arteries in diameter. Millimetric nonspecific nodular, focal areas of atelectasis in both lungs.  Type 1 hiatal hernia . Collection showing reduced size in the anterior abdominal wall adjacent to the incision line."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_338/valid_338_a/valid_338_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_789",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  The diameter of the pulmonary trunk was 32 mm, the diameter of the right pulmonary artery was 29 mm, and the diameter of the left pulmonary artery was 30 mm, and it was wider than normal. Trachea, both main bronchi are open. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Type 1 hiatal hernia is observed at the esophagogastric junction. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. A few millimetric nonspecific nodules measuring 2.5 mm in diameter and the largest in the posterobasal segment of the right lung are observed in both lungs. In the left lung upper lobe lingular segment, inferior subsegmental mild atelectasis areas are observed in the right lung middle lobe medial segment. Pleural effusion-thickening was not detected. The upper abdominal organs are normal as far as can be seen in non-contrast CT scans. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis has increased and degenerative changes consistent with Scheuermann's disease are observed. A chronic compression fracture of less than 30% is observed in the T11 vertebral body. Impression: Cardiomegaly, enlargement of the pulmonary arteries in diameter. Millimetric nonspecific nodular, focal areas of atelectasis in both lungs.  Type 1 hiatal hernia . Collection showing reduced size in the anterior abdominal wall adjacent to the incision line."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_338/valid_338_a/valid_338_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_790",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal 1-2 millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More prominent centriacinar and paraseptal emphysemato areas are observed in the upper lobes of the right lung. Diffuse ground glass appearance is observed in both lung parenchyma. It is nonspecific. It may be associated with infection. Two in the middle lobe of the right lung, the largest of which is 3.5 mm in diameter, in the anterior segment of the right lung upper lobe two subpleural 3 mm in diameter and 3.5 mm in diameter located peripherally, 3 mm in diameter, each located in the right lung laterobasal segment and subpleural in the mediobasal segment, in the upper lobe of the left lung nodules with a diameter of 3.5 mm in the anterior segment, 7.5x5 mm in size in the lingular segment, 5 and 2 mm in diameter side by side in the lower lobe laterobasal segment, and suvpleural located in the laterobasal and posterobasal segments, the largest of which is 3.5 mm in diameter. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Significant emphysematous areas in the upper lobes in both lung parenchyma . Diffuse ground glass density in both lung parenchyma; It may be associated with the infective process. It is nonspecific.  The larger ones are in the left lung lingular segment and the lower lobe laterobasal segment, while the others are millimetric nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_339/valid_339_a/valid_339_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_791",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal 1-2 millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More prominent centriacinar and paraseptal emphysemato areas are observed in the upper lobes of the right lung. Diffuse ground glass appearance is observed in both lung parenchyma. It is nonspecific. It may be associated with infection. Two in the middle lobe of the right lung, the largest of which is 3.5 mm in diameter, in the anterior segment of the right lung upper lobe two subpleural 3 mm in diameter and 3.5 mm in diameter located peripherally, 3 mm in diameter, each located in the right lung laterobasal segment and subpleural in the mediobasal segment, in the upper lobe of the left lung nodules with a diameter of 3.5 mm in the anterior segment, 7.5x5 mm in size in the lingular segment, 5 and 2 mm in diameter side by side in the lower lobe laterobasal segment, and suvpleural located in the laterobasal and posterobasal segments, the largest of which is 3.5 mm in diameter. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Significant emphysematous areas in the upper lobes in both lung parenchyma . Diffuse ground glass density in both lung parenchyma; It may be associated with the infective process. It is nonspecific.  The larger ones are in the left lung lingular segment and the lower lobe laterobasal segment, while the others are millimetric nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_339/valid_339_a/valid_339_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_792",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_340/valid_340_a/valid_340_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_340/valid_340_a/valid_340_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_794",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_340/valid_340_a/valid_340_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_795",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_340/valid_340_a/valid_340_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_796",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_340/valid_340_a/valid_340_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A CVP catheter inserted through the right internal jugular vein was observed, ending at the superior-right atrium junction of the vena cava. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 28 mm. The diameters of the pulmonary trunk and both pulmonary arteries increased by 34 mm and 31 mm and 30 mm, respectively. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the supraaortic branches of the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed in the mediastinum and both hilar regions. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae were observed in the right lung upper lobe anterior segment, middle lobe, left lung, inferior lingular segment, and basal segments of both lung lower lobes. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. Diffuse atherosclerosis was observed in the abdominal aorta and its visceral branches. Spur formations bridging with each other were observed at the right anterolateral corners of the thoracic vertebrae in the bone structures within the examination area. Vertebral planar appearance secondary to loss of height in L1 vertebra was observed. Impression:  Fusiform aneurysmatic dilatation in the ascending aorta, cardiomegaly, increase in the diameters of the pulmonary trunk and both pulmonary arteries, cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries  Hiatal hernia  Emphysematous changes in both lungs, pleural pleural plexus changes in both lungs  millimetric nonspecific parenchymal nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_341/valid_341_a/valid_341_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_798",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A CVP catheter inserted through the right internal jugular vein was observed, ending at the superior-right atrium junction of the vena cava. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 28 mm. The diameters of the pulmonary trunk and both pulmonary arteries increased by 34 mm and 31 mm and 30 mm, respectively. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the supraaortic branches of the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed in the mediastinum and both hilar regions. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae were observed in the right lung upper lobe anterior segment, middle lobe, left lung, inferior lingular segment, and basal segments of both lung lower lobes. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. Diffuse atherosclerosis was observed in the abdominal aorta and its visceral branches. Spur formations bridging with each other were observed at the right anterolateral corners of the thoracic vertebrae in the bone structures within the examination area. Vertebral planar appearance secondary to loss of height in L1 vertebra was observed. Impression:  Fusiform aneurysmatic dilatation in the ascending aorta, cardiomegaly, increase in the diameters of the pulmonary trunk and both pulmonary arteries, cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries  Hiatal hernia  Emphysematous changes in both lungs, pleural pleural plexus changes in both lungs  millimetric nonspecific parenchymal nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_341/valid_341_a/valid_341_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_799",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs. On the right, a 34 mm thick-walled air cyst is seen at the apex of the upper lobe. There are sequelae fibrotic changes in both lungs. Minimal ground glass density is observed in the form of a layer in the subpleural area in the upper lobe posterior on the right. There is a 7.5 mm sized nodule accompanied by pleural retractions in the superior lower lobe of the left lung. In addition, millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Emphysema in both lungs  Air cyst in the upper lobe of the right lung  Sequela fibrotic changes in both lungs  Minimal ground glass density (pneumonic infiltration?) in the subpleural area in the right upper lobe posterior, clinical correlation is recommended.  Some calcific nonspecific nodules in both lungs  Parenchymal nodule accompanied by fibrotic recessions in the left lung lower lobe superior"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_342/valid_342_a/valid_342_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_800",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs. On the right, a 34 mm thick-walled air cyst is seen at the apex of the upper lobe. There are sequelae fibrotic changes in both lungs. Minimal ground glass density is observed in the form of a layer in the subpleural area in the upper lobe posterior on the right. There is a 7.5 mm sized nodule accompanied by pleural retractions in the superior lower lobe of the left lung. In addition, millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Emphysema in both lungs  Air cyst in the upper lobe of the right lung  Sequela fibrotic changes in both lungs  Minimal ground glass density (pneumonic infiltration?) in the subpleural area in the right upper lobe posterior, clinical correlation is recommended.  Some calcific nonspecific nodules in both lungs  Parenchymal nodule accompanied by fibrotic recessions in the left lung lower lobe superior"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_342/valid_342_a/valid_342_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. A few millimetric calculus were observed in both kidneys in the upper abdominal sections that entered the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia detected. Bilateral nephrolithiasis ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_343/valid_343_a/valid_343_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. A few millimetric calculus were observed in both kidneys in the upper abdominal sections that entered the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia detected. Bilateral nephrolithiasis ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_343/valid_343_a/valid_343_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_803",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a series of 2 images 143 mm non-specific nodules in the middle lobe of the right lung. Mild atelectatic changes and pleural retraction are observed in the left lung upper lobe inferior superior lingula. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Oval-shaped findings were evaluated in favor of cysts in fluid attenuation, which was measured in several pieces up to 41 mm in size in both kidneys. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mild atelectatic changes in left lung upper lobe inferior lingula, pleuroparenchymal sequelae changes.  There is a series of 2 images 143 mm non-specific nodule in the middle lobe of the right lung.  Bilateral cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_344/valid_344_a/valid_344_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_804",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a series of 2 images 143 mm non-specific nodules in the middle lobe of the right lung. Mild atelectatic changes and pleural retraction are observed in the left lung upper lobe inferior superior lingula. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Oval-shaped findings were evaluated in favor of cysts in fluid attenuation, which was measured in several pieces up to 41 mm in size in both kidneys. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mild atelectatic changes in left lung upper lobe inferior lingula, pleuroparenchymal sequelae changes.  There is a series of 2 images 143 mm non-specific nodule in the middle lobe of the right lung.  Bilateral cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_344/valid_344_a/valid_344_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_805",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: In the left hemithorax, at the level of the 2nd-5th ribs, an appearance of soft tissue density is observed, with a clear borderless infiltrative character extending from the intercostal spaces to the outside of the hemithorax. The described view measures 32 mm at its thickest point (series 2 section 203). This appearance was evaluated primarily in favor of the mass. No significant destruction was detected in the ribs. There is pleural effusion on the left. The pleural effusion measured 53 mm at the level of the lower lobe of the lung at its thickest point. The described view measured approximately 20 mm at its thickest point. The described appearance could not be characterized because no contrast medium was given. However, when evaluated together with other findings, there may be a soft tissue mass in this appearance. Further investigation is recommended. No pleural effusion or thickening was detected on the right. There are lymphadenopathies in the left axilla and retropectoral region. The shortest diameter of the largest lymphadenopathy described was 19 mm at its widest point (series 2 section 76). No pathologically enlarged lymph nodes were detected in the right axilla and retropectoral region. There are millimetric lymph nodes in the left internal mammary artery trace. Lymphadenopathy with a short diameter of 26mm was observed in the subcarinal area. In addition, there are millimetric lymph nodes in the mediastinum and hilar regions. There is no obstructive pathology in the trachea and both main bronchi. In the central part of the lower lobe of the left lung, there is consolidation with an air bronchogram. This appearance was primarily evaluated in favor of infective pathology. However, when evaluated together with other findings, this appearance may also belong to a metastatic mass. This distinction cannot be made in this examination. It is recommended to be evaluated together with previous examinations, if any. Ground glass areas are also present in the lower lobe of both lungs and the upper lobe of the left lung. Ground glass areas are more prominent in the lower lobes. These views are nonspecific. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in the right lung. There are millimetric nodules in both lungs. The appearance of the described nodules is also non-specific. The largest of the nodules is observed in the lower lobe of the right lung and its longest diameter is approximately 9 mm. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Soft tissue density appearance in the left hemithorax at the level of the 2nd-5th ribs and evaluated in favor of a mass, minimally hyperdense appearance whose borders cannot be distinguished from the vertebrae in the posteromedial at the level of the left lung upper lobe apicoposterior segment posterior segment (it is thought that there may be a mass in this view), subcarinal lymphadenopathy , lymphadenopathies in the left axilla and retropectoral region.  Pleural effusion on the left.  Nodules (metastases?) in both lungs. Consolidation in the central part of the lower lobe of the left lung, primarily evaluated in favor of infective pathology.  Nonspecific ground glass areas in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_345/valid_345_a/valid_345_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_806",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: In the left hemithorax, at the level of the 2nd-5th ribs, an appearance of soft tissue density is observed, with a clear borderless infiltrative character extending from the intercostal spaces to the outside of the hemithorax. The described view measures 32 mm at its thickest point (series 2 section 203). This appearance was evaluated primarily in favor of the mass. No significant destruction was detected in the ribs. There is pleural effusion on the left. The pleural effusion measured 53 mm at the level of the lower lobe of the lung at its thickest point. The described view measured approximately 20 mm at its thickest point. The described appearance could not be characterized because no contrast medium was given. However, when evaluated together with other findings, there may be a soft tissue mass in this appearance. Further investigation is recommended. No pleural effusion or thickening was detected on the right. There are lymphadenopathies in the left axilla and retropectoral region. The shortest diameter of the largest lymphadenopathy described was 19 mm at its widest point (series 2 section 76). No pathologically enlarged lymph nodes were detected in the right axilla and retropectoral region. There are millimetric lymph nodes in the left internal mammary artery trace. Lymphadenopathy with a short diameter of 26mm was observed in the subcarinal area. In addition, there are millimetric lymph nodes in the mediastinum and hilar regions. There is no obstructive pathology in the trachea and both main bronchi. In the central part of the lower lobe of the left lung, there is consolidation with an air bronchogram. This appearance was primarily evaluated in favor of infective pathology. However, when evaluated together with other findings, this appearance may also belong to a metastatic mass. This distinction cannot be made in this examination. It is recommended to be evaluated together with previous examinations, if any. Ground glass areas are also present in the lower lobe of both lungs and the upper lobe of the left lung. Ground glass areas are more prominent in the lower lobes. These views are nonspecific. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in the right lung. There are millimetric nodules in both lungs. The appearance of the described nodules is also non-specific. The largest of the nodules is observed in the lower lobe of the right lung and its longest diameter is approximately 9 mm. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Soft tissue density appearance in the left hemithorax at the level of the 2nd-5th ribs and evaluated in favor of a mass, minimally hyperdense appearance whose borders cannot be distinguished from the vertebrae in the posteromedial at the level of the left lung upper lobe apicoposterior segment posterior segment (it is thought that there may be a mass in this view), subcarinal lymphadenopathy , lymphadenopathies in the left axilla and retropectoral region.  Pleural effusion on the left.  Nodules (metastases?) in both lungs. Consolidation in the central part of the lower lobe of the left lung, primarily evaluated in favor of infective pathology.  Nonspecific ground glass areas in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_345/valid_345_a/valid_345_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_807",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; mosaic attenuation, which is more prominent in the lower lobes of both lungs (small airway disease? small vessel disease?). No significant pathology was observed in the bilateral adrenal glands in the sections passing through the upper part of the abdomen. No obvious pathology was detected in the non-contrast abdominal sections. No lytic-destructive lesion was observed in bone structures. Impression: Mosaic attenuation in both lung parenchyma (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_346/valid_346_a/valid_346_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_808",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; mosaic attenuation, which is more prominent in the lower lobes of both lungs (small airway disease? small vessel disease?). No significant pathology was observed in the bilateral adrenal glands in the sections passing through the upper part of the abdomen. No obvious pathology was detected in the non-contrast abdominal sections. No lytic-destructive lesion was observed in bone structures. Impression: Mosaic attenuation in both lung parenchyma (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_346/valid_346_a/valid_346_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_809",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The heart examination was evaluated as suboptimal because it was without contrast. No obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short diameter of 5mm were observed in the mediastinal prevascular area, in the aortopulmonary window, in the bilateral hilar region in the paratracheal area. When examined in the lung parenchyma window; Tractional bronchiectasis accompanied by fibroatelectatic changes were observed in the anterior basal segment of the left lung lower lobe. Nonspecific peripheral parenchymal nodules were observed in both lungs, the largest of which was 3 mm in diameter in the left lung lower lobe laterobasal segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A cortical cyst of approximately 36 mm in diameter is observed in the upper pole of the left kidney, and there are atrophic changes in the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nonspecific parenchymal nodules in both lung parenchyma. Tractional bronchiectasis (sequelae change?) with fibroatelectatic changes in the anterior basal segment of the left lung lower lobe.  Lymph nodes that do not reach mediastinal pathological size. Calcified plaques of atheroma in the main vascular structures.  Atrophic changes in the left kidney and left renal cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_347/valid_347_a/valid_347_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_810",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The heart examination was evaluated as suboptimal because it was without contrast. No obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short diameter of 5mm were observed in the mediastinal prevascular area, in the aortopulmonary window, in the bilateral hilar region in the paratracheal area. When examined in the lung parenchyma window; Tractional bronchiectasis accompanied by fibroatelectatic changes were observed in the anterior basal segment of the left lung lower lobe. Nonspecific peripheral parenchymal nodules were observed in both lungs, the largest of which was 3 mm in diameter in the left lung lower lobe laterobasal segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A cortical cyst of approximately 36 mm in diameter is observed in the upper pole of the left kidney, and there are atrophic changes in the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nonspecific parenchymal nodules in both lung parenchyma. Tractional bronchiectasis (sequelae change?) with fibroatelectatic changes in the anterior basal segment of the left lung lower lobe.  Lymph nodes that do not reach mediastinal pathological size. Calcified plaques of atheroma in the main vascular structures.  Atrophic changes in the left kidney and left renal cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_347/valid_347_a/valid_347_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_811",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A nonspecific parenchymal nodule with a diameter of 4 mm was observed in the right lung lower lobe laterobasal segment. Subsegmental atelectasis area is observed in the left lung inferior lingular segment. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Nonspecific parenchymal nodule in the right lung, subsegmental atelectasis area in the left lung. CT findings showing pneumonia are not available. (Note: CT may be negative early in COVID-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_348/valid_348_a/valid_348_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_812",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A nonspecific parenchymal nodule with a diameter of 4 mm was observed in the right lung lower lobe laterobasal segment. Subsegmental atelectasis area is observed in the left lung inferior lingular segment. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Nonspecific parenchymal nodule in the right lung, subsegmental atelectasis area in the left lung. CT findings showing pneumonia are not available. (Note: CT may be negative early in COVID-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_348/valid_348_a/valid_348_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a mosaic attenuation pattern in both lung lower lobes (small airway disease?, small vessel disease). There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Mosaic attenuation pattern in both lung lower lobes (small airway disease?, small vessel disease).  Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_349/valid_349_a/valid_349_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_814",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a mosaic attenuation pattern in both lung lower lobes (small airway disease?, small vessel disease). There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Mosaic attenuation pattern in both lung lower lobes (small airway disease?, small vessel disease).  Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_349/valid_349_a/valid_349_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_815",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. Minimal pericardial effusion is observed. No pleural effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the aorta. Several lymph nodes are observed in the mediastinum and bilateral hilar regions, the largest of which is 7 mm in the subcarinal area. Trachea and left main bronchus are open. No occlusive pathology was detected in the trachea and left main bronchus. The right lung lower lobe bronchus is obliterated from the bifurcation. There is volume loss in the lower lobe of the right lung and an area of approximately 27x65 mm in the paravertebral area of soft tissue density with millimetric calcific focus. In this non-contrast examination, central occlusive pathology on the basis of atelectatic parenchyma cannot be excluded. If available, it is recommended to be evaluated together with previous examinations or further examination. There is increased aeration in the right lung rest parenchyma and emphysematous changes in both lungs. In the lumen of the upper and middle lobe bronchi of the right lung, there is an echogenic appearance that may be compatible with secretion. Right lung lower lobe superior segment; In the left lung upper lobe anterior, lower lobe superior and lateral segments, there are peripherally weighted patchy ground glass areas. Post-treatment control is recommended. Linear atelectasis areas are observed in the left lung lingular segment and lower lobe lateral segment. There are several nonspecific nodules with a diameter of 3 mm in both lungs, the largest of which is in the lateral segment of the left lung lower lobe. There is a sliding type hiatal hernia at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. There is no detectable mass in the upper abdominal organs within the limits of unenhanced CT. There are osteophytes bridging at the corners of the thoracic vertebra corpus within the sections. Nodular sclerotic appearance is present at the level of the right transverse process of the T10 vertebra (enostosis?). No lytic-destructive lesions were detected in bone structures. Impression:  Obliteration in the lower lobe bronchus of the right lung, loss of volume in the lower lobe and soft tissue density in the paravertebral area; Central obstructive pathology cannot be excluded on the basis of atelectasis in the non-contrast examination. If available, it is recommended to be evaluated together with previous examinations or further examination.  Ground glass areas in both lungs, post-treatment control is recommended.  Emphysematous changes to both lungs, millimetric nodules.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_350/valid_350_a/valid_350_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. Minimal pericardial effusion is observed. No pleural effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the aorta. Several lymph nodes are observed in the mediastinum and bilateral hilar regions, the largest of which is 7 mm in the subcarinal area. Trachea and left main bronchus are open. No occlusive pathology was detected in the trachea and left main bronchus. The right lung lower lobe bronchus is obliterated from the bifurcation. There is volume loss in the lower lobe of the right lung and an area of approximately 27x65 mm in the paravertebral area of soft tissue density with millimetric calcific focus. In this non-contrast examination, central occlusive pathology on the basis of atelectatic parenchyma cannot be excluded. If available, it is recommended to be evaluated together with previous examinations or further examination. There is increased aeration in the right lung rest parenchyma and emphysematous changes in both lungs. In the lumen of the upper and middle lobe bronchi of the right lung, there is an echogenic appearance that may be compatible with secretion. Right lung lower lobe superior segment; In the left lung upper lobe anterior, lower lobe superior and lateral segments, there are peripherally weighted patchy ground glass areas. Post-treatment control is recommended. Linear atelectasis areas are observed in the left lung lingular segment and lower lobe lateral segment. There are several nonspecific nodules with a diameter of 3 mm in both lungs, the largest of which is in the lateral segment of the left lung lower lobe. There is a sliding type hiatal hernia at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. There is no detectable mass in the upper abdominal organs within the limits of unenhanced CT. There are osteophytes bridging at the corners of the thoracic vertebra corpus within the sections. Nodular sclerotic appearance is present at the level of the right transverse process of the T10 vertebra (enostosis?). No lytic-destructive lesions were detected in bone structures. Impression:  Obliteration in the lower lobe bronchus of the right lung, loss of volume in the lower lobe and soft tissue density in the paravertebral area; Central obstructive pathology cannot be excluded on the basis of atelectasis in the non-contrast examination. If available, it is recommended to be evaluated together with previous examinations or further examination.  Ground glass areas in both lungs, post-treatment control is recommended.  Emphysematous changes to both lungs, millimetric nodules.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_350/valid_350_a/valid_350_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_817",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear densities and calcific millimetric nodules evaluated in favor of sequelae are observed in the apicoposterior part of the upper lobe of the right lung. Mosaic atteniation pattern is observed in both lungs, especially in the lower lobes. There is a focal and barely distinguishable ground-glass opacity in the left lung lower lobe superior segment subpleural area. It is recommended to be evaluated together with the clinic in terms of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific plaques of atheroma in the aorta and coronary arteries.  Mosaic atteniation pattern in both lung lower lobes (small airway disease?, small vessel disease?).  Subpleural, barely distinguishable ground-glass opacity in the left lung lower lobe superior segment; It is recommended to be evaluated together with the clinic in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_351/valid_351_a/valid_351_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_818",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear densities and calcific millimetric nodules evaluated in favor of sequelae are observed in the apicoposterior part of the upper lobe of the right lung. Mosaic atteniation pattern is observed in both lungs, especially in the lower lobes. There is a focal and barely distinguishable ground-glass opacity in the left lung lower lobe superior segment subpleural area. It is recommended to be evaluated together with the clinic in terms of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific plaques of atheroma in the aorta and coronary arteries.  Mosaic atteniation pattern in both lung lower lobes (small airway disease?, small vessel disease?).  Subpleural, barely distinguishable ground-glass opacity in the left lung lower lobe superior segment; It is recommended to be evaluated together with the clinic in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_351/valid_351_a/valid_351_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_819",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral localized, patchy ground glass densities are observed in the lower lobe, more prominently on the right in both lungs. It is also prominent in the left lung inferior lingula. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended. The upper abdominal organs are included in the examination, and the finding in the middle level of the right kidney, 14 mm in diameter in the lateral, hypodense fluid atteniation was evaluated in favor of a cyst. A change in favor of steatosis is observed in the liver parenchyma. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  The findings described in the lung parenchyma were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_351/valid_351_b/valid_351_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral localized, patchy ground glass densities are observed in the lower lobe, more prominently on the right in both lungs. It is also prominent in the left lung inferior lingula. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended. The upper abdominal organs are included in the examination, and the finding in the middle level of the right kidney, 14 mm in diameter in the lateral, hypodense fluid atteniation was evaluated in favor of a cyst. A change in favor of steatosis is observed in the liver parenchyma. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  The findings described in the lung parenchyma were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_351/valid_351_b/valid_351_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_821",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Passive atelectatic changes were observed in right lung middle lobe medial and left lung upper lobe inferior lingular segments. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. The gallbladder was not observed (operated). A hypodense lesion measuring 30x15 mm, in which millimetric fat densities are also observed, was observed in the medial crus of the right adrenal gland (adenoma?). Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheroma plaques in arcus aorta and coronary arteries  Passive atelectatic changes in right lung middle lobe medial and left lung upper lobe inferior lingular segments  Hypodense lesion (adenoma?) in right adrenal gland medial crus in which millimetric fat densities are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_352/valid_352_a/valid_352_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Passive atelectatic changes were observed in right lung middle lobe medial and left lung upper lobe inferior lingular segments. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. The gallbladder was not observed (operated). A hypodense lesion measuring 30x15 mm, in which millimetric fat densities are also observed, was observed in the medial crus of the right adrenal gland (adenoma?). Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheroma plaques in arcus aorta and coronary arteries  Passive atelectatic changes in right lung middle lobe medial and left lung upper lobe inferior lingular segments  Hypodense lesion (adenoma?) in right adrenal gland medial crus in which millimetric fat densities are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_352/valid_352_a/valid_352_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; scattered nodular and patchy ground glass densities were observed in both lungs. The outlook was evaluated in favor of Covid-19 pneumonia. Liver density was diffusely decreased, consistent with hepatosteatosis. Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia and hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_353/valid_353_a/valid_353_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_824",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; scattered nodular and patchy ground glass densities were observed in both lungs. The outlook was evaluated in favor of Covid-19 pneumonia. Liver density was diffusely decreased, consistent with hepatosteatosis. Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia and hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_353/valid_353_a/valid_353_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_825",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed centrally and peripherally located in both lungs, being more prominent in the upper lobe superior segment on the left. In terms of differential diagnosis of viral pneumonia, clinical and laboratory correlation and close follow-up are recommended. The upper abdominal organs are partially included in the study and there is an appearance consistent with hepatosteatosis in the liver. Density change is available. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Patchy ground-glass densities in the lung parenchyma, especially in the left lung upper lobe (viral pneumonia?). Close follow-up and further examination of clinical laboratory correlation is recommended.  Hetapatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_354/valid_354_a/valid_354_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_826",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed centrally and peripherally located in both lungs, being more prominent in the upper lobe superior segment on the left. In terms of differential diagnosis of viral pneumonia, clinical and laboratory correlation and close follow-up are recommended. The upper abdominal organs are partially included in the study and there is an appearance consistent with hepatosteatosis in the liver. Density change is available. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Patchy ground-glass densities in the lung parenchyma, especially in the left lung upper lobe (viral pneumonia?). Close follow-up and further examination of clinical laboratory correlation is recommended.  Hetapatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_354/valid_354_a/valid_354_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_827",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The ascending aorta measures approximately 44 mm and has a dilated appearance. There is cardiomegaly. Calcifications are present in the coronary arteries. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques are present in the main vascular structures. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Type 1 hiatal hernia was observed distally. No lymph nodes reaching pathological dimensions were detected in the bilateral supraclavicular and axillary regions. No lymph node reaching mediastinal pathological dimension was detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Hypodense lesions consistent with cortical cysts were observed in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse degenerative changes were observed in the vertebrae included in the study area. There are osteophyte formations at the vertebral corpus corners. Impression: Cardiomegaly, calcified atheromatous plaques in major vascular structures . Cortical cysts in both kidneys . Osteodegenerative bone disease"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_355/valid_355_a/valid_355_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_828",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The ascending aorta measures approximately 44 mm and has a dilated appearance. There is cardiomegaly. Calcifications are present in the coronary arteries. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques are present in the main vascular structures. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Type 1 hiatal hernia was observed distally. No lymph nodes reaching pathological dimensions were detected in the bilateral supraclavicular and axillary regions. No lymph node reaching mediastinal pathological dimension was detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Hypodense lesions consistent with cortical cysts were observed in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse degenerative changes were observed in the vertebrae included in the study area. There are osteophyte formations at the vertebral corpus corners. Impression: Cardiomegaly, calcified atheromatous plaques in major vascular structures . Cortical cysts in both kidneys . Osteodegenerative bone disease"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_355/valid_355_a/valid_355_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_829",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. The pulmonary conus and both pulmonary arteries appear wider than normal. There is an increase in the cardiothoracic ratio in favor of the heart. Calcified atheroma plaques are observed on the walls of the cardioaorta and coronary vascular structures. There is minimal effusion 10 mm deep in the right pleural space. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma. There are pleuroparenchymal sequelae bands - linear atelectasis density increase areas, which are more prominent in the lower lobes of both lungs. First of all, it was evaluated in favor of the cyst. There are calcified atheromatous plaques on the wall of the abdominal aorta and the main vascular structures arising from the aorta. No free fluid, loculated collection was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Pulmonary conus and both pulmonary arteries are wider than normal, and there is a slight increase in the cardiothoracic ratio in favor of the heart, . Calcified atheroma plaques on the wall of the aorta and coronary vascular structures .Minimal right pleural effusion. Cortical localized hypodense fluid density nodular lesions in both kidneys that cannot be clearly characterized within unenhanced CT margins; firstly, it was evaluated in favor of the cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_355/valid_355_b/valid_355_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. The pulmonary conus and both pulmonary arteries appear wider than normal. There is an increase in the cardiothoracic ratio in favor of the heart. Calcified atheroma plaques are observed on the walls of the cardioaorta and coronary vascular structures. There is minimal effusion 10 mm deep in the right pleural space. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma. There are pleuroparenchymal sequelae bands - linear atelectasis density increase areas, which are more prominent in the lower lobes of both lungs. First of all, it was evaluated in favor of the cyst. There are calcified atheromatous plaques on the wall of the abdominal aorta and the main vascular structures arising from the aorta. No free fluid, loculated collection was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Pulmonary conus and both pulmonary arteries are wider than normal, and there is a slight increase in the cardiothoracic ratio in favor of the heart, . Calcified atheroma plaques on the wall of the aorta and coronary vascular structures .Minimal right pleural effusion. Cortical localized hypodense fluid density nodular lesions in both kidneys that cannot be clearly characterized within unenhanced CT margins; firstly, it was evaluated in favor of the cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_355/valid_355_b/valid_355_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. The examination is suboptimal because of motion artifact. The AP diameter of the descending aorta was 30 mm, the AP diameter of the right pulmonary artery was 30 mm, the AP diameter of the pulmonary conus was 32 mm, and the AP diameter of the aortic arch was 32 mm and increased. An increase in the cardiothoracic ratio in favor of the heart is observed. There are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary arteries. Abdominal aorta shows a tortuous course. There are calcified atheroma plaques on its wall. Pericardial effusion was not detected. An increase in size is observed in the left thyroid gland and it has a heterogeneous hypodense appearance. USG verification is recommended. No pathological increase in wall thickness is observed in the thoracic esophagus. Trachea and both main bronchi are open and no obstructive pathology is detected. No lymph node in pathological size and appearance was detected in mediastinal lymph node stations. When examined in the lung parenchyma window; An effusion measuring 55 mm in the deepest part in the right pleural area, extending to the apex in the lying position, and measuring 28 mm in the deepest part in the left pleural area is observed. In the lower lobes of both lungs, there are areas of increase in density consistent with consolidation in which air bronchograms are observed. Within the image, hypodense lesions with a size of 25 mm in the upper pole of the left kidney and 77 mm in the upper and middle zones of the right kidney are observed in the abdominal sections (cyst?). There is an increase in thoracic kyphosis in the bone structures within the image, and right-facing scoliosis in the thoracic vertebral column. Reticular density increases secondary to osteopenia are observed in the vertebral corpuscles. There is a narrowing and vacuum phenomenon in the lower thoracic intervertebral disc spaces, and there is approximately 60% loss of height in the central part of the L1 vertebral corpus, most prominently. Impression: Abdominal aorta has a tortuous course and increased calibration of the descending aorta, right pulmonary artery, pulmonary conus and aortic arch, increased cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of mediastinal vascular structures and coronary arteries . Bilateral pleural effusion . Optimum lung parenchyma due to motion artifact Density increase areas in the lower lobe of both lungs, in the posterior segment of the right lung upper lobe, consistent with the consolidation of air bronchograms, .There are lesions of hypodense fluid density in both kidneys. evaluated in favor of the cyst.  Increase in thoracic kyphosis, right-facing scoliosis in the thoracic vertebral column. Increases in reticular density secondary to osteopenia in the vertebral corpuscles. Decrease in lower thoracic intervertebral disc distances, vacuum phenomenon, and 60% loss of height in the center of the L1 vertebral corpus at its most prominent location . Increase in left thyroid dimensions and each gland Heterogeneous hypodense nodular appearance in both thyroid glands; USG verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_356/valid_356_a/valid_356_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. The examination is suboptimal because of motion artifact. The AP diameter of the descending aorta was 30 mm, the AP diameter of the right pulmonary artery was 30 mm, the AP diameter of the pulmonary conus was 32 mm, and the AP diameter of the aortic arch was 32 mm and increased. An increase in the cardiothoracic ratio in favor of the heart is observed. There are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary arteries. Abdominal aorta shows a tortuous course. There are calcified atheroma plaques on its wall. Pericardial effusion was not detected. An increase in size is observed in the left thyroid gland and it has a heterogeneous hypodense appearance. USG verification is recommended. No pathological increase in wall thickness is observed in the thoracic esophagus. Trachea and both main bronchi are open and no obstructive pathology is detected. No lymph node in pathological size and appearance was detected in mediastinal lymph node stations. When examined in the lung parenchyma window; An effusion measuring 55 mm in the deepest part in the right pleural area, extending to the apex in the lying position, and measuring 28 mm in the deepest part in the left pleural area is observed. In the lower lobes of both lungs, there are areas of increase in density consistent with consolidation in which air bronchograms are observed. Within the image, hypodense lesions with a size of 25 mm in the upper pole of the left kidney and 77 mm in the upper and middle zones of the right kidney are observed in the abdominal sections (cyst?). There is an increase in thoracic kyphosis in the bone structures within the image, and right-facing scoliosis in the thoracic vertebral column. Reticular density increases secondary to osteopenia are observed in the vertebral corpuscles. There is a narrowing and vacuum phenomenon in the lower thoracic intervertebral disc spaces, and there is approximately 60% loss of height in the central part of the L1 vertebral corpus, most prominently. Impression: Abdominal aorta has a tortuous course and increased calibration of the descending aorta, right pulmonary artery, pulmonary conus and aortic arch, increased cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of mediastinal vascular structures and coronary arteries . Bilateral pleural effusion . Optimum lung parenchyma due to motion artifact Density increase areas in the lower lobe of both lungs, in the posterior segment of the right lung upper lobe, consistent with the consolidation of air bronchograms, .There are lesions of hypodense fluid density in both kidneys. evaluated in favor of the cyst.  Increase in thoracic kyphosis, right-facing scoliosis in the thoracic vertebral column. Increases in reticular density secondary to osteopenia in the vertebral corpuscles. Decrease in lower thoracic intervertebral disc distances, vacuum phenomenon, and 60% loss of height in the center of the L1 vertebral corpus at its most prominent location . Increase in left thyroid dimensions and each gland Heterogeneous hypodense nodular appearance in both thyroid glands; USG verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_356/valid_356_a/valid_356_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_833",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae changes in both lung apex. Minimal emphysematous appearance was observed in both lungs. Mild bronchiectatic enlargements are observed in both lungs, more prominently in the lower lobes. In addition, there are fibrotic sequelae bands in the right lung middle lobe medial and left lung inferior lingular segment. There are calcific nonspecific pulmonary nodules less than 2 mm in the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild emphysematous appearance in both lungs.  Minimal bronchiectasis evident in the lower lobes of both lungs.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_a/valid_357_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_834",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae changes in both lung apex. Minimal emphysematous appearance was observed in both lungs. Mild bronchiectatic enlargements are observed in both lungs, more prominently in the lower lobes. In addition, there are fibrotic sequelae bands in the right lung middle lobe medial and left lung inferior lingular segment. There are calcific nonspecific pulmonary nodules less than 2 mm in the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild emphysematous appearance in both lungs.  Minimal bronchiectasis evident in the lower lobes of both lungs.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_a/valid_357_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_835",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are several millimetric nonspecific nodules in the upper lobe of the right lung. Pleural effusion-thickening was not detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several millimetric nonspecific nodules in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_b/valid_357_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_836",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are several millimetric nonspecific nodules in the upper lobe of the right lung. Pleural effusion-thickening was not detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several millimetric nonspecific nodules in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_b/valid_357_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_837",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. A few millimetric nonspecific parenchymal nodules were observed in the upper lobe of the right lung. Bilateral pleural effusion was not detected. In the upper abdominal sections that entered the examination area, millimeter-sized calcules were observed in both kidneys. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Several millimeter-sized nonspecific parenchymal nodules in the right lung. Hiatal hernia. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_c/valid_357_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_838",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. A few millimetric nonspecific parenchymal nodules were observed in the upper lobe of the right lung. Bilateral pleural effusion was not detected. In the upper abdominal sections that entered the examination area, millimeter-sized calcules were observed in both kidneys. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Several millimeter-sized nonspecific parenchymal nodules in the right lung. Hiatal hernia. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_c/valid_357_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_839",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening - effusion was not detected. A few millimetric nonspecific parenchymal nodules were observed in the upper lobe of the right lung. Upper abdominal sections entering the examination area are natural. Liver parenchyma density was diffusely decreased in line with mild adiposity. A few millimetric calculi were observed in both kidneys. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Several millimeter-sized nonspecific parenchymal nodules in the right lung. Bilateral nephrolithiasis. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_d/valid_357_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening - effusion was not detected. A few millimetric nonspecific parenchymal nodules were observed in the upper lobe of the right lung. Upper abdominal sections entering the examination area are natural. Liver parenchyma density was diffusely decreased in line with mild adiposity. A few millimetric calculi were observed in both kidneys. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Several millimeter-sized nonspecific parenchymal nodules in the right lung. Bilateral nephrolithiasis. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_d/valid_357_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_841",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Calibration of mediastinal vascular structures, heart contour, size are natural. Pericardial-pleural effusion was not detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a sliding type hiatal hernia at the lower end of the esophagus. In the mediastinum, there are no lymph nodes in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In the current examination, there are multisegmetel newly developed ground glass density densities and consolidation areas in both lungs, most of which are located in the peripheral subpleural. The described appearances are among the most common findings of Covid-19 pneumonia and clinical and laboratory evaluation is recommended. Diffuse mild ectasia is observed in both lung bronchial structures. There are sequela parenchymal changes that are more prominent on the left in the posterobasal segments of the bilateral lower lobe of the lung. In addition, sequela parenchymal changes are observed in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. Pleural effusion-thickening was not detected. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Free liquid-loculated collection is not observed. A few millimetric calculi were observed in both kidneys. Bilateral adrenal gland is normal. Liver parenchyma density has a hypodense appearance compatible with mild adiposity. No lytic or destructive lesions were detected in the bone structures within the image. Impression: There are multisegmental, mostly peripheral subpleural, ground-glass density densities and consolidation areas in both lungs, and Covid-19 pneumonia is primarily considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. In addition, both lungs are more prominent on the left in the lower lobes and newly developed in the current examination. There are sequela parenchymal changes observed.  Diffuse mild ectasia in bilateral bronchial structures . Bilateral nephrolithiasis. Minimal hepatosteatosis. Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_e/valid_357_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Calibration of mediastinal vascular structures, heart contour, size are natural. Pericardial-pleural effusion was not detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a sliding type hiatal hernia at the lower end of the esophagus. In the mediastinum, there are no lymph nodes in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In the current examination, there are multisegmetel newly developed ground glass density densities and consolidation areas in both lungs, most of which are located in the peripheral subpleural. The described appearances are among the most common findings of Covid-19 pneumonia and clinical and laboratory evaluation is recommended. Diffuse mild ectasia is observed in both lung bronchial structures. There are sequela parenchymal changes that are more prominent on the left in the posterobasal segments of the bilateral lower lobe of the lung. In addition, sequela parenchymal changes are observed in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. Pleural effusion-thickening was not detected. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Free liquid-loculated collection is not observed. A few millimetric calculi were observed in both kidneys. Bilateral adrenal gland is normal. Liver parenchyma density has a hypodense appearance compatible with mild adiposity. No lytic or destructive lesions were detected in the bone structures within the image. Impression: There are multisegmental, mostly peripheral subpleural, ground-glass density densities and consolidation areas in both lungs, and Covid-19 pneumonia is primarily considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. In addition, both lungs are more prominent on the left in the lower lobes and newly developed in the current examination. There are sequela parenchymal changes observed.  Diffuse mild ectasia in bilateral bronchial structures . Bilateral nephrolithiasis. Minimal hepatosteatosis. Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_357/valid_357_e/valid_357_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_843",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. Linear atelectasis was observed in bilateral lower lobe posterobasal segments. There are millimetric non-specific nodules in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. T3-4 intervertebral disc space is markedly narrowed. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_358/valid_358_a/valid_358_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_844",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a hypodense nodule in the lower pole of the left thyroid gland. Evaluation with USG examination is recommended. Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be observed, the heart contour and size are natural. No pericardial-pleural effusion or increased thickness was detected. An increase is observed in the pulmonary trunk and both pulmonary artery calibrations. The diameter of the pulmonary trunk was 30 mm and the diameter of both pulmonary arteries was 28 mm. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. In the evaluation performed in the lung parenchyma window: A 5x3.5 mm sized nodule with a pleural base was observed in the right lung upper lobe apical segment posterior. Minimal structural distortion and an area of increase in density consistent with atelectasis accompanying volume loss were observed in the right lung lower lobe mediobasal segment. At this level, there are osteophytic taperings in the right anterolateral corners of the vertebral corpus. The appearance was primarily evaluated as secondary to compressive atelectasis. No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections within the image, there is a hyperdense stone in millimetric sizes in the middle zone of the left kidney, as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes. Millimetric Schmorl nodules were observed in the end plateaus adjacent to the lower thoracic intervertebral disc distances. Impression:  Increased calibration of the pulmonary trunk and both pulmonary arteries.  Millimetric calcified atheroma plaque in the wall of the aortic arch.  Right lung upper lobe apical segment posterior, pleural-based millimetric nodule.  An area of increased density in the lower lobe mediobasal segment of the right lung evaluated as secondary to compressive atelectasis.  Hypodense nodular lesion in the lower pole of the left thyroid gland; It is recommended to evaluate with USG examination.  Right nephrolithiasis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_359/valid_359_a/valid_359_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_845",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: There is a hypodense nodule in the lower pole of the left thyroid gland. Evaluation with USG examination is recommended. Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be observed, the heart contour and size are natural. No pericardial-pleural effusion or increased thickness was detected. An increase is observed in the pulmonary trunk and both pulmonary artery calibrations. The diameter of the pulmonary trunk was 30 mm and the diameter of both pulmonary arteries was 28 mm. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. In the evaluation performed in the lung parenchyma window: A 5x3.5 mm sized nodule with a pleural base was observed in the right lung upper lobe apical segment posterior. Minimal structural distortion and an area of increase in density consistent with atelectasis accompanying volume loss were observed in the right lung lower lobe mediobasal segment. At this level, there are osteophytic taperings in the right anterolateral corners of the vertebral corpus. The appearance was primarily evaluated as secondary to compressive atelectasis. No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. In the upper abdominal sections within the image, there is a hyperdense stone in millimetric sizes in the middle zone of the left kidney, as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes. Millimetric Schmorl nodules were observed in the end plateaus adjacent to the lower thoracic intervertebral disc distances. Impression:  Increased calibration of the pulmonary trunk and both pulmonary arteries.  Millimetric calcified atheroma plaque in the wall of the aortic arch.  Right lung upper lobe apical segment posterior, pleural-based millimetric nodule.  An area of increased density in the lower lobe mediobasal segment of the right lung evaluated as secondary to compressive atelectasis.  Hypodense nodular lesion in the lower pole of the left thyroid gland; It is recommended to evaluate with USG examination.  Right nephrolithiasis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_359/valid_359_a/valid_359_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_846",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pleural or pericardial effusion was detected. There is no pathological wall thickness increase in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes and occasional linear atelectasis in both lungs. There are several millimetric nonspecific nodules in both lungs. These nodules are also present in the previous examination of the patient and no difference was detected. No mass or pneumonic infiltration was detected in both lungs. Hypodense lesions were observed in both lobes of the liver. Although these lesions could not be characterized because contrast material was not administered, it was learned that they were metastases when evaluated together with the patient's previous examinations. The largest of the described metastatic lesions is observed in the diaphragmatic dome localization at the junction of segment 7-8, and its longest diameter was 17 mm. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are narrowed. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Hypodense lesions found to be prostate ca, liver metastases during follow-up.  Atherosclerotic changes in the aorta and coronary arteries.  Emphysematous changes and atelectasis in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_360/valid_360_a/valid_360_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_847",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pleural or pericardial effusion was detected. There is no pathological wall thickness increase in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes and occasional linear atelectasis in both lungs. There are several millimetric nonspecific nodules in both lungs. These nodules are also present in the previous examination of the patient and no difference was detected. No mass or pneumonic infiltration was detected in both lungs. Hypodense lesions were observed in both lobes of the liver. Although these lesions could not be characterized because contrast material was not administered, it was learned that they were metastases when evaluated together with the patient's previous examinations. The largest of the described metastatic lesions is observed in the diaphragmatic dome localization at the junction of segment 7-8, and its longest diameter was 17 mm. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are narrowed. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Hypodense lesions found to be prostate ca, liver metastases during follow-up.  Atherosclerotic changes in the aorta and coronary arteries.  Emphysematous changes and atelectasis in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_360/valid_360_a/valid_360_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances in both lungs Viral pneumonia? CT involvement score was evaluated as mild. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_361/valid_361_a/valid_361_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_849",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances in both lungs Viral pneumonia? CT involvement score was evaluated as mild. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_361/valid_361_a/valid_361_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_850",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO increased in favor of the heart. The left ventricle is clearly observed. Pulmonary trunk calibration, ascending and descending aorta calibration is natural. The aortic arch calibration is 34 mm, slightly wider than normal. There are calcific atheroma plaques at the level of the aortic root in the aortic arch, coronary arteries, and descending aorta. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Millimetric sized lymph nodes are observed in the mediastinum. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). There is thickening of the interlobular septa in the mid-lower zones. There is a nodule with a diameter of approximately 3 mm in the anterior segment of the upper lobe of the right lung, which was also observed in the previous examination. Pleuroparenchymal sequelae changes are observed in the middle lobe on the right. There are also pleuroparenchymal sequelae changes at the basal level on the right. There is a nodule of approximately 11x5 mm in the subpleural area at the posterobasal level on the right, which was not clearly observed in the previous examination. Sequelae changes are observed in its environment. Nodular appearances, which may be compatible with fluid, are observed at the level of the major fissure on the right. There are nodular appearances with an average density of 20 HU. It was not detected in the previous review. Focal consolidation is observed medially in the superior segment of the lower lobe of the right lung. There are ground-glass-like density increases in the upper lobe apicoposterior segment of the left lung, and in the middle-lower zones of the left lung. There is a nodule with a diameter of approximately 5 mm at the lower lobe laterobasal level in the left lung, which was not observed in the previous examination. There is a subpleural 2 mm diameter nodule in the upper lobe apicoposterior segment, which was not observed in the previous examination. There is a plastering style in the right pleural distance, and a pleural effusion reaching 30 mm at the base on the left. It was not detected in the old CT examination dated 2018. Pleural fluid collection is observed in the lateral upper lobe of the right lung. Although slight thickening of the pleura is observed in places, empyema cannot be differentiated precisely in the non-contrast examination. Not detected in old CT dated 2018. It is understood that he had a liver transplant. Demarcation line and postoperative changes are observed in the anterior contour of the right lobe. A millimetric nodular density is observed anterior to the spleen (accessory spleen?). Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is observed that the preperitoneal fatty planes are slightly herniated under the skin on the anterior abdominal wall. Apart from this, the surrounding soft tissue plans are natural. Mild gynecomastia appearance is observed on both sides. In the thoracic region, left-facing scoliosis is observed. Fusion appearances are observed at the level of the costovertebral joints at the level of the upper hemithorax on the right. There are sequelae changes in the anterolateral part of the 7th rib on the right. Changes secondary to sternotomy are observed. There are osteophytic taperings at the corners of the corpus. Impression:  A few nodule formations in both lungs, some of which were not observed on previous examination.  Significant bilateral pleural effusion on the right, which was not observed in the previous examination.  A collection of pleural loculated fluid on the right, which was not observed in the previous examination, is accompanied by pleural thickening in places. Empyema could not be definitively ruled out.  Findings that may be compatible with volume overload-cardiac stasis; Clinical evaluation is recommended.  Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?) and ground-glass density increments in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_362/valid_362_a/valid_362_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_851",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO increased in favor of the heart. The left ventricle is clearly observed. Pulmonary trunk calibration, ascending and descending aorta calibration is natural. The aortic arch calibration is 34 mm, slightly wider than normal. There are calcific atheroma plaques at the level of the aortic root in the aortic arch, coronary arteries, and descending aorta. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Millimetric sized lymph nodes are observed in the mediastinum. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). There is thickening of the interlobular septa in the mid-lower zones. There is a nodule with a diameter of approximately 3 mm in the anterior segment of the upper lobe of the right lung, which was also observed in the previous examination. Pleuroparenchymal sequelae changes are observed in the middle lobe on the right. There are also pleuroparenchymal sequelae changes at the basal level on the right. There is a nodule of approximately 11x5 mm in the subpleural area at the posterobasal level on the right, which was not clearly observed in the previous examination. Sequelae changes are observed in its environment. Nodular appearances, which may be compatible with fluid, are observed at the level of the major fissure on the right. There are nodular appearances with an average density of 20 HU. It was not detected in the previous review. Focal consolidation is observed medially in the superior segment of the lower lobe of the right lung. There are ground-glass-like density increases in the upper lobe apicoposterior segment of the left lung, and in the middle-lower zones of the left lung. There is a nodule with a diameter of approximately 5 mm at the lower lobe laterobasal level in the left lung, which was not observed in the previous examination. There is a subpleural 2 mm diameter nodule in the upper lobe apicoposterior segment, which was not observed in the previous examination. There is a plastering style in the right pleural distance, and a pleural effusion reaching 30 mm at the base on the left. It was not detected in the old CT examination dated 2018. Pleural fluid collection is observed in the lateral upper lobe of the right lung. Although slight thickening of the pleura is observed in places, empyema cannot be differentiated precisely in the non-contrast examination. Not detected in old CT dated 2018. It is understood that he had a liver transplant. Demarcation line and postoperative changes are observed in the anterior contour of the right lobe. A millimetric nodular density is observed anterior to the spleen (accessory spleen?). Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is observed that the preperitoneal fatty planes are slightly herniated under the skin on the anterior abdominal wall. Apart from this, the surrounding soft tissue plans are natural. Mild gynecomastia appearance is observed on both sides. In the thoracic region, left-facing scoliosis is observed. Fusion appearances are observed at the level of the costovertebral joints at the level of the upper hemithorax on the right. There are sequelae changes in the anterolateral part of the 7th rib on the right. Changes secondary to sternotomy are observed. There are osteophytic taperings at the corners of the corpus. Impression:  A few nodule formations in both lungs, some of which were not observed on previous examination.  Significant bilateral pleural effusion on the right, which was not observed in the previous examination.  A collection of pleural loculated fluid on the right, which was not observed in the previous examination, is accompanied by pleural thickening in places. Empyema could not be definitively ruled out.  Findings that may be compatible with volume overload-cardiac stasis; Clinical evaluation is recommended.  Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?) and ground-glass density increments in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_362/valid_362_a/valid_362_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_852",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There are changes related to sternotomy. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. The heart size has increased. Calcific plaques are seen in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Interlobular septal thickening and protrusion in the bronchial wall are observed in both lungs. An effusion with a diameter of 16 mm is observed in the left hemithorax. There is a loculated effusion in the upper posterior part of the right hemithorax, reaching a diameter of 21 mm at its widest point. In the upper abdominal sections in the study area; Liver right lobe transplantation is seen. There is an incisional hernia at the epigastric level. Vertebrae are degenerative. Impression:  Sternotomy.  Cardiomegaly.  Aortic and coronary artery atherosclerosis.  Changes due to volume overload in both lungs.  Bilateral free pleural effusion on the left and loculated on the right.  Newly developed nodular ground glass densities (pneumonic foci?) in the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_362/valid_362_b/valid_362_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: There are changes related to sternotomy. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. The heart size has increased. Calcific plaques are seen in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Interlobular septal thickening and protrusion in the bronchial wall are observed in both lungs. An effusion with a diameter of 16 mm is observed in the left hemithorax. There is a loculated effusion in the upper posterior part of the right hemithorax, reaching a diameter of 21 mm at its widest point. In the upper abdominal sections in the study area; Liver right lobe transplantation is seen. There is an incisional hernia at the epigastric level. Vertebrae are degenerative. Impression:  Sternotomy.  Cardiomegaly.  Aortic and coronary artery atherosclerosis.  Changes due to volume overload in both lungs.  Bilateral free pleural effusion on the left and loculated on the right.  Newly developed nodular ground glass densities (pneumonic foci?) in the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_362/valid_362_b/valid_362_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a subpleural millimetric nonspecific nodule in the right lung lower lobe anterior segment in serial 3 image 238. Except as described, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Subpleural millimetric nonspecific nodule in the right lung lower lobe anterior segment in series 3 image 238, thoracic CT examination within normal limits except as described."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_363/valid_363_a/valid_363_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_855",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a subpleural millimetric nonspecific nodule in the right lung lower lobe anterior segment in serial 3 image 238. Except as described, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Subpleural millimetric nonspecific nodule in the right lung lower lobe anterior segment in series 3 image 238, thoracic CT examination within normal limits except as described."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_363/valid_363_a/valid_363_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Pulmonary trunk calibration is 30 mm. It is wider than normal. Both pulmonary artery calibrations are normal. The aortic arch calibration is 33 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is normal. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are lymph nodes in the mediastinum, the largest of which is in the subcarinal area and with dimensions of 23x11 mm, which did not differ significantly according to the previous examination. Pathological size and configuration of lymph nodes are not observed at both hilar levels. When examined in the lung parenchyma window; In the case whose primary was reported as adenoid cystic carcinoma, diffuse nodular lesions consistent with metastasis are observed in both lungs. In this ground, there are frosted glass-style density increments that tend to coalesce and consolidate from place to place. The described findings were not detected in the previous review. It is recommended to evaluate the case with clinical and laboratory findings in terms of Covid pneumonia. Evaluation for metastasis is not optimal because of the defined areas of consolidation. However, there is an increase in size consistent with progression in the nodules observed especially in the lower lobe of the left lung. Band-like fibroatelectatic density increases in both lungs and nodular thickening in the pleural contours are observed. There is a pleural effusion measuring 14 mm on the right and 9 mm on the left in both pleural distances. In the upper abdominal organs included in the sections, there is a hypodense lesion consistent with a cortical cyst with a diameter of 39 mm and a density of 8 Hu, with exophytic appearance in the middle part of the left kidney. There are lesions compatible with adenoma at the right adrenal genu level with a diameter of about 10 mm and a density value of -48 HU, and at the level of the left adrenal genu with a size of 23x15 mm and a density value of approximately -100 HU. There are degenerative changes and findings consistent with metastasis in the bone structure in the study area. It is also observed in the old review. Impression:  Multiple mass lesion consistent with metastasis in both lungs in a patient with known adenoid cystic carcinoma anamnesis . Widespread consolidation and ground-glass density increases in both lungs. In the pandemic process, the findings suggest Covid pneumonia in the first place. Clinical and laboratory correlation is recommended.  Consolidation areas make it difficult to compare metastases due to superpositions. However, there are increases in size consistent with suspicious progression in places. Degenerative changes in bone structure and metastatic lesions . Adenoma in both adrenals, the largest of which is on the left . Hypodense lesions compatible with cortical cyst are observed in the middle part and inferior pole of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_364/valid_364_a/valid_364_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_857",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Pulmonary trunk calibration is 30 mm. It is wider than normal. Both pulmonary artery calibrations are normal. The aortic arch calibration is 33 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is normal. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are lymph nodes in the mediastinum, the largest of which is in the subcarinal area and with dimensions of 23x11 mm, which did not differ significantly according to the previous examination. Pathological size and configuration of lymph nodes are not observed at both hilar levels. When examined in the lung parenchyma window; In the case whose primary was reported as adenoid cystic carcinoma, diffuse nodular lesions consistent with metastasis are observed in both lungs. In this ground, there are frosted glass-style density increments that tend to coalesce and consolidate from place to place. The described findings were not detected in the previous review. It is recommended to evaluate the case with clinical and laboratory findings in terms of Covid pneumonia. Evaluation for metastasis is not optimal because of the defined areas of consolidation. However, there is an increase in size consistent with progression in the nodules observed especially in the lower lobe of the left lung. Band-like fibroatelectatic density increases in both lungs and nodular thickening in the pleural contours are observed. There is a pleural effusion measuring 14 mm on the right and 9 mm on the left in both pleural distances. In the upper abdominal organs included in the sections, there is a hypodense lesion consistent with a cortical cyst with a diameter of 39 mm and a density of 8 Hu, with exophytic appearance in the middle part of the left kidney. There are lesions compatible with adenoma at the right adrenal genu level with a diameter of about 10 mm and a density value of -48 HU, and at the level of the left adrenal genu with a size of 23x15 mm and a density value of approximately -100 HU. There are degenerative changes and findings consistent with metastasis in the bone structure in the study area. It is also observed in the old review. Impression:  Multiple mass lesion consistent with metastasis in both lungs in a patient with known adenoid cystic carcinoma anamnesis . Widespread consolidation and ground-glass density increases in both lungs. In the pandemic process, the findings suggest Covid pneumonia in the first place. Clinical and laboratory correlation is recommended.  Consolidation areas make it difficult to compare metastases due to superpositions. However, there are increases in size consistent with suspicious progression in places. Degenerative changes in bone structure and metastatic lesions . Adenoma in both adrenals, the largest of which is on the left . Hypodense lesions compatible with cortical cyst are observed in the middle part and inferior pole of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_364/valid_364_a/valid_364_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_858",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Significant pericardial effusion is observed. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. The aortic arch calibration is 30 mm, slightly above normal. Pulmonary trunk calibration is 30 mm, wider than normal. Calibration of other mediastinal major vascular structures is natural. There are multiple lymph nodes in almost all stations in the mediastinum, the largest of which is in the subcarinal area and 18x12 mm in size. No lymph node causing pathological size and configuration was detected at the hilar level on both sides. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There is a pleural effusion in both lungs that extends from the basal to the apex and reaches 40 mm on the right and 34 mm on the left at its thickest point. Emphysematous changes and diffuse reticulonodular density increases are observed in both lungs. It is recommended to be evaluated together with the clinic in terms of infective processes. There are ground-glass-like density increments in the lower zone of both lungs. It is nonspecific. Sequelae changes are observed at the apical level. There are pleuroparenchymal sequelae changes in the middle lobe on the right. Pleuroparenchymal sequela changes are observed in the lower lobe superior segment. Peribronchial sheath thickening and focal consolidative density are observed in the left lung in the lower lobe superior segment. There is a millimetric-sized hyperdense formation (hemorrhagic cyst?) in the posterior of the left kidney superior pole that enters the section area. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Dorsal kyphosis increased. Degenerative changes are observed in the bone structure. Impression:  Bilateral pleural effusion, pericardial effusion.  It is recommended that diffuse reticulonodular density increases in both lungs, ground-glass densities, and clinical and laboratory findings of the case in terms of infective processes are recommended.  Mild emphysematous changes in both lungs.  Millimetric hemorrhagic cyst in the superior pole of the left kidney?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_365/valid_365_a/valid_365_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_859",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Significant pericardial effusion is observed. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. The aortic arch calibration is 30 mm, slightly above normal. Pulmonary trunk calibration is 30 mm, wider than normal. Calibration of other mediastinal major vascular structures is natural. There are multiple lymph nodes in almost all stations in the mediastinum, the largest of which is in the subcarinal area and 18x12 mm in size. No lymph node causing pathological size and configuration was detected at the hilar level on both sides. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There is a pleural effusion in both lungs that extends from the basal to the apex and reaches 40 mm on the right and 34 mm on the left at its thickest point. Emphysematous changes and diffuse reticulonodular density increases are observed in both lungs. It is recommended to be evaluated together with the clinic in terms of infective processes. There are ground-glass-like density increments in the lower zone of both lungs. It is nonspecific. Sequelae changes are observed at the apical level. There are pleuroparenchymal sequelae changes in the middle lobe on the right. Pleuroparenchymal sequela changes are observed in the lower lobe superior segment. Peribronchial sheath thickening and focal consolidative density are observed in the left lung in the lower lobe superior segment. There is a millimetric-sized hyperdense formation (hemorrhagic cyst?) in the posterior of the left kidney superior pole that enters the section area. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Dorsal kyphosis increased. Degenerative changes are observed in the bone structure. Impression:  Bilateral pleural effusion, pericardial effusion.  It is recommended that diffuse reticulonodular density increases in both lungs, ground-glass densities, and clinical and laboratory findings of the case in terms of infective processes are recommended.  Mild emphysematous changes in both lungs.  Millimetric hemorrhagic cyst in the superior pole of the left kidney?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_365/valid_365_a/valid_365_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Significant pericardial effusion is observed. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. The aortic arch calibration is 30 mm, slightly above normal. Pulmonary trunk calibration is 30 mm, wider than normal. Calibration of other mediastinal major vascular structures is natural. There are multiple lymph nodes in almost all stations in the mediastinum, the largest of which is in the subcarinal area and 18x12 mm in size. No lymph node causing pathological size and configuration was detected at the hilar level on both sides. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There is a pleural effusion in both lungs that extends from the basal to the apex and reaches 40 mm on the right and 34 mm on the left at its thickest point. Emphysematous changes and diffuse reticulonodular density increases are observed in both lungs. It is recommended to be evaluated together with the clinic in terms of infective processes. There are ground-glass-like density increments in the lower zone of both lungs. It is nonspecific. Sequelae changes are observed at the apical level. There are pleuroparenchymal sequelae changes in the middle lobe on the right. Pleuroparenchymal sequela changes are observed in the lower lobe superior segment. Peribronchial sheath thickening and focal consolidative density are observed in the left lung in the lower lobe superior segment. There is a millimetric-sized hyperdense formation (hemorrhagic cyst?) in the posterior of the left kidney superior pole that enters the section area. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Dorsal kyphosis increased. Degenerative changes are observed in the bone structure. Impression:  Bilateral pleural effusion, pericardial effusion.  It is recommended that diffuse reticulonodular density increases in both lungs, ground-glass densities, and clinical and laboratory findings of the case in terms of infective processes are recommended.  Mild emphysematous changes in both lungs.  Millimetric hemorrhagic cyst in the superior pole of the left kidney?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_365/valid_365_a/valid_365_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_861",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Significant pericardial effusion is observed. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. The aortic arch calibration is 30 mm, slightly above normal. Pulmonary trunk calibration is 30 mm, wider than normal. Calibration of other mediastinal major vascular structures is natural. There are multiple lymph nodes in almost all stations in the mediastinum, the largest of which is in the subcarinal area and 18x12 mm in size. No lymph node causing pathological size and configuration was detected at the hilar level on both sides. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There is a pleural effusion in both lungs that extends from the basal to the apex and reaches 40 mm on the right and 34 mm on the left at its thickest point. Emphysematous changes and diffuse reticulonodular density increases are observed in both lungs. It is recommended to be evaluated together with the clinic in terms of infective processes. There are ground-glass-like density increments in the lower zone of both lungs. It is nonspecific. Sequelae changes are observed at the apical level. There are pleuroparenchymal sequelae changes in the middle lobe on the right. Pleuroparenchymal sequela changes are observed in the lower lobe superior segment. Peribronchial sheath thickening and focal consolidative density are observed in the left lung in the lower lobe superior segment. There is a millimetric-sized hyperdense formation (hemorrhagic cyst?) in the posterior of the left kidney superior pole that enters the section area. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Dorsal kyphosis increased. Degenerative changes are observed in the bone structure. Impression:  Bilateral pleural effusion, pericardial effusion.  It is recommended that diffuse reticulonodular density increases in both lungs, ground-glass densities, and clinical and laboratory findings of the case in terms of infective processes are recommended.  Mild emphysematous changes in both lungs.  Millimetric hemorrhagic cyst in the superior pole of the left kidney?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_365/valid_365_a/valid_365_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_862",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Significant pericardial effusion is observed. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. The aortic arch calibration is 30 mm, slightly above normal. Pulmonary trunk calibration is 30 mm, wider than normal. Calibration of other mediastinal major vascular structures is natural. There are multiple lymph nodes in almost all stations in the mediastinum, the largest of which is in the subcarinal area and 18x12 mm in size. No lymph node causing pathological size and configuration was detected at the hilar level on both sides. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There is a pleural effusion in both lungs that extends from the basal to the apex and reaches 40 mm on the right and 34 mm on the left at its thickest point. Emphysematous changes and diffuse reticulonodular density increases are observed in both lungs. It is recommended to be evaluated together with the clinic in terms of infective processes. There are ground-glass-like density increments in the lower zone of both lungs. It is nonspecific. Sequelae changes are observed at the apical level. There are pleuroparenchymal sequelae changes in the middle lobe on the right. Pleuroparenchymal sequela changes are observed in the lower lobe superior segment. Peribronchial sheath thickening and focal consolidative density are observed in the left lung in the lower lobe superior segment. There is a millimetric-sized hyperdense formation (hemorrhagic cyst?) in the posterior of the left kidney superior pole that enters the section area. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Dorsal kyphosis increased. Degenerative changes are observed in the bone structure. Impression:  Bilateral pleural effusion, pericardial effusion.  It is recommended that diffuse reticulonodular density increases in both lungs, ground-glass densities, and clinical and laboratory findings of the case in terms of infective processes are recommended.  Mild emphysematous changes in both lungs.  Millimetric hemorrhagic cyst in the superior pole of the left kidney?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_365/valid_365_a/valid_365_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_863",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Prosthetic material was observed in both breasts. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_366/valid_366_a/valid_366_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_864",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Prosthetic material was observed in both breasts. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_366/valid_366_a/valid_366_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_865",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Mild atherosclerotic milimetric calcific atheroma plaques are observed. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; trachea and both main bronchi are open. Peripherally distributed ground-glass-like density increases are observed in the right lung upper lobe posterior segment, lower lobe superior segment, and middle lobe. There are faint ground-glass-like density increases in the posterobasal and laterobasal segments of the left lung. Pleural effusion, pneumothorax were not detected. In the sections passing through the upper abdomen, the spleen is full. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structures in the examination area. Impression: The findings were evaluated in accordance with Covid-19 pneumonia. Since other viral pneumonias are also included in the differential diagnosis, clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_367/valid_367_a/valid_367_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_866",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Mild atherosclerotic milimetric calcific atheroma plaques are observed. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; trachea and both main bronchi are open. Peripherally distributed ground-glass-like density increases are observed in the right lung upper lobe posterior segment, lower lobe superior segment, and middle lobe. There are faint ground-glass-like density increases in the posterobasal and laterobasal segments of the left lung. Pleural effusion, pneumothorax were not detected. In the sections passing through the upper abdomen, the spleen is full. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structures in the examination area. Impression: The findings were evaluated in accordance with Covid-19 pneumonia. Since other viral pneumonias are also included in the differential diagnosis, clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_367/valid_367_a/valid_367_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Metallic artifacts are observed anteriorly at the level of the thyroid cartilages. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 2 nodules with a diameter of 3 mm are observed at the apical level of the upper lobe of the right lung. There is a 3x2 mm nodule in the anterior segment. A nodule with a diameter of 2 mm is observed in the middle lobe. There is a 4 mm diameter nodule in the laterobasal segment. A 3 mm diameter nodule is observed in the anterior segment of the left lung upper lobe. There is a nodule of approximately 8x2 mm in size at the level of the interlobar fissure. A nodule with a diameter of 8 mm is observed at the laterobasal level of the lower lobe of the left lung. There is a 3 mm diameter nodule sitting on the fissure in the upper lobe. No findings consistent with bilateral pleural effusion or pneumothorax pneumonia were detected. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. There are also 1-2 small lobulations in the liver contours. It is recommended to be examined by sonography. There is lobulation at the fundus level of the gallbladder. It is recommended to be evaluated together with sonography. In the superior pole of the left kidney, a suspicious density consistent with a 1-2 mm calculus is observed. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. Impression: No findings compatible with pneumonia were detected. Multiple nonspecific nodule formation, the largest of which is 8 mm in diameter at the left lung lower lobe laterobasal level, . Hepatosteatosis . The contours of the gallbladder and liver are lobulated at 1-2 levels. Sonographic control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_368/valid_368_a/valid_368_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_868",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Metallic artifacts are observed anteriorly at the level of the thyroid cartilages. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 2 nodules with a diameter of 3 mm are observed at the apical level of the upper lobe of the right lung. There is a 3x2 mm nodule in the anterior segment. A nodule with a diameter of 2 mm is observed in the middle lobe. There is a 4 mm diameter nodule in the laterobasal segment. A 3 mm diameter nodule is observed in the anterior segment of the left lung upper lobe. There is a nodule of approximately 8x2 mm in size at the level of the interlobar fissure. A nodule with a diameter of 8 mm is observed at the laterobasal level of the lower lobe of the left lung. There is a 3 mm diameter nodule sitting on the fissure in the upper lobe. No findings consistent with bilateral pleural effusion or pneumothorax pneumonia were detected. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. There are also 1-2 small lobulations in the liver contours. It is recommended to be examined by sonography. There is lobulation at the fundus level of the gallbladder. It is recommended to be evaluated together with sonography. In the superior pole of the left kidney, a suspicious density consistent with a 1-2 mm calculus is observed. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. Impression: No findings compatible with pneumonia were detected. Multiple nonspecific nodule formation, the largest of which is 8 mm in diameter at the left lung lower lobe laterobasal level, . Hepatosteatosis . The contours of the gallbladder and liver are lobulated at 1-2 levels. Sonographic control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_368/valid_368_a/valid_368_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_869",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No pericardial, pleural effusion or thickness increase was observed. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; In the lower lobe of the left lung, an area of increase in density consistent with consolidation in which airbronchograms are also observed, and an area of increase in density consistent with nodular consolidation, measuring approximately 6x8 mm in size, with a ground-glass halo observed in the pleural-based periphery of the lower lobe superior segment. Pneumonic infiltration is considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No mass lesions were detected in both lungs. There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes were observed in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  There is an area of increase in density consistent with consolidation in the left lung lower lobe posterobasal, mediobasal segment in which airbronchograms are observed, and an area of increase in density consistent with nodular consolidation in the pleural-based periphery of the lower lobe superior segment, in which a ground glass halo is observed. Pneumonic infiltration was considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings.  There are minimal emphysematous changes and a few millimeter-sized nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_369/valid_369_a/valid_369_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No pericardial, pleural effusion or thickness increase was observed. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; In the lower lobe of the left lung, an area of increase in density consistent with consolidation in which airbronchograms are also observed, and an area of increase in density consistent with nodular consolidation, measuring approximately 6x8 mm in size, with a ground-glass halo observed in the pleural-based periphery of the lower lobe superior segment. Pneumonic infiltration is considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No mass lesions were detected in both lungs. There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes were observed in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  There is an area of increase in density consistent with consolidation in the left lung lower lobe posterobasal, mediobasal segment in which airbronchograms are observed, and an area of increase in density consistent with nodular consolidation in the pleural-based periphery of the lower lobe superior segment, in which a ground glass halo is observed. Pneumonic infiltration was considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings.  There are minimal emphysematous changes and a few millimeter-sized nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_369/valid_369_a/valid_369_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_871",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripherally located in both lung lower lobe posterobasal segments and right lung lower lobe superior segment, nodular-patch consolidation areas with crazy paving pattern and irregularly circumscribed ground glass densities were observed, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the thoracic level, left-facing scoliosis was observed. Impression: Consolidation areas with high suspicion for Covid-19 pneumonia in both lung lower lobe posterobasal and right lung lower lobe superior segments are recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_370/valid_370_a/valid_370_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_872",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripherally located in both lung lower lobe posterobasal segments and right lung lower lobe superior segment, nodular-patch consolidation areas with crazy paving pattern and irregularly circumscribed ground glass densities were observed, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the thoracic level, left-facing scoliosis was observed. Impression: Consolidation areas with high suspicion for Covid-19 pneumonia in both lung lower lobe posterobasal and right lung lower lobe superior segments are recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_370/valid_370_a/valid_370_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_873",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. There is thymic tissue in the anterior mediastinum without mass effect. Pathological size and configuration of lymph nodes are not observed in mediasren. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; 2 mm diameter subpleural nodule is observed in the anterior subpleural area in the middle lobe of the right lung. A 2 mm diameter nodule is observed in the lateral subpleural area in the upper lobe anterior segment of the left lung. There is a 2 mm diameter nodule in the dorsal subpleural area of the apicoposterior segment. There was no finding consistent with pleural effusion pneumothorax or pneumonia in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding compatible with pneumonia. 1-2 nonspecific millimetric nodules formation in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_371/valid_371_a/valid_371_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_874",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. There is thymic tissue in the anterior mediastinum without mass effect. Pathological size and configuration of lymph nodes are not observed in mediasren. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; 2 mm diameter subpleural nodule is observed in the anterior subpleural area in the middle lobe of the right lung. A 2 mm diameter nodule is observed in the lateral subpleural area in the upper lobe anterior segment of the left lung. There is a 2 mm diameter nodule in the dorsal subpleural area of the apicoposterior segment. There was no finding consistent with pleural effusion pneumothorax or pneumonia in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding compatible with pneumonia. 1-2 nonspecific millimetric nodules formation in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_371/valid_371_a/valid_371_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_875",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There are calcifications in the right adrenal gland. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Calcifications in the right adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_372/valid_372_a/valid_372_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_876",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Sternatomy is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There is aortic and coronary arteriosclerosis and coronary stent. The ascending aorta is ectatic (40 mm). Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; millimetric nonspecific nodules are observed in the lungs. A few focal nodular ground-glass densities are observed in the lateral right middle lobe, right lower lobe, and left lingula. In the upper abdominal organs, including sections; There are millimetric stones in the gallbladder. Bone structures in the study area are natural. There are degeneration and osteophytes in the vertebrae. Impression:  Sternotomy.  Aortic and coronary artery atherosclerosis and coronary stenting.  Millimetric non-specific nodules in the lungs, focal ground-glass densities in the lung; suspicious for the onset of pneumonia. Clinical correlation and, if necessary, control examination are recommended.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_373/valid_373_a/valid_373_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_877",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Sternatomy is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There is aortic and coronary arteriosclerosis and coronary stent. The ascending aorta is ectatic (40 mm). Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; millimetric nonspecific nodules are observed in the lungs. A few focal nodular ground-glass densities are observed in the lateral right middle lobe, right lower lobe, and left lingula. In the upper abdominal organs, including sections; There are millimetric stones in the gallbladder. Bone structures in the study area are natural. There are degeneration and osteophytes in the vertebrae. Impression:  Sternotomy.  Aortic and coronary artery atherosclerosis and coronary stenting.  Millimetric non-specific nodules in the lungs, focal ground-glass densities in the lung; suspicious for the onset of pneumonia. Clinical correlation and, if necessary, control examination are recommended.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_373/valid_373_a/valid_373_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central part of both lungs. Ground-glass appearances are observed in both lungs, especially in the peripheral regions. The described appearances are not present in the patient's previous examinations. The described views are sometimes accompanied by millimetric nodules. The views described are not specific. However, it was primarily thought that the appearances described during the pandemic process were compatible with Covid-19 pneumonia. No mass was detected in both lungs. No pleural or pericardial effusion was detected. Impression:  Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_373/valid_373_b/valid_373_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_879",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central part of both lungs. Ground-glass appearances are observed in both lungs, especially in the peripheral regions. The described appearances are not present in the patient's previous examinations. The described views are sometimes accompanied by millimetric nodules. The views described are not specific. However, it was primarily thought that the appearances described during the pandemic process were compatible with Covid-19 pneumonia. No mass was detected in both lungs. No pleural or pericardial effusion was detected. Impression:  Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_373/valid_373_b/valid_373_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_880",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule or infiltration was detected in both lung parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures. Impression: No mass, nodule, infiltration was detected in both lung parenchyma, no traumatic pathology was observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_374/valid_374_a/valid_374_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_881",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule or infiltration was detected in both lung parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures. Impression: No mass, nodule, infiltration was detected in both lung parenchyma, no traumatic pathology was observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_374/valid_374_a/valid_374_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_375/valid_375_a/valid_375_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_883",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_376/valid_376_a/valid_376_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_376/valid_376_a/valid_376_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_885",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Reticulonodular diffuse sequela fibrotic density increases were observed in the upper lobes of both lungs, accompanied by areas of paraseptal emphysema. In the upper lobe of the left lung, paramediastinal bulla formation with a diameter of 3.3 cm was observed. Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. Linear fibrotic recessions were observed in the right lung middle lobe and lower lobe anterobasal segment. A 7.5x5 mm subpleural nodule was observed in the laterobasal segment of the lower lobe of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Widespread sequelae of reticulonodular fibrotic density increases with areas of paraseptal emphysema in both upper lobes of the lungs.  Tubular bronchiectasis that becomes prominent in the center of both lungs, minimal peribronchial thickening.  Paramediastinal bulla in the upper lobe of the left lung.  Solitary subpleural nodule in the laterobasal segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_377/valid_377_a/valid_377_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Reticulonodular diffuse sequela fibrotic density increases were observed in the upper lobes of both lungs, accompanied by areas of paraseptal emphysema. In the upper lobe of the left lung, paramediastinal bulla formation with a diameter of 3.3 cm was observed. Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. Linear fibrotic recessions were observed in the right lung middle lobe and lower lobe anterobasal segment. A 7.5x5 mm subpleural nodule was observed in the laterobasal segment of the lower lobe of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Widespread sequelae of reticulonodular fibrotic density increases with areas of paraseptal emphysema in both upper lobes of the lungs.  Tubular bronchiectasis that becomes prominent in the center of both lungs, minimal peribronchial thickening.  Paramediastinal bulla in the upper lobe of the left lung.  Solitary subpleural nodule in the laterobasal segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_377/valid_377_a/valid_377_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_887",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the anterior-posterior diameter of the ascending aorta is 38 mm wider than normal. Calibration of other major mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Nodular ground glass opacities and nodular consolidation areas were observed in all lobes of the right lung, in the left lung lingular segment and in the lower lobe, which tend to be peripheral, accompanied by interlobular septal thickenings, forming a crazy paving pattern. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in the bone structures in the examination area. Impression: Ectasia in the ascending aorta . Hiatal hernia . Nodular ground glass opacities and nodular consolidations forming a crazy paving pattern in which peripherally located interlobular septal thickenings are observed in all lobes of the right lung and lingular lower lobe of the left lung; the appearance is highly suspicious for Covid-19 pneumonia. Minimal degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_378/valid_378_a/valid_378_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_888",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the anterior-posterior diameter of the ascending aorta is 38 mm wider than normal. Calibration of other major mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Nodular ground glass opacities and nodular consolidation areas were observed in all lobes of the right lung, in the left lung lingular segment and in the lower lobe, which tend to be peripheral, accompanied by interlobular septal thickenings, forming a crazy paving pattern. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in the bone structures in the examination area. Impression: Ectasia in the ascending aorta . Hiatal hernia . Nodular ground glass opacities and nodular consolidations forming a crazy paving pattern in which peripherally located interlobular septal thickenings are observed in all lobes of the right lung and lingular lower lobe of the left lung; the appearance is highly suspicious for Covid-19 pneumonia. Minimal degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_378/valid_378_a/valid_378_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_889",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal aortopulmoer lymph node in millimetric size is observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the aortic arch, descending aorta, and coronary artery walls. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Motion artifacts are observed in both lung parenchyma. Mosaic perfusion is chosen in both lungs. The selectable infiltration area is not distinguished. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression:  Motion artefacts in both lungs  Mosaic perfusion in both lungs (small airway disease?small vascular disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_379/valid_379_a/valid_379_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_890",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal aortopulmoer lymph node in millimetric size is observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the aortic arch, descending aorta, and coronary artery walls. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Motion artifacts are observed in both lung parenchyma. Mosaic perfusion is chosen in both lungs. The selectable infiltration area is not distinguished. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression:  Motion artefacts in both lungs  Mosaic perfusion in both lungs (small airway disease?small vascular disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_379/valid_379_a/valid_379_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_891",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_380/valid_380_a/valid_380_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_380/valid_380_a/valid_380_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_893",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral pleural effusion is observed. The pleural effusion measured approximately 33 mm at its thickest point. There is no pleural thickening. There are atelectasis in both lower lobes of the lungs adjacent to the pleural effusion. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pericardial effusion. Diffuse atheroma plaques are observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Dilatation is present in both kidney collecting systems and in both ureters within the sections. The pathology that would explain the dilatation was not detected in this examination. It is recommended that the patient be evaluated together with previous examinations and further examination if indicated. There are sclerotic bone lesions in the bone structures within the sections. If the patient has a primary disease, the described appearances were evaluated primarily in favor of metastases. Thoracic vertebral corpus heights and alignments are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Bilateral pleural effusion and atelectasis in both lungs adjacent to pleural effusion . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Dilatation in both kidney collecting systems . Sclerotic bone lesions in the bone structures within the sections primarily evaluated in favor of metastases"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_381/valid_381_a/valid_381_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_894",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral pleural effusion is observed. The pleural effusion measured approximately 33 mm at its thickest point. There is no pleural thickening. There are atelectasis in both lower lobes of the lungs adjacent to the pleural effusion. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pericardial effusion. Diffuse atheroma plaques are observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Dilatation is present in both kidney collecting systems and in both ureters within the sections. The pathology that would explain the dilatation was not detected in this examination. It is recommended that the patient be evaluated together with previous examinations and further examination if indicated. There are sclerotic bone lesions in the bone structures within the sections. If the patient has a primary disease, the described appearances were evaluated primarily in favor of metastases. Thoracic vertebral corpus heights and alignments are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Bilateral pleural effusion and atelectasis in both lungs adjacent to pleural effusion . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Dilatation in both kidney collecting systems . Sclerotic bone lesions in the bone structures within the sections primarily evaluated in favor of metastases"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_381/valid_381_a/valid_381_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_895",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. A few lymphadenomegaly and lymph nodes with a narrow diameter of 1 cm in the upper right paratracheal subcarinal are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the posterobasal segment of the right lung lower lobe, first of all, the consolidation area that may be compatible with the infective process is observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Degenerative changes are observed in the vertebrae. Impression: Consolidation area in the right lung lower lobe posterobasal segment, which can be considered primarily as an infective process; there is no typical finding for Covid-19 in the presence of a pandemic. It is more suggestive of bacterial pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_382/valid_382_a/valid_382_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. A few lymphadenomegaly and lymph nodes with a narrow diameter of 1 cm in the upper right paratracheal subcarinal are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the posterobasal segment of the right lung lower lobe, first of all, the consolidation area that may be compatible with the infective process is observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Degenerative changes are observed in the vertebrae. Impression: Consolidation area in the right lung lower lobe posterobasal segment, which can be considered primarily as an infective process; there is no typical finding for Covid-19 in the presence of a pandemic. It is more suggestive of bacterial pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_382/valid_382_a/valid_382_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_897",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and mediastinal and vascular structures is suboptimal because the examination is non-contrast. In the midline of the trachea, both main bronchi are open. No obstructive pathology was detected. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathological lymphadenopathy was detected in the supraclavicular region, both axillae and retropectoral regions. Skin and subcutaneous structures have a natural appearance. Numerous lymph nodes are observed in the mediastinal area at the upper paratracheal, lower paratracheal, aortopulmonary level, subcarinal area and at the level of both lung hilum. The largest of these lymph nodes is located in the lower paratracheal area, anterior to the carina, and its short axis is measured as 15 mm. Precardiac fat pad is normal. When examined in the lung parenchyma window; A centrally located ground glass opacity is observed in the apical segment of the upper lobe of the right lung. Apart from this, in the right lung upper lobe posterior subpleural area, consolidation areas with ground glass opacities around the subpleural, which were not observed in the previous examination of the patient, newly emerged and evaluated in favor of the infective process are observed. These appearances were primarily evaluated in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. In addition, there are linear subsegmental atelectasis in both lungs. Pleural effusion, which is more prominent on the left and reaches approximately 14 mm, is observed in both lungs. Gallstones are observed in the gallbladder. Other upper abdominal organs included in the sections are normal. No fractures, lytic or sclerotic lesions were observed in the bones. Diffuse degenerative changes are observed in the bones. Impression:   Calcific atheroma plaques in the aorta and coronary arteries.  Diffuse degenerative changes in bones.  Bilateral minimal pleural effusion.  Linear atelectasis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_382/valid_382_b/valid_382_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_898",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and mediastinal and vascular structures is suboptimal because the examination is non-contrast. In the midline of the trachea, both main bronchi are open. No obstructive pathology was detected. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathological lymphadenopathy was detected in the supraclavicular region, both axillae and retropectoral regions. Skin and subcutaneous structures have a natural appearance. Numerous lymph nodes are observed in the mediastinal area at the upper paratracheal, lower paratracheal, aortopulmonary level, subcarinal area and at the level of both lung hilum. The largest of these lymph nodes is located in the lower paratracheal area, anterior to the carina, and its short axis is measured as 15 mm. Precardiac fat pad is normal. When examined in the lung parenchyma window; A centrally located ground glass opacity is observed in the apical segment of the upper lobe of the right lung. Apart from this, in the right lung upper lobe posterior subpleural area, consolidation areas with ground glass opacities around the subpleural, which were not observed in the previous examination of the patient, newly emerged and evaluated in favor of the infective process are observed. These appearances were primarily evaluated in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. In addition, there are linear subsegmental atelectasis in both lungs. Pleural effusion, which is more prominent on the left and reaches approximately 14 mm, is observed in both lungs. Gallstones are observed in the gallbladder. Other upper abdominal organs included in the sections are normal. No fractures, lytic or sclerotic lesions were observed in the bones. Diffuse degenerative changes are observed in the bones. Impression:   Calcific atheroma plaques in the aorta and coronary arteries.  Diffuse degenerative changes in bones.  Bilateral minimal pleural effusion.  Linear atelectasis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_382/valid_382_b/valid_382_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Posterior nodular infiltrates in the right upper lobe decreased in size. The largest is regressed from 25 mm to 19 mm. No newly developed focus of infiltration was observed. Mediastinal lymph nodes are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_382/valid_382_c/valid_382_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_900",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Posterior nodular infiltrates in the right upper lobe decreased in size. The largest is regressed from 25 mm to 19 mm. No newly developed focus of infiltration was observed. Mediastinal lymph nodes are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_382/valid_382_c/valid_382_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The examination was considered suboptimal since no contrast agent was given. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The right hemidiaphragm is elevated. When examined in the lung parenchyma window; Diffuse subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes in the bone structures in the study area and osteophytic tapering in the vertebral corpus corners were observed. Impression: Calcific atheroma plaques in the aortic arch and coronary arteries . Hiatal hernia . Subsegmentary atelectatic changes in both lungs . Degenerative changes in bone structures and osteophytic tapering in the vertebral corpus corners"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_383/valid_383_a/valid_383_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_902",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Several nonspecific parenchymal nodules with a diameter of 5 mm were observed in both lungs, the largest of which was in the left lung lower lobe laterobasal segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild scoliosis with left opening was observed at the thoracic level. Vertebral corpus heights are preserved. Impression: A few millimetric nonspecific parenchymal nodules in both lungs . Mild scoliosis with left-facing thoracic opening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_384/valid_384_a/valid_384_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_903",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Millimetric lymph nodes were observed in the upper-lower paratracheal, prevascular, and subcarinal areas. No lymph node was detected in the mediastinum in pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. When examined in the lung parenchyma window; In both lungs, nodular ground glass density increases and nodular consolidations were observed in the lower lobes of the peribronchovascular and peripheral subpleural areas. There are frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Subsegmental atelectatic changes were observed in the lower lobes of both lungs. Bilateral pleural thickening effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: In both lung parenchyma. There are frequently reported imaging features of Covid-19 pneumonia. Clinical and laboratory correlation is recommended.  Subsegmental atelectatic changes in the lower lobes of both lungs. Millimeter-sized lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_385/valid_385_a/valid_385_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_904",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric calcific sequela nodules are observed in the right lung. There are fine non-specific circular densities in both lung lower lobes posterior. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Non-specific nodules in the right lung.  Non-specific reticular densities in both lung lower lobes posterior."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_386/valid_386_a/valid_386_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_905",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric calcific sequela nodules are observed in the right lung. There are fine non-specific circular densities in both lung lower lobes posterior. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Non-specific nodules in the right lung.  Non-specific reticular densities in both lung lower lobes posterior."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_386/valid_386_a/valid_386_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The aortic arch was calibrated to 29 mm and was wider than normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. There is a hiatal hernia in the case. There is an image of a catheter extending from the superior vena cava to the right atrial appendage. Multiple lymph nodes, whose short axis does not exceed 1 cm, are observed at the prevascular level in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum. Several lymph nodes were detected in both hilum, the largest on the right and the short axis 7.5 mm in size. Trachea and bilateral main bronchus calibration is normal. Both lungs are symmetrical. A nodule with a diameter of 3 mm is observed in the anterior subpleural area in the medial segment of the middle lobe in the right lung. Density increases consistent with focal pleuroparenchymal sequelae are observed in the paramediastinal area. At the apical level, subcentimetric air cysts are observed. In the lower lobe posterobasal segment, there are ground-glass-like density increases in the area extending towards the superior segment. There is a ground-glass nodule with a diameter of 5 mm at the apical level of the left lung. Parenchymal bands compatible with sequelae changes are observed in the upper lobe anterior segment and apicoposterior segment. There are also icy-style density increases in the lower lobe segments. A nodule of approximately 5 mm in diameter is observed in the lateral subpleural area in the inferior lingular segment. In the sections passing through the upper abdomen, there is a slight decrease in density consistent with hepatosteatosis in the liver. Left adrenal genus is full. Calcific atheroma plates are observed in the abdominal aorta. Surrounding soft tissues are natural. Degenerative changes are observed in the bone structure. Impression: Formation of several millimetric nodules in both lungs. Ground-glass density increments in lower lobe segments of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_387/valid_387_a/valid_387_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_907",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The aortic arch was calibrated to 29 mm and was wider than normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. There is a hiatal hernia in the case. There is an image of a catheter extending from the superior vena cava to the right atrial appendage. Multiple lymph nodes, whose short axis does not exceed 1 cm, are observed at the prevascular level in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum. Several lymph nodes were detected in both hilum, the largest on the right and the short axis 7.5 mm in size. Trachea and bilateral main bronchus calibration is normal. Both lungs are symmetrical. A nodule with a diameter of 3 mm is observed in the anterior subpleural area in the medial segment of the middle lobe in the right lung. Density increases consistent with focal pleuroparenchymal sequelae are observed in the paramediastinal area. At the apical level, subcentimetric air cysts are observed. In the lower lobe posterobasal segment, there are ground-glass-like density increases in the area extending towards the superior segment. There is a ground-glass nodule with a diameter of 5 mm at the apical level of the left lung. Parenchymal bands compatible with sequelae changes are observed in the upper lobe anterior segment and apicoposterior segment. There are also icy-style density increases in the lower lobe segments. A nodule of approximately 5 mm in diameter is observed in the lateral subpleural area in the inferior lingular segment. In the sections passing through the upper abdomen, there is a slight decrease in density consistent with hepatosteatosis in the liver. Left adrenal genus is full. Calcific atheroma plates are observed in the abdominal aorta. Surrounding soft tissues are natural. Degenerative changes are observed in the bone structure. Impression: Formation of several millimetric nodules in both lungs. Ground-glass density increments in lower lobe segments of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_387/valid_387_a/valid_387_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, consolidations that are focal in places, areas of ground glass around them and minimal interlobular septal thickening are observed. The described findings are more prominently observed in the lower lobes of the lung. The views described are nonspecific. However, when evaluated with ground glass areas and interlobular septal thickening, the described appearance was thought to be compatible with pneumocystis carini pneumonia, which was also mentioned in the clinical preliminary diagnosis. No mass was detected in both lungs. Heart contour and size are normal. Pleural and pericardial effusion was not detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the hilar regions of the mediastinum. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathology wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. No lytic-destructive lesions were observed in the bone structures within the sections. Impression: Findings evaluated in favor of infective pathology (pneumocystis carini pneumonia?) in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_387/valid_387_b/valid_387_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_909",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, consolidations that are focal in places, areas of ground glass around them and minimal interlobular septal thickening are observed. The described findings are more prominently observed in the lower lobes of the lung. The views described are nonspecific. However, when evaluated with ground glass areas and interlobular septal thickening, the described appearance was thought to be compatible with pneumocystis carini pneumonia, which was also mentioned in the clinical preliminary diagnosis. No mass was detected in both lungs. Heart contour and size are normal. Pleural and pericardial effusion was not detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the hilar regions of the mediastinum. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathology wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. No lytic-destructive lesions were observed in the bone structures within the sections. Impression: Findings evaluated in favor of infective pathology (pneumocystis carini pneumonia?) in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_387/valid_387_b/valid_387_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: On the right, a catheter image extending to the port chamber and superior vena cava-right atrium junction was observed on the anterior chest wall. On the left, the image of the port chamber and the catheter extending to the middle part of the superior vena cava was observed on the anterior chest wall. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear subsegmental atelectatic changes were observed in the basal segments of both lungs in the lower lobes. A round-shaped consolidation area was observed in the peripheral subpleural area in the mediobasal subsegment of the lower lobe of the left lung, and round pneumonia and atelectasis were considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not detected. As far as can be seen within the sections; The size of the liver and spleen increased. The pancreas, both adrenal glands and both kidneys are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Linear subsegmental atelectatic changes in the lower lobes of both lungs.  Round-shaped consolidation in the mediobasal segment of the lower lobe of the left lung; no distinction was made between round pneumonia and atelectasis. It is recommended to be evaluated together with clinical and laboratory.  Hepatosplenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_388/valid_388_a/valid_388_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_911",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: On the right, a catheter image extending to the port chamber and superior vena cava-right atrium junction was observed on the anterior chest wall. On the left, the image of the port chamber and the catheter extending to the middle part of the superior vena cava was observed on the anterior chest wall. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear subsegmental atelectatic changes were observed in the basal segments of both lungs in the lower lobes. A round-shaped consolidation area was observed in the peripheral subpleural area in the mediobasal subsegment of the lower lobe of the left lung, and round pneumonia and atelectasis were considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not detected. As far as can be seen within the sections; The size of the liver and spleen increased. The pancreas, both adrenal glands and both kidneys are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Linear subsegmental atelectatic changes in the lower lobes of both lungs.  Round-shaped consolidation in the mediobasal segment of the lower lobe of the left lung; no distinction was made between round pneumonia and atelectasis. It is recommended to be evaluated together with clinical and laboratory.  Hepatosplenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_388/valid_388_a/valid_388_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A port catheter extending from the right anterior chest wall to the right atrium is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with short axes reaching 1 cm are observed in the mediastinal area and at the level of both lung hiluses. No lymphadenopathy was detected in both axillae in pathological size and appearance. When examined in the lung parenchyma window; Ground glass densities, which are more prominent in the subpleural area, are observed in the posterior segment of the right lung upper lobe. Apart from this, ground glass-consolidation areas, which are more prominent in the scattered subpleural areas in both lungs, are observed. There are centriacinar pulmonary nodules in the middle lobe of the right lung. A focal consolidation area is also observed at the level of the major fissure in the right lung. These appearances were evaluated primarily in favor of pneumonic infiltration. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Port catheter extending from the right anterior chest wall to the right atrium.  Widespread patchy ground-glass-consolidation areas in both lungs and pulmonary nodules (viral pneumonia?) of ground-glass densities in the centriacinar style were first interpreted in favor of Covid-19 pneumonia under pandemic conditions. Clinic and lab. correlation is appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_388/valid_388_b/valid_388_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_913",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A port catheter extending from the right anterior chest wall to the right atrium is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with short axes reaching 1 cm are observed in the mediastinal area and at the level of both lung hiluses. No lymphadenopathy was detected in both axillae in pathological size and appearance. When examined in the lung parenchyma window; Ground glass densities, which are more prominent in the subpleural area, are observed in the posterior segment of the right lung upper lobe. Apart from this, ground glass-consolidation areas, which are more prominent in the scattered subpleural areas in both lungs, are observed. There are centriacinar pulmonary nodules in the middle lobe of the right lung. A focal consolidation area is also observed at the level of the major fissure in the right lung. These appearances were evaluated primarily in favor of pneumonic infiltration. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Port catheter extending from the right anterior chest wall to the right atrium.  Widespread patchy ground-glass-consolidation areas in both lungs and pulmonary nodules (viral pneumonia?) of ground-glass densities in the centriacinar style were first interpreted in favor of Covid-19 pneumonia under pandemic conditions. Clinic and lab. correlation is appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_388/valid_388_b/valid_388_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Due to the lack of contrast in the examination, mediastinal vascular structures and the heart could not be evaluated optimally. It is noteworthy that the pulmonary conus and both pulmonary arteries are wider than normal. There is an increase in the cardiothoracic ratio in favor of the heart. There are calcified atheroma plaques in the wall of the ascending aorta, descending aorta, aortic arch, and abdominal aorta. Thoracic esophageal calibration is normal, no significant tumoral wall thickening is observed, and minimal sliding type hernia is observed at the lower end. In mediastinal lymph node cystations, lymph nodes with a fatty hilus and a short diameter of 9 mm are observed, the largest of which is in the lower paratracheal area. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small airway disease?). In the right lung upper lobe anterior middle lobe and lower lobe, left lung lower lobe superior, lower lobe mediobasal and posterobasal segments, areas of increased density consistent with consolidation are observed in air bronchograms. Infectious pathologies are considered in the etiology, and post-treatment control is recommended. In addition, there is a 3 mm intrapulmonary solid nodule in the superior segment of the left lung lower lobe and a 5 mm diameter calcified nodule located in the subpleural area. In the abdominal sections within the image, millimetric calcified foci are observed in the spleen parenchyma (secondary to a previous granulomatous infective event?). No lytic-destructive lesion was observed in the bone structures within the image. In the lower thoracic vertebrae, there is a slight loss of height anteriorly and a vacuum phenomenon is observed in the disc distances at these levels. There are osteophytic degenerative changes in the vertebral corpus end plateaus. Reticular density increases, which are considered secondary to osteopenia, are observed in the vertebral corpuscles. Impression: Larger than normal appearance in the pulmonary conus and both pulmonary arteries, increase in the cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of the vascular structures. Slight sliding type hernia at the level of the esophagogastric junction.  Large areas of consolidation in the areas described above in both lung parenchyma; infectious pathologies are considered in the etiology, and post-treatment control is recommended.  Subpleural and intrapulmonary localized nodule in the superior segment of the left lung lower lobe.  Mosaic attenuation pattern in both lungs ( small airway disease ? ) . Diffuse osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_389/valid_389_a/valid_389_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_915",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Due to the lack of contrast in the examination, mediastinal vascular structures and the heart could not be evaluated optimally. It is noteworthy that the pulmonary conus and both pulmonary arteries are wider than normal. There is an increase in the cardiothoracic ratio in favor of the heart. There are calcified atheroma plaques in the wall of the ascending aorta, descending aorta, aortic arch, and abdominal aorta. Thoracic esophageal calibration is normal, no significant tumoral wall thickening is observed, and minimal sliding type hernia is observed at the lower end. In mediastinal lymph node cystations, lymph nodes with a fatty hilus and a short diameter of 9 mm are observed, the largest of which is in the lower paratracheal area. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small airway disease?). In the right lung upper lobe anterior middle lobe and lower lobe, left lung lower lobe superior, lower lobe mediobasal and posterobasal segments, areas of increased density consistent with consolidation are observed in air bronchograms. Infectious pathologies are considered in the etiology, and post-treatment control is recommended. In addition, there is a 3 mm intrapulmonary solid nodule in the superior segment of the left lung lower lobe and a 5 mm diameter calcified nodule located in the subpleural area. In the abdominal sections within the image, millimetric calcified foci are observed in the spleen parenchyma (secondary to a previous granulomatous infective event?). No lytic-destructive lesion was observed in the bone structures within the image. In the lower thoracic vertebrae, there is a slight loss of height anteriorly and a vacuum phenomenon is observed in the disc distances at these levels. There are osteophytic degenerative changes in the vertebral corpus end plateaus. Reticular density increases, which are considered secondary to osteopenia, are observed in the vertebral corpuscles. Impression: Larger than normal appearance in the pulmonary conus and both pulmonary arteries, increase in the cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of the vascular structures. Slight sliding type hernia at the level of the esophagogastric junction.  Large areas of consolidation in the areas described above in both lung parenchyma; infectious pathologies are considered in the etiology, and post-treatment control is recommended.  Subpleural and intrapulmonary localized nodule in the superior segment of the left lung lower lobe.  Mosaic attenuation pattern in both lungs ( small airway disease ? ) . Diffuse osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_389/valid_389_a/valid_389_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_916",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Linear and subsegmental atelectasis are observed in the upper, middle and lower lobes of the right lung and the lower lobe of the left lung. In addition, there are ground-glass areas in the right lung upper lobe, middle lobe, and lower lobe, more prominently in the lower lobe. In the lower lobe of the right lung, an appearance is observed in the soft tissue density with minimal volume loss around the posterobasal segment. When the previous examination of the patient is examined, it is observed that there is consolidation in this localization and there is a significant regression in the described finding. In the left lung upper lobe apicoposterior segment posterior subsegment, consolidation is observed in the peripheral subpleural area, measuring approximately 3 cm in diameter, and a ground glass area is observed around it. It appears that the described appearance has just appeared. In addition, there are nodules with irregular borders, some measuring approximately 10 mm in diameter, the largest in the lower lobe of the left lung in both lungs. Ground glass areas are also observed around the described nodules. It appears that many of the nodules described have just appeared. Consolidation observed in the apicoposterior segment of the left lung upper lobe may be consistent with pneumonic infiltration. In addition, the presence of nodules in both lungs, most of which appeared to be new, raised the suspicion of a specific infection (fungus). However, it was learned from the clinical preliminary diagnosis of the patient that he had a diagnosis of AML. AML lung involvement can also be in the form of consolidation. AML lung parenchymal involvement has also been considered in the differential diagnosis due to the new emergence of the described findings. However, this distinction was not made in this study. It is recommended to evaluate the patient together with laboratory findings. There are emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. There is no pleural effusion. Pulmonary artery diameters increased. Aorta diameter is normal. Calcific atheroma plaques are observed in the aorta. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: AML, consolidation in the apicoposterior segment of the left lung upper lobe in the follow-up, nodule in both lungs, many of which have irregular borders and some areas of ground glass are observed around them, some of which are newly emerging (the described appearance may belong to infective pathology or neoplastic events. This distinction could not be made in this examination. Atelectasis and emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_389/valid_389_b/valid_389_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Linear and subsegmental atelectasis are observed in the upper, middle and lower lobes of the right lung and the lower lobe of the left lung. In addition, there are ground-glass areas in the right lung upper lobe, middle lobe, and lower lobe, more prominently in the lower lobe. In the lower lobe of the right lung, an appearance is observed in the soft tissue density with minimal volume loss around the posterobasal segment. When the previous examination of the patient is examined, it is observed that there is consolidation in this localization and there is a significant regression in the described finding. In the left lung upper lobe apicoposterior segment posterior subsegment, consolidation is observed in the peripheral subpleural area, measuring approximately 3 cm in diameter, and a ground glass area is observed around it. It appears that the described appearance has just appeared. In addition, there are nodules with irregular borders, some measuring approximately 10 mm in diameter, the largest in the lower lobe of the left lung in both lungs. Ground glass areas are also observed around the described nodules. It appears that many of the nodules described have just appeared. Consolidation observed in the apicoposterior segment of the left lung upper lobe may be consistent with pneumonic infiltration. In addition, the presence of nodules in both lungs, most of which appeared to be new, raised the suspicion of a specific infection (fungus). However, it was learned from the clinical preliminary diagnosis of the patient that he had a diagnosis of AML. AML lung involvement can also be in the form of consolidation. AML lung parenchymal involvement has also been considered in the differential diagnosis due to the new emergence of the described findings. However, this distinction was not made in this study. It is recommended to evaluate the patient together with laboratory findings. There are emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. There is no pleural effusion. Pulmonary artery diameters increased. Aorta diameter is normal. Calcific atheroma plaques are observed in the aorta. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: AML, consolidation in the apicoposterior segment of the left lung upper lobe in the follow-up, nodule in both lungs, many of which have irregular borders and some areas of ground glass are observed around them, some of which are newly emerging (the described appearance may belong to infective pathology or neoplastic events. This distinction could not be made in this examination. Atelectasis and emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_389/valid_389_b/valid_389_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_918",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. Minimal pericardial effusion is observed. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. There are several lymph nodes in the mediastinum with a short diameter of less than 5 mm. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A few nonspecific nodules with a short diameter of less than 3 mm are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There is subpleural focal atelectasis area in the posterior segment of the left lung lower lobe. No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, within the borders of non-contrast CT; Liver parenchyma density has decreased in favor of fattening. The gallbladder was not observed (operated). A hyperdense stone with a diameter of 4 mm is observed in the middle zone of the left kidney. A minimal increase in density (misty mesentery) in the central mesenteric fatty tissue and several lymph nodes, the largest of which is 8 mm in diameter, are observed at this level. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  A few millimetric nonspecific nodules in both lungs, focal atelectasis in the lower lobe of the left lung.  Hiatal hernia  Hepatosteatosis, cholecystectomized  Minimal density increase in central mesenteric fatty tissue and millimetric lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_390/valid_390_a/valid_390_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_919",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. Minimal pericardial effusion is observed. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. There are several lymph nodes in the mediastinum with a short diameter of less than 5 mm. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A few nonspecific nodules with a short diameter of less than 3 mm are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There is subpleural focal atelectasis area in the posterior segment of the left lung lower lobe. No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, within the borders of non-contrast CT; Liver parenchyma density has decreased in favor of fattening. The gallbladder was not observed (operated). A hyperdense stone with a diameter of 4 mm is observed in the middle zone of the left kidney. A minimal increase in density (misty mesentery) in the central mesenteric fatty tissue and several lymph nodes, the largest of which is 8 mm in diameter, are observed at this level. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  A few millimetric nonspecific nodules in both lungs, focal atelectasis in the lower lobe of the left lung.  Hiatal hernia  Hepatosteatosis, cholecystectomized  Minimal density increase in central mesenteric fatty tissue and millimetric lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_390/valid_390_a/valid_390_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_920",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta is wider than normal with a diameter of 38.5 mm. The descending aorta is elongated. Calcified atheroma plaques are observed in the thoracic aorta. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Calcific thickening in the dorsal and lateral pleura and increased subpleural adipose tissue in the right hemithorax. The volume of the right lung is decreased and the parenchyma appears to be distorted. Widespread fibrotic bands are observed in the upper and lower lobes of both lungs and linear atelectasis in the basal segment of the left lung lower lobe. There are areas of centriacinar emphysema in both lungs. A calcific nodule with a diameter of 7.2 mm is observed in the superior segment of the left lung lower lobe. A parenchymal nodule with a diameter of 6.4 mm was observed in the anterior segment of the right lung upper lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is scoliosis with the thoracic opening facing right. At the level of T4 and T3 vertebrae, the disc and its posterior elements appear to be fused (congenital block vertebra). Impression: Dilatation of the ascending aorta.  Coarse calcific thickening of the pleura in the right hemithorax, reduction in right lung volume, distorted appearance, and changes in diffuse fibroatelectasis sequelae. Parenchymal nodules in right lung upper lobe anterior and left lung lower lobe superior segment. Linear atelectatic changes in left lung lower lobe basal segments.  Congenital block vertebra at T3-T4 level, right-facing scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_391/valid_391_a/valid_391_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_921",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta is wider than normal with a diameter of 38.5 mm. The descending aorta is elongated. Calcified atheroma plaques are observed in the thoracic aorta. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Calcific thickening in the dorsal and lateral pleura and increased subpleural adipose tissue in the right hemithorax. The volume of the right lung is decreased and the parenchyma appears to be distorted. Widespread fibrotic bands are observed in the upper and lower lobes of both lungs and linear atelectasis in the basal segment of the left lung lower lobe. There are areas of centriacinar emphysema in both lungs. A calcific nodule with a diameter of 7.2 mm is observed in the superior segment of the left lung lower lobe. A parenchymal nodule with a diameter of 6.4 mm was observed in the anterior segment of the right lung upper lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is scoliosis with the thoracic opening facing right. At the level of T4 and T3 vertebrae, the disc and its posterior elements appear to be fused (congenital block vertebra). Impression: Dilatation of the ascending aorta.  Coarse calcific thickening of the pleura in the right hemithorax, reduction in right lung volume, distorted appearance, and changes in diffuse fibroatelectasis sequelae. Parenchymal nodules in right lung upper lobe anterior and left lung lower lobe superior segment. Linear atelectatic changes in left lung lower lobe basal segments.  Congenital block vertebra at T3-T4 level, right-facing scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_391/valid_391_a/valid_391_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_922",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. In the anterior mediastinum, thymic tissue with trigonal configuration is observed without mass effect. Calibration of major vascular structures in the mediastinum is natural. There are no pathologically sized and configured lymph nodes in the mediastinum and at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. Focal ground-glass-consolidation areas are observed in the middle-lower zones of both lungs at the right posterobasal level. There are mild sequelae changes at the apical level. Focal pleuroparenchymal sequelae change is observed at the posterobasal level of the right lung. Again, focal aeration increase is observed in the right lung lower lobe basal. A subpleural nodule with a diameter of 4 mm is observed at the laterobasal level of the left lung. In the upper abdominal organs, a density that may be compatible with 1-2 mm calculus in the right kidney is observed. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Focal ground-glass-consolidation areas in the mid-lower zones of both lungs with confluence at the right posterobasal level. Mild sequelae changes at the apical level. It is recommended to evaluate the case in terms of Covid pneumonia in the presence of clinical and laboratory findings.  Focal pleuroparenchymal sequela change at the posterobasal level of the right lung, increased focal aeration in the lower lobe basal of the right lung. Subpleural nodule with a diameter of 4 mm at the laterobasal level of the left lung.  Density that may be compatible with 1-2 mm calculus in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_392/valid_392_a/valid_392_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_923",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. In the anterior mediastinum, thymic tissue with trigonal configuration is observed without mass effect. Calibration of major vascular structures in the mediastinum is natural. There are no pathologically sized and configured lymph nodes in the mediastinum and at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. Focal ground-glass-consolidation areas are observed in the middle-lower zones of both lungs at the right posterobasal level. There are mild sequelae changes at the apical level. Focal pleuroparenchymal sequelae change is observed at the posterobasal level of the right lung. Again, focal aeration increase is observed in the right lung lower lobe basal. A subpleural nodule with a diameter of 4 mm is observed at the laterobasal level of the left lung. In the upper abdominal organs, a density that may be compatible with 1-2 mm calculus in the right kidney is observed. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Focal ground-glass-consolidation areas in the mid-lower zones of both lungs with confluence at the right posterobasal level. Mild sequelae changes at the apical level. It is recommended to evaluate the case in terms of Covid pneumonia in the presence of clinical and laboratory findings.  Focal pleuroparenchymal sequela change at the posterobasal level of the right lung, increased focal aeration in the lower lobe basal of the right lung. Subpleural nodule with a diameter of 4 mm at the laterobasal level of the left lung.  Density that may be compatible with 1-2 mm calculus in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_392/valid_392_a/valid_392_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_924",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: In the supraclavicular fossa, a lymph node in pathological size and appearance is observed in the cross-section. There are several lymph nodes with a short axis measuring 11 mm in the right upper paratracheal and lower paratracheal area. The diameter of the pulmonary trunk was 38 mm, the right main pulmonary artery was 28 mm, the left main pulmonary artery diameter was 25 mm and increased. Calcified atheroma plaques are observed in the coronary arteries, especially in the LAD, and in the RCA and surcumflex. Pericardial effusion was not detected. The diameter of the ascending aorta, aortic arch and thoracic aorta are normal. There are calcifications in the bronchial walls compatible with broncholithiasis. In the evaluation of lung parenchyma areas; Mild pleural irregularities are observed in the basal segments of both lung lower lobes. There are bronchial wall thickness increases in both lung segment bronchi. Lower lobe basal segment bronchi appear collapsed. Accordingly, aeration differences are observed in the lower lobes of both lungs. There are areas of linear subsegmentary atelectasis in the posterior segments of the upper lobes of both lungs. Infiltrative involvement is not observed in the lung parenchyma. No space-occupying mass or nodular lesion was detected. There are ground glass opacities and attenuation differences in the form of aeration differences in both lung parenchyma. Gross pathology was not observed in the upper abdominal organs included in the sections. An increase in kyphosis is observed at the thoracic level. In the lower thoracic vertebrae, a hyperostosis appearance is observed along the ALL and vertebral corpus corners consistent with DISH. There is an osteoporotic appearance in the bone structures in the study area. No lytic-sclerotic space-occupying lesion was detected. Impression: Increased diameter of both pulmonary arteries and pulmonary trunk, not accompanied by right ventricular dilatation. Diffuse calcified atheromatous plaques in coronary arteries.  Increases in bronchial wall thickness in both lungs. Narrowing in bronchial calibrations (drawing performed in expiration).  Areas of atelectasis and aeration differences in both lungs.  Osteoporotic appearance and degenerative changes in bone structures. Appearance compatible with DISH at the lower thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_393/valid_393_a/valid_393_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_925",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: In the supraclavicular fossa, a lymph node in pathological size and appearance is observed in the cross-section. There are several lymph nodes with a short axis measuring 11 mm in the right upper paratracheal and lower paratracheal area. The diameter of the pulmonary trunk was 38 mm, the right main pulmonary artery was 28 mm, the left main pulmonary artery diameter was 25 mm and increased. Calcified atheroma plaques are observed in the coronary arteries, especially in the LAD, and in the RCA and surcumflex. Pericardial effusion was not detected. The diameter of the ascending aorta, aortic arch and thoracic aorta are normal. There are calcifications in the bronchial walls compatible with broncholithiasis. In the evaluation of lung parenchyma areas; Mild pleural irregularities are observed in the basal segments of both lung lower lobes. There are bronchial wall thickness increases in both lung segment bronchi. Lower lobe basal segment bronchi appear collapsed. Accordingly, aeration differences are observed in the lower lobes of both lungs. There are areas of linear subsegmentary atelectasis in the posterior segments of the upper lobes of both lungs. Infiltrative involvement is not observed in the lung parenchyma. No space-occupying mass or nodular lesion was detected. There are ground glass opacities and attenuation differences in the form of aeration differences in both lung parenchyma. Gross pathology was not observed in the upper abdominal organs included in the sections. An increase in kyphosis is observed at the thoracic level. In the lower thoracic vertebrae, a hyperostosis appearance is observed along the ALL and vertebral corpus corners consistent with DISH. There is an osteoporotic appearance in the bone structures in the study area. No lytic-sclerotic space-occupying lesion was detected. Impression: Increased diameter of both pulmonary arteries and pulmonary trunk, not accompanied by right ventricular dilatation. Diffuse calcified atheromatous plaques in coronary arteries.  Increases in bronchial wall thickness in both lungs. Narrowing in bronchial calibrations (drawing performed in expiration).  Areas of atelectasis and aeration differences in both lungs.  Osteoporotic appearance and degenerative changes in bone structures. Appearance compatible with DISH at the lower thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_393/valid_393_a/valid_393_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_926",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because no contrast material is given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are milimetric lymph nodes in the mediastinum, and no pathologically enlarged lymph nodes were detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. There is an appearance compatible with gynecomastia in the bilateral retroareolar area. Impression:  Thoracic CT findings within normal limits.  Appearance compatible with gynecomastia in the bilateral retroareolar area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_394/valid_394_a/valid_394_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_927",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because no contrast material is given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are milimetric lymph nodes in the mediastinum, and no pathologically enlarged lymph nodes were detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. There is an appearance compatible with gynecomastia in the bilateral retroareolar area. Impression:  Thoracic CT findings within normal limits.  Appearance compatible with gynecomastia in the bilateral retroareolar area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_394/valid_394_a/valid_394_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_928",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the anterior segment of the upper lobe of the right lung, a calcified nodule with pleuroparenchymal sequela density in millimeters is observed. Nodules with a nonspecific appearance, 2.2 mm in size (ima 65) in the posterior segment of the right lung upper lobe, and 3.3 mm in diameter, the largest in the right lung upper lobe anterior segment, are observed. No mass or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: A few nodules with nonspecific appearance in both lungs . No mass-infiltration was observed in the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_395/valid_395_a/valid_395_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_929",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. In the anterior mediastinum, there is thymic tissue in which hypodense areas compatible with fat involution are observed, which does not show the effect of trigonal configuration, well-circumscribed mass. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; trachea, both main bronchi are open. Sequelae changes are observed at the apical level of both lungs. Mild sequela changes are observed in the middle lobe. There is a slight decrease in density consistent with emphysema. Mild sequelae of pleuroparenchymal changes are observed in the inferior lingular segment of the left lung. No space-occupying lesion was detected in the liver in the sections passing through the upper abdomen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. There are mild degenerative changes in bone structures. Impression: No findings consistent with pneumonia were detected. Mild sequelae changes in both lungs and mild emphysema appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_396/valid_396_a/valid_396_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_930",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No pathological increase in wall thickness was detected in the thoracic esophagus. Trachea, both main bronchi are open and no obstructive pathology is observed. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be observed, the calibration of the vascular structures and the heart contour size are normal. Calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. Pericardial and bilateral pleural effusion was not detected. In the mediastinum, no lymph node was observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Areas of increase in density consistent with consolidation, in which a ground glass halo is observed, are observed in the periphery of the right lung lower lobe superiorly, in millimetric sizes, and in the lower lobe posterobasal segment of both lungs, with a tendency to merge with each other without clear boundaries, the largest measuring approximately 40x12 mm in the right lung lower lobe posterobasal, peripheral subpleural located periphery. . Pneumonic infiltration was considered primarily in its etiology. However, the presence of metastasis cannot be excluded in a case with a primary. Evaluation with clinical and laboratory findings and appropriate post-treatment control are recommended. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures in the study area. There are degenerative changes. Impression:  Right lung lower lobe superior, both lung lower lobe posterobasal segments. It primarily suggests pneumonic infiltration in its etiology. It is recommended to be evaluated together with clinical and laboratory findings and control after treatment.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)  Calcified atheroma plaques in the wall of thoracic aorta, coronary vascular structures  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_397/valid_397_a/valid_397_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_931",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No pathological increase in wall thickness was detected in the thoracic esophagus. Trachea, both main bronchi are open and no obstructive pathology is observed. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be observed, the calibration of the vascular structures and the heart contour size are normal. Calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. Pericardial and bilateral pleural effusion was not detected. In the mediastinum, no lymph node was observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Areas of increase in density consistent with consolidation, in which a ground glass halo is observed, are observed in the periphery of the right lung lower lobe superiorly, in millimetric sizes, and in the lower lobe posterobasal segment of both lungs, with a tendency to merge with each other without clear boundaries, the largest measuring approximately 40x12 mm in the right lung lower lobe posterobasal, peripheral subpleural located periphery. . Pneumonic infiltration was considered primarily in its etiology. However, the presence of metastasis cannot be excluded in a case with a primary. Evaluation with clinical and laboratory findings and appropriate post-treatment control are recommended. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures in the study area. There are degenerative changes. Impression:  Right lung lower lobe superior, both lung lower lobe posterobasal segments. It primarily suggests pneumonic infiltration in its etiology. It is recommended to be evaluated together with clinical and laboratory findings and control after treatment.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)  Calcified atheroma plaques in the wall of thoracic aorta, coronary vascular structures  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_397/valid_397_a/valid_397_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a small hiatal hernia. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Atelectatic change is observed in the area extending to the anterior inferior lingula in the upper lobe of the left lung. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Liver parenchyma density in the cross-sectional area shows a change in favor of steatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density reduction is observed in bone structures entering the study area. There are prominent hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles. Impression: The atelectatic finding described in the left lung is atypical for viral pneumonia (Covid-19). Clinical laboratory correlation is recommended.  Osteopenic appearance, degenerative changes in bone structures . Small hiatal hernia . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_398/valid_398_a/valid_398_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_933",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: An appearance compatible with thymic remnant is observed in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral tubular bronchiectasis is observed. Right lung lower lobe posterior segment, middle lobe medial segment; Linear atelectasis areas are observed in the left lung upper lobe lingular segment inferior subsegment. There is a 2.5 mm nodule in both lungs, the largest of which is in the lateral segment of the left lung lower lobe. No mass or infiltrative lesion was detected in both lungs. No pathological wall thickness increase was observed in the esophagus within the sections. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. An increase in nodular thickness, reaching a thickness of 9 mm, is observed in the medial crus of the left adrenal gland. An accessory spleen with a diameter of 1.5 cm is observed at the level of the splenic hilus. No lytic-destructive lesions were observed in the bone structures within the sections. Vacuum phenomenon consistent with degeneration is observed at the bilateral sternoclavicular joint level. Impression:  Bilateral tubular bronchiectasis, areas of linear atelectasis in both lungs.  One millimetric nonspecific nodule in each lung.  Thickening of the medial crus of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_399/valid_399_a/valid_399_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_934",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: An appearance compatible with thymic remnant is observed in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral tubular bronchiectasis is observed. Right lung lower lobe posterior segment, middle lobe medial segment; Linear atelectasis areas are observed in the left lung upper lobe lingular segment inferior subsegment. There is a 2.5 mm nodule in both lungs, the largest of which is in the lateral segment of the left lung lower lobe. No mass or infiltrative lesion was detected in both lungs. No pathological wall thickness increase was observed in the esophagus within the sections. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. An increase in nodular thickness, reaching a thickness of 9 mm, is observed in the medial crus of the left adrenal gland. An accessory spleen with a diameter of 1.5 cm is observed at the level of the splenic hilus. No lytic-destructive lesions were observed in the bone structures within the sections. Vacuum phenomenon consistent with degeneration is observed at the bilateral sternoclavicular joint level. Impression:  Bilateral tubular bronchiectasis, areas of linear atelectasis in both lungs.  One millimetric nonspecific nodule in each lung.  Thickening of the medial crus of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_399/valid_399_a/valid_399_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_935",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are several bmillimetric nodular densities in the subpleural area in the posterobasal region of the left lung lower lobe and inferiorly in the right lung upper lobe. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several nonspecific millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_400/valid_400_a/valid_400_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_936",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are several bmillimetric nodular densities in the subpleural area in the posterobasal region of the left lung lower lobe and inferiorly in the right lung upper lobe. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several nonspecific millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_400/valid_400_a/valid_400_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There is pericardial effusion measuring up to 7 mm in the form of a smear. An increase in density is observed in the coronary arteries, which may be compatible with calcific atheroma plaques and stent material. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mosaic pattern attenuations are observed in both lungs, more prominently in the lower lobes. There are calcific chrycentric atheroma plaques in the descending ascending aorta and aortic arch. There are linear mild atelectatic changes in the basal segments of the lower lobes of both lungs. Contour, size, parenchymal density of the liver are normal. No space-occupying solid or cystic mass lesion was detected. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts are normal. Hyperdense finding that gives leveling in the gallbladder mud? Stone? evaluated towards. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct. Contour, size, localization, parenchymal thickness, parenchymal staining of both kidneys are normal. Millimetric calcific findings in the pelvicalyceal structures of the left kidney were evaluated in the direction of calcules. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric air density is observed in the bladder. The uterus is natural. Millimetric phleboliths are observed in both ovarian lobes. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. No significant tumoral wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. Diffuse density reduction in bone structures entering the section area and degenerative hypertrophic osteophytic changes in the end plates of the vertebral corpuscles are observed. There are mild spondylitic changes at the L5-S1 level. No significant compression was detected on the thecal sac. Impression: Mosaic pattern attenuations, more prominent in the lower lobes, are observed in both lungs. Small airway disease? Pulmonary Edema? Clinical lab cor. is recommended. There is pericardial effusion measuring up to 7 mm in the form of a smear.  Left nephrolithiasis. Cholelithiasis-gallbladder sludge.  Osteopenic appearance, degenerative changes in bone structures . Atherosclerosis.  Mild millimetric air density in the bladder. Clinical laboratory correlation is recommended for UTI.  Millimetric phleboliths in both ovarian sites."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_401/valid_401_a/valid_401_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_938",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There is pericardial effusion measuring up to 7 mm in the form of a smear. An increase in density is observed in the coronary arteries, which may be compatible with calcific atheroma plaques and stent material. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mosaic pattern attenuations are observed in both lungs, more prominently in the lower lobes. There are calcific chrycentric atheroma plaques in the descending ascending aorta and aortic arch. There are linear mild atelectatic changes in the basal segments of the lower lobes of both lungs. Contour, size, parenchymal density of the liver are normal. No space-occupying solid or cystic mass lesion was detected. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts are normal. Hyperdense finding that gives leveling in the gallbladder mud? Stone? evaluated towards. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct. Contour, size, localization, parenchymal thickness, parenchymal staining of both kidneys are normal. Millimetric calcific findings in the pelvicalyceal structures of the left kidney were evaluated in the direction of calcules. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric air density is observed in the bladder. The uterus is natural. Millimetric phleboliths are observed in both ovarian lobes. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. No significant tumoral wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. Diffuse density reduction in bone structures entering the section area and degenerative hypertrophic osteophytic changes in the end plates of the vertebral corpuscles are observed. There are mild spondylitic changes at the L5-S1 level. No significant compression was detected on the thecal sac. Impression: Mosaic pattern attenuations, more prominent in the lower lobes, are observed in both lungs. Small airway disease? Pulmonary Edema? Clinical lab cor. is recommended. There is pericardial effusion measuring up to 7 mm in the form of a smear.  Left nephrolithiasis. Cholelithiasis-gallbladder sludge.  Osteopenic appearance, degenerative changes in bone structures . Atherosclerosis.  Mild millimetric air density in the bladder. Clinical laboratory correlation is recommended for UTI.  Millimetric phleboliths in both ovarian sites."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_401/valid_401_a/valid_401_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_939",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal lymph node in millimetric size is observed. No pathological LAP was detected in the mediastinum. The AP diameter of the ascending aorta is 4 cm and is above normal. Calcific plaques are observed in the aortic arch and descending aorta. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lung parenchyma. Pleuroparenchymal sequelae with nodular formation accompanied by a calcified nodule in the apex of the left lung are observed. In the sections passing through the upper part of the abdomen, liver density appears to be decreased in line with steatosis. No lytic-destructive lesion was detected in bone structures. Degenerative changes are observed in the vertebrae. Impression: Ectasia in the ascending aorta, slight increase in cardiothoracic index in favor of the heart . Mosaic attenuation in both lung parenchyma (small airway disease? small vessel disease?) . Pleuroparenchymal sequelae showing nodular formation in the left lung apex . No typical finding for Covid pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_402/valid_402_a/valid_402_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: In the old thorax CT, prominent areas of pneumonic consolidation were observed in the anterior segments of the upper lobes of both lungs and in the right middle lobe. There are bronchial wall thickness increases in the lower lobe segment bronchi of both lungs. In the current examination, the areas of pneumonic consolidation in both upper lobes of the right lung, almost completely covering the middle lobe, have completely regressed. Centriacinar ground glass opacities are observed in the lower lobes of both lungs. In places, centriacinar millimetric nodules are compatible with respiratory bronchiolitis (tobacco use?). There is a pleural bleb in the posterobasal segment of the lower lobe of the right lung. Bronchial wall thickness increases are observed in both lower lobe basal segment bronchi of both lungs. There are several nonspecific mediastinal lymph nodes with a short axis not exceeding 1 cm in the right upper paratracheal and subcarinal lymph nodes. Calibrations of mediastinal main vascular structures were followed naturally. Heart dimensions and compartments appear natural. Pericardial effusion-thickening was not observed. No lymph node was observed in pathological size and appearance in both axillae. In the section, no lymph node in pathological size and appearance was observed in both supraclavicular fossae. The dimensions of the thyroid gland appear natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Gross pathology was not noticed in the sections passing through the upper abdomen. Bone structures are of natural appearance. Impression: Diffuse pneumonic consolidations observed in both upper lobes of both lungs and right lung middle lobe appear to be fully regressed in the current examination.  Significant centriacinar ground-glass opacities are observed in the upper lobes of both lungs, suggesting respiratory bronchiolitis (tobacco use?).  Bronchial thickness increases in the basal segment bronchi of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_403/valid_403_a/valid_403_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Multiple lymph nodes are observed in the subcarinal area at the prevascular level in the upper-lower paratracheal area in the mediastinum, the largest of which is measured in the right upper paratracheal area and measuring approximately 14x8 mm. There are several lymph nodes at both hilar levels, the largest of which is 12x9 mm on the left. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. There is mild emphysema in both lungs. In the upper zones, faint and suspicious frosted glass-like density increases are observed. In addition, there are ground-glass densities in the lower lobe of the left lung at the posterobasal-laterobasal level, at the same level in the right, but at the same level. Suspicious in terms of Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings. The ground-glass-like density increases, especially observed in the posterobasal area, were not detected in the previous CT examination of the case. There are sequelae changes at the apical level. A subpleural bleb appearance is observed at the posterobasal level of the right lung. There is mild thickening of the peribronchial sheath. A few smaller blep views are seen on the right. There are similar blep-air cyst appearances in the upper zone of the left lung. Bilateral pleural effusion was not detected. Pneumothorax is not observed. . Upper abdominal organs included in sections; A decrease in density consistent with steatosis is observed in the liver. Degenerative changes are observed in the bone structure. Sequelae changes are observed at both apical levels. Impression:  Mild emphysematous changes  Slight increase in ground-glass-like density on the left in both lungs at the posterobasal- laterobasal level in the lower zones (findings are suspicious for covid pneumonia). It is recommended to be evaluated together with clinical and laboratory findings  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_403/valid_403_b/valid_403_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_942",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Multiple lymph nodes are observed in the subcarinal area at the prevascular level in the upper-lower paratracheal area in the mediastinum, the largest of which is measured in the right upper paratracheal area and measuring approximately 14x8 mm. There are several lymph nodes at both hilar levels, the largest of which is 12x9 mm on the left. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. There is mild emphysema in both lungs. In the upper zones, faint and suspicious frosted glass-like density increases are observed. In addition, there are ground-glass densities in the lower lobe of the left lung at the posterobasal-laterobasal level, at the same level in the right, but at the same level. Suspicious in terms of Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings. The ground-glass-like density increases, especially observed in the posterobasal area, were not detected in the previous CT examination of the case. There are sequelae changes at the apical level. A subpleural bleb appearance is observed at the posterobasal level of the right lung. There is mild thickening of the peribronchial sheath. A few smaller blep views are seen on the right. There are similar blep-air cyst appearances in the upper zone of the left lung. Bilateral pleural effusion was not detected. Pneumothorax is not observed. . Upper abdominal organs included in sections; A decrease in density consistent with steatosis is observed in the liver. Degenerative changes are observed in the bone structure. Sequelae changes are observed at both apical levels. Impression:  Mild emphysematous changes  Slight increase in ground-glass-like density on the left in both lungs at the posterobasal- laterobasal level in the lower zones (findings are suspicious for covid pneumonia). It is recommended to be evaluated together with clinical and laboratory findings  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_403/valid_403_b/valid_403_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_943",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; There are pleuroparenchymal sequelae density increases that cause structural distortion in the left lung inferior lingular segment. Focal thickening of the pleura was also observed in the right lung lower lobe superior segment. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. Impression:  Sequelae changes in both lungs, no signs of pneumonia were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_404/valid_404_a/valid_404_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_944",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; There are pleuroparenchymal sequelae density increases that cause structural distortion in the left lung inferior lingular segment. Focal thickening of the pleura was also observed in the right lung lower lobe superior segment. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. Impression:  Sequelae changes in both lungs, no signs of pneumonia were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_404/valid_404_a/valid_404_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_945",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_405/valid_405_a/valid_405_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_946",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A subpleural paracardiac consolidation area is observed, with irregular contours and a halo sign around it in the paracardiac area in the anterior upper lobe of the right lung and in the medial segment of the right lung middle lobe. The findings were initially evaluated in favor of Covid-19 viral pneumonia due to the current pandemic. Clinical laboratory correlation and close follow-up are recommended after infectious process exclusion. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings were initially evaluated in favor of Covid-19 viral pneumonia due to the current pandemic. Clinical laboratory correlation and close follow-up are recommended after infectious process exclusion.  A few millimetric non-specific nodules are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_406/valid_406_a/valid_406_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_947",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A subpleural paracardiac consolidation area is observed, with irregular contours and a halo sign around it in the paracardiac area in the anterior upper lobe of the right lung and in the medial segment of the right lung middle lobe. The findings were initially evaluated in favor of Covid-19 viral pneumonia due to the current pandemic. Clinical laboratory correlation and close follow-up are recommended after infectious process exclusion. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings were initially evaluated in favor of Covid-19 viral pneumonia due to the current pandemic. Clinical laboratory correlation and close follow-up are recommended after infectious process exclusion.  A few millimetric non-specific nodules are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_406/valid_406_a/valid_406_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_948",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear density increases, minimal structural distortion, and minimal volume loss at the apex of both lungs. Millimetric nodules were also observed in this localization. These findings were primarily evaluated in favor of pleuroparenchymal sequelae changes. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Pleuroparenchymal sequelae changes in the apex of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_407/valid_407_a/valid_407_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear density increases, minimal structural distortion, and minimal volume loss at the apex of both lungs. Millimetric nodules were also observed in this localization. These findings were primarily evaluated in favor of pleuroparenchymal sequelae changes. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Pleuroparenchymal sequelae changes in the apex of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_407/valid_407_a/valid_407_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_950",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. The esophagus is observed in normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. A subsegmental atelectasis area is observed in the basal segment of the lower lobe of the right lung. Numerous round parenchymal nodules were observed in both lung parenchyma, the largest of which was 12 mm in diameter in the left lung upper lobe lingular segment. The primary was evaluated in favor of metastatic involvement until proven otherwise in the present case. No feature was detected in the sections passing through the upper abdomen. Peritoneal thickness increase in the left paragutter and slight contamination in the oily planes are observed. It has partially entered the cyst. No lytic-destructive lesions were detected in bone structures. Impression:  Bladder Ca.  Nodules with high suspicion of metastasis and pneumonic infiltration were not detected in both lungs.  In the left paracolic gutter, contamination in the peritoneal and mesocolonic fatty planes is partially cross-sectioned."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_408/valid_408_a/valid_408_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_951",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. The esophagus is observed in normal calibration. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. A subsegmental atelectasis area is observed in the basal segment of the lower lobe of the right lung. Numerous round parenchymal nodules were observed in both lung parenchyma, the largest of which was 12 mm in diameter in the left lung upper lobe lingular segment. The primary was evaluated in favor of metastatic involvement until proven otherwise in the present case. No feature was detected in the sections passing through the upper abdomen. Peritoneal thickness increase in the left paragutter and slight contamination in the oily planes are observed. It has partially entered the cyst. No lytic-destructive lesions were detected in bone structures. Impression:  Bladder Ca.  Nodules with high suspicion of metastasis and pneumonic infiltration were not detected in both lungs.  In the left paracolic gutter, contamination in the peritoneal and mesocolonic fatty planes is partially cross-sectioned."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_408/valid_408_a/valid_408_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_952",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Prominent centriacinar ground-glass nodules are observed in the upper lobes of both lungs. Radiological findings are in favor of respiratory bronchiolitis. Linear atelectasis area is observed in the middle lobe of the right lung. There is 1 nonspecific nodule with a diameter of 3 mm in the upper lobe of the left lung. No suspicious mass or nodular space-occupying lesion is observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Findings in favor of respiratory bronchiolitis.  Pneumonic was not detected.  Millimetric nonspecific nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_409/valid_409_a/valid_409_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_953",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Prominent centriacinar ground-glass nodules are observed in the upper lobes of both lungs. Radiological findings are in favor of respiratory bronchiolitis. Linear atelectasis area is observed in the middle lobe of the right lung. There is 1 nonspecific nodule with a diameter of 3 mm in the upper lobe of the left lung. No suspicious mass or nodular space-occupying lesion is observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Findings in favor of respiratory bronchiolitis.  Pneumonic was not detected.  Millimetric nonspecific nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_409/valid_409_a/valid_409_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_954",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; pneumothorax appearances, which are more prominent in the right lung, are observed in both lungs. There are diffuse ground-glass opacities in both lungs and areas of consolidation, particularly in the posterobasal segments of the lungs. These consolidations may be secondary to pneumonic infiltration or may be compatible with sequelae change. Minimal bronchiectatic changes are observed in both lungs. Tracheostomy and gastric probe are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pneumothorax appearances in both lungs.  There are diffuse ground glass opacities and fibrotic changes in both lungs. Consolidation areas especially in posterobasal parts; Appearance may be compatible with secular change or atelectasis. In the differential diagnosis, the sequelae of Covid-19 pneumonia may belong to changes.  Apart from this, it is observed that tracheostomy tubes are applied to both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_410/valid_410_a/valid_410_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_955",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; pneumothorax appearances, which are more prominent in the right lung, are observed in both lungs. There are diffuse ground-glass opacities in both lungs and areas of consolidation, particularly in the posterobasal segments of the lungs. These consolidations may be secondary to pneumonic infiltration or may be compatible with sequelae change. Minimal bronchiectatic changes are observed in both lungs. Tracheostomy and gastric probe are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pneumothorax appearances in both lungs.  There are diffuse ground glass opacities and fibrotic changes in both lungs. Consolidation areas especially in posterobasal parts; Appearance may be compatible with secular change or atelectasis. In the differential diagnosis, the sequelae of Covid-19 pneumonia may belong to changes.  Apart from this, it is observed that tracheostomy tubes are applied to both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_410/valid_410_a/valid_410_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_956",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Sequelae interpreted in favor of sequela change in both lungs, fibrotic densities, and sometimes honeycomb appearances and ground glass opacities are observed in the upper lobes of both lungs. There are areas of linear atelectasis, especially in the lower lobes of the lungs. Areas of bronchiectasis extending to both lung parenchyma are observed. There is a pneumothorax in the right lung. Subcutaneous emphysema appearances are observed under the right breast. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_410/valid_410_b/valid_410_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_957",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Sequelae interpreted in favor of sequela change in both lungs, fibrotic densities, and sometimes honeycomb appearances and ground glass opacities are observed in the upper lobes of both lungs. There are areas of linear atelectasis, especially in the lower lobes of the lungs. Areas of bronchiectasis extending to both lung parenchyma are observed. There is a pneumothorax in the right lung. Subcutaneous emphysema appearances are observed under the right breast. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_410/valid_410_b/valid_410_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_958",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few small lymph nodes, with a short axis measuring 5 mm, are observed in the mediastinum, especially in the aorticopulmonary window and in the paratracheal area. When examined in the lung parenchyma window; There are prominent interstitial signs, thickening of interlobular septa and bronchiectatic changes in both lungs, especially in the right lung middle lobe and upper lobe anteriors. Acinar nodular ground glass densities are observed in both lungs. The findings (small airway disease?, small vessel disease?) were evaluated for the onset of interstitial fibrosis. Clinical correlation monitoring is recommended. No bilateral pneumothorax or pleural effusion was detected. There is a finding consistent with mild hepatosteatosis in the liver parenchyma. Other upper abdominal organs included in the sections are normal. There is diffuse density reduction in bone structures. Impression:  Clarification in interstitial signs, thickening of interlobular septa and bronchiectasis, patchy ground-glass densities in both lungs, especially in the right lung middle lobe and upper lobe anteriors, the described findings can be seen in covid-19 viral pneumonia. clinical lab. blind. follow-up is recommended.  Onset of interstitial fibrosis in both lungs with acinar nodular densities accompanied by ground glass densities (small airway disease?, small vessel disease?). clinical lab. correlation monitoring is recommended.  A few small lymph nodes in the mediastinum with a short axis measuring 5 mm, especially in the aorticopulmonary window and in the paratracheal area.  Findings consistent with mild hepatosteatosis in the liver parenchyma.  Diffuse density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_410/valid_410_c/valid_410_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few small lymph nodes, with a short axis measuring 5 mm, are observed in the mediastinum, especially in the aorticopulmonary window and in the paratracheal area. When examined in the lung parenchyma window; There are prominent interstitial signs, thickening of interlobular septa and bronchiectatic changes in both lungs, especially in the right lung middle lobe and upper lobe anteriors. Acinar nodular ground glass densities are observed in both lungs. The findings (small airway disease?, small vessel disease?) were evaluated for the onset of interstitial fibrosis. Clinical correlation monitoring is recommended. No bilateral pneumothorax or pleural effusion was detected. There is a finding consistent with mild hepatosteatosis in the liver parenchyma. Other upper abdominal organs included in the sections are normal. There is diffuse density reduction in bone structures. Impression:  Clarification in interstitial signs, thickening of interlobular septa and bronchiectasis, patchy ground-glass densities in both lungs, especially in the right lung middle lobe and upper lobe anteriors, the described findings can be seen in covid-19 viral pneumonia. clinical lab. blind. follow-up is recommended.  Onset of interstitial fibrosis in both lungs with acinar nodular densities accompanied by ground glass densities (small airway disease?, small vessel disease?). clinical lab. correlation monitoring is recommended.  A few small lymph nodes in the mediastinum with a short axis measuring 5 mm, especially in the aorticopulmonary window and in the paratracheal area.  Findings consistent with mild hepatosteatosis in the liver parenchyma.  Diffuse density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_410/valid_410_c/valid_410_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_960",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. Calibration of vascular structures is natural and no pericardial, pleural effusion or thickness increase is observed. No pathological increase in wall thickness is observed in the thoracic esophagus. In mediastinal lymph node stations, no lymph node is observed in pathological size and appearance. In the anterior mediastinum, an increase in reticulo nodular density compatible with the thymus tissue is observed. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lungs. There are mild emphysematous changes in both lungs. Diffuse minimal enlargement in the center of the bronchial structures was noted. The upper abdominal organs included in the sections are normal at the non-contrast scan margins. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild emphysematous changes in both lung parenchyma and minimal diffuse central enlargement of bilateral bronchial structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_411/valid_411_a/valid_411_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_961",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are several small nodules measuring up to 11 mm in size in the paratracheal area. When examined in the lung parenchyma window; more subpleural localized patchy ground glass densities are observed in both lungs. Vascular enlargements are present at the described ground glass densities levels, with slight halo markings. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Patchy ground-glass densities are observed in both lungs, mostly subpleural. Vascular enlargements are present at the described ground glass densities levels, with slight halo markings. The findings were initially evaluated in favor of Covid-19 viral pneumonia.  There are several small nodules measuring up to 11 mm in size in the paratracheal area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_412/valid_412_a/valid_412_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_962",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are several small nodules measuring up to 11 mm in size in the paratracheal area. When examined in the lung parenchyma window; more subpleural localized patchy ground glass densities are observed in both lungs. Vascular enlargements are present at the described ground glass densities levels, with slight halo markings. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Patchy ground-glass densities are observed in both lungs, mostly subpleural. Vascular enlargements are present at the described ground glass densities levels, with slight halo markings. The findings were initially evaluated in favor of Covid-19 viral pneumonia.  There are several small nodules measuring up to 11 mm in size in the paratracheal area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_412/valid_412_a/valid_412_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_963",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal examination is suboptimal due to lack of contrast. The ascending aorta is 40 mm and ectatic. The right pulmonary artery is 30 mm, and the left pulmonary artery is 27 mm, and it is ectatic. Pericardial minimal effusion is present. Diffuse calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, predominantly calcific lymph nodes are seen in the bilateral hilar region. When examined in the lung parenchyma window; There is diffuse emphysematous appearance in both lung parenchyma. Widespread consolidations including air bronchograms with irregular borders are observed, sitting on the pleura in the anterior upper lobe of the right lung, and at the central level in the left upper lobe of the left lung. In both lungs, it has a diffuse thickening of the bronchial walls at the central level, and thickening of the bronchial wall and intrabronchial secretory densities are observed, especially in the left lower lobe. Irregularly limited nodular infiltrations and budding tree views are seen in the peribronchial and subpleural areas in all lobes, more prominently in the upper lobe anterior on the right. There is bilateral minimal pleural effusion. Air densities are seen in the bile ducts or portal traces in the upper abdominal organs included in the sections. Apart from this, a detailed evaluation cannot be made. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Cardiomegaly, aortic and coronary artery ectasia  Lymph nodes, some of them calcific, in the mediastinum and hilar region  Diffuse emphysema in both lungs  Widespread consolidations, ground glass densities, nodular consolidations with irregular borders, bronchial wall thickening, bronchiectasis, and intrabronchial secretory densities, findings are primarily compatible with the infectious process. The mass distinction cannot be made clearly at the level of wide consolidations with irregular borders, including air bronchograms present in the right upper lobe anterior and left upper lobe posterior and central level. A follow-up examination is recommended after treatment.  Air densities in intrahepatic bile ducts and portal trace"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_413/valid_413_a/valid_413_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_964",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal examination is suboptimal due to lack of contrast. The ascending aorta is 40 mm and ectatic. The right pulmonary artery is 30 mm, and the left pulmonary artery is 27 mm, and it is ectatic. Pericardial minimal effusion is present. Diffuse calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, predominantly calcific lymph nodes are seen in the bilateral hilar region. When examined in the lung parenchyma window; There is diffuse emphysematous appearance in both lung parenchyma. Widespread consolidations including air bronchograms with irregular borders are observed, sitting on the pleura in the anterior upper lobe of the right lung, and at the central level in the left upper lobe of the left lung. In both lungs, it has a diffuse thickening of the bronchial walls at the central level, and thickening of the bronchial wall and intrabronchial secretory densities are observed, especially in the left lower lobe. Irregularly limited nodular infiltrations and budding tree views are seen in the peribronchial and subpleural areas in all lobes, more prominently in the upper lobe anterior on the right. There is bilateral minimal pleural effusion. Air densities are seen in the bile ducts or portal traces in the upper abdominal organs included in the sections. Apart from this, a detailed evaluation cannot be made. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Cardiomegaly, aortic and coronary artery ectasia  Lymph nodes, some of them calcific, in the mediastinum and hilar region  Diffuse emphysema in both lungs  Widespread consolidations, ground glass densities, nodular consolidations with irregular borders, bronchial wall thickening, bronchiectasis, and intrabronchial secretory densities, findings are primarily compatible with the infectious process. The mass distinction cannot be made clearly at the level of wide consolidations with irregular borders, including air bronchograms present in the right upper lobe anterior and left upper lobe posterior and central level. A follow-up examination is recommended after treatment.  Air densities in intrahepatic bile ducts and portal trace"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_413/valid_413_a/valid_413_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Calcified atheroma plaques are observed in the wall of the aortic arch. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. There are lymph nodes in the mediastinum that are not pathological in size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. In the right lung upper lobe posterior, there is an area of increase in density consistent with a large consolidation in which air bronchograms are also observed. In its etiology, primarily bacterial pneumonias are considered. It is recommended to evaluate and follow up with clinical and laboratory findings. In the upper abdominal sections within the image, a 16x13 mm nodular lesion evaluated in favor of a low-density adenoma was observed in the lateral crus of the left adrenal gland within the borders of unenhanced CT. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  Large area of consolidation in the posterior upper lobe of the right lung; In its etiology, primarily bacterial pneumonias are considered. It is recommended to evaluate and follow up with clinical and laboratory findings.  Emphysematous changes in both lungs.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Calcified atheroma plaques in the wall of the aortic arch.  Nodular lesion evaluated in favor of adenoma in the lateral crus of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_414/valid_414_a/valid_414_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Calcified atheroma plaques are observed in the wall of the aortic arch. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. There are lymph nodes in the mediastinum that are not pathological in size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. In the right lung upper lobe posterior, there is an area of increase in density consistent with a large consolidation in which air bronchograms are also observed. In its etiology, primarily bacterial pneumonias are considered. It is recommended to evaluate and follow up with clinical and laboratory findings. In the upper abdominal sections within the image, a 16x13 mm nodular lesion evaluated in favor of a low-density adenoma was observed in the lateral crus of the left adrenal gland within the borders of unenhanced CT. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  Large area of consolidation in the posterior upper lobe of the right lung; In its etiology, primarily bacterial pneumonias are considered. It is recommended to evaluate and follow up with clinical and laboratory findings.  Emphysematous changes in both lungs.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Calcified atheroma plaques in the wall of the aortic arch.  Nodular lesion evaluated in favor of adenoma in the lateral crus of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_414/valid_414_a/valid_414_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_967",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcified atheroma plaques are observed in the wall of the aortic arch. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No significant difference was found in small lymph nodes in the mediastinum. When examined in the lung parenchyma window; Diffuse emphysematous and centrilobular emphysematous changes are observed in both lung parenchyma. In both lungs, thickening and mild bronchiectasis are observed in the peripherally located interlobular septa, which were observed in the previous examination, mostly in the lower lobes. The findings were evaluated in favor of interstitial lung disease. In the upper lobe of the right lung, regression is observed in the dimensions of the consolidated areas extending from the hilar region to the peripheral apical level and showing air bronchogram signs. The differential diagnosis of a space-occupying lesion or nodule cannot be made on the floor of these described consolidated areas. Budding tree images and centriacinar nodular ground glass densities are also observed at the described levels. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland site is normal, and no space-occupying lesion was detected. A hypodense finding measuring 16 mm in the left adrenal gland was evaluated in favor of adenoma. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Regression in areas of consolidation described at levels extending to the apical level in the upper lobe of the right lung; The differential diagnosis of a space-occupying lesion or nodule cannot be made on the floor of the described levels.  Appearance of onset of interstitial lung disease in both lungs.  Emphysematous changes in both lungs.  Calcified atheroma plaques in the wall of the aortic arch.  No significant difference was detected in small lymph nodes in the mediastinum.  Adenoma in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_414/valid_414_b/valid_414_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_968",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcified atheroma plaques are observed in the wall of the aortic arch. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No significant difference was found in small lymph nodes in the mediastinum. When examined in the lung parenchyma window; Diffuse emphysematous and centrilobular emphysematous changes are observed in both lung parenchyma. In both lungs, thickening and mild bronchiectasis are observed in the peripherally located interlobular septa, which were observed in the previous examination, mostly in the lower lobes. The findings were evaluated in favor of interstitial lung disease. In the upper lobe of the right lung, regression is observed in the dimensions of the consolidated areas extending from the hilar region to the peripheral apical level and showing air bronchogram signs. The differential diagnosis of a space-occupying lesion or nodule cannot be made on the floor of these described consolidated areas. Budding tree images and centriacinar nodular ground glass densities are also observed at the described levels. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland site is normal, and no space-occupying lesion was detected. A hypodense finding measuring 16 mm in the left adrenal gland was evaluated in favor of adenoma. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Regression in areas of consolidation described at levels extending to the apical level in the upper lobe of the right lung; The differential diagnosis of a space-occupying lesion or nodule cannot be made on the floor of the described levels.  Appearance of onset of interstitial lung disease in both lungs.  Emphysematous changes in both lungs.  Calcified atheroma plaques in the wall of the aortic arch.  No significant difference was detected in small lymph nodes in the mediastinum.  Adenoma in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_414/valid_414_b/valid_414_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_969",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nodules, the largest of which reach 5 mm in diameter, are observed in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific nodules in bilateral lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_415/valid_415_a/valid_415_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_970",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nodules, the largest of which reach 5 mm in diameter, are observed in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific nodules in bilateral lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_415/valid_415_a/valid_415_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Tracheal cannula is observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and lymph nodes with a short diameter of 13 mm are observed in the mediastinum, the largest of which is at the subcarinal level. Effusion is observed in the bilateral pleural space with a depth of 80 mm on the right and 65 mm on the left. Density increases are observed in both lungs in the upper lobe posterior, lower lobe superior, medial and lateral segments, as well as in the right lung middle lobe lateral segment, consistent with consolidation including diffuse air bronchogram, and the findings were evaluated as secondary to pneumonic infiltration. A stone of 8 mm in size is observed in the middle zone of the left kidney included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_416/valid_416_a/valid_416_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_972",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Tracheal cannula is observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and lymph nodes with a short diameter of 13 mm are observed in the mediastinum, the largest of which is at the subcarinal level. Effusion is observed in the bilateral pleural space with a depth of 80 mm on the right and 65 mm on the left. Density increases are observed in both lungs in the upper lobe posterior, lower lobe superior, medial and lateral segments, as well as in the right lung middle lobe lateral segment, consistent with consolidation including diffuse air bronchogram, and the findings were evaluated as secondary to pneumonic infiltration. A stone of 8 mm in size is observed in the middle zone of the left kidney included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_416/valid_416_a/valid_416_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. The aortic arch calibration is 41 mm. It is wider than normal. Calibration of the ascending aorta is at the maximal physiological limit. Pulmonary trunk calibration is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. Calcific atheroma plaques are observed in the ascending aorta and aortic arch. Metallic artifacts and calcific atheroma plaques are observed at the level of the aortic root. Metallic arterials, which are considered compatible with the prosthetic valve, are observed in the mitral valve. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Density reduction compatible with emphysema is observed. There are linear densities compatible with pleuroparenchymal sequelae in the middle lobe. Sequelae changes are observed in the posterior segment of the right lung upper lobe. Mild sequela changes are observed in the lingular segment of the left lung. Bilateral pleural effusion, pneumonia, pneumothorax were not detected. Hiatal hernia is observed. In the upper abdominal organs, including sections; There is a decrease in density consistent with steatosis in the liver. Nodular density of 17 mm diameter is observed in the anteroinferior part of the spleen. There are changes secondary to sternotomy. Degenerative changes are observed in the bone structure. In the lateral part of the 7th rib on the left, two nonspecific peripheral sclerotic lesions are observed, the largest of which is 7x6 mm in size. Impression:  No finding compatible with pneumonia was detected.  Mild sequelae changes were observed in both lungs.  Atherosclerotic changes, slight increase in calibration of vascular structures in the mediastinum.  Hepatosteatosis.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_416/valid_416_b/valid_416_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. The aortic arch calibration is 41 mm. It is wider than normal. Calibration of the ascending aorta is at the maximal physiological limit. Pulmonary trunk calibration is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. Calcific atheroma plaques are observed in the ascending aorta and aortic arch. Metallic artifacts and calcific atheroma plaques are observed at the level of the aortic root. Metallic arterials, which are considered compatible with the prosthetic valve, are observed in the mitral valve. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Density reduction compatible with emphysema is observed. There are linear densities compatible with pleuroparenchymal sequelae in the middle lobe. Sequelae changes are observed in the posterior segment of the right lung upper lobe. Mild sequela changes are observed in the lingular segment of the left lung. Bilateral pleural effusion, pneumonia, pneumothorax were not detected. Hiatal hernia is observed. In the upper abdominal organs, including sections; There is a decrease in density consistent with steatosis in the liver. Nodular density of 17 mm diameter is observed in the anteroinferior part of the spleen. There are changes secondary to sternotomy. Degenerative changes are observed in the bone structure. In the lateral part of the 7th rib on the left, two nonspecific peripheral sclerotic lesions are observed, the largest of which is 7x6 mm in size. Impression:  No finding compatible with pneumonia was detected.  Mild sequelae changes were observed in both lungs.  Atherosclerotic changes, slight increase in calibration of vascular structures in the mediastinum.  Hepatosteatosis.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_416/valid_416_b/valid_416_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. There is one calcified lymph node located in the subcarinal region. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Slight diffuse diameter increase is observed in the thoracic aorta. The AP diameter at its widest point was 34 mm. No pathological increase in diameter was observed in the esophagus. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Pleuroparenchymal linear linear density increases and calcification foci in both upper lobe apical segments of both lungs favor the sequelae of previous TB infection. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, there is a 22 mm diameter nodular lesion compatible with an adenoma containing a punctate calcification focus in the left adrenal gland (-10 HU). In the upper abdomen sections, a 21 mm diameter cortical cyst was observed in the left kidney. No lytic-destructive lesions were detected in bone structures. Impression: Findings favoring the sequelae of previous TB infection, active pneumonic infiltration was not detected. There is a slight increase in diameter in the thoracic aorta.  Left adrenal ademoma, cortical millimetric cyst in left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_417/valid_417_a/valid_417_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_976",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. There is one calcified lymph node located in the subcarinal region. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Slight diffuse diameter increase is observed in the thoracic aorta. The AP diameter at its widest point was 34 mm. No pathological increase in diameter was observed in the esophagus. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Pleuroparenchymal linear linear density increases and calcification foci in both upper lobe apical segments of both lungs favor the sequelae of previous TB infection. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, there is a 22 mm diameter nodular lesion compatible with an adenoma containing a punctate calcification focus in the left adrenal gland (-10 HU). In the upper abdomen sections, a 21 mm diameter cortical cyst was observed in the left kidney. No lytic-destructive lesions were detected in bone structures. Impression: Findings favoring the sequelae of previous TB infection, active pneumonic infiltration was not detected. There is a slight increase in diameter in the thoracic aorta.  Left adrenal ademoma, cortical millimetric cyst in left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_417/valid_417_a/valid_417_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_977",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. There is one calcified lymph node located in the subcarinal region. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Slight diffuse diameter increase is observed in the thoracic aorta. The AP diameter at its widest point was 34 mm. No pathological increase in diameter was observed in the esophagus. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Pleuroparenchymal linear linear density increases and calcification foci in both upper lobe apical segments of both lungs favor the sequelae of previous TB infection. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, there is a 22 mm diameter nodular lesion compatible with an adenoma containing a punctate calcification focus in the left adrenal gland (-10 HU). In the upper abdomen sections, a 21 mm diameter cortical cyst was observed in the left kidney. No lytic-destructive lesions were detected in bone structures. Impression: Findings favoring the sequelae of previous TB infection, active pneumonic infiltration was not detected. There is a slight increase in diameter in the thoracic aorta.  Left adrenal ademoma, cortical millimetric cyst in left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_417/valid_417_a/valid_417_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. There is one calcified lymph node located in the subcarinal region. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Slight diffuse diameter increase is observed in the thoracic aorta. The AP diameter at its widest point was 34 mm. No pathological increase in diameter was observed in the esophagus. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Pleuroparenchymal linear linear density increases and calcification foci in both upper lobe apical segments of both lungs favor the sequelae of previous TB infection. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, there is a 22 mm diameter nodular lesion compatible with an adenoma containing a punctate calcification focus in the left adrenal gland (-10 HU). In the upper abdomen sections, a 21 mm diameter cortical cyst was observed in the left kidney. No lytic-destructive lesions were detected in bone structures. Impression: Findings favoring the sequelae of previous TB infection, active pneumonic infiltration was not detected. There is a slight increase in diameter in the thoracic aorta.  Left adrenal ademoma, cortical millimetric cyst in left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_417/valid_417_a/valid_417_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_979",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. There is one calcified lymph node located in the subcarinal region. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Slight diffuse diameter increase is observed in the thoracic aorta. The AP diameter at its widest point was 34 mm. No pathological increase in diameter was observed in the esophagus. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Pleuroparenchymal linear linear density increases and calcification foci in both upper lobe apical segments of both lungs favor the sequelae of previous TB infection. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, there is a 22 mm diameter nodular lesion compatible with an adenoma containing a punctate calcification focus in the left adrenal gland (-10 HU). In the upper abdomen sections, a 21 mm diameter cortical cyst was observed in the left kidney. No lytic-destructive lesions were detected in bone structures. Impression: Findings favoring the sequelae of previous TB infection, active pneumonic infiltration was not detected. There is a slight increase in diameter in the thoracic aorta.  Left adrenal ademoma, cortical millimetric cyst in left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_417/valid_417_a/valid_417_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No pathological increase in wall thickness was observed in the thoracic esophagus. Trachea, both main bronchi are open and no occlusive pathology is detected. Calibration of mediastinal vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. In the mediastinum, no lymph node was observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There are atelectasis sequelae in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment. Tubulovaricoid bronchiectasis were observed in the lower lobe of the left lung. There are diffuse peribronchial thickness increase and subsegmental atelectasis accompanying locally secretory bronchi. Peribronchial thickness increases in the right lung lower lobe laterobasal, anterobasal, and posterobasal segments were accompanied by an increase in density in the peribronchial area with an indistinctly limited ground glass density (viral pneumonia?). No mass was detected in both lungs. A few nodules, which were also observed in the previous CT examination, were observed in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). Pleural effusion-thickening was not detected. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. There are degenerative changes. Impression:  Tubulovaricoid bronchiectasis in the lower lobe of the left lung, subsegmental atelectasis accompanied by bronchi filled with secretions, increased peribronchial thickness  Areas of increase in density of ground glass density in the peribronchial area with indistinct borders, accompanied by increases in peribronchial thickness in the anterobasal, laterobasal and posterobasal segment of the lower lobe of the right lung; suggestive of bronchopneumonic infiltration.  Stable nodules in millimeters in both lungs, which were observed in the previous CT examination  Mosaic attenuation pattern in both lungs  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_418/valid_418_a/valid_418_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No pathological increase in wall thickness was observed in the thoracic esophagus. Trachea, both main bronchi are open and no occlusive pathology is detected. Calibration of mediastinal vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. In the mediastinum, no lymph node was observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There are atelectasis sequelae in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment. Tubulovaricoid bronchiectasis were observed in the lower lobe of the left lung. There are diffuse peribronchial thickness increase and subsegmental atelectasis accompanying locally secretory bronchi. Peribronchial thickness increases in the right lung lower lobe laterobasal, anterobasal, and posterobasal segments were accompanied by an increase in density in the peribronchial area with an indistinctly limited ground glass density (viral pneumonia?). No mass was detected in both lungs. A few nodules, which were also observed in the previous CT examination, were observed in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). Pleural effusion-thickening was not detected. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. There are degenerative changes. Impression:  Tubulovaricoid bronchiectasis in the lower lobe of the left lung, subsegmental atelectasis accompanied by bronchi filled with secretions, increased peribronchial thickness  Areas of increase in density of ground glass density in the peribronchial area with indistinct borders, accompanied by increases in peribronchial thickness in the anterobasal, laterobasal and posterobasal segment of the lower lobe of the right lung; suggestive of bronchopneumonic infiltration.  Stable nodules in millimeters in both lungs, which were observed in the previous CT examination  Mosaic attenuation pattern in both lungs  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_418/valid_418_a/valid_418_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Sliding type hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There is a millimetric stone in the middle part of the right kidney. There is hypertrophy in the left lobe of the liver and irregularity in the contours of the liver. It is recommended that the patient be evaluated for chronic liver parenchymal disease. Thoracic vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Findings consistent with chronic liver parenchymal disease  Minimal emphysematous changes in both lungs  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_419/valid_419_a/valid_419_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Sliding type hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There is a millimetric stone in the middle part of the right kidney. There is hypertrophy in the left lobe of the liver and irregularity in the contours of the liver. It is recommended that the patient be evaluated for chronic liver parenchymal disease. Thoracic vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Findings consistent with chronic liver parenchymal disease  Minimal emphysematous changes in both lungs  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_419/valid_419_a/valid_419_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. In the mediastinum, no lymph node in pathological size and appearance was observed in the left hilar region. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; There is diffuse mild ectasia in the bronchial structures of both lungs, which is evident in the center. Diffuse peribronchial thickness increase was observed in the left lung upper lobe, inferior lingular segment and lower lobe. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Diffuse mild ectasia in the central bronchial structures of both lungs and diffuse peribronchial thickness increase in the left lung upper tube, inferior lingular segment and lower lobe.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Locally sequela parenchymal changes in both lungs and millimetric nonspecific nodules, some of which are pure calcified."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_420/valid_420_a/valid_420_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. In the mediastinum, no lymph node in pathological size and appearance was observed in the left hilar region. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; There is diffuse mild ectasia in the bronchial structures of both lungs, which is evident in the center. Diffuse peribronchial thickness increase was observed in the left lung upper lobe, inferior lingular segment and lower lobe. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Diffuse mild ectasia in the central bronchial structures of both lungs and diffuse peribronchial thickness increase in the left lung upper tube, inferior lingular segment and lower lobe.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Locally sequela parenchymal changes in both lungs and millimetric nonspecific nodules, some of which are pure calcified."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_420/valid_420_a/valid_420_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_986",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A millimetric calcific nodule was observed in the apicoposterior segment of the left lung upper lobe. A nonspecific subpleural millimetric nodule was observed in the middle lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric nonspecific parenchymal nodule in the apicoposterior segment of the upper lobe of the left lung. Millimetric nonspecific parenchymal nodule in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_421/valid_421_a/valid_421_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_987",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A millimetric calcific nodule was observed in the apicoposterior segment of the left lung upper lobe. A nonspecific subpleural millimetric nodule was observed in the middle lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric nonspecific parenchymal nodule in the apicoposterior segment of the upper lobe of the left lung. Millimetric nonspecific parenchymal nodule in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_421/valid_421_a/valid_421_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_988",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_422/valid_422_a/valid_422_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_422/valid_422_a/valid_422_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. As far as evaluable: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Significant calcific plaque formations are observed in the ascending aorta, the aortic arch, and the walls of the descending aorta and coronary artery. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pleural effusion reaching 3.5 cm in its deepest part is observed in the right hemithorax, and atelectatic areas are observed in the right lung lower lobe posterobasal segment adjacent to the effusion. Pleural effusion reaching 18 mm in the deepest part of the left hemithorax and compression atelectasis in the lung parenchyma adjacent to the effusion are observed. When examined in the lung parenchyma window; There is diffuse mosaic perfusion in both lungs. In the upper lobe of the right lung, bronchiectasis in the posterior of the apical segment, and linearly atelectasis areas adjacent to the bronchiectasis, accompanied by minimal ground glass density are observed. In the upper abdominal organs included in the study area; liver, spleen and pancreas are normal. The gallbladder wall is observed as purcalcific (porcelain gallbladder?). In both adrenal glands, lesions with 1 and a half cm diameter compatible with adenomas are observed in the body part with areas of fat density. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the bone is examined in the window; No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax. Impression: Pleural effusion, more prominent on the right in the bilateral hemithorax, and compression atelectasis in the lower lobe posterobasal segments, especially in the vicinity of pleural effusions. perfusion (small vessel disease? small airway disease?) . Significant atherosclerotic changes in the walls of the coronary artery in the wall of the descending aorta in the aortic arch . Porcelain gallbladder . Lesions compatible with adenoma in both adrenal glands"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_423/valid_423_a/valid_423_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_991",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. As far as evaluable: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Significant calcific plaque formations are observed in the ascending aorta, the aortic arch, and the walls of the descending aorta and coronary artery. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pleural effusion reaching 3.5 cm in its deepest part is observed in the right hemithorax, and atelectatic areas are observed in the right lung lower lobe posterobasal segment adjacent to the effusion. Pleural effusion reaching 18 mm in the deepest part of the left hemithorax and compression atelectasis in the lung parenchyma adjacent to the effusion are observed. When examined in the lung parenchyma window; There is diffuse mosaic perfusion in both lungs. In the upper lobe of the right lung, bronchiectasis in the posterior of the apical segment, and linearly atelectasis areas adjacent to the bronchiectasis, accompanied by minimal ground glass density are observed. In the upper abdominal organs included in the study area; liver, spleen and pancreas are normal. The gallbladder wall is observed as purcalcific (porcelain gallbladder?). In both adrenal glands, lesions with 1 and a half cm diameter compatible with adenomas are observed in the body part with areas of fat density. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the bone is examined in the window; No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax. Impression: Pleural effusion, more prominent on the right in the bilateral hemithorax, and compression atelectasis in the lower lobe posterobasal segments, especially in the vicinity of pleural effusions. perfusion (small vessel disease? small airway disease?) . Significant atherosclerotic changes in the walls of the coronary artery in the wall of the descending aorta in the aortic arch . Porcelain gallbladder . Lesions compatible with adenoma in both adrenal glands"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_423/valid_423_a/valid_423_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_992",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Stent material placed in RCA was observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A sliding type hiatal hernia was observed at the lower end of the esophagus. No lymph nodes were detected in prevascular, retroparatracheal, subcarinal, bilateral hilar and pathological dimensions and appearance. When the lung parenchyma was examined in the window, free pleural effusion measuring 8 mm in the widest part on the right and 5 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. There are bronchiectatic changes in the posterior upper lobe of the right lung. Focal ground-glass-like density increases were observed in the lingular segment in the apicoposterior of the left lung upper lobe and in the lower lobes of both lungs. Appearance is nonspecific. Clinical laboratory correlation is recommended for viral pneumonias. In the upper abdominal sections entering the examination area; diffuse thickening of the gallbladder wall (porcelain gallbladder?). In the bilateral adrenal gland, nodular lesions were observed in the corpus with a HU value of -5 on the left and 0 on the right, which was evaluated in favor of adenoma in the first plan. Bilateral renal cysts were observed. Degenerative changes were observed in bone structures. Left-facing scoliosis was observed in the thoracic vertebra. Impression:  Diffuse calcified atherosclerotic changes in the thoracic aorta and coronary artery wall, sliding type hiatal hernia.  Bilateral free pleural effusion and atelectatic changes that decrease from previous examination.  Peribronchial thickenings in both lungs.  Bilateral focal ground glass density increases. It is evident from previous review. Clinical and laboratory correlations are recommended for viral pneumonias.  Porcelain gallbladder?.  Adenoma in both adrenal glands?.  Bilateral renal hypodense lesions (cyst?).  Degenerative changes in bone structure and left-facing scoliosis in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_423/valid_423_b/valid_423_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_993",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Stent material placed in RCA was observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A sliding type hiatal hernia was observed at the lower end of the esophagus. No lymph nodes were detected in prevascular, retroparatracheal, subcarinal, bilateral hilar and pathological dimensions and appearance. When the lung parenchyma was examined in the window, free pleural effusion measuring 8 mm in the widest part on the right and 5 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. There are bronchiectatic changes in the posterior upper lobe of the right lung. Focal ground-glass-like density increases were observed in the lingular segment in the apicoposterior of the left lung upper lobe and in the lower lobes of both lungs. Appearance is nonspecific. Clinical laboratory correlation is recommended for viral pneumonias. In the upper abdominal sections entering the examination area; diffuse thickening of the gallbladder wall (porcelain gallbladder?). In the bilateral adrenal gland, nodular lesions were observed in the corpus with a HU value of -5 on the left and 0 on the right, which was evaluated in favor of adenoma in the first plan. Bilateral renal cysts were observed. Degenerative changes were observed in bone structures. Left-facing scoliosis was observed in the thoracic vertebra. Impression:  Diffuse calcified atherosclerotic changes in the thoracic aorta and coronary artery wall, sliding type hiatal hernia.  Bilateral free pleural effusion and atelectatic changes that decrease from previous examination.  Peribronchial thickenings in both lungs.  Bilateral focal ground glass density increases. It is evident from previous review. Clinical and laboratory correlations are recommended for viral pneumonias.  Porcelain gallbladder?.  Adenoma in both adrenal glands?.  Bilateral renal hypodense lesions (cyst?).  Degenerative changes in bone structure and left-facing scoliosis in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_423/valid_423_b/valid_423_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_994",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Widespread calcific atheroma plaques are observed in the coronary arteries. Calibration of other mediastinal major vascular structures is normal. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass densities and focal consolidation areas showing merging tendencies are observed, especially in the lower lobes of both lungs. Peribronchial thickness increases are present. The appearances were evaluated in favor of pneumonia. In the differential diagnosis, primarily Covid-19 pneumonia was considered. Bilateral pleural effusion is observed, reaching a thickness of approximately 2 cm on the right and approximately 0.5 cm on the left. Upper abdominal organs included in the sections are normal. Simple cysts in both kidneys and gallstones in the gallbladder are observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Consolidation and ground glass densities evaluated primarily in favor of Covid-19.  Calcific plaques in the aorta and coronary arteries.  More pronounced pleural effusion on the right bilateral side."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_423/valid_423_c/valid_423_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_995",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Widespread calcific atheroma plaques are observed in the coronary arteries. Calibration of other mediastinal major vascular structures is normal. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass densities and focal consolidation areas showing merging tendencies are observed, especially in the lower lobes of both lungs. Peribronchial thickness increases are present. The appearances were evaluated in favor of pneumonia. In the differential diagnosis, primarily Covid-19 pneumonia was considered. Bilateral pleural effusion is observed, reaching a thickness of approximately 2 cm on the right and approximately 0.5 cm on the left. Upper abdominal organs included in the sections are normal. Simple cysts in both kidneys and gallstones in the gallbladder are observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Consolidation and ground glass densities evaluated primarily in favor of Covid-19.  Calcific plaques in the aorta and coronary arteries.  More pronounced pleural effusion on the right bilateral side."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_423/valid_423_c/valid_423_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_996",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Thin band atelectasis is observed on the subdiaphragmatic faces in the lower lobes of both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thin band atelectasis in the lower lobes of the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_424/valid_424_a/valid_424_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_997",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Thin band atelectasis is observed on the subdiaphragmatic faces in the lower lobes of both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thin band atelectasis in the lower lobes of the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_424/valid_424_a/valid_424_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_998",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Widespread millimetric nodular calcifications consistent with tracheobronchopathic osteochondroplastica were observed in the walls of the trachea, both main bronchi and segmental bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 39 mm, and the anterior-posterior diameter of the descending aorta is 29 mm, which is larger than normal. The diameter of the pulmonary trunk was 35 mm and wider than normal (Pulmonary hypertension?). Heart size increased. Pericardial effusion-thickening was not observed. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches, coronary arteries, abdominal aorta and visceral branches. Suture materials secondary to surgery were observed in the aortic valve. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both hemithorax, effusion was observed extending from the apex to the basals and both major fissures, reaching 8.8 in the widest part on the right and 4 cm in the widest part on the left. Atelectatic changes were observed in the basal segments of the lower lobe adjacent to the effusion. Dependent nonspecific ground glass densities were observed in both lungs (pulmonary overload findings secondary to heart failure). Focal patchy ground glass densities were observed in the upper lobe of the right lung, and the appearance is nonspecific. Less likely, viral pneumonias were considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Atelectasis changes that cause volume loss and structural distortion were observed in both lungs. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Contour, size, parenchymal density of the liver are normal. No space-occupying solid or cystic mass lesion was detected. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts, gallbladder are normal. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct. Contour, size, localization, parenchymal thickness, parenchymal staining, pelvicalyceal structures of both kidneys are normal. No renal solid or cystic mass was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The contour, capacity and wall thickness of the bladder are natural. Paravesical fat planes are preserved. Diffuse arcuate artery calcifications are observed in the subserosal areas of the uterus. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Diffuse calcified atheroma plaques were observed in the abdominal aorta and iliac arteries. In the examination performed without oral contrast, no significant tumoral wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. Diastasis recti is observed, and the muscles of the anterior abdominal wall have a distinctly atrophic appearance. There is protrusion of the transverse colon and ileal loops to the anterior abdominal wall. Thoracic kyphosis is increased. Degenerative changes were observed in the bone structures entering the section area. Subchondral sclerosis and degenerative cysts were observed on the iliac surfaces adjacent to the bilateral sacroiliac joint. Findings are consistent with osteoarthritic changes. Impression: Appearance compatible with tracheobronchopathia osteochondroplastica in the walls of the trachea, both main bronchi and segmental bronchi. Ectastic appearance in the ascending and descending aorta, cardiomegaly, aortic valve replacement.  Diffuse calcified atheromatous plaques in the thoracic aorta, its supraaortic branches, abdominal aorta and visceral branches, coronary arteries. Hiatal hernia.  Bilateral pleural effusion, atelectatic changes in lung areas adjacent to the effusion. Dependent nonspecific ground-glass densities in both lungs were evaluated in favor of pulmonary overload findings secondary to cardiac pathologies.  Focal patchy ground-glass areas in the upper lobe of the right lung; the appearance is nonspecific. Less likely, viral pneumonias were considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Linear-fibroatelectasis sequelae in both lungs causing volume loss and structural distortion.  Diastasis recti, protrusion of the transverse colon and ileal loops to the anterior abdominal wall. Osteoarthritic changes in the vertebral column and bilateral sacroiliac joint."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_425/valid_425_a/valid_425_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Widespread millimetric nodular calcifications consistent with tracheobronchopathic osteochondroplastica were observed in the walls of the trachea, both main bronchi and segmental bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 39 mm, and the anterior-posterior diameter of the descending aorta is 29 mm, which is larger than normal. The diameter of the pulmonary trunk was 35 mm and wider than normal (Pulmonary hypertension?). Heart size increased. Pericardial effusion-thickening was not observed. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches, coronary arteries, abdominal aorta and visceral branches. Suture materials secondary to surgery were observed in the aortic valve. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both hemithorax, effusion was observed extending from the apex to the basals and both major fissures, reaching 8.8 in the widest part on the right and 4 cm in the widest part on the left. Atelectatic changes were observed in the basal segments of the lower lobe adjacent to the effusion. Dependent nonspecific ground glass densities were observed in both lungs (pulmonary overload findings secondary to heart failure). Focal patchy ground glass densities were observed in the upper lobe of the right lung, and the appearance is nonspecific. Less likely, viral pneumonias were considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Atelectasis changes that cause volume loss and structural distortion were observed in both lungs. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Contour, size, parenchymal density of the liver are normal. No space-occupying solid or cystic mass lesion was detected. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts, gallbladder are normal. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct. Contour, size, localization, parenchymal thickness, parenchymal staining, pelvicalyceal structures of both kidneys are normal. No renal solid or cystic mass was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The contour, capacity and wall thickness of the bladder are natural. Paravesical fat planes are preserved. Diffuse arcuate artery calcifications are observed in the subserosal areas of the uterus. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Diffuse calcified atheroma plaques were observed in the abdominal aorta and iliac arteries. In the examination performed without oral contrast, no significant tumoral wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. Diastasis recti is observed, and the muscles of the anterior abdominal wall have a distinctly atrophic appearance. There is protrusion of the transverse colon and ileal loops to the anterior abdominal wall. Thoracic kyphosis is increased. Degenerative changes were observed in the bone structures entering the section area. Subchondral sclerosis and degenerative cysts were observed on the iliac surfaces adjacent to the bilateral sacroiliac joint. Findings are consistent with osteoarthritic changes. Impression: Appearance compatible with tracheobronchopathia osteochondroplastica in the walls of the trachea, both main bronchi and segmental bronchi. Ectastic appearance in the ascending and descending aorta, cardiomegaly, aortic valve replacement.  Diffuse calcified atheromatous plaques in the thoracic aorta, its supraaortic branches, abdominal aorta and visceral branches, coronary arteries. Hiatal hernia.  Bilateral pleural effusion, atelectatic changes in lung areas adjacent to the effusion. Dependent nonspecific ground-glass densities in both lungs were evaluated in favor of pulmonary overload findings secondary to cardiac pathologies.  Focal patchy ground-glass areas in the upper lobe of the right lung; the appearance is nonspecific. Less likely, viral pneumonias were considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Linear-fibroatelectasis sequelae in both lungs causing volume loss and structural distortion.  Diastasis recti, protrusion of the transverse colon and ileal loops to the anterior abdominal wall. Osteoarthritic changes in the vertebral column and bilateral sacroiliac joint."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_425/valid_425_a/valid_425_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Changes in favor of steatosis are observed in the liver parenchyma. No lytic-destructive lesion was detected in bone structures. Impression: Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_426/valid_426_a/valid_426_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1001",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Changes in favor of steatosis are observed in the liver parenchyma. No lytic-destructive lesion was detected in bone structures. Impression: Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_426/valid_426_a/valid_426_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 37 mm, above normal. Calibration of other mediastinal vascular structures is normal. Calcific atheroma plaques were observed in the thoracic aorta. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Pleuroparenchymal fibroatelectasis sequelae were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Focal ground-glass density was observed in the paramediastinal area in the mediobasal segment of the lower lobe of the right lung, and it was evaluated in favor of sequelae changes in the first plan. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. Nodular thickening was observed in the left adrenal gland corpus. Calcific atheroma plaques were observed in the abdominal aorta. Osteodegenerative changes were observed in the bone structures in the study area. Impression:  Fusiform ectasia in the thoracic aorta, calcific atheromatous plaques in the thoracic aorta, cardiomegaly  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)  Sequelae atelectatic changes in both lungs  Nodular thickening in the left adrenal gland corpus  Osteodegenerative bone structures Changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_427/valid_427_a/valid_427_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1003",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 37 mm, above normal. Calibration of other mediastinal vascular structures is normal. Calcific atheroma plaques were observed in the thoracic aorta. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Pleuroparenchymal fibroatelectasis sequelae were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Focal ground-glass density was observed in the paramediastinal area in the mediobasal segment of the lower lobe of the right lung, and it was evaluated in favor of sequelae changes in the first plan. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. Nodular thickening was observed in the left adrenal gland corpus. Calcific atheroma plaques were observed in the abdominal aorta. Osteodegenerative changes were observed in the bone structures in the study area. Impression:  Fusiform ectasia in the thoracic aorta, calcific atheromatous plaques in the thoracic aorta, cardiomegaly  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)  Sequelae atelectatic changes in both lungs  Nodular thickening in the left adrenal gland corpus  Osteodegenerative bone structures Changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_427/valid_427_a/valid_427_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1004",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in both lungs, especially in the central parts. There is a linear increase in density evaluated in favor of minimal pleuroparenchymal sequelae change in the right lung apex. There are also linear atelectasis in the left lung upper lobe lingular segment and right lung middle lobe. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left descending coronary artery. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There are no pathologically enlarged lymph nodes. No pathological wall thickness increase was observed in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal bronchiectasis and minimal peribronchial thickening in both lungs, especially in the central parts. Minimal emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_428/valid_428_a/valid_428_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in both lungs, especially in the central parts. There is a linear increase in density evaluated in favor of minimal pleuroparenchymal sequelae change in the right lung apex. There are also linear atelectasis in the left lung upper lobe lingular segment and right lung middle lobe. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left descending coronary artery. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There are no pathologically enlarged lymph nodes. No pathological wall thickness increase was observed in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal bronchiectasis and minimal peribronchial thickening in both lungs, especially in the central parts. Minimal emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_428/valid_428_a/valid_428_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the arcus aorta. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung upper lobe superior lingula, right lung lower lobe posterior, there are mild patchy ground glass densities that can hardly be distinguished from the parenchyma. Findings, clinical laboratory correlation and close follow-up are recommended in terms of early infectious process (Covid-19 viral pneumonia?). Pleural effusion-thickening was not detected. There are mild fibrotic sequelae changes, bronchiectasis, at the apical levels of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There are mild hypertrophic osteophytic taperings in the vertebral corpus endplates. Impression:  Suspicious findings described in the lung parenchyma were initially evaluated in favor of the onset of the infectious process. Close follow-up is recommended for the differential diagnosis of Covid-19 viral pneumonia.  Mild fibrotic sequelae changes, bronchiectasis, are present at the apical levels of both lungs.  Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_429/valid_429_a/valid_429_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the arcus aorta. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung upper lobe superior lingula, right lung lower lobe posterior, there are mild patchy ground glass densities that can hardly be distinguished from the parenchyma. Findings, clinical laboratory correlation and close follow-up are recommended in terms of early infectious process (Covid-19 viral pneumonia?). Pleural effusion-thickening was not detected. There are mild fibrotic sequelae changes, bronchiectasis, at the apical levels of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There are mild hypertrophic osteophytic taperings in the vertebral corpus endplates. Impression:  Suspicious findings described in the lung parenchyma were initially evaluated in favor of the onset of the infectious process. Close follow-up is recommended for the differential diagnosis of Covid-19 viral pneumonia.  Mild fibrotic sequelae changes, bronchiectasis, are present at the apical levels of both lungs.  Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_429/valid_429_a/valid_429_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1008",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Minimal pleural effusion was observed in both hemithorax. Multilobar-multisegmental vascular enlargement in both lungs, more diffuse central-peripheral vascular enlargement in the upper lobes and patchy ground glass consolidations with crazy paving pattern are observed, and the oulp appearance is consistent with Covid-19 pneumonia. Pleuroparenchymal fibroatelectasis sequelae changes were observed at the apical levels of both lungs. Some calcific millimetric nonspecific pulmonary nodules were observed in both lungs. Paraseptal emphysematous changes were observed in both apexes. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. In the vertebra corpus end plateau, degenerative osteophytic taperings were observed at the corners. Impression:  Fusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries  Bilateral smearing pleural effusion and findings consistent with Covid-19 pneumonia in the lung parenchyma  Millimetric nonspecific pulmonary nodules in both lungs, reticuloseptic increase in apex, reticulonoidal fibromatous ammoniacal changes  Mild spondylosis at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_429/valid_429_b/valid_429_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Minimal pleural effusion was observed in both hemithorax. Multilobar-multisegmental vascular enlargement in both lungs, more diffuse central-peripheral vascular enlargement in the upper lobes and patchy ground glass consolidations with crazy paving pattern are observed, and the oulp appearance is consistent with Covid-19 pneumonia. Pleuroparenchymal fibroatelectasis sequelae changes were observed at the apical levels of both lungs. Some calcific millimetric nonspecific pulmonary nodules were observed in both lungs. Paraseptal emphysematous changes were observed in both apexes. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. In the vertebra corpus end plateau, degenerative osteophytic taperings were observed at the corners. Impression:  Fusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries  Bilateral smearing pleural effusion and findings consistent with Covid-19 pneumonia in the lung parenchyma  Millimetric nonspecific pulmonary nodules in both lungs, reticuloseptic increase in apex, reticulonoidal fibromatous ammoniacal changes  Mild spondylosis at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_429/valid_429_b/valid_429_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1010",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: There are lymph nodes that cannot be characterized in this examination, measuring 9 mm in the short axis of the largest in the right supraclavicular fossa, 14 mm in the short axis of the largest in level 1 localization in the right axilla, and 13 mm in the short axis of the largest in level 1 localization in the left axilla. There are several nodular lesions (lymph nodule?), the largest of which measures 9 mm in the short axis of the subcutaneous adipose tissue posterior to the right scapula. Nonspecific lymph nodes were observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In the upper abdominal sections, a focal calculi image with a diameter of 3 mm is observed on the posterior wall of the gallbladder. In parenchymal evaluation, bronchial wall thickness increases are observed in segment bronchi. No area of pneumonic infiltration or consolidation was observed. No suspicious nodular or mass-occupying lesion was detected. There is one low-density millimetric nonspecific nodule located subpleural in the superior segment of the left lung lower lobe. Density of parenchymal atelectasis areas caused by osteophytes is observed in the vertebral corpus corners in the lower lobe of the right lung. No lytic-destructive lesions were detected in bone structures. Impression: No pneumonic consolidation or infiltration area was detected in the lung parenchyma.  Subpleural millimetric non-specific solitary nodule in the lower lobe of the left lung . Cholelithiasis . Lymph nodes under the skin at the level of the right scapula in both axilla and right supraclavicular fossa, which cannot be characterized by this examination. Increased bronchial wall thickness in segmental bronchi."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_430/valid_430_a/valid_430_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1011",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There are lymph nodes that cannot be characterized in this examination, measuring 9 mm in the short axis of the largest in the right supraclavicular fossa, 14 mm in the short axis of the largest in level 1 localization in the right axilla, and 13 mm in the short axis of the largest in level 1 localization in the left axilla. There are several nodular lesions (lymph nodule?), the largest of which measures 9 mm in the short axis of the subcutaneous adipose tissue posterior to the right scapula. Nonspecific lymph nodes were observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In the upper abdominal sections, a focal calculi image with a diameter of 3 mm is observed on the posterior wall of the gallbladder. In parenchymal evaluation, bronchial wall thickness increases are observed in segment bronchi. No area of pneumonic infiltration or consolidation was observed. No suspicious nodular or mass-occupying lesion was detected. There is one low-density millimetric nonspecific nodule located subpleural in the superior segment of the left lung lower lobe. Density of parenchymal atelectasis areas caused by osteophytes is observed in the vertebral corpus corners in the lower lobe of the right lung. No lytic-destructive lesions were detected in bone structures. Impression: No pneumonic consolidation or infiltration area was detected in the lung parenchyma.  Subpleural millimetric non-specific solitary nodule in the lower lobe of the left lung . Cholelithiasis . Lymph nodes under the skin at the level of the right scapula in both axilla and right supraclavicular fossa, which cannot be characterized by this examination. Increased bronchial wall thickness in segmental bronchi."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_430/valid_430_a/valid_430_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1012",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are several nodules of nonspecific millimetric size in both lungs. In the sections passing through the upper part of the abdomen, there is a 2.5 mm stone in the lower pole of the right kidney. No lytic or destructive lesions were detected in bone structures. Impression: A few nodules of nonspecific millimetric size in both lungs, right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_431/valid_431_a/valid_431_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1013",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Bronchiectasis, thickening of the bronchial wall, peribronchial millimetric consolidations and reticulonodular infiltrates in the form of ground glass in places are observed in the right lung prta lobe medial, left lung lower lobe anterior and lower lobe posterobasal segments. Thickening is observed in the upper parts of the major fissure in the left lung. Millimetric nonspecific nodules were observed in bilateral lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Bronchiectasis in bilateral lungs  Bronchial wall thickening, peribronchial reticulonodular densities and ground-glass densities (considered compatible with acute bronchitis or bronchiolitis)  Millimetric nonspecific nodules in bilateral lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_432/valid_432_a/valid_432_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1014",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Bronchiectasis, thickening of the bronchial wall, peribronchial millimetric consolidations and reticulonodular infiltrates in the form of ground glass in places are observed in the right lung prta lobe medial, left lung lower lobe anterior and lower lobe posterobasal segments. Thickening is observed in the upper parts of the major fissure in the left lung. Millimetric nonspecific nodules were observed in bilateral lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Bronchiectasis in bilateral lungs  Bronchial wall thickening, peribronchial reticulonodular densities and ground-glass densities (considered compatible with acute bronchitis or bronchiolitis)  Millimetric nonspecific nodules in bilateral lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_432/valid_432_a/valid_432_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1015",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Minimal calcified atherosclerotic changes were observed in the thoracic aorta. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; No mass or infiltration was detected in both lungs. Calcified pleural plaques were observed in the right hemithorax. Bilateral peribronchial thickenings were observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure. Impression:  Locally calcified pleural plaques in the right lung.  Mild atherosclerotic changes.  Bilateral peribronchial thickenings.  Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_433/valid_433_a/valid_433_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Minimal calcified atherosclerotic changes were observed in the thoracic aorta. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; No mass or infiltration was detected in both lungs. Calcified pleural plaques were observed in the right hemithorax. Bilateral peribronchial thickenings were observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure. Impression:  Locally calcified pleural plaques in the right lung.  Mild atherosclerotic changes.  Bilateral peribronchial thickenings.  Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_433/valid_433_a/valid_433_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1017",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_434/valid_434_a/valid_434_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures have not been evaluated optimally due to the absence of IV contrast in cardiac examination, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. No pericardial or pleural effusion was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In both lungs, multilobar, peripheral, subpleural, dorsal-located millimeter-sized ground glass and density increases compatible with consolidation are observed, and viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No mass lesions were detected in both lungs. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdomen sections within the image. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_435/valid_435_a/valid_435_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1019",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures have not been evaluated optimally due to the absence of IV contrast in cardiac examination, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. No pericardial or pleural effusion was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In both lungs, multilobar, peripheral, subpleural, dorsal-located millimeter-sized ground glass and density increases compatible with consolidation are observed, and viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No mass lesions were detected in both lungs. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdomen sections within the image. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_435/valid_435_a/valid_435_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: The heart is minimally larger than normal. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are findings evaluated in favor of linear atelectasis and pleuroparenchymal sequelae changes in the right lung middle lobe, left lung upper lobe lingular segment and both lung lower lobes. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in both lungs. There was no evidence of mass or pneumonic infiltration in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fracture or lytic-destructive lesion was observed in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Minimal emphysematous changes in both lungs.  Atelectasis and sequelae changes in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_436/valid_436_a/valid_436_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1021",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: The heart is minimally larger than normal. The widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are findings evaluated in favor of linear atelectasis and pleuroparenchymal sequelae changes in the right lung middle lobe, left lung upper lobe lingular segment and both lung lower lobes. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in both lungs. There was no evidence of mass or pneumonic infiltration in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fracture or lytic-destructive lesion was observed in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Minimal emphysematous changes in both lungs.  Atelectasis and sequelae changes in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_436/valid_436_a/valid_436_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pumonary trunk caliber is 35 mm wider than normal. Right and left pulmonary artery calibration is normal. The aortic arch is 33 mm. Other mediastinal main vascular structures are within normal limits. Multiple and superposed lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window at the prevascular level and in the subcarinal area. The exact dimensions are not given. However, the largest was measured as 30x23 mm in the upper paratracheal area, possibly superposed on each other. No lymph node with pathological size and configuration was detected at the hilar level. Millimetric-sized multiple lymph nodes are observed at both axillary levels. When examined in the lung parenchyma window; At the apical level, density increases compatible with dense pleuroparenchymal sequelae are observed on both sides. There is also diffuse emphysema in both lungs. Bullet-blep formations are observed at the apical level. In both lungs, there are widespread densities in the upper zone of the reticillonodular sequelae. Sequelae changes continue on the right towards the middle lobe and cause mild cicatricial bronchiectasis at this level. In the middle-lower zones of both lungs, ground-glass-like density increases are observed in the peribronchiovascular areas, which are focal but diffuse, mostly located at the central levels of the parenchyma. It is atypical for Covid pneumonia. Other infective causes can be evaluated in the differential diagnosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Densities compatible with cholelithiasis are observed in the gallbladder. There are cortical cysts in both kidneys. Perinephric oily planes are lightly soiled. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Widespread and significant sequelae changes in the middle-upper zones of both lungs, findings consistent with emphysema. Reticonodular density increases in the middle-upper zones of both lungs, paracicatricial bronchiectasis in the right lung middle lobe. Focal but diffuse ground-glass density increases in the peribronchiovascular areas in the mid-lower zones of both lungs, mostly located at the central levels of the parenchyma, are atypical for Covid pneumonia. Other infective causes can be evaluated in the differential diagnosis.  Multiple lymphadenomegaly in the mediastinum.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_437/valid_437_a/valid_437_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1023",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pumonary trunk caliber is 35 mm wider than normal. Right and left pulmonary artery calibration is normal. The aortic arch is 33 mm. Other mediastinal main vascular structures are within normal limits. Multiple and superposed lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window at the prevascular level and in the subcarinal area. The exact dimensions are not given. However, the largest was measured as 30x23 mm in the upper paratracheal area, possibly superposed on each other. No lymph node with pathological size and configuration was detected at the hilar level. Millimetric-sized multiple lymph nodes are observed at both axillary levels. When examined in the lung parenchyma window; At the apical level, density increases compatible with dense pleuroparenchymal sequelae are observed on both sides. There is also diffuse emphysema in both lungs. Bullet-blep formations are observed at the apical level. In both lungs, there are widespread densities in the upper zone of the reticillonodular sequelae. Sequelae changes continue on the right towards the middle lobe and cause mild cicatricial bronchiectasis at this level. In the middle-lower zones of both lungs, ground-glass-like density increases are observed in the peribronchiovascular areas, which are focal but diffuse, mostly located at the central levels of the parenchyma. It is atypical for Covid pneumonia. Other infective causes can be evaluated in the differential diagnosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Densities compatible with cholelithiasis are observed in the gallbladder. There are cortical cysts in both kidneys. Perinephric oily planes are lightly soiled. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Widespread and significant sequelae changes in the middle-upper zones of both lungs, findings consistent with emphysema. Reticonodular density increases in the middle-upper zones of both lungs, paracicatricial bronchiectasis in the right lung middle lobe. Focal but diffuse ground-glass density increases in the peribronchiovascular areas in the mid-lower zones of both lungs, mostly located at the central levels of the parenchyma, are atypical for Covid pneumonia. Other infective causes can be evaluated in the differential diagnosis.  Multiple lymphadenomegaly in the mediastinum.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_437/valid_437_a/valid_437_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1024",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the coronary arteries. The ascending aorta is ectatic (41 mm). Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes in both lung parenchyma, fibrotic recessions with TB sequelae, scar formations are observed more prominently in the right and upper lobes. Millimetric calcific sequela nodules are observed in the bilateral upper lobes. Slight thickening of the pleura was observed in the right lung lower lobe posterobasal. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Emphysematous changes in both lungs and changes with TB sequelae. Ectasia and coronary atherosclerosis in the ascending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_437/valid_437_b/valid_437_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the coronary arteries. The ascending aorta is ectatic (41 mm). Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes in both lung parenchyma, fibrotic recessions with TB sequelae, scar formations are observed more prominently in the right and upper lobes. Millimetric calcific sequela nodules are observed in the bilateral upper lobes. Slight thickening of the pleura was observed in the right lung lower lobe posterobasal. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Emphysematous changes in both lungs and changes with TB sequelae. Ectasia and coronary atherosclerosis in the ascending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_437/valid_437_b/valid_437_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the descending aorta was 30 mm and above normal. Mediastinal other major vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; One millimetric parenchymal air cyst was observed in the right lung upper lobe posterior and right lung middle lobe. Fibroatelectasis sequelae were observed in the left lung upper lobe inferior lingular and right lung middle lobe medial segment. Bronchiectatic changes in the central and peribronchial thickening of the segmental bronchi were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A dense nodular lesion with a diameter of 8.5 mm was observed in the middle part posterior of the left kidney (hemorrhagic cyst?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Syndesmophytes bridging each other were observed at the mid-thoracic level. Impression: Diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries. Fusiform ectasia in the descending aorta. Central bronchiectatic changes in both lungs, peribronchial thickening in segmental-subsegmentary bronchi. One millimetric parenchymal air cyst in the upper and middle lobes of the right lung.  Fibroatelectasis sequelae changes in left lung upper lobe lingular and right lung middle lobe medial segment. Nodular hypodense lesion with dense content (hemorrhagic cyst?) in left kidney.  Syndesmophytes bridging each other at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_438/valid_438_a/valid_438_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1027",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the descending aorta was 30 mm and above normal. Mediastinal other major vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; One millimetric parenchymal air cyst was observed in the right lung upper lobe posterior and right lung middle lobe. Fibroatelectasis sequelae were observed in the left lung upper lobe inferior lingular and right lung middle lobe medial segment. Bronchiectatic changes in the central and peribronchial thickening of the segmental bronchi were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A dense nodular lesion with a diameter of 8.5 mm was observed in the middle part posterior of the left kidney (hemorrhagic cyst?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Syndesmophytes bridging each other were observed at the mid-thoracic level. Impression: Diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries. Fusiform ectasia in the descending aorta. Central bronchiectatic changes in both lungs, peribronchial thickening in segmental-subsegmentary bronchi. One millimetric parenchymal air cyst in the upper and middle lobes of the right lung.  Fibroatelectasis sequelae changes in left lung upper lobe lingular and right lung middle lobe medial segment. Nodular hypodense lesion with dense content (hemorrhagic cyst?) in left kidney.  Syndesmophytes bridging each other at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_438/valid_438_a/valid_438_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1028",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and heart were evaluated as suboptimal because of the lack of contrast. As far as can be seen; Minimal calcific atherosclerotic changes are observed in the wall of the thoracic aorta. Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Crazy paving appearance is observed in the subpleural area in the medial segment of the right lung middle lobe. Consolidation areas with air bronchogram are observed in the left lung inferior lingular segment. The described appearance can be seen in the covid-19 pneumonia. However, it is not specific. Other infectious-noninfectious pathologies should be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Crazy paving appearance is observed in the subpleural area in the right lung middle lobe medial segment. Consolidation areas including air bronchogram are observed in the left lung inferior lingular segment. The described appearance can be seen in covid-19 pneumonia. However, it is not specific. Other infectious-noninfectious pathologies should be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_439/valid_439_a/valid_439_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and heart were evaluated as suboptimal because of the lack of contrast. As far as can be seen; Minimal calcific atherosclerotic changes are observed in the wall of the thoracic aorta. Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Crazy paving appearance is observed in the subpleural area in the medial segment of the right lung middle lobe. Consolidation areas with air bronchogram are observed in the left lung inferior lingular segment. The described appearance can be seen in the covid-19 pneumonia. However, it is not specific. Other infectious-noninfectious pathologies should be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Crazy paving appearance is observed in the subpleural area in the right lung middle lobe medial segment. Consolidation areas including air bronchogram are observed in the left lung inferior lingular segment. The described appearance can be seen in covid-19 pneumonia. However, it is not specific. Other infectious-noninfectious pathologies should be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_439/valid_439_a/valid_439_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. There is no lytic-destructive lesion in bone structures. Impression: No mass, nodule-infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_440/valid_440_a/valid_440_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a pectus excavatum deformity in the thorax. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal fibrotic sequelae changes in both lung apex. More prominent mild bronchiectatic enlargements are observed in the upper lobes of both lungs. There are fine linear lines in the subpleural interstitial spaces. aeration of the parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae changes in both lung apexes. Bronchiectatic enlargements in the central of both lungs.  Subpleural interstitial striations in both lungs . Pectus excavatum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_441/valid_441_a/valid_441_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a pectus excavatum deformity in the thorax. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal fibrotic sequelae changes in both lung apex. More prominent mild bronchiectatic enlargements are observed in the upper lobes of both lungs. There are fine linear lines in the subpleural interstitial spaces. aeration of the parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae changes in both lung apexes. Bronchiectatic enlargements in the central of both lungs.  Subpleural interstitial striations in both lungs . Pectus excavatum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_441/valid_441_a/valid_441_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1033",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; A few nonspecific nodules up to 4 mm in size were observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_442/valid_442_a/valid_442_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; A few nonspecific nodules up to 4 mm in size were observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_442/valid_442_a/valid_442_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. A millimetric nonspecific parenchymal nodule was observed adjacent to the minor fissure in the upper lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Spur formations bridging each other were observed at the mid-thoracic level. Impression: Hiatal hernia.  Millimetric nonspecific parenchymal nodule adjacent to a minor fissure in the upper lobe of the right lung.  Fibrotic sequelae changes in the apex of both lungs. Spur formations bridging each other at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_443/valid_443_a/valid_443_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. A millimetric nonspecific parenchymal nodule was observed adjacent to the minor fissure in the upper lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Spur formations bridging each other were observed at the mid-thoracic level. Impression: Hiatal hernia.  Millimetric nonspecific parenchymal nodule adjacent to a minor fissure in the upper lobe of the right lung.  Fibrotic sequelae changes in the apex of both lungs. Spur formations bridging each other at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_443/valid_443_a/valid_443_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1037",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_444/valid_444_a/valid_444_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1038",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_444/valid_444_a/valid_444_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1039",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Nodules of 4 mm in diameter in the right lung middle lobe and 4 and 3 mm in diameter in the lower lobe basal segment are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Several nonspecific nodules in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_445/valid_445_a/valid_445_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1040",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Nodules of 4 mm in diameter in the right lung middle lobe and 4 and 3 mm in diameter in the lower lobe basal segment are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Several nonspecific nodules in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_445/valid_445_a/valid_445_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1041",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A 3 cm diameter nodule with exophytic extension was observed in the lower pole of the left thyroid lobe. A nodular lesion with a similar character of 18 mm in diameter is observed in the posterior of this nodule. It was thought that it may belong to a thyroid nodule. There are several nonspecific lymph nodes in the right upper and lower paratrecheal mediastinum. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. In the parenchyma evaluation, bilateral asymmetrical predominantly subpleural consolidation areas in both lungs and parenchyma areas of ground glass density around the consolidation areas are compatible with atypical pneumonic infiltration and lung parenchymal involvement of Covid infection. No features were detected in the upper abdomen sections. No space-occupying lesions were detected in bone structures. Impression:  Atypical pneumonic infiltration areas in both lungs, radiological findings are consistent with lung parenchymal involvement of Covid infection.  Nodules with extraparenchymal extension in the left thyroid lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_446/valid_446_a/valid_446_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1042",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A 3 cm diameter nodule with exophytic extension was observed in the lower pole of the left thyroid lobe. A nodular lesion with a similar character of 18 mm in diameter is observed in the posterior of this nodule. It was thought that it may belong to a thyroid nodule. There are several nonspecific lymph nodes in the right upper and lower paratrecheal mediastinum. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. In the parenchyma evaluation, bilateral asymmetrical predominantly subpleural consolidation areas in both lungs and parenchyma areas of ground glass density around the consolidation areas are compatible with atypical pneumonic infiltration and lung parenchymal involvement of Covid infection. No features were detected in the upper abdomen sections. No space-occupying lesions were detected in bone structures. Impression:  Atypical pneumonic infiltration areas in both lungs, radiological findings are consistent with lung parenchymal involvement of Covid infection.  Nodules with extraparenchymal extension in the left thyroid lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_446/valid_446_a/valid_446_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1043",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Parenchymal nodules extending to the upper mediastinum were observed in the left thyroid lobe. US control is recommended. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures in the study area. Impression:  No sign of pneumonia was detected.  Nodules extending to the upper mediastinum in the left thyroid lobe. US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_446/valid_446_b/valid_446_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1044",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Parenchymal nodules extending to the upper mediastinum were observed in the left thyroid lobe. US control is recommended. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures in the study area. Impression:  No sign of pneumonia was detected.  Nodules extending to the upper mediastinum in the left thyroid lobe. US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_446/valid_446_b/valid_446_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Nonspecific nodules up to 5 mm in diameter are seen in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis increased in bone structures in the study area. There is minimal thoracic scoliosis with left-facing opening. Impression:  Coronary atherosclerosis  Millimetric nodules in both lungs  Thoracic kyphoscoliosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_447/valid_447_a/valid_447_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1046",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Nonspecific nodules up to 5 mm in diameter are seen in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis increased in bone structures in the study area. There is minimal thoracic scoliosis with left-facing opening. Impression:  Coronary atherosclerosis  Millimetric nodules in both lungs  Thoracic kyphoscoliosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_447/valid_447_a/valid_447_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No pleural effusion was observed. There are several millimetric nonspecific nodules in both lungs. Linear atelectasis are observed in the lingula inferior segment of the left lung upper lobe. There is mild liver fat on upper abdominal sections. No feature was detected in other abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  A few millimetric, nonspecific nodules in both lungs.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_448/valid_448_a/valid_448_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1048",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No pleural effusion was observed. There are several millimetric nonspecific nodules in both lungs. Linear atelectasis are observed in the lingula inferior segment of the left lung upper lobe. There is mild liver fat on upper abdominal sections. No feature was detected in other abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  A few millimetric, nonspecific nodules in both lungs.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_448/valid_448_a/valid_448_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1049",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Sections passing through the upper abdomen show hepatosteatosis, hepatomegaly, and a 10 mm-sized nodular cortical lesion compatible with angiomyolipoma in the upper pole of the right kidney. No lytic or destructive lesions were detected in bone structures. Impression: Hepatosteatosis, hepatomegaly, and nodular cortical lesion in the upper pole of the right kidney consistent with angiomyolipoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_449/valid_449_a/valid_449_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1050",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Sections passing through the upper abdomen show hepatosteatosis, hepatomegaly, and a 10 mm-sized nodular cortical lesion compatible with angiomyolipoma in the upper pole of the right kidney. No lytic or destructive lesions were detected in bone structures. Impression: Hepatosteatosis, hepatomegaly, and nodular cortical lesion in the upper pole of the right kidney consistent with angiomyolipoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_449/valid_449_a/valid_449_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1051",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Focal consolidations, some of which are round in shape, and minimal ground-glass appearances are observed in the peripheral regions of both lungs. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_449/valid_449_b/valid_449_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1052",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Focal consolidations, some of which are round in shape, and minimal ground-glass appearances are observed in the peripheral regions of both lungs. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_449/valid_449_b/valid_449_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1053",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. CT involvement score was evaluated as high. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. There are degenerative osteophytes in the vertebral corpus corners. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_450/valid_450_a/valid_450_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1054",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There is one nodule smaller than 5 mm in the superior lower lobe of the left lung. There are subsegmental atelectasis in the bilateral lower lobes of the lung. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bilateral lung upper lobe apicoposterior segments, pleuroparenchymal sequelae densities. One nodule smaller than 5 mm, in left lung lower lobe superior.  Bilateral lung lower lobes, subsegmentary atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_451/valid_451_a/valid_451_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1055",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There is one nodule smaller than 5 mm in the superior lower lobe of the left lung. There are subsegmental atelectasis in the bilateral lower lobes of the lung. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bilateral lung upper lobe apicoposterior segments, pleuroparenchymal sequelae densities. One nodule smaller than 5 mm, in left lung lower lobe superior.  Bilateral lung lower lobes, subsegmentary atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_451/valid_451_a/valid_451_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Several lymph nodes with a diameter of 11 mm are observed in the prevascular, pre-paratracheal, subcarinal and bilateral hilar regions, the largest of which is in the prevascular area. A budding tree view is observed in a focal area in the lateral segment of the lower lobe of the left lung. It is recommended that the patient be evaluated for infectious processes (section 231-236). There is bilateral central bronchiectasis and minimal peribronchial thickening. Linear atelectasis areas are observed in the left lung lower lobe medial segment and upper lobe lingular segment. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Impression:  Budding tree appearance in the focal area of the left lung lower lobe lateral segment; It is recommended to evaluate for infectious processes.  A few millimetric nonspecific nodules in the right lung; is stable.  Central bronchiectasis  Mediastinal lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_452/valid_452_a/valid_452_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1057",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Several lymph nodes with a diameter of 11 mm are observed in the prevascular, pre-paratracheal, subcarinal and bilateral hilar regions, the largest of which is in the prevascular area. A budding tree view is observed in a focal area in the lateral segment of the lower lobe of the left lung. It is recommended that the patient be evaluated for infectious processes (section 231-236). There is bilateral central bronchiectasis and minimal peribronchial thickening. Linear atelectasis areas are observed in the left lung lower lobe medial segment and upper lobe lingular segment. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Impression:  Budding tree appearance in the focal area of the left lung lower lobe lateral segment; It is recommended to evaluate for infectious processes.  A few millimetric nonspecific nodules in the right lung; is stable.  Central bronchiectasis  Mediastinal lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_452/valid_452_a/valid_452_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1058",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Millimetric nodular calcifications are observed in the tracheal wall and are compatible with tracheobronchopathia osteochondroplastica. Metallic sutures compatible with sternotomy were observed in the sternum and sutures compatible with ACBG were observed in the anterior mediastinum. Heart sizes are large. Pericardial effusion-thickening was not detected. Thoracic aorta calibration is natural. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed in the distal esophagus. Lymph nodes with a short axis measuring less than 1 cm in the mediastinum and in both axillae, which did not reach pathological dimensions, were detected. Calcified millimetric calcified lymph nodes were observed in the right hilum. When examined in the lung parenchyma window; Segmentary-subsegmental bronchiectasis, increased peribronchial wall thickness and accompanying ground glass areas were observed in both lungs. The appearance may be compatible with bronchopneumonia indicated in the clinical diagnosis. Post-treatment control is recommended. Fibroatelectatic sequelae changes were observed in the left lung superior and inferior lingular segment, right lung middle lobe lateral segment and both lung lower lobe basal segments. As far as can be seen on non-contrast sections, the hepatic flexure is located anterior to the colon. (Chiliaiditi syndrome). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Two calculus were observed in the gallbladder lumen, the largest of which was 22x15mm in size. Spleen and pancreas, right adrenal gland are normal. Nodular thickening was observed in the left adrenal gland corpus. No calculus was observed in both kidneys within the sections. Reticular density increases consistent with edema-inflammation were observed in perirenal fatty tissues. A 2x1.8cm hypodense nodular lesion area was observed at the middle pole of the left kidney (cyst?). Atherosclerotic wall calcifications were detected in the abdominal aorta. No free-loculated collection was observed in the abdomen within the sections. Hypertrophic degenerative changes were observed in the vertebrae within the sections. Impression: Metallic sutures in the sternum and anterior mediastinum consistent with ACBG, cardiomegaly. Segmental-subsegmental bronchiectasis, increased peribronchial wall thickness and accompanying ground-glass areas in both lungs may be consistent with bronchopneumonia defined in the clinical preliminary diagnosis. Post-treatment control is recommended.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_453/valid_453_a/valid_453_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Millimetric nodular calcifications are observed in the tracheal wall and are compatible with tracheobronchopathia osteochondroplastica. Metallic sutures compatible with sternotomy were observed in the sternum and sutures compatible with ACBG were observed in the anterior mediastinum. Heart sizes are large. Pericardial effusion-thickening was not detected. Thoracic aorta calibration is natural. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed in the distal esophagus. Lymph nodes with a short axis measuring less than 1 cm in the mediastinum and in both axillae, which did not reach pathological dimensions, were detected. Calcified millimetric calcified lymph nodes were observed in the right hilum. When examined in the lung parenchyma window; Segmentary-subsegmental bronchiectasis, increased peribronchial wall thickness and accompanying ground glass areas were observed in both lungs. The appearance may be compatible with bronchopneumonia indicated in the clinical diagnosis. Post-treatment control is recommended. Fibroatelectatic sequelae changes were observed in the left lung superior and inferior lingular segment, right lung middle lobe lateral segment and both lung lower lobe basal segments. As far as can be seen on non-contrast sections, the hepatic flexure is located anterior to the colon. (Chiliaiditi syndrome). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Two calculus were observed in the gallbladder lumen, the largest of which was 22x15mm in size. Spleen and pancreas, right adrenal gland are normal. Nodular thickening was observed in the left adrenal gland corpus. No calculus was observed in both kidneys within the sections. Reticular density increases consistent with edema-inflammation were observed in perirenal fatty tissues. A 2x1.8cm hypodense nodular lesion area was observed at the middle pole of the left kidney (cyst?). Atherosclerotic wall calcifications were detected in the abdominal aorta. No free-loculated collection was observed in the abdomen within the sections. Hypertrophic degenerative changes were observed in the vertebrae within the sections. Impression: Metallic sutures in the sternum and anterior mediastinum consistent with ACBG, cardiomegaly. Segmental-subsegmental bronchiectasis, increased peribronchial wall thickness and accompanying ground-glass areas in both lungs may be consistent with bronchopneumonia defined in the clinical preliminary diagnosis. Post-treatment control is recommended.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_453/valid_453_a/valid_453_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1060",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Metallic suture material is observed in the operation at the level of the esophagocardiac junction. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When the lung parenchyma window is examined; There are mild bronchiectatic changes in both lungs. A few nodules were observed in both lungs, the largest of which was 5 mm in diameter in the superior segment of the lower lobe of the right lung, located subpleural, and no difference was found in the size and number of the nodules. There is a pneumocyst with a diameter of 7 mm in the superior segment of the left lung lower lobe. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Stable nodules in both lungs compared to previous thorax CT scan of the patient. Mild bronchiectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_454/valid_454_a/valid_454_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1061",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of mediastinal major vascular structures is natural. Heart contour and size are natural. Pericardial thickening-effusion was not detected. Millimetric sized lymph nodes were observed in the upper-lower paratracheal localization, in the subcarinal area, and in a stable size and appearance according to the previous examination. No lymph node was detected in pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. Densities of several stent materials were observed at the level of the esophagogastric junction. In the left lung, a 3mm diameter calcified pulmonary nodule located subpleural in the upper lobe anterior segment was observed. A stable pulmonary nodule with a diameter of 4mm was observed at the level of the inferior lingular segment. No newly emerging nodule was detected in the current examination. Subsegmental atelectasis is noted in the middle lobe of the right lung. According to the previous examination, a stable size air cyst is observed in the superior segment of the left lung lower lobe with a diameter of 7 mm. Bilateral pleural thickening-effusion was not detected. No mass-infiltration was detected in both lung parenchyma. Upper abdominal organs included in the examination area are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A hypodense lesion of 17mm in diameter was observed in the middle zone of the left kidney (parapelvic cyst?). No lytic-destructive lesion was detected in the bone structures in the study area. Impression: Multiple millimetric pulmonary nodules in both lungs.  Subsegmental atelectasis area in the right lung. Hypodense lesion in the left kidney, parapelvic cyst? . No new findings were detected in the current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_454/valid_454_b/valid_454_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1062",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of the main mediastinal vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. Densities of several stent materials were observed at the level of the esophagogastric junction. In the current examination, no lymph node was detected in newly emerging pathological size and appearance. On the left lung, a 3 mm diameter calcified pulmonary nodule located subpleural in the upper lobe anterior segment was observed. Subpelvral nodules with a diameter of 4 mm at the level of the left lung inferior lingular segment and 4.1 mm at the lower lobe posterobasal segment were observed. A subsegmental atelectasis area was observed in the middle lobe of the right lung. No mass-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. A hypodense lesion of 17 mm in diameter was observed in the middle zone of the left kidney (Parapelvic cyst?). No lytic-destructive lesion was detected in the bone structures. Impression: Subsegmental atelectasis area in the right lung . Hypodense lesion in the left kidney (parapelvic cyst?) . No new findings were detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_454/valid_454_c/valid_454_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1063",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of the main mediastinal vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. Densities of several stent materials were observed at the level of the esophagogastric junction. In the current examination, no lymph node was detected in newly emerging pathological size and appearance. On the left lung, a 3 mm diameter calcified pulmonary nodule located subpleural in the upper lobe anterior segment was observed. Subpelvral nodules with a diameter of 4 mm at the level of the left lung inferior lingular segment and 4.1 mm at the lower lobe posterobasal segment were observed. A subsegmental atelectasis area was observed in the middle lobe of the right lung. No mass-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. A hypodense lesion of 17 mm in diameter was observed in the middle zone of the left kidney (Parapelvic cyst?). No lytic-destructive lesion was detected in the bone structures. Impression: Subsegmental atelectasis area in the right lung . Hypodense lesion in the left kidney (parapelvic cyst?) . No new findings were detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_454/valid_454_c/valid_454_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1064",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a 6 mm diameter stone in the upper pole of the right kidney. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Nodules in both lungs . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_455/valid_455_a/valid_455_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a 6 mm diameter stone in the upper pole of the right kidney. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Nodules in both lungs . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_455/valid_455_a/valid_455_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1066",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is in normal calibration. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Inspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_456/valid_456_a/valid_456_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1067",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is in normal calibration. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Inspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_456/valid_456_a/valid_456_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1068",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No pathological increase in wall thickness was observed in the thoracic esophagus. The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast. Calibration of the vascular structures and heart contour size are normal as far as can be observed. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In the left lung lower lobe superior and lower lobe posterobasal segment, and in the right lung lower lobe, areas of increased density consistent with ground glass-consolidation with indistinct borders are observed, and viral pneumonias (Covid-19 pneumonia?) are considered in its etiology. It is recommended to be evaluated together with clinical and laboratory findings. No pathology was detected as far as it can be observed in the upper abdominal sections within the image, within the borders of non-contrast CT. Free fluid, loculated collection is not observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Areas of indistinct consolidation and ground glass density increase in the left lung lower lobe posterobasal and lower lobe superior segment and right lung lower lobe; Viral pneumonias are considered primarily in its etiology. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_456/valid_456_b/valid_456_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1069",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No pathological increase in wall thickness was observed in the thoracic esophagus. The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast. Calibration of the vascular structures and heart contour size are normal as far as can be observed. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In the left lung lower lobe superior and lower lobe posterobasal segment, and in the right lung lower lobe, areas of increased density consistent with ground glass-consolidation with indistinct borders are observed, and viral pneumonias (Covid-19 pneumonia?) are considered in its etiology. It is recommended to be evaluated together with clinical and laboratory findings. No pathology was detected as far as it can be observed in the upper abdominal sections within the image, within the borders of non-contrast CT. Free fluid, loculated collection is not observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Areas of indistinct consolidation and ground glass density increase in the left lung lower lobe posterobasal and lower lobe superior segment and right lung lower lobe; Viral pneumonias are considered primarily in its etiology. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_456/valid_456_b/valid_456_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1070",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  The thyroid gland parenchyma is minimally heterogeneous, and there is a hypodense nodule with 7.5 mm diameter peripheral rim calcification in the right lobe. The cardiothoracic ratio increased in favor of the heart. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 40 mm, and the diameter of the pulmonary trunk was 32 mm and increased. A central venous catheter terminating at the superior-right atrium junction of the vena cava is observed. There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 7 mm in diameter. Within the epicardial fat pad, there are several nodular lesions, the largest of which is 8 mm in diameter (lymph node?). Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A 5 cm thick effusion is observed in the right hemithorax. There is compression atelectasis in the lower lobe of the right lung adjacent to the effusion, accompanied by areas of ground glass in which air bronchograms are observed. There are subsegmental atelectasis areas and interlobular septal thickness increases in the left lung upper lobe lingular segment inferior subsegment and lower lobe posterior segment. Consolidation areas observed in the previous examination of the patient are not selected in this examination. Sliding type hiatal hernia is observed at the esophagogastric junction. There is intraabdominal free air in the patient who is a liver right lobe transplant recipient. On the medial section surface of the right lobe, an appearance compatible with the low-density collection of 20x30 mm is observed, adjacent to the segment 5 graft. Drainage catheter ending in the medial part of the right lobe is observed. Several lymph nodes, the largest of which are 7 mm in diameter, are observed in the perigastric area and are stable. Spleen AP diameter measured 140 mm and increased. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Liver right lobe transplant recipient; intraabdominal free air; amount has increased.  Appearance compatible with the collection on the medial section surface of the liver, adjacent to the graft; is stable.  Pleural effusion in the right hemithorax; amount has increased.  Compression atelectasis in the lower lobe of the right lung.  Areas of segmental atelectasis in the left lung and accompanying increases in interlobular septal thickness (secondary to stasis?).  Millimetric nodular lesions in mediastinal and perigastric lymph nodes, epicardial fat pad; is stable.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_457/valid_457_a/valid_457_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  The thyroid gland parenchyma is minimally heterogeneous, and there is a hypodense nodule with 7.5 mm diameter peripheral rim calcification in the right lobe. The cardiothoracic ratio increased in favor of the heart. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 40 mm, and the diameter of the pulmonary trunk was 32 mm and increased. A central venous catheter terminating at the superior-right atrium junction of the vena cava is observed. There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 7 mm in diameter. Within the epicardial fat pad, there are several nodular lesions, the largest of which is 8 mm in diameter (lymph node?). Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A 5 cm thick effusion is observed in the right hemithorax. There is compression atelectasis in the lower lobe of the right lung adjacent to the effusion, accompanied by areas of ground glass in which air bronchograms are observed. There are subsegmental atelectasis areas and interlobular septal thickness increases in the left lung upper lobe lingular segment inferior subsegment and lower lobe posterior segment. Consolidation areas observed in the previous examination of the patient are not selected in this examination. Sliding type hiatal hernia is observed at the esophagogastric junction. There is intraabdominal free air in the patient who is a liver right lobe transplant recipient. On the medial section surface of the right lobe, an appearance compatible with the low-density collection of 20x30 mm is observed, adjacent to the segment 5 graft. Drainage catheter ending in the medial part of the right lobe is observed. Several lymph nodes, the largest of which are 7 mm in diameter, are observed in the perigastric area and are stable. Spleen AP diameter measured 140 mm and increased. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Liver right lobe transplant recipient; intraabdominal free air; amount has increased.  Appearance compatible with the collection on the medial section surface of the liver, adjacent to the graft; is stable.  Pleural effusion in the right hemithorax; amount has increased.  Compression atelectasis in the lower lobe of the right lung.  Areas of segmental atelectasis in the left lung and accompanying increases in interlobular septal thickness (secondary to stasis?).  Millimetric nodular lesions in mediastinal and perigastric lymph nodes, epicardial fat pad; is stable.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_457/valid_457_a/valid_457_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Pleural effusion measuring approximately 60 mm in its thickest part is observed on the right. The pleural effusion continues to the apex of the lung when the patient is in the supine position. The lower lobe of the right lung adjacent to the pleural effusion is total atelectatic. There is also minimal pleural effusion on the left. It is understood that the pleural effusion on the left has just appeared. It is understood that the amount of pleural effusion on the right has increased. Apart from the lower lobe of the right lung, there are occasional linear atelectasis in other parts of the lung that are aerated. Emphysematous changes were observed in both lungs. There is minimal interlobular septal thickening in both lungs, more prominent on the left. The described appearance may be compatible with cardiac pathology. It is recommended that the patient be evaluated together with the physical examination findings. There is minimal pericardial effusion. Pericardial thickening was not detected. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_457/valid_457_b/valid_457_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1073",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Pleural effusion measuring approximately 60 mm in its thickest part is observed on the right. The pleural effusion continues to the apex of the lung when the patient is in the supine position. The lower lobe of the right lung adjacent to the pleural effusion is total atelectatic. There is also minimal pleural effusion on the left. It is understood that the pleural effusion on the left has just appeared. It is understood that the amount of pleural effusion on the right has increased. Apart from the lower lobe of the right lung, there are occasional linear atelectasis in other parts of the lung that are aerated. Emphysematous changes were observed in both lungs. There is minimal interlobular septal thickening in both lungs, more prominent on the left. The described appearance may be compatible with cardiac pathology. It is recommended that the patient be evaluated together with the physical examination findings. There is minimal pericardial effusion. Pericardial thickening was not detected. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_457/valid_457_b/valid_457_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Other mediastinal major vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There is a new pericardial effusion measuring up to 22 mm in thickness. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are moderately increasing effusions in both hemithorax, which were observed in the previous examination, atelectatic changes in both lung parenchyma, and near-total volume loss, especially in the lower lobe of the right lung. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. There is a transplanted liver. Segment 8 graft vein is evaluated as suboptimal and there is a filling defect. Diffuse degenerative changes are observed in bone structures. Impression:  The increase in effusions observed in both hemithorax is moderate in the current examination.  There are atelectatic changes and volume losses in both lung parenchyma.  In the right lung parenchyma, the lower lobe is observed as collapsed and there is significant volume loss.  A new 22 mm thick pericardial effusion is observed.  Atherosclerotic changes are present."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_457/valid_457_c/valid_457_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1075",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Other mediastinal major vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There is a new pericardial effusion measuring up to 22 mm in thickness. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are moderately increasing effusions in both hemithorax, which were observed in the previous examination, atelectatic changes in both lung parenchyma, and near-total volume loss, especially in the lower lobe of the right lung. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. There is a transplanted liver. Segment 8 graft vein is evaluated as suboptimal and there is a filling defect. Diffuse degenerative changes are observed in bone structures. Impression:  The increase in effusions observed in both hemithorax is moderate in the current examination.  There are atelectatic changes and volume losses in both lung parenchyma.  In the right lung parenchyma, the lower lobe is observed as collapsed and there is significant volume loss.  A new 22 mm thick pericardial effusion is observed.  Atherosclerotic changes are present."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_457/valid_457_c/valid_457_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1076",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. An effusion reaching 4 mm was observed in the pericardial space (11 mm in the previous examination). Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Prevascular aortopulmonary, right upper-bilateral lower paratracheal, subcarinal lymph nodes that did not reach pathological dimensions measuring 9.2 mm in their short axis were observed in the right upper paratracheal area. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Pleural effusion, which entered the fissures in both hemithorax and formed a phantom tumor, was observed. Diffuse linear-band atelectatic changes were observed in both lungs. A 22x10 mm cavitary lesion with a central nodule was observed in the mediobasal segment of the lower lobe of the right lung (aspergilloma?). It is recommended to be evaluated together with clinical and laboratory. No lytic-destructive lesion was observed in the bone structures in the study area. Impression:  Linear-band atelectatic changes in both lungs.  Caviter lesion with central nodule in the mediobasal segment of the lower lobe of the right lung (aspergilloma?); It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_457/valid_457_d/valid_457_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1077",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. An effusion reaching 4 mm was observed in the pericardial space (11 mm in the previous examination). Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Prevascular aortopulmonary, right upper-bilateral lower paratracheal, subcarinal lymph nodes that did not reach pathological dimensions measuring 9.2 mm in their short axis were observed in the right upper paratracheal area. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Pleural effusion, which entered the fissures in both hemithorax and formed a phantom tumor, was observed. Diffuse linear-band atelectatic changes were observed in both lungs. A 22x10 mm cavitary lesion with a central nodule was observed in the mediobasal segment of the lower lobe of the right lung (aspergilloma?). It is recommended to be evaluated together with clinical and laboratory. No lytic-destructive lesion was observed in the bone structures in the study area. Impression:  Linear-band atelectatic changes in both lungs.  Caviter lesion with central nodule in the mediobasal segment of the lower lobe of the right lung (aspergilloma?); It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_457/valid_457_d/valid_457_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1078",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread patchy subpleural ground-glass opacities are observed in both lungs, especially in the lower lobes. The outlook was evaluated in favor of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_458/valid_458_a/valid_458_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1079",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread patchy subpleural ground-glass opacities are observed in both lungs, especially in the lower lobes. The outlook was evaluated in favor of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_458/valid_458_a/valid_458_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1080",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. The presence of embolism in the pulmonary artery and its branches could not be excluded in the non-contrast examination. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are consolidations in the right lung lower lobe and left lung lower lobe posterobasal segment in which air bronchograms are observed. There are focal ground glass densities around the consolidation on the right, in the lateral segment of the middle lobe and in the mediobasal segment of the lower lobe of the left lung. Millimetric nonspecific pulmonary nodules were observed in both lungs. Effusion was observed to a depth of 20 mm in the right pleural space. The effusion is loculated in the neighborhood of the posterior segment of the upper lobe. No pleural effusion was observed on the left. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pulmonary embolism defined in the previous examination could not be distinguished in the current examination in the examination performed without IV contrast.  Right pleural effusion is stable.  Loculated collection adjacent to the posterior segment of the upper lobe of the right lung; new to current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_459/valid_459_a/valid_459_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1081",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. The presence of embolism in the pulmonary artery and its branches could not be excluded in the non-contrast examination. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are consolidations in the right lung lower lobe and left lung lower lobe posterobasal segment in which air bronchograms are observed. There are focal ground glass densities around the consolidation on the right, in the lateral segment of the middle lobe and in the mediobasal segment of the lower lobe of the left lung. Millimetric nonspecific pulmonary nodules were observed in both lungs. Effusion was observed to a depth of 20 mm in the right pleural space. The effusion is loculated in the neighborhood of the posterior segment of the upper lobe. No pleural effusion was observed on the left. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pulmonary embolism defined in the previous examination could not be distinguished in the current examination in the examination performed without IV contrast.  Right pleural effusion is stable.  Loculated collection adjacent to the posterior segment of the upper lobe of the right lung; new to current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_459/valid_459_a/valid_459_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1082",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few lymph nodes with a short axis measuring up to 7 mm are observed in the mediastinum. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??? Several lymph nodes with a short axis measuring up to 7 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_460/valid_460_a/valid_460_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1083",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few lymph nodes with a short axis measuring up to 7 mm are observed in the mediastinum. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??? Several lymph nodes with a short axis measuring up to 7 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_460/valid_460_a/valid_460_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1084",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. Sliding type prominent hiatal hernia is present. The gastric cardia is herniated from the esophageal hiatus. In the parenchyma evaluation, there are pneumonic infiltrates in both lungs with septal thickening in all segments and ground glass opacities in the form of predominantly consolidation areas. Lung parenchyma involvement is common. Radiological findings were evaluated as compatible with Covid pneumonia. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Diffuse atypical pneumonic infiltration in both lungs, radiological findings were evaluated as compatible with Covid pneumonia. Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_461/valid_461_a/valid_461_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1085",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. Sliding type prominent hiatal hernia is present. The gastric cardia is herniated from the esophageal hiatus. In the parenchyma evaluation, there are pneumonic infiltrates in both lungs with septal thickening in all segments and ground glass opacities in the form of predominantly consolidation areas. Lung parenchyma involvement is common. Radiological findings were evaluated as compatible with Covid pneumonia. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Diffuse atypical pneumonic infiltration in both lungs, radiological findings were evaluated as compatible with Covid pneumonia. Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_461/valid_461_a/valid_461_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1086",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Soft tissue density in a triangular fashion was observed in the anterior mediastinum (thymic hyperplasia?). Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A few millimetric, nonspecific pulmonary nodules were observed in both lung parenchyma, the largest of which was 3.4 mm in diameter in the right lung middle lobe. No mass-infiltration was detected in both lung parenchyma. Minimal pleuroparenchymal sequelae density increase was observed in the left lung inferior lingular segment. Upper abdominal sections included in the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. Impression: Soft tissue density in the anterior mediastinum (thymic hyperplasia?). Several millimetric, nonspecific pulmonary nodules in both lungs.  Minimal sequelae changes in the inferior lingular segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_462/valid_462_a/valid_462_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Soft tissue density in a triangular fashion was observed in the anterior mediastinum (thymic hyperplasia?). Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A few millimetric, nonspecific pulmonary nodules were observed in both lung parenchyma, the largest of which was 3.4 mm in diameter in the right lung middle lobe. No mass-infiltration was detected in both lung parenchyma. Minimal pleuroparenchymal sequelae density increase was observed in the left lung inferior lingular segment. Upper abdominal sections included in the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. Impression: Soft tissue density in the anterior mediastinum (thymic hyperplasia?). Several millimetric, nonspecific pulmonary nodules in both lungs.  Minimal sequelae changes in the inferior lingular segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_462/valid_462_a/valid_462_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1088",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis is observed in the central parts of both lungs. There are linear atelectasis in the left lung upper lobe lingular segment inferior subsegment and in the basal segments of the lower lobe. Linear atelectasis is also observed in the lateral segment of the right lung middle lobe. There are minimal emphysematous changes in both lungs. There is a millimetric nonspecific nodule in the apicoposterior segment of the left lung upper lobe. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. In this examination, as far as can be observed, no mass with distinguishable borders was detected in the larynx and paralaryngeal fatty tissue. Impression: Linear atelectasis in both lungs. Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_463/valid_463_a/valid_463_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1089",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis is observed in the central parts of both lungs. There are linear atelectasis in the left lung upper lobe lingular segment inferior subsegment and in the basal segments of the lower lobe. Linear atelectasis is also observed in the lateral segment of the right lung middle lobe. There are minimal emphysematous changes in both lungs. There is a millimetric nonspecific nodule in the apicoposterior segment of the left lung upper lobe. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. In this examination, as far as can be observed, no mass with distinguishable borders was detected in the larynx and paralaryngeal fatty tissue. Impression: Linear atelectasis in both lungs. Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_463/valid_463_a/valid_463_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1090",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae reticular density increases were observed in the apex of both lungs. A superposed 6x3 mm intrapulmonary nodule was observed on the fissure on the left. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae increase in reticular density in the apex of both lungs . Millimetric intrapulmonary nodule superposed on the fissure on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_464/valid_464_a/valid_464_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1091",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae reticular density increases were observed in the apex of both lungs. A superposed 6x3 mm intrapulmonary nodule was observed on the fissure on the left. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae increase in reticular density in the apex of both lungs . Millimetric intrapulmonary nodule superposed on the fissure on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_464/valid_464_a/valid_464_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1092",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline and both main bronchi are open. Heart size and contour are natural. Mediastinal main vascular structures appear natural. No pathologically enlarged lymph nodes were observed in the paravascular area, subcarinal, both hilar and axillary areas in the pretracheal area. When examined in the lung parenchyma window; Ventilation of the bilateral lungs is natural, and no nodules, active infiltration, consolidation or space-occupying lesions are detected in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. The upper abdominal organs included in the examination have a natural appearance. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the examination. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_465/valid_465_a/valid_465_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1093",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline and both main bronchi are open. Heart size and contour are natural. Mediastinal main vascular structures appear natural. No pathologically enlarged lymph nodes were observed in the paravascular area, subcarinal, both hilar and axillary areas in the pretracheal area. When examined in the lung parenchyma window; Ventilation of the bilateral lungs is natural, and no nodules, active infiltration, consolidation or space-occupying lesions are detected in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. The upper abdominal organs included in the examination have a natural appearance. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the examination. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_465/valid_465_a/valid_465_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1094",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located nodule-nodular consolidations in the upper and lower lobes of the left lung and ground glass areas (Halo sign) are observed around them. There is a similar appearance in the peripheral area in the medial of the anterior segment of the right lung upper lobe. The described appearances are the findings that can be observed in Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings that may be compatible with Covid-19 pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_466/valid_466_a/valid_466_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1095",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located nodule-nodular consolidations in the upper and lower lobes of the left lung and ground glass areas (Halo sign) are observed around them. There is a similar appearance in the peripheral area in the medial of the anterior segment of the right lung upper lobe. The described appearances are the findings that can be observed in Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings that may be compatible with Covid-19 pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_466/valid_466_a/valid_466_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper-bilateral lower paratracheal-subcarinal several millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the superior segment of the right lung lower lobe, a fissure-based nodule with a nonspecific appearance of 3 mm in diameter selected in MIP images is observed. Pneumonic infiltration was not detected in both lung parenchyma. In sections passing through the upper abdomen, liver parenchyma density decreased in line with hepatosteatosis. The left lobe of the liver extends to the upper pole of the spleen (variational?). Slightly hyperdense, faintly limited areas are observed in the neighborhood of the gallbladder. It was evaluated as compatible with the areas of parenchyma preserved from fat. Bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures. Impression: Fissure-based nodule with nonspecific appearance in the superior segment of the right lung lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_467/valid_467_a/valid_467_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1097",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper-bilateral lower paratracheal-subcarinal several millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the superior segment of the right lung lower lobe, a fissure-based nodule with a nonspecific appearance of 3 mm in diameter selected in MIP images is observed. Pneumonic infiltration was not detected in both lung parenchyma. In sections passing through the upper abdomen, liver parenchyma density decreased in line with hepatosteatosis. The left lobe of the liver extends to the upper pole of the spleen (variational?). Slightly hyperdense, faintly limited areas are observed in the neighborhood of the gallbladder. It was evaluated as compatible with the areas of parenchyma preserved from fat. Bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures. Impression: Fissure-based nodule with nonspecific appearance in the superior segment of the right lung lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_467/valid_467_a/valid_467_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1098",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathological size and configured lymph node was detected in the mediastinum. No pathological size and configured lymph nodes were detected at both hilar levels. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. A 3 mm diameter nodule is observed at the posterobasal level of the lower lobe of the right lung. Focal variable hyperaeration is observed at the basal level of the lower lobe of the right lung. A 3 mm nodule is observed in the apicoposterior segment of the left lung upper lobe. There is focal consolidation near the bronchovascular tree. A subpleural nodule of approximately 8x6 mm is observed at the anteromediobasal level of the lower lobe of the left lung. In the left lung lower lobe superior segment, faint ground-glass-like density increases are observed in the subpleural area. Pleural effusion, pneumothorax were not detected. Upper abdominal organs included in the sections are normal. Neighboring the inferior spleen, millimetric spleen and isodense nodular density that may be compatible with accessory spleen are observed. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure entering the examination area. Dorsal kyphosis is evident. Impression: A few nonspecific millimetric nodules formation in both lungs.  Focal consolidation area adjacent to the peribronchial sheath in the upper lobe of the left lung, nonspecific ground-glass-like density increase in the dorsal subpleural area in the lower lobe superior segment of the right lung, the findings are nonspecific for Covid pneumonia. However, it is recommended to be evaluated together with clinical laboratory information."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_468/valid_468_a/valid_468_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1099",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathological size and configured lymph node was detected in the mediastinum. No pathological size and configured lymph nodes were detected at both hilar levels. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. A 3 mm diameter nodule is observed at the posterobasal level of the lower lobe of the right lung. Focal variable hyperaeration is observed at the basal level of the lower lobe of the right lung. A 3 mm nodule is observed in the apicoposterior segment of the left lung upper lobe. There is focal consolidation near the bronchovascular tree. A subpleural nodule of approximately 8x6 mm is observed at the anteromediobasal level of the lower lobe of the left lung. In the left lung lower lobe superior segment, faint ground-glass-like density increases are observed in the subpleural area. Pleural effusion, pneumothorax were not detected. Upper abdominal organs included in the sections are normal. Neighboring the inferior spleen, millimetric spleen and isodense nodular density that may be compatible with accessory spleen are observed. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure entering the examination area. Dorsal kyphosis is evident. Impression: A few nonspecific millimetric nodules formation in both lungs.  Focal consolidation area adjacent to the peribronchial sheath in the upper lobe of the left lung, nonspecific ground-glass-like density increase in the dorsal subpleural area in the lower lobe superior segment of the right lung, the findings are nonspecific for Covid pneumonia. However, it is recommended to be evaluated together with clinical laboratory information."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_468/valid_468_a/valid_468_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1100",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO slightly increased in favor of the heart. Arch aortic calibration is 33 mm. Pulmonary trunk calibration is 28 mm and above normal limits. Calibration of other mediastinal major vascular structures is natural. Millimetric calcific atheroma plaques are observed in the descending aorta. The wall is slightly thickened in the aortic arch, and the wall appears slightly thickened in the ascending aorta and partially descending aorta in the aortic arch. Pericardial thickening-mild pericardial effusion is present. In the mediastinum, multiple lymph nodes are observed in millimetric sizes. No lymph node with pathological size and configuration was detected at the hilar level. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild emphysematous changes are observed in both lungs. Sequelae changes are observed in the middle lobe of the right lung. Sequelae changes are observed in the lingular segment of the left lung. There are band atelectasis-sequelae changes at the lower lobe anteromediobasal level. Pneumothorax pleural effusion was not observed in the case. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild cardiomegaly, pericardial effusion-pericardial thickening. Calibration increase in the aortic arch.  Thickening of the aortic wall in the ascending aorta, aortic arch, and descending aorta. Cardiological consultation of the case is recommended.  Findings consistent with emphysema in both lungs and mild sequelae changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_469/valid_469_a/valid_469_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO slightly increased in favor of the heart. Arch aortic calibration is 33 mm. Pulmonary trunk calibration is 28 mm and above normal limits. Calibration of other mediastinal major vascular structures is natural. Millimetric calcific atheroma plaques are observed in the descending aorta. The wall is slightly thickened in the aortic arch, and the wall appears slightly thickened in the ascending aorta and partially descending aorta in the aortic arch. Pericardial thickening-mild pericardial effusion is present. In the mediastinum, multiple lymph nodes are observed in millimetric sizes. No lymph node with pathological size and configuration was detected at the hilar level. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild emphysematous changes are observed in both lungs. Sequelae changes are observed in the middle lobe of the right lung. Sequelae changes are observed in the lingular segment of the left lung. There are band atelectasis-sequelae changes at the lower lobe anteromediobasal level. Pneumothorax pleural effusion was not observed in the case. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild cardiomegaly, pericardial effusion-pericardial thickening. Calibration increase in the aortic arch.  Thickening of the aortic wall in the ascending aorta, aortic arch, and descending aorta. Cardiological consultation of the case is recommended.  Findings consistent with emphysema in both lungs and mild sequelae changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_469/valid_469_a/valid_469_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground-glass appearances are observed in both lungs, being more prominent in the lower lobes. Some of the frosted glass looks are round shaped. Some of the ground glass appearances are accompanied by consolidations. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type minimal hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a minimal decrease in liver parenchyma density compatible with adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_470/valid_470_a/valid_470_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground-glass appearances are observed in both lungs, being more prominent in the lower lobes. Some of the frosted glass looks are round shaped. Some of the ground glass appearances are accompanied by consolidations. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type minimal hiatal hernia was observed at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a minimal decrease in liver parenchyma density compatible with adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_470/valid_470_a/valid_470_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1104",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. The widths of the mediastinal main vascular structures are normal. There is minimal pleural effusion on the left. There is no pleural effusion on the right. There are lymph nodes in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was 8 mm. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. There are sometimes linear atelectasis in both lungs. Findings in favor of pleuroparenchymal sequelae changes were observed in both lung apexes. Consolidations were observed in the right lung upper lobe anterior segment medial, right lung middle lobe and left lung upper lobe lingular segment. In addition, an irregularly circumscribed nodule in the posterior segment of the upper lobe of the right lung and a ground-glass appearance were observed around it. The described manifestations may be compatible with the pneumonic infiltration indicated in the clinical preliminary diagnosis. However, lung involvement of lymphoma can cause a similar appearance. Therefore, no distinction was made in this examination. Evaluation of the patient with clinical physical examination and laboratory findings and CT control after appropriate treatment are recommended. There are emphysematous changes in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Lymphoma in follow-up  Appearances that may belong to pneumonia or lymphoma involvement in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_471/valid_471_a/valid_471_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1105",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. The widths of the mediastinal main vascular structures are normal. There is minimal pleural effusion on the left. There is no pleural effusion on the right. There are lymph nodes in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was 8 mm. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. There are sometimes linear atelectasis in both lungs. Findings in favor of pleuroparenchymal sequelae changes were observed in both lung apexes. Consolidations were observed in the right lung upper lobe anterior segment medial, right lung middle lobe and left lung upper lobe lingular segment. In addition, an irregularly circumscribed nodule in the posterior segment of the upper lobe of the right lung and a ground-glass appearance were observed around it. The described manifestations may be compatible with the pneumonic infiltration indicated in the clinical preliminary diagnosis. However, lung involvement of lymphoma can cause a similar appearance. Therefore, no distinction was made in this examination. Evaluation of the patient with clinical physical examination and laboratory findings and CT control after appropriate treatment are recommended. There are emphysematous changes in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Lymphoma in follow-up  Appearances that may belong to pneumonia or lymphoma involvement in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_471/valid_471_a/valid_471_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central part of both lungs. No mass or infiltrative lesion was detected in both lungs. Ventilation of both lungs is normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No enlarged lymph nodes in pathological dimensions were detected. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Periosteal reaction was not detected. Impression: Minimal bronchiectasis in the central parts of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_472/valid_472_a/valid_472_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1107",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central part of both lungs. No mass or infiltrative lesion was detected in both lungs. Ventilation of both lungs is normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No enlarged lymph nodes in pathological dimensions were detected. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Periosteal reaction was not detected. Impression: Minimal bronchiectasis in the central parts of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_472/valid_472_a/valid_472_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in both lung parenchyma windows: No mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_473/valid_473_a/valid_473_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1109",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in both lung parenchyma windows: No mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_473/valid_473_a/valid_473_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the mediastinum in pathological size and appearance. Pericardial effusion was not detected. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Mild bronchial wall thickness increases are observed in both lung segment bronchi. Mosaic attenuation and slight aeration differences are observed in the lower lobes. Millimetric nonspecific nodular density is observed in the superior segment of the left lung lower lobe. No area of consolidation was detected. No pleural effusion was observed. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Increased bronchial wall thickness in segment bronchi, increased aeration in lung parenchyma, mosaic attenuation pattern in lower lobes  Millimetric nonspecific nodular density in left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_474/valid_474_a/valid_474_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1111",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the mediastinum in pathological size and appearance. Pericardial effusion was not detected. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Mild bronchial wall thickness increases are observed in both lung segment bronchi. Mosaic attenuation and slight aeration differences are observed in the lower lobes. Millimetric nonspecific nodular density is observed in the superior segment of the left lung lower lobe. No area of consolidation was detected. No pleural effusion was observed. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Increased bronchial wall thickness in segment bronchi, increased aeration in lung parenchyma, mosaic attenuation pattern in lower lobes  Millimetric nonspecific nodular density in left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_474/valid_474_a/valid_474_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1112",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Millimetric sized lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum. Millimetric-sized calcific atheroma plaques are observed at the level of the aortic arch. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Pleural effusion with a thickness of 29 mm on the right and 10 mm on the left and adjacent atelectatic lung segments are observed at both hilar levels. In the evaluation of both lung parenchyma windows; The calibration of the trachea and main bronchi is normal and their lumens are clear. On the left, there are bud branches in both lungs at the level of the upper lobe, middle lobes, and partially in the lower lobe superior segments, with accompanying ground-glass-like density increments, more prominent on the left. It is recommended to evaluate the case in terms of infective processes. Mosaic attenuation pattern is occasionally observed in both lungs (small vessel disease? small airway disease?). Sequela parenchymal band is observed in the middle lobe. Pleuroparenchymal densities compatible with sequelae are observed adjacent to the interlobar fissure on both sides. In the sections passing through the upper abdomen without contrast; liver, spleen, pancreas, both adrenals are in natural appearance. The gallbladder wall is slightly edematous. However, the CT resolution is low. It is recommended to be evaluated together with ultrasonography. There is an appearance compatible with ectasia or cyst in the pelvicalyceal system in the left kidney. It is recommended to be evaluated together with sonography. In both hemithorax, the surrounding muscle and soft tissue planes are intensely edematous. Degenerative changes are observed in the bone structure. Impression: Diffuse bud landscapes and accompanying ground-glass densities in both lungs favoring infection. Mosaic attenuation pattern in both lungs (small vessel disease? small airway disease?). Bilateral mild pleural effusion. Appearances evaluated in favor of ectasia or parapelvic cyst in the pelvicalyceal system in the left kidney and edematous appearance in the gallbladder wall. It is recommended to be evaluated together with sonography."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_a/valid_475_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1113",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Millimetric sized lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum. Millimetric-sized calcific atheroma plaques are observed at the level of the aortic arch. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Pleural effusion with a thickness of 29 mm on the right and 10 mm on the left and adjacent atelectatic lung segments are observed at both hilar levels. In the evaluation of both lung parenchyma windows; The calibration of the trachea and main bronchi is normal and their lumens are clear. On the left, there are bud branches in both lungs at the level of the upper lobe, middle lobes, and partially in the lower lobe superior segments, with accompanying ground-glass-like density increments, more prominent on the left. It is recommended to evaluate the case in terms of infective processes. Mosaic attenuation pattern is occasionally observed in both lungs (small vessel disease? small airway disease?). Sequela parenchymal band is observed in the middle lobe. Pleuroparenchymal densities compatible with sequelae are observed adjacent to the interlobar fissure on both sides. In the sections passing through the upper abdomen without contrast; liver, spleen, pancreas, both adrenals are in natural appearance. The gallbladder wall is slightly edematous. However, the CT resolution is low. It is recommended to be evaluated together with ultrasonography. There is an appearance compatible with ectasia or cyst in the pelvicalyceal system in the left kidney. It is recommended to be evaluated together with sonography. In both hemithorax, the surrounding muscle and soft tissue planes are intensely edematous. Degenerative changes are observed in the bone structure. Impression: Diffuse bud landscapes and accompanying ground-glass densities in both lungs favoring infection. Mosaic attenuation pattern in both lungs (small vessel disease? small airway disease?). Bilateral mild pleural effusion. Appearances evaluated in favor of ectasia or parapelvic cyst in the pelvicalyceal system in the left kidney and edematous appearance in the gallbladder wall. It is recommended to be evaluated together with sonography."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_a/valid_475_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in both lungs, more prominently in the upper lobes. Ground glass areas do not retain areas, especially in peripheral subpleural areas. The described appearance was considered to be an infective pathology due to a viral or opportunistic infection. The absence of subpleural involvement suggests more pneumocystis jiroveci pneumonia. No mass was detected in both lungs. There is an increase in the prevalence of ground glass areas when the patient encounters the previous examination. There is bilateral minimal pleural effusion, more prominent on the right. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_b/valid_475_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1115",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in both lungs, more prominently in the upper lobes. Ground glass areas do not retain areas, especially in peripheral subpleural areas. The described appearance was considered to be an infective pathology due to a viral or opportunistic infection. The absence of subpleural involvement suggests more pneumocystis jiroveci pneumonia. No mass was detected in both lungs. There is an increase in the prevalence of ground glass areas when the patient encounters the previous examination. There is bilateral minimal pleural effusion, more prominent on the right. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_b/valid_475_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Widespread density increase was observed in subcutaneous adipose tissue. Lymphedema? Hypoalbuminemia? Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in both lungs, especially in the upper lobes and especially in the peripheral subpleural areas. Regression was considered in the lesions at follow-up. No mass was detected in both lungs. There is bilateral pleural effusion, more prominent on the right. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. The appearance of degenerative osteophytes was observed in the vertebra corpus corners. Impression: Widespread density increase in subcutaneous adipose tissue. Lymphedema? Hypoalbuminemia? Ground-glass areas in both lungs showing regression on follow-up Stable bilateral pleural effusion on follow-up Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_c/valid_475_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1117",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Widespread density increase was observed in subcutaneous adipose tissue. Lymphedema? Hypoalbuminemia? Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in both lungs, especially in the upper lobes and especially in the peripheral subpleural areas. Regression was considered in the lesions at follow-up. No mass was detected in both lungs. There is bilateral pleural effusion, more prominent on the right. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. The appearance of degenerative osteophytes was observed in the vertebra corpus corners. Impression: Widespread density increase in subcutaneous adipose tissue. Lymphedema? Hypoalbuminemia? Ground-glass areas in both lungs showing regression on follow-up Stable bilateral pleural effusion on follow-up Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_c/valid_475_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There is significant regression in the current examination in the ground glass density increases in the upper and lower lobes, which were observed in the previous examination in both lungs. Mild emphysematous changes are present in both lungs. Fibroatelectatic changes were observed in the middle lobe of the right lung. It was also observed in the previous review. Two nonspecific parenchymal nodules, the largest of which was 4. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Diffuse degenerative changes were observed in bone structures. The diffuse density increase observed under the skin in the previous examination decreased in the current examination. Impression:   Stable parenchymal nodules in the right lung. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_d/valid_475_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1119",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There is significant regression in the current examination in the ground glass density increases in the upper and lower lobes, which were observed in the previous examination in both lungs. Mild emphysematous changes are present in both lungs. Fibroatelectatic changes were observed in the middle lobe of the right lung. It was also observed in the previous review. Two nonspecific parenchymal nodules, the largest of which was 4. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Diffuse degenerative changes were observed in bone structures. The diffuse density increase observed under the skin in the previous examination decreased in the current examination. Impression:   Stable parenchymal nodules in the right lung. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_d/valid_475_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  A catheter image extending to the right atrium was observed. Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion was observed in both hemithorax, reaching a diameter of 20 mm at its widest point on the right and 11 mm at its widest part on the left. It is a new finding in the current review. There is significant regression in the current examination in the increase in ground glass densities in the upper and lower lobes in the previous examination in both lungs. However, it persists slightly in places. Mild emphysematous changes are present in both lungs. Two nonspecific parenchymal nodules measuring 8. Subsegmental atelectatic changes were observed in the right lung middle lobe medial and both lung lower lobe basal segments. No nodular or infiltrative lesion was detected in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread density increases consistent with edema were observed in the skin and intra-abdominal fatty planes. Diffuse degenerative changes were observed in the bone structure in the study area. Vertebral corpus heights are preserved. Impression:  Significant bilateral pleural effusion on the right, which was not observed in the previous examination . Stable parenchymal nodules in the right lung . Widespread density increases compatible with edema in the skin and intra-abdominal fatty planes.  Diffuse degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_e/valid_475_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1121",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  A catheter image extending to the right atrium was observed. Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion was observed in both hemithorax, reaching a diameter of 20 mm at its widest point on the right and 11 mm at its widest part on the left. It is a new finding in the current review. There is significant regression in the current examination in the increase in ground glass densities in the upper and lower lobes in the previous examination in both lungs. However, it persists slightly in places. Mild emphysematous changes are present in both lungs. Two nonspecific parenchymal nodules measuring 8. Subsegmental atelectatic changes were observed in the right lung middle lobe medial and both lung lower lobe basal segments. No nodular or infiltrative lesion was detected in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread density increases consistent with edema were observed in the skin and intra-abdominal fatty planes. Diffuse degenerative changes were observed in the bone structure in the study area. Vertebral corpus heights are preserved. Impression:  Significant bilateral pleural effusion on the right, which was not observed in the previous examination . Stable parenchymal nodules in the right lung . Widespread density increases compatible with edema in the skin and intra-abdominal fatty planes.  Diffuse degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_475/valid_475_e/valid_475_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1122",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis is observed in both lungs. There are minimal emphysematous changes in both lungs. Minimal pleuroparenchymal sequelae changes are observed in both lung apex. The posterobasal segment of the lower lobe of the left lung has a ground-glass appearance and centriacinar nodules, some of which have the appearance of budding trees. The described appearances were evaluated in favor of infective pathology. There are millimetric nonspecific nodules in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  The appearance in the lower lobe of the left lung, which was evaluated primarily in favor of infective pathology.  Minimal bronchiectasis in both lungs.  Emphysematous changes in both lungs.  Pleuroparenchymal sequelae changes in both lung apex."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_476/valid_476_a/valid_476_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1123",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis is observed in both lungs. There are minimal emphysematous changes in both lungs. Minimal pleuroparenchymal sequelae changes are observed in both lung apex. The posterobasal segment of the lower lobe of the left lung has a ground-glass appearance and centriacinar nodules, some of which have the appearance of budding trees. The described appearances were evaluated in favor of infective pathology. There are millimetric nonspecific nodules in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  The appearance in the lower lobe of the left lung, which was evaluated primarily in favor of infective pathology.  Minimal bronchiectasis in both lungs.  Emphysematous changes in both lungs.  Pleuroparenchymal sequelae changes in both lung apex."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_476/valid_476_a/valid_476_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1124",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed at the level of the aortic arch and ascending aorta. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; trachea and both main bronchi are normal. The case has emphysematous appearance. A calcific nodule with a diameter of 4 mm is observed in the lateral subpleural area in the upper lobe of the right lung. In the middle lobe, there are sequelae pleuroparenchymal linear density increases at the level of the lower lobe laterobasal and posterobasal segments. Basal sequelae are also observed in the inferior lingular segment and the left lung. There was no finding compatible with bilateral pleural effusion or pneumonia. Pneumothorax is not observed. In the evaluation of upper abdominal organs including sections; There is a nodular appearance with a diameter of about 10 mm at the level of the left adrenal genu. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structures in the study area. Impression: Findings consistent with emphysema. No finding in favor of pneumonia was found."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_477/valid_477_a/valid_477_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1125",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed at the level of the aortic arch and ascending aorta. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; trachea and both main bronchi are normal. The case has emphysematous appearance. A calcific nodule with a diameter of 4 mm is observed in the lateral subpleural area in the upper lobe of the right lung. In the middle lobe, there are sequelae pleuroparenchymal linear density increases at the level of the lower lobe laterobasal and posterobasal segments. Basal sequelae are also observed in the inferior lingular segment and the left lung. There was no finding compatible with bilateral pleural effusion or pneumonia. Pneumothorax is not observed. In the evaluation of upper abdominal organs including sections; There is a nodular appearance with a diameter of about 10 mm at the level of the left adrenal genu. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structures in the study area. Impression: Findings consistent with emphysema. No finding in favor of pneumonia was found."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_477/valid_477_a/valid_477_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1126",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node in pathological size and appearance was observed in the supraclavicular fossa in the axilla. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. LAD calcific atheroma plaques are present. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Pneumonic infiltrative involvement is observed in all segments of both lungs in the form of bilaterally asymmetrical predominantly subpleural localized ground glass opacity with air bronchograms, septal thickenings and consolidation areas. His progression could not be evaluated due to the lack of previous imaging. No nodular or mass lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Atypical pneumonic infiltrates in both lungs with a pattern consistent with covid pneumonia radiologically"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_478/valid_478_a/valid_478_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1127",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node in pathological size and appearance was observed in the supraclavicular fossa in the axilla. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. LAD calcific atheroma plaques are present. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Pneumonic infiltrative involvement is observed in all segments of both lungs in the form of bilaterally asymmetrical predominantly subpleural localized ground glass opacity with air bronchograms, septal thickenings and consolidation areas. His progression could not be evaluated due to the lack of previous imaging. No nodular or mass lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Atypical pneumonic infiltrates in both lungs with a pattern consistent with covid pneumonia radiologically"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_478/valid_478_a/valid_478_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Patchy ground-glass densities with a halo sign around peripherally located in both lungs are observed. There are widely reported imaging features of Covid-19 pneumonia. Influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease and other diseases may cause a similar appearance. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  There are commonly reported imaging features of Covid-19 pneumonia. Influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease and other diseases may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_479/valid_479_a/valid_479_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1129",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Patchy ground-glass densities with a halo sign around peripherally located in both lungs are observed. There are widely reported imaging features of Covid-19 pneumonia. Influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease and other diseases may cause a similar appearance. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  There are commonly reported imaging features of Covid-19 pneumonia. Influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease and other diseases may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_479/valid_479_a/valid_479_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1130",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; The liver measured 165 mm in the long axis and is above normal. Liver parenchyma density is diffusely decreased, consistent with adiposity. Gallbladder, spleen, pancreas, both kidneys are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild scoliosis with left opening was observed at the thoracic level. Mild degenerative changes are observed in the bone structures. Vertebral corpus heights are preserved. Impression:  Cardiomegaly.  Mosaic attenuation pattern in the lung parenchyma (small airway disease? small vessel disease?).  Hepatomegaly-hepatosteatosis.  Mild scoliosis with left-facing thoracic opening, mild osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_480/valid_480_a/valid_480_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; The liver measured 165 mm in the long axis and is above normal. Liver parenchyma density is diffusely decreased, consistent with adiposity. Gallbladder, spleen, pancreas, both kidneys are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild scoliosis with left opening was observed at the thoracic level. Mild degenerative changes are observed in the bone structures. Vertebral corpus heights are preserved. Impression:  Cardiomegaly.  Mosaic attenuation pattern in the lung parenchyma (small airway disease? small vessel disease?).  Hepatomegaly-hepatosteatosis.  Mild scoliosis with left-facing thoracic opening, mild osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_480/valid_480_a/valid_480_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1132",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy ground glass densities are observed peripherally in the upper lobe of the right lung, the superior and basal segments of the lower lobe, and the basal segments of the lower lobe of the left lung. Interlobular septal thickenings are observed within the consolidations in the converging ground-glass appearance observed especially in the superior and basal segments of the right lung lower lobe, creating a cobblestone appearance. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Patchy ground-glass densities in both lungs, more consolidation in the lower lobe of the right lung, predominantly peripherally located consolidations creating a cobblestone appearance are consistent with the commonly cited imaging findings of Covid 19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_481/valid_481_a/valid_481_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1133",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy ground glass densities are observed peripherally in the upper lobe of the right lung, the superior and basal segments of the lower lobe, and the basal segments of the lower lobe of the left lung. Interlobular septal thickenings are observed within the consolidations in the converging ground-glass appearance observed especially in the superior and basal segments of the right lung lower lobe, creating a cobblestone appearance. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Patchy ground-glass densities in both lungs, more consolidation in the lower lobe of the right lung, predominantly peripherally located consolidations creating a cobblestone appearance are consistent with the commonly cited imaging findings of Covid 19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_481/valid_481_a/valid_481_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1134",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: An asymmetrical density increase of approximately 15 mm is observed behind the areola in the left breast. The described appearance may be due to mass or asymmetric breast tissue increase. It is recommended that the patient be evaluated together with USG. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. In the anterior segment of the upper lobe of the right lung (series 2, section 151), there is a nodule with a ground glass area around it, measuring 9.4 mm in the longest diameter. The nodule is slightly irregularly circumscribed. It is recommended to be evaluated together with previous examinations and followed closely, if any. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. The diameters of the aortic arch and descending aorta are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Semisolid nodule in the anterior segment of the upper lobe of the right lung (if any, it is recommended to be evaluated together with previous examinations and close follow-up) . Asymmetrical density increase behind the areola in the left breast"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_a/valid_482_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: An asymmetrical density increase of approximately 15 mm is observed behind the areola in the left breast. The described appearance may be due to mass or asymmetric breast tissue increase. It is recommended that the patient be evaluated together with USG. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. In the anterior segment of the upper lobe of the right lung (series 2, section 151), there is a nodule with a ground glass area around it, measuring 9.4 mm in the longest diameter. The nodule is slightly irregularly circumscribed. It is recommended to be evaluated together with previous examinations and followed closely, if any. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. The diameters of the aortic arch and descending aorta are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Semisolid nodule in the anterior segment of the upper lobe of the right lung (if any, it is recommended to be evaluated together with previous examinations and close follow-up) . Asymmetrical density increase behind the areola in the left breast"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_a/valid_482_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1136",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; The ascending aortic diameter is 41 mm, and the descending aorta diameter is 33 mm, larger than normal. Heart contour size is natural. There are calcific atheromatous plaques on the walls of the aortic arch, descending aorta, and vascular structures. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi were open and no obstructive pathology was observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. A semisolid nodule measuring 9x7 mm in the previous CT examination in the anterior segment of the right lung upper lobe was measured as 11x7 mm in the current examination, and a slight increase in its dimensions is observed. Pleural effusion-thickening was not detected. As far as can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; An increase in spleen size is noteworthy. No intrabdominal free fluid-locule collection was detected. No lytic or destructive lesions are observed in the bone structures within the image. An increase in reticular density secondary to osteopenia is observed in the vertebral corpuscles. There are osteophytes at the vertebral corpus corners and bilateral neural foramina are open. Impression:  Semisolid nodule in the anterior segment of the upper lobe of the right lung with a slight increase in size according to the old CT examination  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_b/valid_482_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1137",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; The ascending aortic diameter is 41 mm, and the descending aorta diameter is 33 mm, larger than normal. Heart contour size is natural. There are calcific atheromatous plaques on the walls of the aortic arch, descending aorta, and vascular structures. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi were open and no obstructive pathology was observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. A semisolid nodule measuring 9x7 mm in the previous CT examination in the anterior segment of the right lung upper lobe was measured as 11x7 mm in the current examination, and a slight increase in its dimensions is observed. Pleural effusion-thickening was not detected. As far as can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; An increase in spleen size is noteworthy. No intrabdominal free fluid-locule collection was detected. No lytic or destructive lesions are observed in the bone structures within the image. An increase in reticular density secondary to osteopenia is observed in the vertebral corpuscles. There are osteophytes at the vertebral corpus corners and bilateral neural foramina are open. Impression:  Semisolid nodule in the anterior segment of the upper lobe of the right lung with a slight increase in size according to the old CT examination  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_b/valid_482_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1138",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart contour size slightly increased. Changes secondary to bypass surgery are not observed. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight thickening of interlobular septa are observed in both lungs, especially at the apical levels of the upper lobe. There is an increase in heart size. Findings were initially evaluated as secondary to cardia stasis. There are subsegmental atelectasis in the medial segment of the right lung middle lobe. There are mild atelectasis at the basal level of the lower lobe of the right lung and the lingular level of the left lung upper lobe. There are minimal emphysematous changes in both lungs. A semisolid nodule measuring up to 10 mm is observed in the posterior segment of the right lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Fatty tissues with small defects in the anterior abdominal wall show herniation to the skin. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nodule in the upper lobe of the right lung that does not differ significantly.  Mild interlobular septa thickening (secondary to cardiac stasis ?) in both lungs, especially in the upper lobes.  Increase in heart size.  Mild atelectasis in both lungs.  Emphysematous changes in both lungs.  Atherosclerotic changes.  Splenomegaly.  Small hernia in the anterior abdominal wall.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_c/valid_482_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart contour size slightly increased. Changes secondary to bypass surgery are not observed. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight thickening of interlobular septa are observed in both lungs, especially at the apical levels of the upper lobe. There is an increase in heart size. Findings were initially evaluated as secondary to cardia stasis. There are subsegmental atelectasis in the medial segment of the right lung middle lobe. There are mild atelectasis at the basal level of the lower lobe of the right lung and the lingular level of the left lung upper lobe. There are minimal emphysematous changes in both lungs. A semisolid nodule measuring up to 10 mm is observed in the posterior segment of the right lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Fatty tissues with small defects in the anterior abdominal wall show herniation to the skin. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nodule in the upper lobe of the right lung that does not differ significantly.  Mild interlobular septa thickening (secondary to cardiac stasis ?) in both lungs, especially in the upper lobes.  Increase in heart size.  Mild atelectasis in both lungs.  Emphysematous changes in both lungs.  Atherosclerotic changes.  Splenomegaly.  Small hernia in the anterior abdominal wall.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_c/valid_482_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1140",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding hiatal hernia was observed. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; The diameter of the ascending aorta is 42 mm and shows fusiform dilatation. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary artery were observed. No lymph node was detected in mediastinal pathological size and appearance. The right hemidiaphragm shows elevation. When examined in the lung parenchyma window; Ground-glass density increases with interlobular septal thickenings were observed in both lungs, especially in the upper and lower lobes. Focal subdiaphragmatic areas in the middle lobe of the right lung and consolidation areas in the inferior lingular segment of the left lung were observed. The outlook was evaluated as consistent with imaging features that commonly report Covid-19 pneumonia. It may suggest other viral pneumonias in the differential diagnosis. Clinical and laboratory correlation is recommended. Prominent interlobular septa were observed in both lungs (secondary to cardiac pathology?). A parenchymal nodule with a diameter of 8 mm was observed in the anterior segment of the upper lobe of the right lung. A free pleural effusion measuring 12 mm in thickness was observed between the pleural leaves on the left. Mild emphysematous changes were observed in both lungs. The spleen dimensions increased in the upper abdominal sections included in the study area. A faintly circumscribed hyperdense nodular lesion with a diameter of 15 mm was observed in the posterior midzone of the spleen. Liver contours are irregular. The gallbladder was not observed (operated). Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Hernia defect was observed in the epigastric region. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy in the sternum. Impression:  Mild emphysematous changes in both lungs.  Cardiomegaly.  Atherosclerotic changes.  Fusiform dilatation of the ascending aorta.  Ground-glass density increases and consolidations with septal thickenings in both lungs were evaluated as consistent with the frequently reported imaging features of Covid-19 pneumonia. It may suggest other viral pneumonias in the differential diagnosis. Clinical and laboratory correlation is recommended.  Parenchymal nodule in the upper lobe of the right lung.  Splenomegaly.  Mild pleural effusion and atelectatic changes on the left.  Cholecystectomy.  Epigastric hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_d/valid_482_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding hiatal hernia was observed. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; The diameter of the ascending aorta is 42 mm and shows fusiform dilatation. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary artery were observed. No lymph node was detected in mediastinal pathological size and appearance. The right hemidiaphragm shows elevation. When examined in the lung parenchyma window; Ground-glass density increases with interlobular septal thickenings were observed in both lungs, especially in the upper and lower lobes. Focal subdiaphragmatic areas in the middle lobe of the right lung and consolidation areas in the inferior lingular segment of the left lung were observed. The outlook was evaluated as consistent with imaging features that commonly report Covid-19 pneumonia. It may suggest other viral pneumonias in the differential diagnosis. Clinical and laboratory correlation is recommended. Prominent interlobular septa were observed in both lungs (secondary to cardiac pathology?). A parenchymal nodule with a diameter of 8 mm was observed in the anterior segment of the upper lobe of the right lung. A free pleural effusion measuring 12 mm in thickness was observed between the pleural leaves on the left. Mild emphysematous changes were observed in both lungs. The spleen dimensions increased in the upper abdominal sections included in the study area. A faintly circumscribed hyperdense nodular lesion with a diameter of 15 mm was observed in the posterior midzone of the spleen. Liver contours are irregular. The gallbladder was not observed (operated). Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Hernia defect was observed in the epigastric region. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy in the sternum. Impression:  Mild emphysematous changes in both lungs.  Cardiomegaly.  Atherosclerotic changes.  Fusiform dilatation of the ascending aorta.  Ground-glass density increases and consolidations with septal thickenings in both lungs were evaluated as consistent with the frequently reported imaging features of Covid-19 pneumonia. It may suggest other viral pneumonias in the differential diagnosis. Clinical and laboratory correlation is recommended.  Parenchymal nodule in the upper lobe of the right lung.  Splenomegaly.  Mild pleural effusion and atelectatic changes on the left.  Cholecystectomy.  Epigastric hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_d/valid_482_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1142",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  There are changes related to sternotomy. Calcific plaques are observed in the aorta and coronary arteries. The heart size has increased. The ascending aorta is 39 mm and ectatic. Emphysematous appearance is present in both lungs. Pulmonary nodules in both lungs are stable. There was a minimal decrease in parenchymal ground glass densities accompanied by bronchial wall thickening in the lower lobe of the right lung, and no significant difference was found in atelectasis, ground glass, and interlobular septal thickenings in the other lobes. In the upper abdominal sections, the gallbladder was operated. The spleen is larger than normal and the hyperdense nodular lesion present in the spleen is stable. Liver contours are irregular. Impression:  In the patient followed up due to viral pneumonia, there was a slight decrease in the infiltrates present in the lower lobe of the right lung, and no significant difference was observed in other infiltrates apart from this. Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_e/valid_482_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  There are changes related to sternotomy. Calcific plaques are observed in the aorta and coronary arteries. The heart size has increased. The ascending aorta is 39 mm and ectatic. Emphysematous appearance is present in both lungs. Pulmonary nodules in both lungs are stable. There was a minimal decrease in parenchymal ground glass densities accompanied by bronchial wall thickening in the lower lobe of the right lung, and no significant difference was found in atelectasis, ground glass, and interlobular septal thickenings in the other lobes. In the upper abdominal sections, the gallbladder was operated. The spleen is larger than normal and the hyperdense nodular lesion present in the spleen is stable. Liver contours are irregular. Impression:  In the patient followed up due to viral pneumonia, there was a slight decrease in the infiltrates present in the lower lobe of the right lung, and no significant difference was observed in other infiltrates apart from this. Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_e/valid_482_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1144",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Consolidation areas are also observed in the lingular segment of the left lung upper lobe, which almost completely fills the middle lobe of the right lung, and ground glass opacities are observed around these areas. Air bronchograms are available within the defined consolidation areas. Similarly, there is an area of consolidation in the lower lobe of the right lung. When the described appearances were evaluated together with the previous examination of the patient, they were evaluated in favor of increased areas of pneumonic consolidation. The pleural effusion described in the left lung decreased slightly when evaluated together with the previous examination. Other findings are stable. Impression:  Areas of pneumonic consolidation in both lungs that increase when evaluated in conjunction with the patient's previous examination.  Other findings are stable when evaluated together with the patient's previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_f/valid_482_f_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1145",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Consolidation areas are also observed in the lingular segment of the left lung upper lobe, which almost completely fills the middle lobe of the right lung, and ground glass opacities are observed around these areas. Air bronchograms are available within the defined consolidation areas. Similarly, there is an area of consolidation in the lower lobe of the right lung. When the described appearances were evaluated together with the previous examination of the patient, they were evaluated in favor of increased areas of pneumonic consolidation. The pleural effusion described in the left lung decreased slightly when evaluated together with the previous examination. Other findings are stable. Impression:  Areas of pneumonic consolidation in both lungs that increase when evaluated in conjunction with the patient's previous examination.  Other findings are stable when evaluated together with the patient's previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_f/valid_482_f_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. When the lung parenchyma window is evaluated; In the middle lobe of the right lung, a consolidation area containing airbronchograms is observed. Millimetric nodules of ground glass density are observed in the lingular segment of the upper lobe of the right lung, and ground glass densities are observed around these nodules. These appearances were primarily thought to be those of regressed pneumonia. However, ground glass densities are observed in and around the centrally located consolidation area in the lower lobe of the left lung, which was not observed in the previous examination of the patient. This appearance was evaluated in favor of newly developing pneumonic infiltration. Apart from this, there are emphysematous changes observed in both lungs, especially in the upper lobes. There are several pulmonary nodules in both lungs. The largest of these nodules is observed in the lateral-subpleural area of the upper lobe of the right lung and its size was measured as 9 mm. This nodular appearance may be compatible with pneumonic infiltration. No pleural effusion was detected in both lungs. There are calcific atheromatous plaques in the aorta and coronary arteries. Pericardial effusion was not detected. The diameters of the mediastinal vascular structures are normal. Thoracic esophageal wall thickness is normal. No lymphadenopathy was detected in both axillae and mediastinal areas in pathological size and appearance. In the upper abdomen images included in the examination; spleen size appears to be increased. Hiatal hernia is observed. No fractures or lytic-sclerotic lesions were observed in the bones. There are suture materials belonging to sternotomy in the sternum. Impression:  Although the patient has mild consolidation at the level of the lingular segment, millimetric nodules and ground glass opacities in the middle lobe and left lung in the right lung, these appearances match the old pneumonic consolidation areas. They were primarily evaluated as areas of regressed pneumonia.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_g/valid_482_g_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1147",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: The evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. When the lung parenchyma window is evaluated; In the middle lobe of the right lung, a consolidation area containing airbronchograms is observed. Millimetric nodules of ground glass density are observed in the lingular segment of the upper lobe of the right lung, and ground glass densities are observed around these nodules. These appearances were primarily thought to be those of regressed pneumonia. However, ground glass densities are observed in and around the centrally located consolidation area in the lower lobe of the left lung, which was not observed in the previous examination of the patient. This appearance was evaluated in favor of newly developing pneumonic infiltration. Apart from this, there are emphysematous changes observed in both lungs, especially in the upper lobes. There are several pulmonary nodules in both lungs. The largest of these nodules is observed in the lateral-subpleural area of the upper lobe of the right lung and its size was measured as 9 mm. This nodular appearance may be compatible with pneumonic infiltration. No pleural effusion was detected in both lungs. There are calcific atheromatous plaques in the aorta and coronary arteries. Pericardial effusion was not detected. The diameters of the mediastinal vascular structures are normal. Thoracic esophageal wall thickness is normal. No lymphadenopathy was detected in both axillae and mediastinal areas in pathological size and appearance. In the upper abdomen images included in the examination; spleen size appears to be increased. Hiatal hernia is observed. No fractures or lytic-sclerotic lesions were observed in the bones. There are suture materials belonging to sternotomy in the sternum. Impression:  Although the patient has mild consolidation at the level of the lingular segment, millimetric nodules and ground glass opacities in the middle lobe and left lung in the right lung, these appearances match the old pneumonic consolidation areas. They were primarily evaluated as areas of regressed pneumonia.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_g/valid_482_g_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1148",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calibration of other thoracic major vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, stable lymph nodes were observed in the mediastinal upper-lower paratracheal area and in the subcarinal area. No newly emerged nodule-infiltration area was observed in the current examination. When both lungs are evaluated in the parenchyma window: Ground-glass density increases are observed in and around peribronchovascular consolidation areas extending to the periphery in the perihilar area, especially in the upper lobes. The appearance may belong to PCP pneumonia. Fungal infections can be considered in the differential diagnosis. Again, alveolar hemorrhage should be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended. There is a significant increase in the consolidation areas observed in the previous examination in the middle lobe of the right lung and the lower lobe of the left lung. In the current examination, a newly emerged free pleural effusion measuring 3 cm in thickness is observed. On the right, there is minimal pleural effusion. Liver and spleen sizes increased (hepatosplenomegaly) in the upper abdominal sections within the study area. Gallbladder was not observed (cholecystectomized). Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There is a decrease in density compatible with osteopenia in the bone structures in the study area. Impression:  Cardiomegaly, atherosclerotic changes.  Mediastinal millimetrically stable lymph nodes. Also, viral pneumonia or diffuse alveolar hemorrhage may be considered in the differential diagnosis. Clinical-laboratory correlation and post-treatment control are recommended.  New pleural effusion on the left, minimal pleural effusion on the right.  Hepatosplenomegaly.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_h/valid_482_h_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1149",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calibration of other thoracic major vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, stable lymph nodes were observed in the mediastinal upper-lower paratracheal area and in the subcarinal area. No newly emerged nodule-infiltration area was observed in the current examination. When both lungs are evaluated in the parenchyma window: Ground-glass density increases are observed in and around peribronchovascular consolidation areas extending to the periphery in the perihilar area, especially in the upper lobes. The appearance may belong to PCP pneumonia. Fungal infections can be considered in the differential diagnosis. Again, alveolar hemorrhage should be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended. There is a significant increase in the consolidation areas observed in the previous examination in the middle lobe of the right lung and the lower lobe of the left lung. In the current examination, a newly emerged free pleural effusion measuring 3 cm in thickness is observed. On the right, there is minimal pleural effusion. Liver and spleen sizes increased (hepatosplenomegaly) in the upper abdominal sections within the study area. Gallbladder was not observed (cholecystectomized). Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There is a decrease in density compatible with osteopenia in the bone structures in the study area. Impression:  Cardiomegaly, atherosclerotic changes.  Mediastinal millimetrically stable lymph nodes. Also, viral pneumonia or diffuse alveolar hemorrhage may be considered in the differential diagnosis. Clinical-laboratory correlation and post-treatment control are recommended.  New pleural effusion on the left, minimal pleural effusion on the right.  Hepatosplenomegaly.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_482/valid_482_h/valid_482_h_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1150",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal thin linear atelectatic changes were observed in the anterobasal subsegment of the right lung middle lobe and left lung lower lobe anteromediobasal segment, and in the anterobasal segment of the right lung lower lobe. Parenchymal nodules with a diameter of 3.9 mm were observed in each lung, the largest of which was in the right lung lower lobe laterobasal segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Nonspecific hypodense lesions with a diameter of 1.5 cm were observed in segment 2 of the liver in both lobes (cyst?). Millimetric nodular coarse calcifications were observed in both lobes of the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Linear pleuroparenchymal fine fibroratelectatic changes in the right lung middle lobe, lower lobe anterobasal and left lung lower lobe anterior mediobasal subsegment of the anterior mediobasal segment. Millimetric nonspecific parenchymal nodules in both lungs . Liver nonspecific hypodense lesions (cyst?) in both lobes. millimetric nodular sequelae coarse calcifications"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_483/valid_483_a/valid_483_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal thin linear atelectatic changes were observed in the anterobasal subsegment of the right lung middle lobe and left lung lower lobe anteromediobasal segment, and in the anterobasal segment of the right lung lower lobe. Parenchymal nodules with a diameter of 3.9 mm were observed in each lung, the largest of which was in the right lung lower lobe laterobasal segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Nonspecific hypodense lesions with a diameter of 1.5 cm were observed in segment 2 of the liver in both lobes (cyst?). Millimetric nodular coarse calcifications were observed in both lobes of the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Linear pleuroparenchymal fine fibroratelectatic changes in the right lung middle lobe, lower lobe anterobasal and left lung lower lobe anterior mediobasal subsegment of the anterior mediobasal segment. Millimetric nonspecific parenchymal nodules in both lungs . Liver nonspecific hypodense lesions (cyst?) in both lobes. millimetric nodular sequelae coarse calcifications"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_483/valid_483_a/valid_483_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Sequela calcific nodules, linear fibrotic densities are observed in the apicoposterior part of the upper lobe of the right lung. Non-septic ground glass opacity is observed in the lateral lingular segment of the left lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Linear fibrotic densities and sequela calcific nodules in the right lung.  Non-specific ground-glass opacity in the lateral lingular segment of the left upper lobe of the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_484/valid_484_a/valid_484_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Sequela calcific nodules, linear fibrotic densities are observed in the apicoposterior part of the upper lobe of the right lung. Non-septic ground glass opacity is observed in the lateral lingular segment of the left lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Linear fibrotic densities and sequela calcific nodules in the right lung.  Non-specific ground-glass opacity in the lateral lingular segment of the left upper lobe of the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_484/valid_484_a/valid_484_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1154",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Patchy ground glass densities are observed in the posterolateral and basal segments of the lower lobe of the right lung, and millimetric nonspecific nodular ground glass densities are observed in the lateral lower lobe of the left lung. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Right lung upper lobe superior and posterior milimetric calcific nonspecific nodules are present. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia.  Subpleural calcific nodules in the apicoposterior of the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_484/valid_484_b/valid_484_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1155",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Patchy ground glass densities are observed in the posterolateral and basal segments of the lower lobe of the right lung, and millimetric nonspecific nodular ground glass densities are observed in the lateral lower lobe of the left lung. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Right lung upper lobe superior and posterior milimetric calcific nonspecific nodules are present. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia.  Subpleural calcific nodules in the apicoposterior of the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_484/valid_484_b/valid_484_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1156",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_485/valid_485_a/valid_485_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1157",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_485/valid_485_a/valid_485_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1158",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Upper and lower paratracheal lymph nodes that did not reach pathological dimensions in the mediastinum were thought to be reactive. Heart size increased. Pericardial effusion is observed. Its diameter was measured 1.5 mm in its most prominent place adjacent to the left atrium. Widespread atherosclerotic plaques are observed in the coronary arteries. The diameter of the pulmonary trunk and both main pulmonary arteries was slightly increased. Calibrations of mediastinal major vascular structures are natural. Diffuse narrowing is observed in both main bronchi and segment bronchi calibrations, more prominent on the right. Both lung hiluses are full. However, no distinction was made between vascular fullness and space-occupying lesion due to the lack of contrast material. Especially in the right lung hilum, there is no distinction between soft tissue densities and vascular structures around the upper and lower lobe bronchi. The patient's contrast-enhanced technique is recommended. There are bilateral pneumonic infiltration areas in both lungs, diffusely in the right lung. There are more prominent areas of consolidation and occasional nodular infiltrates in the peribronchial area. Covid pneumonia cannot be excluded, the radiological pattern is not specific for Covid pneumonia. Similar appearance can be caused by bacterial agents. The left adrenal gland is asymmetrically thicker than the right. Diffuse atherosclerotic plaques were observed in the abdominal aorta and its branches. There is a cyst of 11 cm in diameter in the lower pole of the left kidney. No space-occupying lesions were detected in bone structures. Osteoporosis and degenerative changes are observed. Impression:  Significant bronchopneumonic infiltration on the right in both lungs, Covid cannot be excluded, but radiological findings suggest mostly bacterial pneumonia.  The fullness of the right lung hilum, the narrowing of the bronchial calibrations in the right prominent bronchi in both lungs, the possible presence of hilar-located space-occupying lesion, and the lack of contrast material could not be evaluated.  Increased heart size, pericardial effusion  Calcific atherosclerotic plaques in coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_486/valid_486_a/valid_486_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1159",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Upper and lower paratracheal lymph nodes that did not reach pathological dimensions in the mediastinum were thought to be reactive. Heart size increased. Pericardial effusion is observed. Its diameter was measured 1.5 mm in its most prominent place adjacent to the left atrium. Widespread atherosclerotic plaques are observed in the coronary arteries. The diameter of the pulmonary trunk and both main pulmonary arteries was slightly increased. Calibrations of mediastinal major vascular structures are natural. Diffuse narrowing is observed in both main bronchi and segment bronchi calibrations, more prominent on the right. Both lung hiluses are full. However, no distinction was made between vascular fullness and space-occupying lesion due to the lack of contrast material. Especially in the right lung hilum, there is no distinction between soft tissue densities and vascular structures around the upper and lower lobe bronchi. The patient's contrast-enhanced technique is recommended. There are bilateral pneumonic infiltration areas in both lungs, diffusely in the right lung. There are more prominent areas of consolidation and occasional nodular infiltrates in the peribronchial area. Covid pneumonia cannot be excluded, the radiological pattern is not specific for Covid pneumonia. Similar appearance can be caused by bacterial agents. The left adrenal gland is asymmetrically thicker than the right. Diffuse atherosclerotic plaques were observed in the abdominal aorta and its branches. There is a cyst of 11 cm in diameter in the lower pole of the left kidney. No space-occupying lesions were detected in bone structures. Osteoporosis and degenerative changes are observed. Impression:  Significant bronchopneumonic infiltration on the right in both lungs, Covid cannot be excluded, but radiological findings suggest mostly bacterial pneumonia.  The fullness of the right lung hilum, the narrowing of the bronchial calibrations in the right prominent bronchi in both lungs, the possible presence of hilar-located space-occupying lesion, and the lack of contrast material could not be evaluated.  Increased heart size, pericardial effusion  Calcific atherosclerotic plaques in coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_486/valid_486_a/valid_486_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: In the case with a history of tetralogy of Fallot, the anterior-posterior diameter of the ascending aorta was 40 mm, which was wider than normal. Calibration of other mediastinal vascular structures is natural. There is a prosthesis in the pulmonary valve. Surgical suture materials were observed in the tricuspid valve. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal linear atelectatic changes were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. Sequelae reticular fibrotic density increases were observed in both lung apexes. Mass lesion-active infiltration with distinguishable borders was not detected in both lungs. As far as can be seen in the sections, the upper abdominal organs are normal. Two accessory spleens were observed in the anterior spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Surgical suture materials secondary to surgery were observed in the sternum. Impression: Surgical suture materials secondary to surgery in the sternum and tricuspid valve in a patient with a history of tetralogy of Fallot, prosthesis in the pulmonary valve . Fusiform aneurysmatic dilatation in the ascending aorta . Increases in pelvroparanchymal linear fibroatelectasis sequelae density in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_487/valid_487_a/valid_487_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: In the case with a history of tetralogy of Fallot, the anterior-posterior diameter of the ascending aorta was 40 mm, which was wider than normal. Calibration of other mediastinal vascular structures is natural. There is a prosthesis in the pulmonary valve. Surgical suture materials were observed in the tricuspid valve. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal linear atelectatic changes were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. Sequelae reticular fibrotic density increases were observed in both lung apexes. Mass lesion-active infiltration with distinguishable borders was not detected in both lungs. As far as can be seen in the sections, the upper abdominal organs are normal. Two accessory spleens were observed in the anterior spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Surgical suture materials secondary to surgery were observed in the sternum. Impression: Surgical suture materials secondary to surgery in the sternum and tricuspid valve in a patient with a history of tetralogy of Fallot, prosthesis in the pulmonary valve . Fusiform aneurysmatic dilatation in the ascending aorta . Increases in pelvroparanchymal linear fibroatelectasis sequelae density in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_487/valid_487_a/valid_487_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1162",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: In the case with a history of tetralogy of Fallot, the anterior-posterior diameter of the ascending aorta was 40 mm, which was wider than normal. Calibration of other mediastinal vascular structures is natural. There is a prosthesis in the pulmonary valve. Surgical suture materials were observed in the tricuspid valve. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal linear atelectatic changes were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. Sequelae reticular fibrotic density increases were observed in both lung apexes. Mass lesion-active infiltration with distinguishable borders was not detected in both lungs. As far as can be seen in the sections, the upper abdominal organs are normal. Two accessory spleens were observed in the anterior spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Surgical suture materials secondary to surgery were observed in the sternum. Impression:  Surgical suture materials secondary to surgery in the sternum and tricuspid valve in the patient with a history of tetralogy of Fallot, prosthesis in the pulmonary valve  Fusiform aneurysmatic dilatation in the ascending aorta  Increase in pelvroparanchymal linear fibroatelectasis sequelae density in both lungs.  No significant difference was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_487/valid_487_b/valid_487_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1163",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: In the case with a history of tetralogy of Fallot, the anterior-posterior diameter of the ascending aorta was 40 mm, which was wider than normal. Calibration of other mediastinal vascular structures is natural. There is a prosthesis in the pulmonary valve. Surgical suture materials were observed in the tricuspid valve. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal linear atelectatic changes were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. Sequelae reticular fibrotic density increases were observed in both lung apexes. Mass lesion-active infiltration with distinguishable borders was not detected in both lungs. As far as can be seen in the sections, the upper abdominal organs are normal. Two accessory spleens were observed in the anterior spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Surgical suture materials secondary to surgery were observed in the sternum. Impression:  Surgical suture materials secondary to surgery in the sternum and tricuspid valve in the patient with a history of tetralogy of Fallot, prosthesis in the pulmonary valve  Fusiform aneurysmatic dilatation in the ascending aorta  Increase in pelvroparanchymal linear fibroatelectasis sequelae density in both lungs.  No significant difference was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_487/valid_487_b/valid_487_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1164",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Small hemangiomas are observed in the vertebral corpuscles. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_488/valid_488_a/valid_488_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1165",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Small hemangiomas are observed in the vertebral corpuscles. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_488/valid_488_a/valid_488_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1166",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Mucosal asymmetry, which narrows the larynx air column from the left posterolateral side asymmetrically at the glottic and subglottic levels, is observed in the neck sections entering the image area. ENT examination will be appropriate. Heart size increased. Left ventricular diameter increased. There are calcified atheroma plaques in the coronary arteries. Pericardial effusion was not detected. Siliding type mild hiatal hernia is observed. There are widespread calcific atheroma plaques in the ascending aorta, aortic arch, thoracic aorta, abdominal aorta and its branches. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Subsegmental linear atelectasis areas are observed in the middle lobe of the right lung and the lingula inferior segment of the left lung upper lobe. No mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma. There are several nonspecific millimetric nodules. A ground glass opacity with a diameter of 5 mm is observed in the upper lobe of the right lung. It is nonspecific. There are simple cysts in both kidneys in the upper abdomen sections entering the image area. A calculi image of 11 mm in diameter is observed in the lower pole calyx of the right kidney. The left kidney is atrophic. There are calculus images that give leveling in the gallbladder lumen. Significant degenerative changes and osteoporosis are observed in bone structures. No lytic or destructive lesion was detected. Impression: Increased heart size, diffuse calcified atheromatous plaques in coronary arteries. Nonspecific millimetric nodules in both lungs . Sliding mild hiatal hernia. Simple cysts in both kidneys.  Right nephrolithiasis and cholelithiasis. Left atrophic kidney.  Mucosal asymmetry, which narrows the larynx air column from the left posterolateral side asymmetrically at the glottic and subglottic levels, is observed. ENT examination will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_489/valid_489_a/valid_489_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1167",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Mucosal asymmetry, which narrows the larynx air column from the left posterolateral side asymmetrically at the glottic and subglottic levels, is observed in the neck sections entering the image area. ENT examination will be appropriate. Heart size increased. Left ventricular diameter increased. There are calcified atheroma plaques in the coronary arteries. Pericardial effusion was not detected. Siliding type mild hiatal hernia is observed. There are widespread calcific atheroma plaques in the ascending aorta, aortic arch, thoracic aorta, abdominal aorta and its branches. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Subsegmental linear atelectasis areas are observed in the middle lobe of the right lung and the lingula inferior segment of the left lung upper lobe. No mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma. There are several nonspecific millimetric nodules. A ground glass opacity with a diameter of 5 mm is observed in the upper lobe of the right lung. It is nonspecific. There are simple cysts in both kidneys in the upper abdomen sections entering the image area. A calculi image of 11 mm in diameter is observed in the lower pole calyx of the right kidney. The left kidney is atrophic. There are calculus images that give leveling in the gallbladder lumen. Significant degenerative changes and osteoporosis are observed in bone structures. No lytic or destructive lesion was detected. Impression: Increased heart size, diffuse calcified atheromatous plaques in coronary arteries. Nonspecific millimetric nodules in both lungs . Sliding mild hiatal hernia. Simple cysts in both kidneys.  Right nephrolithiasis and cholelithiasis. Left atrophic kidney.  Mucosal asymmetry, which narrows the larynx air column from the left posterolateral side asymmetrically at the glottic and subglottic levels, is observed. ENT examination will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_489/valid_489_a/valid_489_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: A stent was placed in the right subclavian artery. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node in pathological size and appearance was observed in the mediastinum. When examined in the lung parenchyma window; In the right lung lower lobe posterobasal segment, in the left lung lower lobe posterobasal segment, pneumonic consolidation areas in which air bronchograms are observed and parenchymal ground glass opacity and septal thickenings are observed around the consolidated areas. It is more prominent on the left. It is located peripherally. It is present in adjacent loculated pleural effusions. Differential diagnosis includes both viral and bacterial etiological agents. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There are more prominent pneumonic infiltration areas on the left in the posterobasal segments of both lungs and a mild focal pleural effusion adjacent to it, viral and bacterial agents in the differential diagnosis. Although the consolidation is evident and the accompanying pleural effusion differs from covid pneumonia, the ground glass pattern involvement areas and septal clarifications cause covid pneumonia. Therefore, no distinction can be made.Correlation with clinical and laboratory is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_490/valid_490_a/valid_490_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1169",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A stent was placed in the right subclavian artery. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node in pathological size and appearance was observed in the mediastinum. When examined in the lung parenchyma window; In the right lung lower lobe posterobasal segment, in the left lung lower lobe posterobasal segment, pneumonic consolidation areas in which air bronchograms are observed and parenchymal ground glass opacity and septal thickenings are observed around the consolidated areas. It is more prominent on the left. It is located peripherally. It is present in adjacent loculated pleural effusions. Differential diagnosis includes both viral and bacterial etiological agents. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There are more prominent pneumonic infiltration areas on the left in the posterobasal segments of both lungs and a mild focal pleural effusion adjacent to it, viral and bacterial agents in the differential diagnosis. Although the consolidation is evident and the accompanying pleural effusion differs from covid pneumonia, the ground glass pattern involvement areas and septal clarifications cause covid pneumonia. Therefore, no distinction can be made.Correlation with clinical and laboratory is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_490/valid_490_a/valid_490_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_491/valid_491_a/valid_491_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1171",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_491/valid_491_a/valid_491_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The diameter of the pulmonary trunk was 32 mm and increased. Calcific atheroma plaques are observed in the coronary arteries and aorta. A few lymph nodes with a short diameter of less than 5 mm are observed in the mediastinum and hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Thorax AP diameter has increased and emphysematous changes are observed in both lungs. There are more than 10 nodules in both lungs, the largest of which is 8.5x7 mm in the posterior segment of the left lung lower lobe. Linear atelectasis areas are observed in the right lung middle lobe medial segment, left lung lower lobe medial segment and upper lobe lingular segment. Sliding type minimal hiatal hernia was observed at the esophagogastric junction. Within the limits of non-contrast BT; There is a 2 cm diameter low-density nodular lesion partially included in the cross-sectional area of the right kidney. There is a decrease in osteopenic density in the bone structures within the sections, and there are osteophytes bridging at the corners of the thoracolumbar vertebra corpus. There are degenerative changes in both sternoclavicular joints prominent on the right. No lytic-destructive lesion was detected. Impression:  Multiple nodules in both lungs. If available, it is recommended to be evaluated together with previous examinations or further examination.  Emphysematous changes in both lungs, areas of linear atelectasis  Hiatal hernia  Hypodense lesion (cyst?) partially included in the cross-sectional area of the right kidney.  Thoracolumbar spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_492/valid_492_a/valid_492_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1173",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The diameter of the pulmonary trunk was 32 mm and increased. Calcific atheroma plaques are observed in the coronary arteries and aorta. A few lymph nodes with a short diameter of less than 5 mm are observed in the mediastinum and hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Thorax AP diameter has increased and emphysematous changes are observed in both lungs. There are more than 10 nodules in both lungs, the largest of which is 8.5x7 mm in the posterior segment of the left lung lower lobe. Linear atelectasis areas are observed in the right lung middle lobe medial segment, left lung lower lobe medial segment and upper lobe lingular segment. Sliding type minimal hiatal hernia was observed at the esophagogastric junction. Within the limits of non-contrast BT; There is a 2 cm diameter low-density nodular lesion partially included in the cross-sectional area of the right kidney. There is a decrease in osteopenic density in the bone structures within the sections, and there are osteophytes bridging at the corners of the thoracolumbar vertebra corpus. There are degenerative changes in both sternoclavicular joints prominent on the right. No lytic-destructive lesion was detected. Impression:  Multiple nodules in both lungs. If available, it is recommended to be evaluated together with previous examinations or further examination.  Emphysematous changes in both lungs, areas of linear atelectasis  Hiatal hernia  Hypodense lesion (cyst?) partially included in the cross-sectional area of the right kidney.  Thoracolumbar spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_492/valid_492_a/valid_492_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. The ascending aorta measures 42 mm and is wider than normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are several 8 mm nonspecific millimetric nodules in both lungs, the largest of which is observed at the basal level of the left lung lower lobe in series 2 image 216. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density reduction, degenerative changes, and narrowing of the intervertebral disc spaces are present in the bone structures in the examination area. Impression:  Millimetric nonspecific nodules of 8 mm in size, a few large in both lungs, observed at the basal level of the left lung lower lobe in serial 2 image 216  Atherosclerotic changes  The ascending aorta is measured 42 mm and wider than normal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_492/valid_492_b/valid_492_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1175",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. The ascending aorta measures 42 mm and is wider than normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are several 8 mm nonspecific millimetric nodules in both lungs, the largest of which is observed at the basal level of the left lung lower lobe in series 2 image 216. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density reduction, degenerative changes, and narrowing of the intervertebral disc spaces are present in the bone structures in the examination area. Impression:  Millimetric nonspecific nodules of 8 mm in size, a few large in both lungs, observed at the basal level of the left lung lower lobe in serial 2 image 216  Atherosclerotic changes  The ascending aorta is measured 42 mm and wider than normal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_492/valid_492_b/valid_492_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1176",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. There is pericardial effusion in the case. Pulmonary trunk calibration is at the maximal physiological limit. Both pulmonary artery calibrations are natural. Calibration of the ascending aorta and descending aorta is normal. The aortic arch calibration was measured as 30 mm, slightly above normal. Millimetric sized calcific atheroma plaques are observed in the aortic arch. Multiple lymph nodes are observed in the mediastinum, the largest of which is in the right upper paratracheal area and approximately 29x23 mm in size. Lymph nodes have lost their normal oval configuration. Although the dimensions of both hilar levels cannot be evaluated clearly in the non-contrast examination, there are lymph nodes, the largest of which is 20x18 mm and observed at the right hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Peribronchial sheath thickening is observed. Multiple nodular lesions with randomized distribution are observed in both lungs, the largest measuring 30x25 mm at the posterobasal level of the left lung (met?). There is a pleural effusion measuring approximately 18 mm in the thickest part of the right lung, extending to the mid-upper zone. Density reduction consistent with emphysema is observed in both lungs. Sequelae changes are observed in the middle lobe of the right lung. In the right lung, there is thickening of the interlobular septa at the posterobasal level, and a ground-glass-like focal density increase. There is thickening of the interlobular septa in the anterior segment of the left lung upper lobe and accompanying focal ground-glass-like density increase. Similar appearances are observed in the periphery of the lower lobe superior segment. In the sections passing through the upper abdomen, there is a slight decrease in density consistent with steatosis in the liver. Post-op changes are observed in the gallbladder bed. The common bile duct calibration is larger than normal (secondary to cholecystectomy?). The pancreas appears atrophic with age. It could not be observed in the right kidney lodge. The left kidney is normal as far as can be observed. Mild hiatal hernia is observed. Degenerative changes are observed in the bone structure. Dorsal kyphosis configuration slightly increased. Impression:  Multiple nodular lesions (met?) in both lungs. It is recommended to be evaluated together with clinical and laboratory findings.  Focal interlobular septa thickening and accompanying ground-glass-like density increases in both lungs.  Mild hepatosteatosis.  Mild hiatal hernia.  Mediastinal and right hilar lymphadenopathies, pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_493/valid_493_a/valid_493_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1177",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. There is pericardial effusion in the case. Pulmonary trunk calibration is at the maximal physiological limit. Both pulmonary artery calibrations are natural. Calibration of the ascending aorta and descending aorta is normal. The aortic arch calibration was measured as 30 mm, slightly above normal. Millimetric sized calcific atheroma plaques are observed in the aortic arch. Multiple lymph nodes are observed in the mediastinum, the largest of which is in the right upper paratracheal area and approximately 29x23 mm in size. Lymph nodes have lost their normal oval configuration. Although the dimensions of both hilar levels cannot be evaluated clearly in the non-contrast examination, there are lymph nodes, the largest of which is 20x18 mm and observed at the right hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Peribronchial sheath thickening is observed. Multiple nodular lesions with randomized distribution are observed in both lungs, the largest measuring 30x25 mm at the posterobasal level of the left lung (met?). There is a pleural effusion measuring approximately 18 mm in the thickest part of the right lung, extending to the mid-upper zone. Density reduction consistent with emphysema is observed in both lungs. Sequelae changes are observed in the middle lobe of the right lung. In the right lung, there is thickening of the interlobular septa at the posterobasal level, and a ground-glass-like focal density increase. There is thickening of the interlobular septa in the anterior segment of the left lung upper lobe and accompanying focal ground-glass-like density increase. Similar appearances are observed in the periphery of the lower lobe superior segment. In the sections passing through the upper abdomen, there is a slight decrease in density consistent with steatosis in the liver. Post-op changes are observed in the gallbladder bed. The common bile duct calibration is larger than normal (secondary to cholecystectomy?). The pancreas appears atrophic with age. It could not be observed in the right kidney lodge. The left kidney is normal as far as can be observed. Mild hiatal hernia is observed. Degenerative changes are observed in the bone structure. Dorsal kyphosis configuration slightly increased. Impression:  Multiple nodular lesions (met?) in both lungs. It is recommended to be evaluated together with clinical and laboratory findings.  Focal interlobular septa thickening and accompanying ground-glass-like density increases in both lungs.  Mild hepatosteatosis.  Mild hiatal hernia.  Mediastinal and right hilar lymphadenopathies, pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_493/valid_493_a/valid_493_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1178",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion is slightly increased and its diameter is 28 mm at its widest point. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There was no significant difference in LAPs within the mediastinum and at the right hilar level. When examined in the lung parenchyma window; There were diffuse nodular lesions in both lung parenchyma and no significant difference was observed. The existing pleural effusion in the right hemithorax has increased slightly, and it was measured 35 mm at its widest point in the current examination. Thickening of the interlobular septa and accompanying minimal focal ground-glass densities are seen in both lungs. There are stable ground glass densities and bronchial thickenings in the subpleural area, especially in the anterior lower lobe on the left. In upper abdominal sections; gallbladder is operated. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the bone structures within the study area; thoracic vertebrae are degenerate. Impression:  Lymphadenopathies in the mediastinum and right hilar region that do not differ significantly.  Multiple non-significantly different nodules in both lungs.  Pericardial and right pleural increased effusion.  Thickening of interlobular septa in both lungs, focal ground glass densities (no significant difference was detected)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_493/valid_493_b/valid_493_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion is slightly increased and its diameter is 28 mm at its widest point. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There was no significant difference in LAPs within the mediastinum and at the right hilar level. When examined in the lung parenchyma window; There were diffuse nodular lesions in both lung parenchyma and no significant difference was observed. The existing pleural effusion in the right hemithorax has increased slightly, and it was measured 35 mm at its widest point in the current examination. Thickening of the interlobular septa and accompanying minimal focal ground-glass densities are seen in both lungs. There are stable ground glass densities and bronchial thickenings in the subpleural area, especially in the anterior lower lobe on the left. In upper abdominal sections; gallbladder is operated. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the bone structures within the study area; thoracic vertebrae are degenerate. Impression:  Lymphadenopathies in the mediastinum and right hilar region that do not differ significantly.  Multiple non-significantly different nodules in both lungs.  Pericardial and right pleural increased effusion.  Thickening of interlobular septa in both lungs, focal ground glass densities (no significant difference was detected)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_493/valid_493_b/valid_493_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1180",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: When evaluated together with the patient's examination six days ago; Pericardial effusion and pleural effusion in the right lung are stable. No significant difference was found in the number and size of pulmonary nodules. There was no difference in the interlobar and interlobular septal thickenings in both lungs and in the focal ground glass densities observed especially in the lower lobe superior segment of the left lung. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_493/valid_493_c/valid_493_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1181",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: When evaluated together with the patient's examination six days ago; Pericardial effusion and pleural effusion in the right lung are stable. No significant difference was found in the number and size of pulmonary nodules. There was no difference in the interlobar and interlobular septal thickenings in both lungs and in the focal ground glass densities observed especially in the lower lobe superior segment of the left lung. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_493/valid_493_c/valid_493_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1182",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Fibrotic densities are observed in the middle lobe of the right lung and the lingula of the left lung. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a 13 mm hypodense lesion was observed between segments 5-8 in the liver, which could not be characterized in this examination. it is natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal fibrotic densities in both lungs  Millimetric hypodense lesion in the liver between segments 5-8"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_494/valid_494_a/valid_494_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Fibrotic densities are observed in the middle lobe of the right lung and the lingula of the left lung. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a 13 mm hypodense lesion was observed between segments 5-8 in the liver, which could not be characterized in this examination. it is natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal fibrotic densities in both lungs  Millimetric hypodense lesion in the liver between segments 5-8"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_494/valid_494_a/valid_494_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1184",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. There are right upper paratracheal and lower paratracheal calcified mediastinal lymph nodes. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. In the evaluation of lung parenchyma structures, pleuroparenchymal linear density increase and parenchymal calcification foci in the right lung upper lobe apical segment are in favor of the sequelae of previous TB infection with mediastinal calcified lymph nodes. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Peribronchial and subpleural patchy ground-glass density areas and atypical pneumonic infiltration findings are observed in both lungs towards bilateral asymmetrical basals. The radiological pattern was evaluated to be compatible with the lung parenchyma involvement of Covid infection. No features were detected in the upper abdomen sections. There is an accessory spleen in the upper pole posterior of the spleen. No lytic-destructive lesions were detected in bone structures. Impression:  Parenchymal findings consistent with previous primary TB sequelae.  Atypical pneumonic infiltration areas in both lung parenchyma, radiological findings are consistent with lung parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_495/valid_495_a/valid_495_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1185",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. There are right upper paratracheal and lower paratracheal calcified mediastinal lymph nodes. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. In the evaluation of lung parenchyma structures, pleuroparenchymal linear density increase and parenchymal calcification foci in the right lung upper lobe apical segment are in favor of the sequelae of previous TB infection with mediastinal calcified lymph nodes. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Peribronchial and subpleural patchy ground-glass density areas and atypical pneumonic infiltration findings are observed in both lungs towards bilateral asymmetrical basals. The radiological pattern was evaluated to be compatible with the lung parenchyma involvement of Covid infection. No features were detected in the upper abdomen sections. There is an accessory spleen in the upper pole posterior of the spleen. No lytic-destructive lesions were detected in bone structures. Impression:  Parenchymal findings consistent with previous primary TB sequelae.  Atypical pneumonic infiltration areas in both lung parenchyma, radiological findings are consistent with lung parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_495/valid_495_a/valid_495_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1186",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_496/valid_496_a/valid_496_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1187",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_496/valid_496_a/valid_496_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1188",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the wall of the right brachiocephalic and subclavian arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental, central-peripheral weighted crazy paving pattern and patchy ground glass infiltrations with vascular enlargement were observed. Linear subsegmental atelectasis and subpleural curvilinear striations accompany the infiltrates. The outlook is compatible with late-stage Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Minimal peribronchial thickening was observed in the segmental bronchial walls of both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; subcapsular nodular sequela coarse calcification was observed in liver segment 6. In liver segment 4B, a 16x11 mm nonspecific hypodense lesion was observed adjacent to the gallbladder (cyst?). Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Atherosclerotic wall calcifications in the right brachiocephalic and right subclavian arteries  Findings consistent with late-stage Covid-19 pneumonia in the lung parenchyma  Minimal peribronchial thickening in the segmental bronchi of both lungs  Nonspecific hypodense lesion (cyst?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_497/valid_497_a/valid_497_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1189",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the wall of the right brachiocephalic and subclavian arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental, central-peripheral weighted crazy paving pattern and patchy ground glass infiltrations with vascular enlargement were observed. Linear subsegmental atelectasis and subpleural curvilinear striations accompany the infiltrates. The outlook is compatible with late-stage Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Minimal peribronchial thickening was observed in the segmental bronchial walls of both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; subcapsular nodular sequela coarse calcification was observed in liver segment 6. In liver segment 4B, a 16x11 mm nonspecific hypodense lesion was observed adjacent to the gallbladder (cyst?). Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Atherosclerotic wall calcifications in the right brachiocephalic and right subclavian arteries  Findings consistent with late-stage Covid-19 pneumonia in the lung parenchyma  Minimal peribronchial thickening in the segmental bronchi of both lungs  Nonspecific hypodense lesion (cyst?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_497/valid_497_a/valid_497_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1190",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen in the sections, an accessory spleen with a diameter of 5.5 mm was observed in the anterior neighborhood of the upper pole of the spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_498/valid_498_a/valid_498_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen in the sections, an accessory spleen with a diameter of 5.5 mm was observed in the anterior neighborhood of the upper pole of the spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_498/valid_498_a/valid_498_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1192",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A few millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_499/valid_499_a/valid_499_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1193",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A few millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_499/valid_499_a/valid_499_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1194",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart size increased. The diameter of the ascending aorta is 39 mm, which is above normal. Pulmonary artery diameter is 33 mm and increased. The diameters of the right and left pulmonary arteries are also above normal. Pericardial effusion-thickness increase was not detected. There are calcific atheroma plaques in the thoracic aorta and at the level of the coronary arteries, and the appearance of a stent at the level of the coronary arteries. In addition, there are sutures belonging to pericardial millimetric foreign bodies. In the mediastinum, prevascular, pre-paratracheal, aorticopulmonary window, subcarinal and both hilar multiple lymph nodes with a short axis diameter not exceeding 1 cm were observed. There is one LAP with a diameter of 13 mm in the lower right paratracheal short axis. In addition, millimetric calcific lymph nodes are observed at the right hilar level. When examined in the lung parenchyma window; In the upper lobe of the right lung, increases in interlobular septal thickness-centriacinar nodules and sometimes budding tree views are observed. In addition, there are subsegmental atelectasis and accompanying sequelae pleuroparenchymal bands at the anterior level of the upper lobe (Infective process?). It is recommended to be evaluated together with clinical and laboratory findings. Subsegmental atelectasis were observed in the right lung middle lobe lateral and left lung lingular segment inferior. There are minimal bronchiectatic changes in both lungs. Minimal pleural effusion in both hemithorax and compression atelectasis in the left lung lower lobe segments adjacent to the effusion are observed. Abdominal solid organs are normal in sections passing through the upper abdomen. No space-occupying lesion was observed in both adrenal sites. There is left-facing rotoscoliosis in the dorsal vertebrae within the sections. Vertebra corpus heights and alignments are natural. Osteophytic and degenerative changes were observed in the corners of the corpus. There are metallic sutures secondary to previous surgery in the sternum. Impression: Cardiomegaly, Ascending aortic aneurysm. Increase in pulmonary artery diameters.  One LAP in right lower paratracheal with mediastinal millimetric lymph nodes.  Minimal pleural effusion in both hemithoraxes, compression atelectasis in the left lung segments adjacent to the effusion. Interlobular septal thickness increases in the right lung upper lobe, centriacinar nodules and budding tree view; It is recommended to evaluate the infective process together with clinical and laboratory findings.  Right lung middle lobe lateral and left lung lingular segment inferior subsegmental atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_500/valid_500_a/valid_500_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart size increased. The diameter of the ascending aorta is 39 mm, which is above normal. Pulmonary artery diameter is 33 mm and increased. The diameters of the right and left pulmonary arteries are also above normal. Pericardial effusion-thickness increase was not detected. There are calcific atheroma plaques in the thoracic aorta and at the level of the coronary arteries, and the appearance of a stent at the level of the coronary arteries. In addition, there are sutures belonging to pericardial millimetric foreign bodies. In the mediastinum, prevascular, pre-paratracheal, aorticopulmonary window, subcarinal and both hilar multiple lymph nodes with a short axis diameter not exceeding 1 cm were observed. There is one LAP with a diameter of 13 mm in the lower right paratracheal short axis. In addition, millimetric calcific lymph nodes are observed at the right hilar level. When examined in the lung parenchyma window; In the upper lobe of the right lung, increases in interlobular septal thickness-centriacinar nodules and sometimes budding tree views are observed. In addition, there are subsegmental atelectasis and accompanying sequelae pleuroparenchymal bands at the anterior level of the upper lobe (Infective process?). It is recommended to be evaluated together with clinical and laboratory findings. Subsegmental atelectasis were observed in the right lung middle lobe lateral and left lung lingular segment inferior. There are minimal bronchiectatic changes in both lungs. Minimal pleural effusion in both hemithorax and compression atelectasis in the left lung lower lobe segments adjacent to the effusion are observed. Abdominal solid organs are normal in sections passing through the upper abdomen. No space-occupying lesion was observed in both adrenal sites. There is left-facing rotoscoliosis in the dorsal vertebrae within the sections. Vertebra corpus heights and alignments are natural. Osteophytic and degenerative changes were observed in the corners of the corpus. There are metallic sutures secondary to previous surgery in the sternum. Impression: Cardiomegaly, Ascending aortic aneurysm. Increase in pulmonary artery diameters.  One LAP in right lower paratracheal with mediastinal millimetric lymph nodes.  Minimal pleural effusion in both hemithoraxes, compression atelectasis in the left lung segments adjacent to the effusion. Interlobular septal thickness increases in the right lung upper lobe, centriacinar nodules and budding tree view; It is recommended to evaluate the infective process together with clinical and laboratory findings.  Right lung middle lobe lateral and left lung lingular segment inferior subsegmental atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_500/valid_500_a/valid_500_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1196",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO is within normal limits. Arch aortic calibration is 32mm, slightly above normal. The right pulmonary artery was 28mm, and the pulmonary trunk was 31mm, and it was wider than normal. Calibration of other major vascular structures is natural. At the level of the aortic arch, calcific atheroma plaques are observed in the coronary arteries. There are millimetric lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. both hemithorax AP diameters increased. There is diffuse emphysematous density reduction, more prominent in the upper zones of both lungs. There are pleuroparenchymal sequelae changes in the anterior segment of the right lung upper lobe and tractional bronchiectasis in its vicinity. In the peribronchovascular traces, a slight increase in density is observed on the right. Peribronchovascular thickening is observed in places on the right. Density increases consistent with pleuroparenchymal sequelae are observed in the left inferior lingular segment and laterobasal segment. Branches with buds, which are prominent in the central and posterior segments of the upper lobe in the right lung, milder in the lower lobe superior segment and laterobasal segment, and mild in the apicoposterior segment of the upper lobe of the left lung, are consistent with pneumonic infiltration. According to the previous examination, there is a slight prominence. No pleural effusion or pleural thickening, pneumothorax was detected in both lungs. In the sections passing through the upper abdomen, a density compatible with calculus with a diameter of approximately 3 mm is observed at the level of the liver neck. Degenerative changes are observed in the bone structures in the study area. Impression: Emphysematous changes in both lungs.  In the right lung, bud branch views compatible with pneumonic infiltration are observed, prominent in the central and posterior segments of the upper lobe, milder in the lower lobe superior segment and laterobasal segment, and mildly in the apicoposterior segment of the upper lobe of the left lung. cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_500/valid_500_b/valid_500_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1197",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO is within normal limits. Arch aortic calibration is 32mm, slightly above normal. The right pulmonary artery was 28mm, and the pulmonary trunk was 31mm, and it was wider than normal. Calibration of other major vascular structures is natural. At the level of the aortic arch, calcific atheroma plaques are observed in the coronary arteries. There are millimetric lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. both hemithorax AP diameters increased. There is diffuse emphysematous density reduction, more prominent in the upper zones of both lungs. There are pleuroparenchymal sequelae changes in the anterior segment of the right lung upper lobe and tractional bronchiectasis in its vicinity. In the peribronchovascular traces, a slight increase in density is observed on the right. Peribronchovascular thickening is observed in places on the right. Density increases consistent with pleuroparenchymal sequelae are observed in the left inferior lingular segment and laterobasal segment. Branches with buds, which are prominent in the central and posterior segments of the upper lobe in the right lung, milder in the lower lobe superior segment and laterobasal segment, and mild in the apicoposterior segment of the upper lobe of the left lung, are consistent with pneumonic infiltration. According to the previous examination, there is a slight prominence. No pleural effusion or pleural thickening, pneumothorax was detected in both lungs. In the sections passing through the upper abdomen, a density compatible with calculus with a diameter of approximately 3 mm is observed at the level of the liver neck. Degenerative changes are observed in the bone structures in the study area. Impression: Emphysematous changes in both lungs.  In the right lung, bud branch views compatible with pneumonic infiltration are observed, prominent in the central and posterior segments of the upper lobe, milder in the lower lobe superior segment and laterobasal segment, and mildly in the apicoposterior segment of the upper lobe of the left lung. cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_500/valid_500_b/valid_500_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1198",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Bilateral gynecomastia is observed. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Millimetric nodular calcifications were observed in the trachea and the walls of both main bronchi, and the findings were consistent with tracheobronchopathia osteochondroplastica. Clap sizes have increased. Pericardial effusion-thickening was not observed. The diameter of the ascending aorta is 40 mm, which is above normal. Pulmonary artery diameter increased by 30 mm, and right and left pulmonary artery diameters increased by 28 and 27 mm, respectively. Calcific atheroma plaques are observed at the level of the thoracic aorta and coronary arteries, and a stent-like appearance is observed at the level of the coronary arteries. Metallic sutures compatible with ACBG are observed in the sternum and anterior mediastinum. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; AP diameter of both hemithorax increased. Diffuse emphysematous changes are observed in both lungs, more prominently in the upper zones. Pleuroparenchymal sequelae changes in the anterior segment of the upper lobe of the right lung and traction bronchiectasis are observed in the vicinity. Subsegmental atelectatic changes are observed in the right lung middle lobe lateral segment and left lung inferior lingular segment. A nodular lesion of approximately 16x10 mm was observed in the right lung lower lobe laterobasal segment in the area adjacent to the major fissure, which may be compatible with round atelectasis. Interlobular septal thickening was observed in both lower lobe basal segments of both lungs. The findings were evaluated as secondary to heart failure. Minimal bronchiectatic changes are observed in both lungs. Minimal pleural effusion is observed on the right. No pleural effusion was observed on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is left-facing rotoscoliosis at the level of the dorsal vertebrae. Vertebral corpus heights and alignments are normal. Osteophytic degenerative changes are observed in the vertebrae. Impression: Cardiomegaly, ascending aortic aneurysm, increased pulmonary artery diameters, pulmonary hypertension?. .  Subpleural nodular lesion in the right lung middle lobe lateral segment, which has just appeared in the current examination and was initially evaluated in favor of round atelectasis. Follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_500/valid_500_c/valid_500_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1199",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Bilateral gynecomastia is observed. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Millimetric nodular calcifications were observed in the trachea and the walls of both main bronchi, and the findings were consistent with tracheobronchopathia osteochondroplastica. Clap sizes have increased. Pericardial effusion-thickening was not observed. The diameter of the ascending aorta is 40 mm, which is above normal. Pulmonary artery diameter increased by 30 mm, and right and left pulmonary artery diameters increased by 28 and 27 mm, respectively. Calcific atheroma plaques are observed at the level of the thoracic aorta and coronary arteries, and a stent-like appearance is observed at the level of the coronary arteries. Metallic sutures compatible with ACBG are observed in the sternum and anterior mediastinum. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; AP diameter of both hemithorax increased. Diffuse emphysematous changes are observed in both lungs, more prominently in the upper zones. Pleuroparenchymal sequelae changes in the anterior segment of the upper lobe of the right lung and traction bronchiectasis are observed in the vicinity. Subsegmental atelectatic changes are observed in the right lung middle lobe lateral segment and left lung inferior lingular segment. A nodular lesion of approximately 16x10 mm was observed in the right lung lower lobe laterobasal segment in the area adjacent to the major fissure, which may be compatible with round atelectasis. Interlobular septal thickening was observed in both lower lobe basal segments of both lungs. The findings were evaluated as secondary to heart failure. Minimal bronchiectatic changes are observed in both lungs. Minimal pleural effusion is observed on the right. No pleural effusion was observed on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is left-facing rotoscoliosis at the level of the dorsal vertebrae. Vertebral corpus heights and alignments are normal. Osteophytic degenerative changes are observed in the vertebrae. Impression: Cardiomegaly, ascending aortic aneurysm, increased pulmonary artery diameters, pulmonary hypertension?. .  Subpleural nodular lesion in the right lung middle lobe lateral segment, which has just appeared in the current examination and was initially evaluated in favor of round atelectasis. Follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_500/valid_500_c/valid_500_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal since the examination was unenhanced; as far as can be traced; An increase in glandular tissue compatible with gynecomastia was observed in the bilateral retroareolar area. No occlusive pathology was detected in the trachea and left main bronchus lumen. Heart size has increased (cardiomegaly). Pericardial effusion-thickening was not observed. The ascending aorta was 40mm, the pulmonary artery diameter was 30mm, the right pulmonary artery diameter was 28mm, and the left pulmonary artery diameter was 27mm and increased. Diffuse calcified atherosclerotic plaques were observed on the thoracic aorta and coronary artery walls, and densities of stent materials were observed on the coronary artery wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. When both lung parenchyma windows are evaluated; Emphysematous changes were observed in both lungs. Pleuroparenchymal sequelae density increases were observed in the anterior segment of the right lung upper lobe. Fibtoatelectatic changes were observed in the lateral segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. Soft tissue density, which obliterates the upper lobe bronchus and protrudes in the lumen of the main bronchus, which contains calcification, was observed in the right hilar region. However, in the lesion described distal, large areas of atelectasis-consolidation with indistinguishable borders and increases in ground glass density were observed in its vicinity. The described area of atelectasis-consolidation almost completely fills the upper lobe. It just appeared in the current review. Prominent interlobular septa were observed in the lower lobes of both lungs (secondary to cardiac pathology?). No pleural effusion was detected on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. There is rotoscoliosis with the opening facing left. Impression: Mediastinal stable lymph nodes.  Cardiomegaly. Fusiform dilatation of the ascending aorta, dilatation of the pulmonary arteries. Fibroatelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_500/valid_500_d/valid_500_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1201",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal since the examination was unenhanced; as far as can be traced; An increase in glandular tissue compatible with gynecomastia was observed in the bilateral retroareolar area. No occlusive pathology was detected in the trachea and left main bronchus lumen. Heart size has increased (cardiomegaly). Pericardial effusion-thickening was not observed. The ascending aorta was 40mm, the pulmonary artery diameter was 30mm, the right pulmonary artery diameter was 28mm, and the left pulmonary artery diameter was 27mm and increased. Diffuse calcified atherosclerotic plaques were observed on the thoracic aorta and coronary artery walls, and densities of stent materials were observed on the coronary artery wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. When both lung parenchyma windows are evaluated; Emphysematous changes were observed in both lungs. Pleuroparenchymal sequelae density increases were observed in the anterior segment of the right lung upper lobe. Fibtoatelectatic changes were observed in the lateral segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. Soft tissue density, which obliterates the upper lobe bronchus and protrudes in the lumen of the main bronchus, which contains calcification, was observed in the right hilar region. However, in the lesion described distal, large areas of atelectasis-consolidation with indistinguishable borders and increases in ground glass density were observed in its vicinity. The described area of atelectasis-consolidation almost completely fills the upper lobe. It just appeared in the current review. Prominent interlobular septa were observed in the lower lobes of both lungs (secondary to cardiac pathology?). No pleural effusion was detected on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. There is rotoscoliosis with the opening facing left. Impression: Mediastinal stable lymph nodes.  Cardiomegaly. Fusiform dilatation of the ascending aorta, dilatation of the pulmonary arteries. Fibroatelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_500/valid_500_d/valid_500_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1202",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the lingular segment of the left lung upper lobe. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There is a millimetric atheroma plaque in the aortic arch. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There is a mass measuring approximately 30 mm in diameter in the left adrenal gland and evaluated in favor of adenoma. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Linear atelectasis in the left lung.  Millimetric atheroma plaque in the aortic arch.  Adenoma in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_501/valid_501_a/valid_501_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1203",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the lingular segment of the left lung upper lobe. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There is a millimetric atheroma plaque in the aortic arch. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There is a mass measuring approximately 30 mm in diameter in the left adrenal gland and evaluated in favor of adenoma. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Linear atelectasis in the left lung.  Millimetric atheroma plaque in the aortic arch.  Adenoma in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_501/valid_501_a/valid_501_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1204",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: A well-circumscribed hypodense lesion of 8 mm in diameter was observed in the lower quadrant of the right breast. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial mild effusion was observed. Other mediastinal major vascular structures, Heart contour, normal in size. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Fibroatelectatic changes were observed in both lungs. Micronodular opacities were observed in the anterobasal segment of the lower lobe of the left lung (changes in the sequelae of bronchiolitis?). Mild tubular bronchiectatic changes were observed in both lung lower lobes. Nonspecific parenchymal nodules with a diameter of 5.5 mm were observed in the upper lobe of the right lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections included in the examination area, a 19x14 mm hypodense lesion with a negative HU value was observed in the lateral crus of the right adrenal gland (adenoma?). A hypodense lesion was observed in the left kidney (cyst?). Calcific atherosclerotic changes were observed in the wall of the abdominal aorta. No lytic-destructive lesion was detected in bone structures. Impression:  Fibroatelectatic changes in both lungs, nonspecific parenchymal nodules in the right lung, bilateral peribronchial thickenings and tubular bronchiectasis in the lower lobes.  Focal micronodular opacities in the anterobasal segment of the lower lobe of the left lung, changes in the sequelae of chronic bronchiolitis?  Hypodense lesion in the right adrenal gland, adenoma, pericardial minimal effusion.  Left renal hypodense lesion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_502/valid_502_a/valid_502_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1205",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: A well-circumscribed hypodense lesion of 8 mm in diameter was observed in the lower quadrant of the right breast. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial mild effusion was observed. Other mediastinal major vascular structures, Heart contour, normal in size. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Fibroatelectatic changes were observed in both lungs. Micronodular opacities were observed in the anterobasal segment of the lower lobe of the left lung (changes in the sequelae of bronchiolitis?). Mild tubular bronchiectatic changes were observed in both lung lower lobes. Nonspecific parenchymal nodules with a diameter of 5.5 mm were observed in the upper lobe of the right lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections included in the examination area, a 19x14 mm hypodense lesion with a negative HU value was observed in the lateral crus of the right adrenal gland (adenoma?). A hypodense lesion was observed in the left kidney (cyst?). Calcific atherosclerotic changes were observed in the wall of the abdominal aorta. No lytic-destructive lesion was detected in bone structures. Impression:  Fibroatelectatic changes in both lungs, nonspecific parenchymal nodules in the right lung, bilateral peribronchial thickenings and tubular bronchiectasis in the lower lobes.  Focal micronodular opacities in the anterobasal segment of the lower lobe of the left lung, changes in the sequelae of chronic bronchiolitis?  Hypodense lesion in the right adrenal gland, adenoma, pericardial minimal effusion.  Left renal hypodense lesion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_502/valid_502_a/valid_502_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1206",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. The neural foramina are open. Impression: Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_503/valid_503_a/valid_503_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. The neural foramina are open. Impression: Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_503/valid_503_a/valid_503_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1208",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules were observed in both lungs. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs within the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Stable millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_503/valid_503_b/valid_503_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1209",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules were observed in both lungs. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs within the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Stable millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_503/valid_503_b/valid_503_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1210",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No significant changes were detected in the appearance described from the previous review. However, in the current examination, thick-walled large cavitation area in the upper lobe of the right lung and dense ground-glass-like density increases were observed around it. Imaging features are atypical or rarely reported for Covid-19 pneumonia. Evaluation with clinical and laboratory data is recommended. Free fluid was observed in the perihepatic perisplenic area in the upper abdominal sections that entered the examination area. A catheter image was observed in the right kidney. No mass lesion was detected at the level of the esophagogastric junction, which draws a clear border in the non-contrast examination limits. Irregular appearance was observed in the liver contours. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: However, in the current examination, a thick-walled large cavitation area in the upper lobe of the right lung and increases in ground glass density were observed around it. Imaging features are atypical for Covid-19 pneumonia or reported rarely. Clinical and laboratory correlation is recommended. Intra-abdominal free fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_504/valid_504_a/valid_504_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No significant changes were detected in the appearance described from the previous review. However, in the current examination, thick-walled large cavitation area in the upper lobe of the right lung and dense ground-glass-like density increases were observed around it. Imaging features are atypical or rarely reported for Covid-19 pneumonia. Evaluation with clinical and laboratory data is recommended. Free fluid was observed in the perihepatic perisplenic area in the upper abdominal sections that entered the examination area. A catheter image was observed in the right kidney. No mass lesion was detected at the level of the esophagogastric junction, which draws a clear border in the non-contrast examination limits. Irregular appearance was observed in the liver contours. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: However, in the current examination, a thick-walled large cavitation area in the upper lobe of the right lung and increases in ground glass density were observed around it. Imaging features are atypical for Covid-19 pneumonia or reported rarely. Clinical and laboratory correlation is recommended. Intra-abdominal free fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_504/valid_504_a/valid_504_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1212",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes and occasional linear atelectasis in both lungs. There is a peripheral millimetric nodule in the apicoposterior segment of the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There is a solid mass measuring approximately 17 mm in diameter in the left adrenal gland. And it was evaluated in favor of adenoma. There are changes in liver parenchyma density compatible with advanced adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Minimal emphysematous changes in both lungs. Atelectasis in both lungs. Hepatic steatosis. Adenoma in the left adrenal gland.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_505/valid_505_a/valid_505_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1213",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes and occasional linear atelectasis in both lungs. There is a peripheral millimetric nodule in the apicoposterior segment of the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There is a solid mass measuring approximately 17 mm in diameter in the left adrenal gland. And it was evaluated in favor of adenoma. There are changes in liver parenchyma density compatible with advanced adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Minimal emphysematous changes in both lungs. Atelectasis in both lungs. Hepatic steatosis. Adenoma in the left adrenal gland.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_505/valid_505_a/valid_505_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1214",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; Claibration of major mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. A large number of lymph nodes, some of which reached pathological dimensions, were observed in prevascular, upper-lower paratracheal, subcarinal, bilateral hilar and aortapulmonary sizes, the largest of which was 21x11 mm. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Effusion reaching 2 cm in the thickest part of the right hemithorax was observed on the bilateral hemithorax. When examined in the lung parenchyma window; Ground glass densities and centriacinar nodules with focal faint borders were observed in both lungs. In addition, a focal area of consolidation adjacent to the effusion was observed in the posterobasal segment of the lower lobe of the right lung (infective?). Clinic and lab. correlation is recommended. In addition, subpleural nonspecific subpleural nodules less than 4 mm in diameter were observed in both lungs. As far as can be observed in the non-contrast examination; A 14x9 mm hypodense lesion with peripheral subcapsular location was observed in segment 8 at the level of the liver dome. Millimetric calculus was observed in the gallbladder lumen. The contour, size, parenchyma density of the spleen is normal. The contour, size, parenchyma density of the pancreas is natural. Diffuse thickening was observed in the medial crus of both adrenal glands. A 9 mm diameter adenoma was observed in the lateral crus of the right adrenal gland. Bone structures in the study area are natural. Vertebral corpus heights are preserved. At the midthoracic level, bridging spur formations were observed in the right lateral corner of the vertebrae. Impression: Multiple lymph nodes in the mediastinum and both hilum, some reaching pathological dimensions . Bilateral pleural effusion, ground-glass densities in both lungs and focal patchy nodules with faint borders, focal consolidation in the posterobasal segment of the lower lobe of the right lung (infective?). Correlation with clinic and lab is recommended. Millimetric nonspecific subpelvral nodules in both lungs. Peripheral subcapsular located hypodense lesion in segment 8 at the level of the liver dome, could not be characterized in non-contrast examination (cyst?).  Diffuse thickening of both adrenal glands medial crus, milimetric adenoma in right adrenal gland lateral crus . Findings consistent with diffuse idiopathic bone hypoostosis at the middle thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_506/valid_506_a/valid_506_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; Claibration of major mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. A large number of lymph nodes, some of which reached pathological dimensions, were observed in prevascular, upper-lower paratracheal, subcarinal, bilateral hilar and aortapulmonary sizes, the largest of which was 21x11 mm. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Effusion reaching 2 cm in the thickest part of the right hemithorax was observed on the bilateral hemithorax. When examined in the lung parenchyma window; Ground glass densities and centriacinar nodules with focal faint borders were observed in both lungs. In addition, a focal area of consolidation adjacent to the effusion was observed in the posterobasal segment of the lower lobe of the right lung (infective?). Clinic and lab. correlation is recommended. In addition, subpleural nonspecific subpleural nodules less than 4 mm in diameter were observed in both lungs. As far as can be observed in the non-contrast examination; A 14x9 mm hypodense lesion with peripheral subcapsular location was observed in segment 8 at the level of the liver dome. Millimetric calculus was observed in the gallbladder lumen. The contour, size, parenchyma density of the spleen is normal. The contour, size, parenchyma density of the pancreas is natural. Diffuse thickening was observed in the medial crus of both adrenal glands. A 9 mm diameter adenoma was observed in the lateral crus of the right adrenal gland. Bone structures in the study area are natural. Vertebral corpus heights are preserved. At the midthoracic level, bridging spur formations were observed in the right lateral corner of the vertebrae. Impression: Multiple lymph nodes in the mediastinum and both hilum, some reaching pathological dimensions . Bilateral pleural effusion, ground-glass densities in both lungs and focal patchy nodules with faint borders, focal consolidation in the posterobasal segment of the lower lobe of the right lung (infective?). Correlation with clinic and lab is recommended. Millimetric nonspecific subpelvral nodules in both lungs. Peripheral subcapsular located hypodense lesion in segment 8 at the level of the liver dome, could not be characterized in non-contrast examination (cyst?).  Diffuse thickening of both adrenal glands medial crus, milimetric adenoma in right adrenal gland lateral crus . Findings consistent with diffuse idiopathic bone hypoostosis at the middle thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_506/valid_506_a/valid_506_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1216",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  The cannula is observed in the tracheal lumen. Widespread free air images are observed on the ventral side in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread ground glass areas, interlobular septal thickenings and focal consolidation area in the left lower posterobasal segment are observed in the lower lobe basal segments of both lungs in the subpleural areas. No pleural effusion was detected. Upper abdominal organs included in the sections are normal. A hypodense lesion of 11 mm in diameter was observed at the level of segment 6 in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen, pancreas, and both kidneys appear normal. No lytic-destructive lesion was detected in the bone structures in the study area. Calcified atheroma plaques are observed in the wall of the thoracoabdominal aorta. Impression: Pnomomediastinum. Stable hypodense lesion in the liver at segment 6 level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_507/valid_507_a/valid_507_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  The cannula is observed in the tracheal lumen. Widespread free air images are observed on the ventral side in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread ground glass areas, interlobular septal thickenings and focal consolidation area in the left lower posterobasal segment are observed in the lower lobe basal segments of both lungs in the subpleural areas. No pleural effusion was detected. Upper abdominal organs included in the sections are normal. A hypodense lesion of 11 mm in diameter was observed at the level of segment 6 in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen, pancreas, and both kidneys appear normal. No lytic-destructive lesion was detected in the bone structures in the study area. Calcified atheroma plaques are observed in the wall of the thoracoabdominal aorta. Impression: Pnomomediastinum. Stable hypodense lesion in the liver at segment 6 level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_507/valid_507_a/valid_507_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1218",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass-infiltration was detected in both lung parenchyma. A subpleural 2 mm nonspecific parenchymal nodule was observed in the superior segment of the lower lobe of the right lung. Minimal calcified sequelae fibrotic density increases were observed in the lower lobe of the left lung. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Millimetric nonspecific parenchymal nodule in the right lung, minimal sequelae changes in the left lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_508/valid_508_a/valid_508_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atherosclerotic plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Two millimetric nonspecific nodules are observed adjacent to each other at the level of the left lung upper lobe lingular segment. Apart from this nodule, millimetric sized calcific sequela nodules are observed in both lungs from time to time. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcific atheromatous plaques. Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_509/valid_509_a/valid_509_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1220",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atherosclerotic plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Two millimetric nonspecific nodules are observed adjacent to each other at the level of the left lung upper lobe lingular segment. Apart from this nodule, millimetric sized calcific sequela nodules are observed in both lungs from time to time. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcific atheromatous plaques. Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_509/valid_509_a/valid_509_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1221",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. The ascending aorta is slightly ectatic (36 mm). Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral weighted ground glass densities are observed in both lung parenchyma. Calcific plaques were observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There are degenerative changes in the vertebrae. Impression:  Findings consistent with Covid pneumonia in both lungs.  Ectasia of the ascending aorta and aortic atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_509/valid_509_b/valid_509_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1222",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. The ascending aorta is slightly ectatic (36 mm). Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral weighted ground glass densities are observed in both lung parenchyma. Calcific plaques were observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There are degenerative changes in the vertebrae. Impression:  Findings consistent with Covid pneumonia in both lungs.  Ectasia of the ascending aorta and aortic atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_509/valid_509_b/valid_509_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1223",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. In both lungs, diffuse mild ectasia and peribronchial thickness increases are evident in the central bronchial structures. Sequela parenchymal changes were observed in the apex of both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No active infiltration or mass lesion is observed in both lungs, sequela parenchymal changes in the apices of both lungs and diffuse mild ectasia and peribronchial thickness increases in the central bilateral bronchial structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_510/valid_510_a/valid_510_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1224",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. In both lungs, diffuse mild ectasia and peribronchial thickness increases are evident in the central bronchial structures. Sequela parenchymal changes were observed in the apex of both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No active infiltration or mass lesion is observed in both lungs, sequela parenchymal changes in the apices of both lungs and diffuse mild ectasia and peribronchial thickness increases in the central bilateral bronchial structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_510/valid_510_a/valid_510_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1225",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The ascending aorta calibration is 41 mm, slightly above normal. The aortic arch calibration is 30 mm, slightly above normal. Calibration of other mediastinal vascular structures is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and bilateral hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. Scattered mild, peripherally located ground-glass-like density increases are observed in both lungs, and they are consolidated in places. The outlook was evaluated as compatible with Covid pneumonia. Since other viral pneumonias are included in the differential diagnosis, it is recommended to be evaluated together with clinical and laboratory findings. Pleural effusion-thickening was not detected. There is a decrease in density consistent with steatosis in the liver entering the upper section area included in the sections. An area protected from fat is observed in the vicinity of the gallbladder. The gallbladder is natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both kidneys are natural. Near the spleen, two nodular formations are observed, the larger of which is compatible with the accessory spleen, at the level of the hilus, and the spleen with a diameter of approximately 22 mm, and the accessory spleen with an isodense appearance. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure entering the examination area. Impression: Findings that are considered compatible with Covid pneumonia are recommended to be evaluated together with clinical-laboratory findings since other viral pneumonias are included in the differential diagnosis. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_511/valid_511_a/valid_511_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1226",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The calibration of the mediastinal main vascular structures at the level of the aortic arch is 34 mm. Calibrations at other levels are natural. Millimetric-sized calcific atheroma plaques are observed in the descending aorta of the left coronary artery. There are millimetric lymph nodes in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. At the right hilar level, a lymph node of approximately 12x10 mm is observed. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are ground-glass-like density increases in both lungs, which are peripherally distributed and occasionally accompanied by thickening of the interlobular septa. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Pleural effusion, pneumothorax were not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In addition, nodular density compatible with the accessory spleen is observed in the anterior of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Impression:  It is recommended to evaluate ground-glass-like density increases in both lungs with peripheral distribution and occasional thickening of interlobular septa, together with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_512/valid_512_a/valid_512_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. The calibration of the mediastinal main vascular structures at the level of the aortic arch is 34 mm. Calibrations at other levels are natural. Millimetric-sized calcific atheroma plaques are observed in the descending aorta of the left coronary artery. There are millimetric lymph nodes in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. At the right hilar level, a lymph node of approximately 12x10 mm is observed. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are ground-glass-like density increases in both lungs, which are peripherally distributed and occasionally accompanied by thickening of the interlobular septa. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Pleural effusion, pneumothorax were not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In addition, nodular density compatible with the accessory spleen is observed in the anterior of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Impression:  It is recommended to evaluate ground-glass-like density increases in both lungs with peripheral distribution and occasional thickening of interlobular septa, together with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_512/valid_512_a/valid_512_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1228",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are diffuse ground glass density increases in both lung parenchyma. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There are osteodegenerative changes in the vertebrae. Impression:  Coronary atherosclerosis  Findings consistent with Covid pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_512/valid_512_b/valid_512_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are diffuse ground glass density increases in both lung parenchyma. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There are osteodegenerative changes in the vertebrae. Impression:  Coronary atherosclerosis  Findings consistent with Covid pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_512/valid_512_b/valid_512_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1230",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation in the superior segment of the left lung lower lobe and minimal ground glass appearance are observed around it. In addition, some round-shaped consolidation and ground glass areas are observed in both lungs, especially in the peripheral areas. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_513/valid_513_a/valid_513_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1231",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation in the superior segment of the left lung lower lobe and minimal ground glass appearance are observed around it. In addition, some round-shaped consolidation and ground glass areas are observed in both lungs, especially in the peripheral areas. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_513/valid_513_a/valid_513_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1232",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mildly circumscribed ground-glass density increases were observed in the peripheral subpleural area of both lungs. The outlook can be traced in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; liver parenchyma density is diffusely decreased (mild hepatosteatosis) in line with mild adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Mildly circumscribed ground-glass density increases in the peripheral subpleural space in both lungs; The outlook can be traced in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_514/valid_514_a/valid_514_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mildly circumscribed ground-glass density increases were observed in the peripheral subpleural area of both lungs. The outlook can be traced in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; liver parenchyma density is diffusely decreased (mild hepatosteatosis) in line with mild adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Mildly circumscribed ground-glass density increases in the peripheral subpleural space in both lungs; The outlook can be traced in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_514/valid_514_a/valid_514_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1234",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Calibration of other mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). In the right lung, subpleural nodules with a diameter of 6 mm were observed, the largest of which was in the superior segment of the lower lobe. It is recommended to evaluate and follow-up together with previous examinations, if any. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. In both kidneys, hypodense nodular lesion areas with a diameter of 18.7 mm were observed in the upper pole of the right kidney with a diameter of 18.7 mm (cyst?). No lytic-destructive lesion in favor of metastasis was observed in the bone structures within the examination area. Impression: Hiatal hernia . Fusiform aneurysmatic dilatation in the ascending aorta . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?) . Millimetric subpleural nodules in the right lung, if present, should be evaluated and followed up together with previous examinations.  Millimetric nodular lesions (cyst?) in fluid density in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_515/valid_515_a/valid_515_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Calibration of other mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). In the right lung, subpleural nodules with a diameter of 6 mm were observed, the largest of which was in the superior segment of the lower lobe. It is recommended to evaluate and follow-up together with previous examinations, if any. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. In both kidneys, hypodense nodular lesion areas with a diameter of 18.7 mm were observed in the upper pole of the right kidney with a diameter of 18.7 mm (cyst?). No lytic-destructive lesion in favor of metastasis was observed in the bone structures within the examination area. Impression: Hiatal hernia . Fusiform aneurysmatic dilatation in the ascending aorta . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?) . Millimetric subpleural nodules in the right lung, if present, should be evaluated and followed up together with previous examinations.  Millimetric nodular lesions (cyst?) in fluid density in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_515/valid_515_a/valid_515_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1236",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Nodules of 4 millimeters in the posterior segment of the left lung upper lobe, 3 millimeters in the anterior segment of the right lung upper lobe, and 4 millimeters in the medial segment of the right lung middle lobe are observed. There are centriacinar emphysematous changes in both lungs. No pathology is detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: In the evaluation of the parenchyma of both lungs, no active infiltration or mass lesion was detected. Nodules measuring 4 millimeters in the posterior segment of the left lung upper lobe, 3 millimeters in the right lung upper lobe anterior segment, and 4 millimeters in the medial segment of the right lung middle lobe, centriacinar in both lungs There are emphysematous changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_516/valid_516_a/valid_516_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1237",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial minimal effusion was observed. No pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There are paraseptal emphysematous changes in the apex of both lungs. No active infiltration or mass lesion was detected in both lungs. A few millimetric nodules, some of them pure calcified nonspecific nodules, were observed in both lungs. In the upper abdominal sections within the image, there is a 17x13 mm low-density nodular lesion (adenoma?) in the lateral crus of the left adrenal gland within the borders of unenhanced CT. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Paraseptal emphysematous changes at the apex of both lungs and a few millimetric nodules, some of them pure calcified, nonspecific nodules.  Minimal pericardial effusion.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Low-density nodular lesion (adenoma?) in the lateral crus of the right adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_517/valid_517_a/valid_517_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1238",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial minimal effusion was observed. No pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There are paraseptal emphysematous changes in the apex of both lungs. No active infiltration or mass lesion was detected in both lungs. A few millimetric nodules, some of them pure calcified nonspecific nodules, were observed in both lungs. In the upper abdominal sections within the image, there is a 17x13 mm low-density nodular lesion (adenoma?) in the lateral crus of the left adrenal gland within the borders of unenhanced CT. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Paraseptal emphysematous changes at the apex of both lungs and a few millimetric nodules, some of them pure calcified, nonspecific nodules.  Minimal pericardial effusion.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Low-density nodular lesion (adenoma?) in the lateral crus of the right adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_517/valid_517_a/valid_517_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1239",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal examination is suboptimal due to lack of contrast. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral and right lobe predominantly nodular consolidation and ground glass densities are present in both lung parenchyma. Central bronchovascular structures are prominent. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are osteophytes extending anteriorly in the vertebrae in the bone structures within the study area. Impression:  Findings consistent with viral pneumonia in both lungs  Degenerative changes in vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_518/valid_518_a/valid_518_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1240",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal examination is suboptimal due to lack of contrast. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral and right lobe predominantly nodular consolidation and ground glass densities are present in both lung parenchyma. Central bronchovascular structures are prominent. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are osteophytes extending anteriorly in the vertebrae in the bone structures within the study area. Impression:  Findings consistent with viral pneumonia in both lungs  Degenerative changes in vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_518/valid_518_a/valid_518_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Arch aortic calibration is 33 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild emphysematous changes are present in both lungs. Sequelae changes are observed at the apical level. In the left lung, an increase in density consistent with pleuroparenchymal sequelae changes is observed in the inferior lingular segment. There is a faint ground-glass-like density increase at the posterobasal level in the left lung. In the right lung, there is a faint ground-glass-like density increase in the subpleural area in the upper lobe anterior segment. It is nonspecific in both areas. However, early stage infective processes could not be excluded. It is recommended to be evaluated together with clinical-laboratory findings. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with steatosis is observed in the liver. A fat-protected parenchyma area is observed adjacent to the gallbladder. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  A faint ground-glass-like density increase at the posterobasal level in the left lung.  A faint ground-glass-like density increase in the subpleural area in the anterior segment of the upper lobe of the right lung.  It is nonspecific in both areas. However, early stage infective processes could not be excluded. It is recommended to be evaluated together with clinical-laboratory findings.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_519/valid_519_a/valid_519_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1242",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Arch aortic calibration is 33 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild emphysematous changes are present in both lungs. Sequelae changes are observed at the apical level. In the left lung, an increase in density consistent with pleuroparenchymal sequelae changes is observed in the inferior lingular segment. There is a faint ground-glass-like density increase at the posterobasal level in the left lung. In the right lung, there is a faint ground-glass-like density increase in the subpleural area in the upper lobe anterior segment. It is nonspecific in both areas. However, early stage infective processes could not be excluded. It is recommended to be evaluated together with clinical-laboratory findings. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with steatosis is observed in the liver. A fat-protected parenchyma area is observed adjacent to the gallbladder. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  A faint ground-glass-like density increase at the posterobasal level in the left lung.  A faint ground-glass-like density increase in the subpleural area in the anterior segment of the upper lobe of the right lung.  It is nonspecific in both areas. However, early stage infective processes could not be excluded. It is recommended to be evaluated together with clinical-laboratory findings.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_519/valid_519_a/valid_519_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There is one nonspecific lymph node with a short axis measuring 10 mm in the prevascular area in the mediastinum. Diffuse wall calcifications are observed in the aortic arch. There are calcified atheroma plaques in the coronary arteries. Pericardial effusion was not detected. The size of the thyroid gland has increased. In the parenchyma evaluation, bronchial wall thickness increases are observed in the segmental bronchi of both lungs. It is more prominent in the lower lobes and a mosaic attenuation pattern is observed in the lower lobes. This pattern was thought to develop secondary to small airway involvement. Involvement pattern in the form of centracinary ground-glass nodules in the right lung lower lobe basal segment and middle lobe medial segment is observed in places. The finding was evaluated in favor of bronchiolitis (noncellular bronchiolitis?). Clinical and laboratory evaluation would be appropriate. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, a decrease in the thickness of the right kidney parenchyma and contour lobulation are observed. Impression: Mosaic attenuation pattern in the lower lobes of both lungs, with accompanying increases in bronchial wall thickness, was thought to develop secondary to small airway involvement. There are occasional centralobular ground-glass nodules in the middle lobe and lower lobe of the right lung. It was evaluated in favor of bronchiolitis, its correlation with clinical and laboratory would be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_520/valid_520_a/valid_520_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1244",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There is one nonspecific lymph node with a short axis measuring 10 mm in the prevascular area in the mediastinum. Diffuse wall calcifications are observed in the aortic arch. There are calcified atheroma plaques in the coronary arteries. Pericardial effusion was not detected. The size of the thyroid gland has increased. In the parenchyma evaluation, bronchial wall thickness increases are observed in the segmental bronchi of both lungs. It is more prominent in the lower lobes and a mosaic attenuation pattern is observed in the lower lobes. This pattern was thought to develop secondary to small airway involvement. Involvement pattern in the form of centracinary ground-glass nodules in the right lung lower lobe basal segment and middle lobe medial segment is observed in places. The finding was evaluated in favor of bronchiolitis (noncellular bronchiolitis?). Clinical and laboratory evaluation would be appropriate. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, a decrease in the thickness of the right kidney parenchyma and contour lobulation are observed. Impression: Mosaic attenuation pattern in the lower lobes of both lungs, with accompanying increases in bronchial wall thickness, was thought to develop secondary to small airway involvement. There are occasional centralobular ground-glass nodules in the middle lobe and lower lobe of the right lung. It was evaluated in favor of bronchiolitis, its correlation with clinical and laboratory would be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_520/valid_520_a/valid_520_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1245",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There is one nonspecific lymph node with a short axis measuring 10 mm in the prevascular area in the mediastinum. Diffuse wall calcifications are observed in the aortic arch. There are calcified atheroma plaques in the coronary arteries. Pericardial effusion was not detected. The size of the thyroid gland has increased. In the parenchyma evaluation, bronchial wall thickness increases are observed in the segmental bronchi of both lungs. It is more prominent in the lower lobes and a mosaic attenuation pattern is observed in the lower lobes. This pattern was thought to develop secondary to small airway involvement. Involvement pattern in the form of centracinary ground-glass nodules in the right lung lower lobe basal segment and middle lobe medial segment is observed in places. The finding was evaluated in favor of bronchiolitis (noncellular bronchiolitis?). Clinical and laboratory evaluation would be appropriate. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, a decrease in the thickness of the right kidney parenchyma and contour lobulation are observed. Impression: Mosaic attenuation pattern in the lower lobes of both lungs, with accompanying increases in bronchial wall thickness, was thought to develop secondary to small airway involvement. There are occasional centralobular ground-glass nodules in the middle lobe and lower lobe of the right lung. It was evaluated in favor of bronchiolitis, its correlation with clinical and laboratory would be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_520/valid_520_a/valid_520_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_1246",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections, there is a stone density of 15 mm in the gallbladder. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits except for cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_521/valid_521_a/valid_521_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1247",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections, there is a stone density of 15 mm in the gallbladder. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits except for cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_521/valid_521_a/valid_521_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Branches with buds, bronchiectasis and vascular prominence were observed in the lower superior segment of the left lung. Infective bronchiolitis-pneumonia? Bacteria and mycoplasma can also cause the appearance. Laboratory evaluation is recommended for the differential diagnosis of COVID. Fissural thickening was observed on the left. There are millimetric non-specific nodules in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Branches with buds, bronchiectasis and vascular prominence in the lower superior segment of the left lung. Infective bronchiolitis-pneumonia? Bacteria and mycoplasma can also cause the appearance. Laboratory evaluation is recommended for the differential diagnosis of COVID."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_522/valid_522_a/valid_522_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1249",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland has increased. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. In the mediastinum, right upper and lower paratracheal paraaortic millimetric nonspecific lymph nodes were observed. Focal calcific atherosclerotic plaque is present in LAD. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. Calcific atherosclerotic plaques are observed in the aorta and its branches. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. There is a focal calcific nodule in the superior segment of the lower lobe of the right lung. There is a reduction in the size of the right kidney in the upper abdominal sections and lobulation in the contours of both kidneys. Moderate fatty liver is observed. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Focal calcific atherosclerotic plaque in LAD.  Millimetric sized nonspecific mediastinal lymph nodes.  Hepatosteatosis.  Lobulation in both kidney contours, reduction in right kidney dimensions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_523/valid_523_a/valid_523_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1250",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland has increased. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. In the mediastinum, right upper and lower paratracheal paraaortic millimetric nonspecific lymph nodes were observed. Focal calcific atherosclerotic plaque is present in LAD. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. Calcific atherosclerotic plaques are observed in the aorta and its branches. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. There is a focal calcific nodule in the superior segment of the lower lobe of the right lung. There is a reduction in the size of the right kidney in the upper abdominal sections and lobulation in the contours of both kidneys. Moderate fatty liver is observed. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Focal calcific atherosclerotic plaque in LAD.  Millimetric sized nonspecific mediastinal lymph nodes.  Hepatosteatosis.  Lobulation in both kidney contours, reduction in right kidney dimensions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_523/valid_523_a/valid_523_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1251",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight patchy subpleural ground glass densities are observed in the right lung upper lobe posterior, lateral levels and right lung middle lobe. It was evaluated in favor of early infectious I process. Close monitoring of clinical laboratory correlation is recommended due to the current pandemic. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen within the sections; Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Imaging features in the examination can be seen in covid-19 pneumonia, but it is not specific. It can also be seen in other infectious-non-infectious diseases. Close follow-up of clinical laboratory correlation is recommended due to the current pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_524/valid_524_a/valid_524_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1252",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight patchy subpleural ground glass densities are observed in the right lung upper lobe posterior, lateral levels and right lung middle lobe. It was evaluated in favor of early infectious I process. Close monitoring of clinical laboratory correlation is recommended due to the current pandemic. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen within the sections; Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Imaging features in the examination can be seen in covid-19 pneumonia, but it is not specific. It can also be seen in other infectious-non-infectious diseases. Close follow-up of clinical laboratory correlation is recommended due to the current pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_524/valid_524_a/valid_524_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1253",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Thoracic aorta diameter is normal. Pericardial thickening-effusion was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. Sliding type hiatal hernia was observed. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When both lung parenchyma windows are evaluated; no mass, nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: No sign of pneumonia detected. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_525/valid_525_a/valid_525_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Crazy paving appearance, vascular prominence and bronchial dilatations were noted in the superior and posterobasal segments of the left lung lower lobe. Viral pneumonia? A few focal ground-glass density infiltration areas were also observed in the right lung. There is a thickening of the fissure on the left. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_526/valid_526_a/valid_526_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1255",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Crazy paving appearance, vascular prominence and bronchial dilatations were noted in the superior and posterobasal segments of the left lung lower lobe. Viral pneumonia? A few focal ground-glass density infiltration areas were also observed in the right lung. There is a thickening of the fissure on the left. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_526/valid_526_a/valid_526_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1256",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes are observed in both lung lower lobe posterior basal segments and left upper lobe inferior lingula. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild atelectatic changes in both lung lower lobe posterior basal segments and left upper lobe inferior lingula."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_527/valid_527_a/valid_527_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1257",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes are observed in both lung lower lobe posterior basal segments and left upper lobe inferior lingula. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild atelectatic changes in both lung lower lobe posterior basal segments and left upper lobe inferior lingula."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_527/valid_527_a/valid_527_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1258",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. In the mediastinum, milimetric-sized reactive lymph nodes located bilaterally in the lower paratracheal, subcarinal and paraaortic are observed. Heart dimensions are normal, but left ventricular diameter is slightly increased. There are subpleural ground-glass nodules in the upper and lower lobes of the lung parenchyma and an increase in subpleural linear density. Radiological findings are compatible with lung parenchyma involvement of Covid infection. Subpleural linear density increases suggest that some of them belong to healing parenchymal findings. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Sliding type mild hiatal hernia is present in upper abdominal sections. Grade 2 pelvicaliectasis was observed in the left kidney. Although no dilatation is detected in the proximal ureter, it is partially included in the section. Further examination of the left collecting system is recommended. No lytic-destructive lesions were detected in bone structures. Impression: In the lung parenchyma, some areas of recovery, atypical pneumonic infiltration, radiological findings are compatible with the involvement of the lung parenchyma of Covid infection, and some of the lesions were thought to be in the recovery period.  Sliding type hiatal hernia.  Dilatation in the left collecting system."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_528/valid_528_a/valid_528_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1259",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. In the mediastinum, milimetric-sized reactive lymph nodes located bilaterally in the lower paratracheal, subcarinal and paraaortic are observed. Heart dimensions are normal, but left ventricular diameter is slightly increased. There are subpleural ground-glass nodules in the upper and lower lobes of the lung parenchyma and an increase in subpleural linear density. Radiological findings are compatible with lung parenchyma involvement of Covid infection. Subpleural linear density increases suggest that some of them belong to healing parenchymal findings. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Sliding type mild hiatal hernia is present in upper abdominal sections. Grade 2 pelvicaliectasis was observed in the left kidney. Although no dilatation is detected in the proximal ureter, it is partially included in the section. Further examination of the left collecting system is recommended. No lytic-destructive lesions were detected in bone structures. Impression: In the lung parenchyma, some areas of recovery, atypical pneumonic infiltration, radiological findings are compatible with the involvement of the lung parenchyma of Covid infection, and some of the lesions were thought to be in the recovery period.  Sliding type hiatal hernia.  Dilatation in the left collecting system."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_528/valid_528_a/valid_528_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1260",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_529/valid_529_a/valid_529_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1261",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_529/valid_529_a/valid_529_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1262",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour, size is normal. Pulmonary trunk calibration is natural. Calibration of both pulmonary arteries and other mediastinal major vascular structures is normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mediastinal and hilar pathological lymph nodes were not detected. When examined in the lung parenchyma window; In the left lung, branches with buds are observed in the upper lobe apicoposterior segment and lingular segments. It is recommended to be evaluated in terms of infective processes. The bone structure in the study area is natural. Impression: o Widespread bud appearance in the left lung. It is atypical for Covid 19 pneumonia. It is recommended to evaluate the case in terms of viral-bacterial infective processes in general."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_530/valid_530_a/valid_530_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour, size is normal. Pulmonary trunk calibration is natural. Calibration of both pulmonary arteries and other mediastinal major vascular structures is normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mediastinal and hilar pathological lymph nodes were not detected. When examined in the lung parenchyma window; In the left lung, branches with buds are observed in the upper lobe apicoposterior segment and lingular segments. It is recommended to be evaluated in terms of infective processes. The bone structure in the study area is natural. Impression: o Widespread bud appearance in the left lung. It is atypical for Covid 19 pneumonia. It is recommended to evaluate the case in terms of viral-bacterial infective processes in general."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_530/valid_530_a/valid_530_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A 4 mm diameter nodule is observed in the lingular segment of the left lung. Bilateral pleural effusion was not detected. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_531/valid_531_a/valid_531_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A 4 mm diameter nodule is observed in the lingular segment of the left lung. Bilateral pleural effusion was not detected. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_531/valid_531_a/valid_531_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1266",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. In the upper abdominal sections in the study area; The liver parenchyma density was diffusely decreased, consistent with adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Conclusion;  No sign of pneumonia was detected.  Hepatosteatosis. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_531/valid_531_b/valid_531_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1267",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. In the upper abdominal sections in the study area; The liver parenchyma density was diffusely decreased, consistent with adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Conclusion;  No sign of pneumonia was detected.  Hepatosteatosis. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_531/valid_531_b/valid_531_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1268",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Central-peripheral localized in both lungs, a more common crazy paving pattern and patchy ground glass consolidations showing signs of vascular enlargement were observed, and the appearance is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A high-density nodular lesion area with a diameter of 5.3 mm was observed in the upper pole of the right kidney (hemorrhagic cyst?). Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  High-density nodular lesion area in the upper pole of the right kidney; hemorrhagic cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_532/valid_532_a/valid_532_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Central-peripheral localized in both lungs, a more common crazy paving pattern and patchy ground glass consolidations showing signs of vascular enlargement were observed, and the appearance is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A high-density nodular lesion area with a diameter of 5.3 mm was observed in the upper pole of the right kidney (hemorrhagic cyst?). Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  High-density nodular lesion area in the upper pole of the right kidney; hemorrhagic cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_532/valid_532_a/valid_532_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1270",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density is observed secondary to the thymic remnant in the anterior mediastinum. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: CT imaging findings of pneumonia are not observed. It may be negative in the early period. Correlation with clinical and laboratory is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_533/valid_533_a/valid_533_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1271",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density is observed secondary to the thymic remnant in the anterior mediastinum. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: CT imaging findings of pneumonia are not observed. It may be negative in the early period. Correlation with clinical and laboratory is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_533/valid_533_a/valid_533_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1272",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: In the axilla, supraclavicular fossa, and mediastinum, no lymph node was observed in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Esophageal calibration is natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodular or structure-occupying lesion was detected. No gallbladder was observed in the upper abdominal sections, it was operated. No lytic-destructive lesions were detected in bone structures. Impression: Normal thoracic CT examination . Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_534/valid_534_a/valid_534_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1273",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Millimetric nodules and ground-glass appearances are observed in both lung lower lobe superior segments. The views described are not specific. However, Covid-19 pneumonia mentioned in the patient's clinical information may cause these findings. It is recommended to evaluate the patient together with laboratory findings. Apart from these, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. The gallbladder was not observed (operated). Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Nodular lesions with a ground-glass appearance in the lower lobes of both lungs (Covid-19 pneumonia?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_534/valid_534_b/valid_534_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1274",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Millimetric nodules and ground-glass appearances are observed in both lung lower lobe superior segments. The views described are not specific. However, Covid-19 pneumonia mentioned in the patient's clinical information may cause these findings. It is recommended to evaluate the patient together with laboratory findings. Apart from these, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. The gallbladder was not observed (operated). Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Nodular lesions with a ground-glass appearance in the lower lobes of both lungs (Covid-19 pneumonia?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_534/valid_534_b/valid_534_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1275",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. There is no mass or infiltrative lesion in both lungs. There are millimetric nodules in both lungs. The largest of the nodules described is observed in the laterobasal segment of the lower lobe of the left lung and is approximately 6x8 mm in size. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. Degenerative hypertrophic changes are observed in the facet joints and the neural foramina are open. Impression: Minimal emphysematous changes in both lungs. Nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_535/valid_535_a/valid_535_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1276",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. There is no mass or infiltrative lesion in both lungs. There are millimetric nodules in both lungs. The largest of the nodules described is observed in the laterobasal segment of the lower lobe of the left lung and is approximately 6x8 mm in size. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. Degenerative hypertrophic changes are observed in the facet joints and the neural foramina are open. Impression: Minimal emphysematous changes in both lungs. Nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_535/valid_535_a/valid_535_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1277",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, 6 mm in size subpleural nodules are observed in serial 2 image 313, in the lateral segment of the left lung lower lobe. There are minimal emphysematous changes in both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs were included in the study partially and were evaluated as suboptimal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles. Impression: Minimal atelectasis changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_535/valid_535_b/valid_535_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1278",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. The aortic arch calibration is 29 mm larger than normal. Calibration of other major vascular structures is natural. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Mild emphysema appearances are observed in both lungs. A calcific nodule of approximately 5x3 mm is observed in the anterior segment caudal of the right lung upper lobe. There is also a 4x3 mm calcific nodule in the anterior segment caudal. A nodule with a diameter of 3 mm is observed in the middle lobe. A 3 mm diameter nodule is observed in the anterior segment of the left lung upper lobe. A little more caudally, there is a nodule with a diameter of 3 mm. There is a 2 mm diameter nodule laterally. A stable subpleural 3 mm diameter nodule is observed at the posterobasal level of the lower lobe of the left lung. There is a stable subpleural 7x5 mm nodule at the laterobasal level in the left lung. A stable nodule with a diameter of 3 mm is observed in the inferior lingular segment. No pleural effusion or pneumothorax was detected. No obvious pneumonia appearance was observed. Upper abdominal organs included in the sections are normal. A decrease in density consistent with mild steatosis is observed in the liver. No space occupying lesion was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. There are findings compatible with DISH. Impression:  No finding compatible with pneumonia was detected.  Density reduction in both lungs consistent with mild emphysema."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_535/valid_535_c/valid_535_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1279",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. The aortic arch calibration is 29 mm larger than normal. Calibration of other major vascular structures is natural. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Mild emphysema appearances are observed in both lungs. A calcific nodule of approximately 5x3 mm is observed in the anterior segment caudal of the right lung upper lobe. There is also a 4x3 mm calcific nodule in the anterior segment caudal. A nodule with a diameter of 3 mm is observed in the middle lobe. A 3 mm diameter nodule is observed in the anterior segment of the left lung upper lobe. A little more caudally, there is a nodule with a diameter of 3 mm. There is a 2 mm diameter nodule laterally. A stable subpleural 3 mm diameter nodule is observed at the posterobasal level of the lower lobe of the left lung. There is a stable subpleural 7x5 mm nodule at the laterobasal level in the left lung. A stable nodule with a diameter of 3 mm is observed in the inferior lingular segment. No pleural effusion or pneumothorax was detected. No obvious pneumonia appearance was observed. Upper abdominal organs included in the sections are normal. A decrease in density consistent with mild steatosis is observed in the liver. No space occupying lesion was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. There are findings compatible with DISH. Impression:  No finding compatible with pneumonia was detected.  Density reduction in both lungs consistent with mild emphysema."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_535/valid_535_c/valid_535_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1280",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A few millimetric calcific lymph nodes are observed in the mediastinum, especially in the right hilar region. When examined in the lung parenchyma window; more peripheral subpleural localized patchy ground glass densities are observed in both lungs. Clinical laboratory correlation and close follow-up are recommended for early viral pneumonia. Gall bladder was not observed in the evaluation of the upper abdominal organs included in the sections. An oval-shaped finding in fluid attenuation with a size of 24 mm in the posterior lower pole of the right kidney was evaluated in the direction of cortical cyst. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Patchy ground-glass densities located mostly in the peripheral subpleural in both lungs; clinical laboratory correlation and close follow-up are recommended for early viral pneumonia (covid-19).  Cholecystectomized . Cortical cysts in both kidneys"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_536/valid_536_a/valid_536_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1281",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A few millimetric calcific lymph nodes are observed in the mediastinum, especially in the right hilar region. When examined in the lung parenchyma window; more peripheral subpleural localized patchy ground glass densities are observed in both lungs. Clinical laboratory correlation and close follow-up are recommended for early viral pneumonia. Gall bladder was not observed in the evaluation of the upper abdominal organs included in the sections. An oval-shaped finding in fluid attenuation with a size of 24 mm in the posterior lower pole of the right kidney was evaluated in the direction of cortical cyst. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Patchy ground-glass densities located mostly in the peripheral subpleural in both lungs; clinical laboratory correlation and close follow-up are recommended for early viral pneumonia (covid-19).  Cholecystectomized . Cortical cysts in both kidneys"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_536/valid_536_a/valid_536_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1282",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  When examined in the lung parenchyma window; Patchy-nodular consolidation areas accompanied by peripherally located linear fibroatelectasis sequela changes with air bronchograms in both lungs were observed. In the previous review, existing consolidations were in the form of ground glass, but in the current review, it has been converted into consolidation. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_536/valid_536_b/valid_536_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1283",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  When examined in the lung parenchyma window; Patchy-nodular consolidation areas accompanied by peripherally located linear fibroatelectasis sequela changes with air bronchograms in both lungs were observed. In the previous review, existing consolidations were in the form of ground glass, but in the current review, it has been converted into consolidation. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_536/valid_536_b/valid_536_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Nodular involvement areas in the form of ground glass nodules are observed in both lungs. In both lobes, involvement areas in the form of ground glass nodules are observed in several areas in all segments. In the differential diagnosis, primarily Covid pneumonia is included. Parenchymal involvement is mild. It will be appropriate to follow up with the clinic and laboratory. There is subsegmental atelectasis area in the lower lobe of the right lung. No nodular lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric-sized focal ground-glass opacity in all lobes of both lungs, and Covid pneumonia primarily in the differential diagnosis. Parenchymal involvement is mild. It will be appropriate to follow up with the clinic and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_537/valid_537_a/valid_537_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1285",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Nodular involvement areas in the form of ground glass nodules are observed in both lungs. In both lobes, involvement areas in the form of ground glass nodules are observed in several areas in all segments. In the differential diagnosis, primarily Covid pneumonia is included. Parenchymal involvement is mild. It will be appropriate to follow up with the clinic and laboratory. There is subsegmental atelectasis area in the lower lobe of the right lung. No nodular lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric-sized focal ground-glass opacity in all lobes of both lungs, and Covid pneumonia primarily in the differential diagnosis. Parenchymal involvement is mild. It will be appropriate to follow up with the clinic and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_537/valid_537_a/valid_537_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1286",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Ground glass densities are observed in both lung parenchyma.4.2020, there is no significant difference in the frosted glass densities. Densities of several more consolidated views observed in the previous examination seem to have decreased. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: A decrease in the density of the consolidations found in the previous examination is observed and persists as ground glass."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_537/valid_537_b/valid_537_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1287",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Ground glass densities are observed in both lung parenchyma.4.2020, there is no significant difference in the frosted glass densities. Densities of several more consolidated views observed in the previous examination seem to have decreased. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: A decrease in the density of the consolidations found in the previous examination is observed and persists as ground glass."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_537/valid_537_b/valid_537_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1288",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: At the left suprahilar level; A mass lesion with irregular contours measuring 10x8.6 cm was observed in the upper lobe, centrally located, invading the mediastinum from the inferior aorta of the arch, in the ascending aorta and between the pulmonary conus and the fatty planes were erased. The mass appears to invade the left upper lobe bronchus and is limited posteriorly by the major fissure. Irregularity in the pleura, spiculations extending to the pleura, interlobular septal thickening in the upper lobe, and diffuse centriacinar nodules infiltrates were observed adjacent to the mass. The outlook was evaluated in favor of lymphangitis carcinomatosa. In addition, irregularly circumscribed nodules of the same nature as the primary mass with a diameter of 28x29 mm on the right, the largest on the right, and 16 mm in the superior segment of the lower lobe, the largest on the left, were observed in both lungs (considered in favor of intraparenchymal metastasis). Upper lobes of both lungs are emphysematous. No active infiltration was detected in both lungs. A bilateral smear-like pleural effusion was observed. In the ascending aorta, in the left lateral neighborhood and adjacent to the mass at the left upper-lower paratracheal level, pathologically sized lymphadenopathies measuring 38 mm in the short axis of the larger one were observed. Apart from this, lymph nodes reaching 10 mm in the right upper paratracheal, precarinal, and subcarinal short axis and not reaching pathological dimensions were observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. Sliding type hiatal hernia was observed at the lower end of the esophagus. Anteroposterior diameter of 40 mm in the ascending aorta was observed to be wider than normal. Calcified atheroma plaques were observed in the ascending aorta and LAD. Heart contour, size is normal. Pericardial effusion reaching 1 cm in the pericardial space was observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion in favor of metastasis was detected in the bone structure included in the examination area. Vertebral corpus heights are preserved. Impression: Irregularly circumscribed mass lesion in the upper lobe of the left lung, located suprahilar-centrally, invading the mediastinum and left upper lobe bronchus, in the descending aorta and the fatty planes between it and the pulmonary trunk are deleted, lymphangitis carcinomatosa, intraparenchymal metastases in both lungs . Emphysematous changes in the upper lobes of both lungs . Bilateral Placing pleural effusion . Pathologically sized lymph nodes in the left lateral neighborhood of the ascending aorta and at the left upper-lower paratracheal level. Aneurysmatic dilatation in the ascending aorta . Pericardial effusion . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_538/valid_538_a/valid_538_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: At the left suprahilar level; A mass lesion with irregular contours measuring 10x8.6 cm was observed in the upper lobe, centrally located, invading the mediastinum from the inferior aorta of the arch, in the ascending aorta and between the pulmonary conus and the fatty planes were erased. The mass appears to invade the left upper lobe bronchus and is limited posteriorly by the major fissure. Irregularity in the pleura, spiculations extending to the pleura, interlobular septal thickening in the upper lobe, and diffuse centriacinar nodules infiltrates were observed adjacent to the mass. The outlook was evaluated in favor of lymphangitis carcinomatosa. In addition, irregularly circumscribed nodules of the same nature as the primary mass with a diameter of 28x29 mm on the right, the largest on the right, and 16 mm in the superior segment of the lower lobe, the largest on the left, were observed in both lungs (considered in favor of intraparenchymal metastasis). Upper lobes of both lungs are emphysematous. No active infiltration was detected in both lungs. A bilateral smear-like pleural effusion was observed. In the ascending aorta, in the left lateral neighborhood and adjacent to the mass at the left upper-lower paratracheal level, pathologically sized lymphadenopathies measuring 38 mm in the short axis of the larger one were observed. Apart from this, lymph nodes reaching 10 mm in the right upper paratracheal, precarinal, and subcarinal short axis and not reaching pathological dimensions were observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. Sliding type hiatal hernia was observed at the lower end of the esophagus. Anteroposterior diameter of 40 mm in the ascending aorta was observed to be wider than normal. Calcified atheroma plaques were observed in the ascending aorta and LAD. Heart contour, size is normal. Pericardial effusion reaching 1 cm in the pericardial space was observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion in favor of metastasis was detected in the bone structure included in the examination area. Vertebral corpus heights are preserved. Impression: Irregularly circumscribed mass lesion in the upper lobe of the left lung, located suprahilar-centrally, invading the mediastinum and left upper lobe bronchus, in the descending aorta and the fatty planes between it and the pulmonary trunk are deleted, lymphangitis carcinomatosa, intraparenchymal metastases in both lungs . Emphysematous changes in the upper lobes of both lungs . Bilateral Placing pleural effusion . Pathologically sized lymph nodes in the left lateral neighborhood of the ascending aorta and at the left upper-lower paratracheal level. Aneurysmatic dilatation in the ascending aorta . Pericardial effusion . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_538/valid_538_a/valid_538_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1290",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the axilla and in the supraclavicular fossa within the section. At the level of the left scapula, the long axis of the mass lesion infiltrating the skin, whose borders could not be distinguished with the latismus dorsi muscle under the skin, was measured approximately 9 cm. Just medial to this mass lesion, there are 2 newly developing mass lesions of 18 mm and 15 mm in diameter, adjacent to the posterior axillary fossa. These lesions are newly developed. This centrally located mass lesion obstructs the upper lobe anterior and posterior segment bronchi. The lesion is infiltrating the mediastinum and a decrease in size is observed in the mediastinal infiltrating component. The short axis of the pathological mediastinal lymph node located in the left lower paratracheal lymph node was 32 mm. In the previous examination, it was 35 mm in size and mild regression was detected. Pericardial effusion was not detected. No space-occupying lesion was detected in the paracardial fat pad. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Increase in the size of the mass lesion infiltrating the skin in the left scapula and two new satellite new lesions in the patient followed up due to non hodgkin lymphoma . Significant decrease in the size of the mass infiltrating the mediastinum in the left lung, complete response in some of the malignant nodules in both lung parenchyma and a significant reduction in size in some are observed .  It is stable with a millimetric decrease in the size of the pathological lymph node in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_538/valid_538_b/valid_538_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1291",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the axilla and in the supraclavicular fossa within the section. At the level of the left scapula, the long axis of the mass lesion infiltrating the skin, whose borders could not be distinguished with the latismus dorsi muscle under the skin, was measured approximately 9 cm. Just medial to this mass lesion, there are 2 newly developing mass lesions of 18 mm and 15 mm in diameter, adjacent to the posterior axillary fossa. These lesions are newly developed. This centrally located mass lesion obstructs the upper lobe anterior and posterior segment bronchi. The lesion is infiltrating the mediastinum and a decrease in size is observed in the mediastinal infiltrating component. The short axis of the pathological mediastinal lymph node located in the left lower paratracheal lymph node was 32 mm. In the previous examination, it was 35 mm in size and mild regression was detected. Pericardial effusion was not detected. No space-occupying lesion was detected in the paracardial fat pad. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Increase in the size of the mass lesion infiltrating the skin in the left scapula and two new satellite new lesions in the patient followed up due to non hodgkin lymphoma . Significant decrease in the size of the mass infiltrating the mediastinum in the left lung, complete response in some of the malignant nodules in both lung parenchyma and a significant reduction in size in some are observed .  It is stable with a millimetric decrease in the size of the pathological lymph node in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_538/valid_538_b/valid_538_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1292",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. It is understood that the nodular lesion observed in the previous examination in the immediate anterior neighborhood of the mass merged with the mass in the current examination. The described centrally located mass obstructs the upper lobe anterior and posterior segment bronchi. No significant size change was detected in the mediastinal infiltrating and mediastinal infiltrating component of the lesion. According to the previous examination, there is stable lymphadenopathy with a short axis of 32 mm in the left lower paratracheal area. Pericardial effusion was not detected. No space-occupying lesion was detected in the paracardial fat pad. In addition, peripheral ground glass density increases were observed in the left lung lingular segment and right lung upper lobe. In addition, consolidation areas with diffuse air bronchogram were observed in the right lung lower lobe and left lung lower lobe mediobasal segment. The described findings may be compatible with the infectious process. It is not typical for Covid-19 pneumonia. However, it cannot be ruled out. Clinical and laboratory correlation is recommended. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. No significant pathology was detected in the upper abdominal sections that entered the examination area. No lytic-destructive lesion was detected in bone structures. Impression: Increase in the size of the mass lesions infiltrating the skin in the left scapula.  There was no significant change in the size of the mass infiltrating the mediastinum in the left lung.  Multiple new malignant nodular lesions in both lung parenchyma on current examination. Mediastinal LAP.  Ground-glass density increases in both lungs, areas of pneumonic infiltration, appearance were evaluated as compatible with infectious process. It is not typical for Covid-19 pneumonia. However, it cannot be ruled out. Clinical and laboratory correlation is recommended.  Findings were evaluated in favor of progressive disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_538/valid_538_c/valid_538_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. It is understood that the nodular lesion observed in the previous examination in the immediate anterior neighborhood of the mass merged with the mass in the current examination. The described centrally located mass obstructs the upper lobe anterior and posterior segment bronchi. No significant size change was detected in the mediastinal infiltrating and mediastinal infiltrating component of the lesion. According to the previous examination, there is stable lymphadenopathy with a short axis of 32 mm in the left lower paratracheal area. Pericardial effusion was not detected. No space-occupying lesion was detected in the paracardial fat pad. In addition, peripheral ground glass density increases were observed in the left lung lingular segment and right lung upper lobe. In addition, consolidation areas with diffuse air bronchogram were observed in the right lung lower lobe and left lung lower lobe mediobasal segment. The described findings may be compatible with the infectious process. It is not typical for Covid-19 pneumonia. However, it cannot be ruled out. Clinical and laboratory correlation is recommended. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. No significant pathology was detected in the upper abdominal sections that entered the examination area. No lytic-destructive lesion was detected in bone structures. Impression: Increase in the size of the mass lesions infiltrating the skin in the left scapula.  There was no significant change in the size of the mass infiltrating the mediastinum in the left lung.  Multiple new malignant nodular lesions in both lung parenchyma on current examination. Mediastinal LAP.  Ground-glass density increases in both lungs, areas of pneumonic infiltration, appearance were evaluated as compatible with infectious process. It is not typical for Covid-19 pneumonia. However, it cannot be ruled out. Clinical and laboratory correlation is recommended.  Findings were evaluated in favor of progressive disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_538/valid_538_c/valid_538_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1294",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: An appearance that may belong to a pacemaker extending from the left anterior wall of the chest to the heart is observed. In the midline of the trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and both na bronchi. Calcific atheroma plaques are observed in the aorta and coronary arteries. Heart size increased. Minimal thickness increase is observed in the pericardium. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal wall thickness is normal. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. As far as can be seen; Lymph nodes with short axes not exceeding 6 mm are observed in the upper-lower paratracheal and subcarinal areas. Lymphadenopathy was not observed in both axillae and retropectoral areas in pathological size and appearance. When examined in the lung parenchyma window; mosaic lung pattern is observed in both lungs (small airway-small vessel disease?). Peribronchial minimal thickness increases are observed in the lower lobes of both lungs. Densities evaluated primarily in favor of atelectasis are observed in the lower lobes of both lungs, especially in the right lung. A few calcific pulmonary nodules are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both breast and skin-subcutaneous fatty tissues are normal. Degenerative changes were observed in the bones. No fractures or lytic-destructive lesions were observed in the bones. Impression:  Minimal thickness increase in the pericardium, increase in heart size.  Peribronchial thickenings in both lungs, centriacinar nodules of millimeter size in the middle lobe of the right lung and the upper lobes of both lungs.  Nonspecific pulmonary nodules in both lungs.  Degenerative changes in bones."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_539/valid_539_a/valid_539_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1295",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: An appearance that may belong to a pacemaker extending from the left anterior wall of the chest to the heart is observed. In the midline of the trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and both na bronchi. Calcific atheroma plaques are observed in the aorta and coronary arteries. Heart size increased. Minimal thickness increase is observed in the pericardium. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal wall thickness is normal. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. As far as can be seen; Lymph nodes with short axes not exceeding 6 mm are observed in the upper-lower paratracheal and subcarinal areas. Lymphadenopathy was not observed in both axillae and retropectoral areas in pathological size and appearance. When examined in the lung parenchyma window; mosaic lung pattern is observed in both lungs (small airway-small vessel disease?). Peribronchial minimal thickness increases are observed in the lower lobes of both lungs. Densities evaluated primarily in favor of atelectasis are observed in the lower lobes of both lungs, especially in the right lung. A few calcific pulmonary nodules are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both breast and skin-subcutaneous fatty tissues are normal. Degenerative changes were observed in the bones. No fractures or lytic-destructive lesions were observed in the bones. Impression:  Minimal thickness increase in the pericardium, increase in heart size.  Peribronchial thickenings in both lungs, centriacinar nodules of millimeter size in the middle lobe of the right lung and the upper lobes of both lungs.  Nonspecific pulmonary nodules in both lungs.  Degenerative changes in bones."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_539/valid_539_a/valid_539_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1296",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; trachea and both main bronchi are open. There was no finding compatible with pneumonia in both lungs. Pleural effusion or pneumothorax is not observed. In the sections passing through the upper part of the abdomen, there is a hypodense lesion compatible with a cortical exophytic cyst in the right kidney. A millimeter-sized density, which is considered compatible with the accessory spleen, is observed in the vicinity of the spleen hilus. Surrounding soft tissue plans are natural. Nonspecific density increases are observed in the subcutaneous soft tissue planes in the midline posteriorly at the dorso- lumbar level. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_540/valid_540_a/valid_540_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1297",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; trachea and both main bronchi are open. There was no finding compatible with pneumonia in both lungs. Pleural effusion or pneumothorax is not observed. In the sections passing through the upper part of the abdomen, there is a hypodense lesion compatible with a cortical exophytic cyst in the right kidney. A millimeter-sized density, which is considered compatible with the accessory spleen, is observed in the vicinity of the spleen hilus. Surrounding soft tissue plans are natural. Nonspecific density increases are observed in the subcutaneous soft tissue planes in the midline posteriorly at the dorso- lumbar level. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_540/valid_540_a/valid_540_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1298",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial minimal effusion was observed. In both pleural spaces, there is minimal effusion up to 8 mm in depth on the right at its deepest point. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There is diffuse mild ectasia in the bronchial structures of both lungs, which is prominent in the center. An area of increase in density consistent with linear atelectasis was observed in the medial segment of the right lung middle lobe. There are sequela parenchymal changes in the apex of both lungs. Millimetrically sized nonspecific nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. No active infiltration or mass lesion was detected in both lungs. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; intraabdominal free fluid, loculated collection was not detected. No lymph node was observed in pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Sequela parenchymal changes in the apex of both lungs, right lung middle lobe medial segment and both lung lower lobe posterobasal segments, millimetric nonspecific nodules in both lungs, minimal emphysematous changes, diffuse mild ectasia in the central bronchial structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_541/valid_541_a/valid_541_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1299",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial minimal effusion was observed. In both pleural spaces, there is minimal effusion up to 8 mm in depth on the right at its deepest point. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There is diffuse mild ectasia in the bronchial structures of both lungs, which is prominent in the center. An area of increase in density consistent with linear atelectasis was observed in the medial segment of the right lung middle lobe. There are sequela parenchymal changes in the apex of both lungs. Millimetrically sized nonspecific nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. No active infiltration or mass lesion was detected in both lungs. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; intraabdominal free fluid, loculated collection was not detected. No lymph node was observed in pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Sequela parenchymal changes in the apex of both lungs, right lung middle lobe medial segment and both lung lower lobe posterobasal segments, millimetric nonspecific nodules in both lungs, minimal emphysematous changes, diffuse mild ectasia in the central bronchial structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_541/valid_541_a/valid_541_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal, aorta pulmonary nodules with partial calcification less than 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum. The AP diameter of the ascending aorta is 4.1 cm and wider than normal. Pulmonary artery diameter is 3.1 cm and wider than normal. Calcific plaques are observed on the walls of the coronary artery. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In both lungs, density increases are observed in the peripheral lung tissue, forming a halo sign within peribronchial ground glass densities and occasional ground glass densities. The outlook was evaluated in favor of Covid-19 pneumonia in the presence of a pandemic. There is a calcified nodule in the left lung lower lobe laterobasal segment. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression:  The increase in density in the peripheral lung tissue in both lungs, which creates a halo sign in peribronchial ground glass densities and occasional ground glass densities, was evaluated in favor of Covid-19 pneumonia in the presence of a pandemic.  Calcified nodule in the left lung lower lobe laterobasal segment  Calcifications in the wall of the coronary artery, enlargement in the main pulmonary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_542/valid_542_a/valid_542_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1301",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal, aorta pulmonary nodules with partial calcification less than 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum. The AP diameter of the ascending aorta is 4.1 cm and wider than normal. Pulmonary artery diameter is 3.1 cm and wider than normal. Calcific plaques are observed on the walls of the coronary artery. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In both lungs, density increases are observed in the peripheral lung tissue, forming a halo sign within peribronchial ground glass densities and occasional ground glass densities. The outlook was evaluated in favor of Covid-19 pneumonia in the presence of a pandemic. There is a calcified nodule in the left lung lower lobe laterobasal segment. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression:  The increase in density in the peripheral lung tissue in both lungs, which creates a halo sign in peribronchial ground glass densities and occasional ground glass densities, was evaluated in favor of Covid-19 pneumonia in the presence of a pandemic.  Calcified nodule in the left lung lower lobe laterobasal segment  Calcifications in the wall of the coronary artery, enlargement in the main pulmonary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_542/valid_542_a/valid_542_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1302",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are a few millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There is a hypodense lesion measuring approximately 23 mm in diameter at the diaphragmatic dome localization at the junction of segment 4a-8 in the liver. The described lesion could not be characterized in this examination because no contrast agent was given. It is recommended that the patient be evaluated together with previous examinations. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are minimally narrowed in places. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: A few millimetric nonspecific nodules in both lungs.  Hypodense lesion in the liver that cannot be characterized in this examination.  Minimal thoracic spondulosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_543/valid_543_a/valid_543_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1303",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are a few millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There is a hypodense lesion measuring approximately 23 mm in diameter at the diaphragmatic dome localization at the junction of segment 4a-8 in the liver. The described lesion could not be characterized in this examination because no contrast agent was given. It is recommended that the patient be evaluated together with previous examinations. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are minimally narrowed in places. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: A few millimetric nonspecific nodules in both lungs.  Hypodense lesion in the liver that cannot be characterized in this examination.  Minimal thoracic spondulosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_543/valid_543_a/valid_543_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1304",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Millimeter-sized calcific nodules are observed in the trachea and bronchial walls (tracheopathya osteochondro dysplastica). Right upper, bilateral lower paratracheal narrow lymph nodes less than 5 mm in diameter are observed. No pathological LAP was detected. Calcific plaques are observed in the walls of the aortic arch and coronary artery. The cardiothoracic index increased in favor of the heart. A pacemaker whose electrodes extend to the right ventricle is observed on the left chest wall. The AP diameter of the ascending aorta is 4.5, and the AP diameter of the descending aorta is 3 cm. It is wider than normal and has a tortuous appearance. Calcifications are observed in the walls of the abdominal aorta. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Interlobular septal thickening and minimal ground-glass appearance are observed in the anterior segment of the upper lobe of the right lung. It is a nonspecific finding. It may be accompanied by an infected process. But it is not typical for Covid 19 pneumonia. A minimal increase in subpleural density is observed in the right lung middle lobe and lower lobe basal segments. Mild interlobular septal thickenings and cardiac stasis were evaluated as secondary. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Diffuse osteopenia is observed in the bones. Impression:  Cardiomegaly, ectasia in the ascending and descending aorta, interlobular septal thickening in the anterior segment of the right lung upper lobe, minimal ground glass appearance (infected process may accompany, but there is no typical finding in favor of Covid 19 pneumonia), interlobular septal thickening (secondary to cardiac stasis)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_544/valid_544_a/valid_544_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1305",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Millimeter-sized calcific nodules are observed in the trachea and bronchial walls (tracheopathya osteochondro dysplastica). Right upper, bilateral lower paratracheal narrow lymph nodes less than 5 mm in diameter are observed. No pathological LAP was detected. Calcific plaques are observed in the walls of the aortic arch and coronary artery. The cardiothoracic index increased in favor of the heart. A pacemaker whose electrodes extend to the right ventricle is observed on the left chest wall. The AP diameter of the ascending aorta is 4.5, and the AP diameter of the descending aorta is 3 cm. It is wider than normal and has a tortuous appearance. Calcifications are observed in the walls of the abdominal aorta. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Interlobular septal thickening and minimal ground-glass appearance are observed in the anterior segment of the upper lobe of the right lung. It is a nonspecific finding. It may be accompanied by an infected process. But it is not typical for Covid 19 pneumonia. A minimal increase in subpleural density is observed in the right lung middle lobe and lower lobe basal segments. Mild interlobular septal thickenings and cardiac stasis were evaluated as secondary. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Diffuse osteopenia is observed in the bones. Impression:  Cardiomegaly, ectasia in the ascending and descending aorta, interlobular septal thickening in the anterior segment of the right lung upper lobe, minimal ground glass appearance (infected process may accompany, but there is no typical finding in favor of Covid 19 pneumonia), interlobular septal thickening (secondary to cardiac stasis)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_544/valid_544_a/valid_544_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1306",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Inspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_545/valid_545_a/valid_545_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Inspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_545/valid_545_a/valid_545_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1308",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_546/valid_546_a/valid_546_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1309",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_546/valid_546_a/valid_546_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1310",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Although the mediastinal main vascular structures were evaluated as suboptimal due to the non-contrast examination, no significant pathological appearance was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta diameter has increased by 46 mm. Heart size increased. No significant effusion was detected in the pericardial area. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the upper lobes of both lungs, diffuse centri acinar emphysema areas and in the peripheral parts of the lungs, densities consisting of ground glass opacities are observed around the interseptal thickness increases in the peripheral parts of the upper lobes. There are sometimes honeycomb-like appearances in the subpleural areas of the upper lobes of both lungs. In addition, consolidation-ground glass opacities are observed in the peripheral subpleural parts of the lower lobes. The outlook may be compatible with covid-19 pneumonia. It is recommended to evaluate the patient with clinical and laboratory findings. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Gallstones are observed in the gallbladder. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Fibrotic densities that may be compatible with sequelae changes in the upper lobes of both lungs and interlobular and interlobar septal thickness increases in the peripheral parts of the lung, ground glass densities and emphysematous changes  Subpleural subpleural focal ground glass-consolidation areas of the patient in terms of covid-19 pneumonia It is recommended to be evaluated together with clinical and laboratory.  Calcific atheroma plaques in the aorta and coronary arteries.  Cardiomegaly  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_547/valid_547_a/valid_547_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1311",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Although the mediastinal main vascular structures were evaluated as suboptimal due to the non-contrast examination, no significant pathological appearance was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. The ascending aorta diameter has increased by 46 mm. Heart size increased. No significant effusion was detected in the pericardial area. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the upper lobes of both lungs, diffuse centri acinar emphysema areas and in the peripheral parts of the lungs, densities consisting of ground glass opacities are observed around the interseptal thickness increases in the peripheral parts of the upper lobes. There are sometimes honeycomb-like appearances in the subpleural areas of the upper lobes of both lungs. In addition, consolidation-ground glass opacities are observed in the peripheral subpleural parts of the lower lobes. The outlook may be compatible with covid-19 pneumonia. It is recommended to evaluate the patient with clinical and laboratory findings. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Gallstones are observed in the gallbladder. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Fibrotic densities that may be compatible with sequelae changes in the upper lobes of both lungs and interlobular and interlobar septal thickness increases in the peripheral parts of the lung, ground glass densities and emphysematous changes  Subpleural subpleural focal ground glass-consolidation areas of the patient in terms of covid-19 pneumonia It is recommended to be evaluated together with clinical and laboratory.  Calcific atheroma plaques in the aorta and coronary arteries.  Cardiomegaly  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_547/valid_547_a/valid_547_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1312",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Trachea, both main bronchi are open. Heart size increased. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Multiple lymph nodes, some of which have a preparaaortal, pretracheal short diameter reaching 1 cm, are observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Pleural effusion reaching 1 cm in the left hemithorax and 7 mm in the right hemithorax is observed. When examined in the lung parenchyma window; There is mosaic perfusion in both lungs. Diffuse ground glass densities are observed in both lungs, more prominent in the posterobasal and lateral segments of the left lung lower lobe. In addition, there are patches of ground-glass density areas in the upper lobe apical segment of the right lung, in which there are common air bronchograms. A few nonspecific nodules, some of them calcific, are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the bone is examined in the window; An increase in thoracic kyphosis and right-weighted syndesmophytes are observed in the thoracic vertebrae. Impression: Common ground glass density areas in which air bronchograms are observed, more commonly in the right lung upper lobe anterior segment, left lung lower lobe lateral and posterior segments, were evaluated secondary to infective pathology. Control after treatment is recommended.  Minimal pleural effusion in both hemithorax, effusion adjacent to parenchyma mild ateletatic changes . Mosaic perfusion in both lungs (small airway disease? Small vessel disease?) . Cardiomegaly . Signs of thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_548/valid_548_a/valid_548_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1313",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Trachea, both main bronchi are open. Heart size increased. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Multiple lymph nodes, some of which have a preparaaortal, pretracheal short diameter reaching 1 cm, are observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Pleural effusion reaching 1 cm in the left hemithorax and 7 mm in the right hemithorax is observed. When examined in the lung parenchyma window; There is mosaic perfusion in both lungs. Diffuse ground glass densities are observed in both lungs, more prominent in the posterobasal and lateral segments of the left lung lower lobe. In addition, there are patches of ground-glass density areas in the upper lobe apical segment of the right lung, in which there are common air bronchograms. A few nonspecific nodules, some of them calcific, are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the bone is examined in the window; An increase in thoracic kyphosis and right-weighted syndesmophytes are observed in the thoracic vertebrae. Impression: Common ground glass density areas in which air bronchograms are observed, more commonly in the right lung upper lobe anterior segment, left lung lower lobe lateral and posterior segments, were evaluated secondary to infective pathology. Control after treatment is recommended.  Minimal pleural effusion in both hemithorax, effusion adjacent to parenchyma mild ateletatic changes . Mosaic perfusion in both lungs (small airway disease? Small vessel disease?) . Cardiomegaly . Signs of thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_548/valid_548_a/valid_548_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1314",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are millimetric lymph nodes in the mediastinum. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Sequelae changes are observed in the apical plane in both lungs prominently on the right, and it extends centrally and anteriorly caudally in the right lung. At this level, pleuroparenchymal linear and sometimes irregular density increases, millimetric and some calcific nodules are observed. There are paracitricial-tractional bronchiectasis appearances. Peribronchial sheath thickening is observed. There is a parenchymal calcific nonspecific nodule in the superior segment of the lower lobe of the right lung. Pleural effusion and pneumothorax were not detected in both lungs. Branches with buds are observed in both lungs, most notably in the upper lobe of the right lung caudal. Findings are atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings, especially in terms of bacterial pneumonia causes. A slight decrease in density, consistent with steatosis, is observed in the liver. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Widespread bud landscapes in both lungs (pronounced in upper lobe of right lung); The outlook is atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings in terms of other pneumonia causes.  Sequelae changes in both lungs (especially in the upper lobe of the right lung. There are paracicatricial-tractional bronchiectasis appearances at this level).  Nonspecific parenchymal nodules, some of them calcific, with stable appearance in both lungs.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_549/valid_549_a/valid_549_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1315",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are millimetric lymph nodes in the mediastinum. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Sequelae changes are observed in the apical plane in both lungs prominently on the right, and it extends centrally and anteriorly caudally in the right lung. At this level, pleuroparenchymal linear and sometimes irregular density increases, millimetric and some calcific nodules are observed. There are paracitricial-tractional bronchiectasis appearances. Peribronchial sheath thickening is observed. There is a parenchymal calcific nonspecific nodule in the superior segment of the lower lobe of the right lung. Pleural effusion and pneumothorax were not detected in both lungs. Branches with buds are observed in both lungs, most notably in the upper lobe of the right lung caudal. Findings are atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings, especially in terms of bacterial pneumonia causes. A slight decrease in density, consistent with steatosis, is observed in the liver. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Widespread bud landscapes in both lungs (pronounced in upper lobe of right lung); The outlook is atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings in terms of other pneumonia causes.  Sequelae changes in both lungs (especially in the upper lobe of the right lung. There are paracicatricial-tractional bronchiectasis appearances at this level).  Nonspecific parenchymal nodules, some of them calcific, with stable appearance in both lungs.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_549/valid_549_a/valid_549_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The examination is suboptimal due to motion artifacts, as far as can be observed; Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart is in natural appearance. Calcific atheroma plaques were observed in the main vascular structures. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No infiltration was detected in both lungs. Structural distortion, suggestive of calcification and chronic fibrotic changes, was observed in the superior segment of the right lung lower lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. A semisolid density lesion with a diameter of 1.5 cm with exophytic appearance was observed in the posterolateral aspect of the middle part of the right kidney. Complicated cyst? There are degenerative osteophytes in the vertebral corpus corners. Diffuse osteoporosis was observed in the vertebrae. Minimal wedging was observed in the T11 vertebra. Focal sclerosis was observed in the left part of the T12 vertebra corpus. After the infection has been treated, elective evaluation is recommended. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. Atherosclerosis Structural distortion appearance suggesting calcification and chronic fibrotic changes in the superior segment of the right lung lower lobe. 1.5 cm diameter semisolid density lesion with exophytic appearance, posterolateral in the middle part of the right kidney. Complicated cyst? Degenerative bone changes, osteoporosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_550/valid_550_a/valid_550_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1317",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The examination is suboptimal due to motion artifacts, as far as can be observed; Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart is in natural appearance. Calcific atheroma plaques were observed in the main vascular structures. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No infiltration was detected in both lungs. Structural distortion, suggestive of calcification and chronic fibrotic changes, was observed in the superior segment of the right lung lower lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. A semisolid density lesion with a diameter of 1.5 cm with exophytic appearance was observed in the posterolateral aspect of the middle part of the right kidney. Complicated cyst? There are degenerative osteophytes in the vertebral corpus corners. Diffuse osteoporosis was observed in the vertebrae. Minimal wedging was observed in the T11 vertebra. Focal sclerosis was observed in the left part of the T12 vertebra corpus. After the infection has been treated, elective evaluation is recommended. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. Atherosclerosis Structural distortion appearance suggesting calcification and chronic fibrotic changes in the superior segment of the right lung lower lobe. 1.5 cm diameter semisolid density lesion with exophytic appearance, posterolateral in the middle part of the right kidney. Complicated cyst? Degenerative bone changes, osteoporosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_550/valid_550_a/valid_550_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures have not been optimally evaluated due to the lack of IV contrast in the cardiac examination, and the calibration of the vascular structures and the cardiac contour size are normal as far as can be observed. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Pleuroparenchymal sequelae changes are observed in bilateral apex, posterobasal segment of left lung lower lobe. There is an area of increase in density consistent with linear atelectasis in the medial segment of the right lung middle lobe. A few millimeter-sized nonspecific nodules are observed in both lung parenchyma. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression: There was no finding in favor of pneumonic infiltration in both lung parenchyma, and pleuroparenchymal sequelae bands in bilateral apex, left lung lower lobe posterobasal segment, and a few millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_551/valid_551_a/valid_551_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1319",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures have not been optimally evaluated due to the lack of IV contrast in the cardiac examination, and the calibration of the vascular structures and the cardiac contour size are normal as far as can be observed. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Pleuroparenchymal sequelae changes are observed in bilateral apex, posterobasal segment of left lung lower lobe. There is an area of increase in density consistent with linear atelectasis in the medial segment of the right lung middle lobe. A few millimeter-sized nonspecific nodules are observed in both lung parenchyma. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression: There was no finding in favor of pneumonic infiltration in both lung parenchyma, and pleuroparenchymal sequelae bands in bilateral apex, left lung lower lobe posterobasal segment, and a few millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_551/valid_551_a/valid_551_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1320",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Calibration of mediastinal vascular structures, heart contour and size are natural. Calcified atheroma plaques are observed on the wall of mediastinal vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end of the esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. In the posterior-apical segment of the upper lobe of the right lung, pure calcified nodular lesions accompanying sequela parenchymal changes are observed. The outlooks were primarily evaluated in favor of TB sequelae. In addition, there are sequela parenchymal changes in the left lung apex and lower lobe superior-posterobasal segments. No solid mass was detected in the upper abdominal organs within the image as far as it can be observed within the borders of non-contrast CT. Intraabdominal free or loculated fluid is not observed. No lytic or destructive lesions were detected in the bone structures within the image. There is left-facing scoliosis in the thoracic vertebral column. There are osteophytic degenerative changes that tend to coalesce from place to place in the vertebral corpus corners. Impression: Structural distortion, sequela changes accompanying volume loss and pure calcified nodules are observed in the right lung apical segment and upper lobe posterior segment. The findings are interpreted in favor of TB sequelae. Also, sequela parenchymal changes in the left lung apex and lower lobe superior-posterobasal segments; Active infiltration No mass lesion was detected with the thoracic cavity."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_552/valid_552_a/valid_552_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1321",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Calibration of mediastinal vascular structures, heart contour and size are natural. Calcified atheroma plaques are observed on the wall of mediastinal vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end of the esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. In the posterior-apical segment of the upper lobe of the right lung, pure calcified nodular lesions accompanying sequela parenchymal changes are observed. The outlooks were primarily evaluated in favor of TB sequelae. In addition, there are sequela parenchymal changes in the left lung apex and lower lobe superior-posterobasal segments. No solid mass was detected in the upper abdominal organs within the image as far as it can be observed within the borders of non-contrast CT. Intraabdominal free or loculated fluid is not observed. No lytic or destructive lesions were detected in the bone structures within the image. There is left-facing scoliosis in the thoracic vertebral column. There are osteophytic degenerative changes that tend to coalesce from place to place in the vertebral corpus corners. Impression: Structural distortion, sequela changes accompanying volume loss and pure calcified nodules are observed in the right lung apical segment and upper lobe posterior segment. The findings are interpreted in favor of TB sequelae. Also, sequela parenchymal changes in the left lung apex and lower lobe superior-posterobasal segments; Active infiltration No mass lesion was detected with the thoracic cavity."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_552/valid_552_a/valid_552_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_553/valid_553_a/valid_553_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_553/valid_553_a/valid_553_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1324",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinal area. When examined in the lung parenchyma window; Pleural effusion reaching approximately 2 cm in thickness is observed in both lungs. There are patchy ground glass-consolidation areas in both lungs, which are scattered in the subpleural areas and in the central areas of the lung parenchyma. There are septal thickness increases in the interlobar and interlobular areas. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific plaques in the aorta and coronary arteries.  Increases in interseptal and interlobular thickness in both lungs, which may be consistent with pulmonary edema.  Scattered ground-glass-consolidation areas in the subpleural and central areas within the parenchyma of both lungs. It may be compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory findings.  Bilateral pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_554/valid_554_a/valid_554_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1325",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinal area. When examined in the lung parenchyma window; Pleural effusion reaching approximately 2 cm in thickness is observed in both lungs. There are patchy ground glass-consolidation areas in both lungs, which are scattered in the subpleural areas and in the central areas of the lung parenchyma. There are septal thickness increases in the interlobar and interlobular areas. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific plaques in the aorta and coronary arteries.  Increases in interseptal and interlobular thickness in both lungs, which may be consistent with pulmonary edema.  Scattered ground-glass-consolidation areas in the subpleural and central areas within the parenchyma of both lungs. It may be compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory findings.  Bilateral pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_554/valid_554_a/valid_554_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation is suboptimal because of motion artefacts. Trachea, both main bronchi are open. The heart size has increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcified plaques are present in the coronary arteries, aorta and its branches. Diffuse osteodegenerative changes were observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are mild emphysematous and bronchiectatic changes in both lungs. A 5 mm subpleural calcified nodule is observed in the anterior segment of the right lung upper lobe. Subsegmental linear atelectasis was observed in both lung lower lobe posterobasal segments. There are bullae in the apical segment of the right lung. In the left adrenal gland, a nodule with a size of 17 mm with fat density and evaluated in favor of adenoma was observed. The right adrenal gland is normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild emphysematous-bronchiectatic changes in both lungs. Nodule in the left adrenal gland evaluated in favor of adenoma in fat density.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_555/valid_555_a/valid_555_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation is suboptimal because of motion artefacts. Trachea, both main bronchi are open. The heart size has increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcified plaques are present in the coronary arteries, aorta and its branches. Diffuse osteodegenerative changes were observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are mild emphysematous and bronchiectatic changes in both lungs. A 5 mm subpleural calcified nodule is observed in the anterior segment of the right lung upper lobe. Subsegmental linear atelectasis was observed in both lung lower lobe posterobasal segments. There are bullae in the apical segment of the right lung. In the left adrenal gland, a nodule with a size of 17 mm with fat density and evaluated in favor of adenoma was observed. The right adrenal gland is normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild emphysematous-bronchiectatic changes in both lungs. Nodule in the left adrenal gland evaluated in favor of adenoma in fat density.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_555/valid_555_a/valid_555_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1328",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. There are several small lymph nodes measuring 3 mm in short axis in the mediastinum. When examined in the lung parenchyma window; Mild dependent atelectasis is observed in the lower lobe basal segments of both lungs, more prominently on the right. Pleural effusion-thickening was not detected. Contour, size, parenchymal density of the liver are normal. Liver parenchyma density shows a slight change in favor of steatosis. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts, gallbladder are normal. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct. Contour, size, localization, parenchyma thickness, pelvicalyceal structures of both kidneys are normal. No renal solid or cystic mass was detected. A 4 mm hyperdense finding in the right proximal ureter with a small amount of hydroureter superiorly and hydronephrosis was evaluated in favor of obstructive renal calculi. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The contour, capacity and wall thickness of the bladder are natural. Paravesical fat planes are preserved. Prostate gland sizes are natural. Parenchyma is homogeneous. Periprostatic fatty tissues are clear. Seminal vesicles are natural. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Small hiatal hernia is observed. No significant pathological wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. There are bilateral small inguinal hernias. Bone structures entering the cross-sectional area are natural. There are mild hypertrophic tapering in the anterior end plates of the vertebral corpuscles. Impression: 4 mm in size in the right proximal ureter, superior mild hydroureter and obstructive renal calculi with hydronephrosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_556/valid_556_a/valid_556_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1329",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. There are several small lymph nodes measuring 3 mm in short axis in the mediastinum. When examined in the lung parenchyma window; Mild dependent atelectasis is observed in the lower lobe basal segments of both lungs, more prominently on the right. Pleural effusion-thickening was not detected. Contour, size, parenchymal density of the liver are normal. Liver parenchyma density shows a slight change in favor of steatosis. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts, gallbladder are normal. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct. Contour, size, localization, parenchyma thickness, pelvicalyceal structures of both kidneys are normal. No renal solid or cystic mass was detected. A 4 mm hyperdense finding in the right proximal ureter with a small amount of hydroureter superiorly and hydronephrosis was evaluated in favor of obstructive renal calculi. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The contour, capacity and wall thickness of the bladder are natural. Paravesical fat planes are preserved. Prostate gland sizes are natural. Parenchyma is homogeneous. Periprostatic fatty tissues are clear. Seminal vesicles are natural. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Small hiatal hernia is observed. No significant pathological wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. There are bilateral small inguinal hernias. Bone structures entering the cross-sectional area are natural. There are mild hypertrophic tapering in the anterior end plates of the vertebral corpuscles. Impression: 4 mm in size in the right proximal ureter, superior mild hydroureter and obstructive renal calculi with hydronephrosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_556/valid_556_a/valid_556_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left anterior descending coronal artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs. Atheroma plaques in the left anterior descending coronal artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_557/valid_557_a/valid_557_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1331",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left anterior descending coronal artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs. Atheroma plaques in the left anterior descending coronal artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_557/valid_557_a/valid_557_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Two millimetric nonspecific parenchymal nodules were observed in the middle lobe of the right lung. Focal ground-glass density increase was observed in the right lung lower lobe mediobasal segment, and it was thought to be related to spur compression. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Spur formations showing a tendency to coalesce were observed in the bone structures, thoracic vertebrae, and right anterolateral parts of the study area. It is recommended to be evaluated in terms of DISH disease. Impression:  Millimetric sized nonspecific parenchymal nodules in the right lung.  DISH disease?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_558/valid_558_a/valid_558_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1333",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Two millimetric nonspecific parenchymal nodules were observed in the middle lobe of the right lung. Focal ground-glass density increase was observed in the right lung lower lobe mediobasal segment, and it was thought to be related to spur compression. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Spur formations showing a tendency to coalesce were observed in the bone structures, thoracic vertebrae, and right anterolateral parts of the study area. It is recommended to be evaluated in terms of DISH disease. Impression:  Millimetric sized nonspecific parenchymal nodules in the right lung.  DISH disease?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_558/valid_558_a/valid_558_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1334",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: On the right, a port chamber under the skin and a catheter extending to the superior middle part of the vena cava are observed on the anterior chest wall. No occlusive pathology was observed in the trachea and lumen of both main bronchi. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. As far as can be observed, the diameter of the ascending aorta is 37 mm, above normal. The diameter of the pulmonary trunk is 37 mm at the upper limit. Heart size increased. Pericardial effusion-thickening was not observed. Surgical suture material secondary to bypass surgery was observed in the sternum and anterior mediastinum. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. A pathologically sized lymph node, the largest of which was 1.5 cm in the short axis, was observed in the aortopulmonary and subcarinal area. In other parts of the mediastinum, the short axes of the lymph nodes are less than 1 cm. In the case, which was learned to have metastatic colonic Ca, superposed nodules were observed in both lungs, the largest of which was in the superior segment of the left lung lower lobe, with a diameter of 9 mm on the major fissure. It has been learned that they metastasize. Widespread consolidation areas, characterized by interlobular septal thickenings on a ground-glass background, were observed in both lungs, forming a crazy paving pattern. The outlook was considered suspicious for Covid 19 pneumonia. Other viral pneumonias and drug toxicity can be considered in the differential diagnosis. There is an azygos lobe variation in the upper lobe of the right lung. As far as can be observed in the sections, hypodense mass lesions compatible with metastasis, the largest of which is 5 cm in diameter, were observed in both lobes of the liver. The spleen, both adrenal glands and both kidneys are normal. The pancreas is normal. At the infrarenal level, several pathological lymph nodes were observed in the retrocaval-interaorthocaval area, the largest of which was 15mm in the long axis. No intraabdominal free-loculated fluid was detected. Diffuse calcific atheroma plaques were observed in the abdominal aorta and its visceral branches. No critical stenosis was detected at the level of renal artery ostia. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No lytic-destructive lesion in favor of metastasis was observed. Impression: Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, increased diameters of the ascending aorta and pulmonary trunk, diffuse calcific atheroma plaques in the thoracic aorta and coronary arteries. Aortopulmonary and subcarinal pathologically sized lymph nodes. Hiatal hernia. Metastatic nodules in both lungs.  Ground-glass consolidation areas that form a peripherally weighted crazy paving pattern in all segments in both lungs, the appearance is suspicious for covid 19 pneumonia. Other viral pneumonias-drug toxicity can be considered in the differential diagnosis. It is recommended to evaluate clinical and laboratory together.  Multiple metastases in both lobes of the liver.  Right retrocaval-interaorthocaval pathological lymph nodes at the infrarenal level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_559/valid_559_a/valid_559_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1335",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: On the right, a port chamber under the skin and a catheter extending to the superior middle part of the vena cava are observed on the anterior chest wall. No occlusive pathology was observed in the trachea and lumen of both main bronchi. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. As far as can be observed, the diameter of the ascending aorta is 37 mm, above normal. The diameter of the pulmonary trunk is 37 mm at the upper limit. Heart size increased. Pericardial effusion-thickening was not observed. Surgical suture material secondary to bypass surgery was observed in the sternum and anterior mediastinum. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. A pathologically sized lymph node, the largest of which was 1.5 cm in the short axis, was observed in the aortopulmonary and subcarinal area. In other parts of the mediastinum, the short axes of the lymph nodes are less than 1 cm. In the case, which was learned to have metastatic colonic Ca, superposed nodules were observed in both lungs, the largest of which was in the superior segment of the left lung lower lobe, with a diameter of 9 mm on the major fissure. It has been learned that they metastasize. Widespread consolidation areas, characterized by interlobular septal thickenings on a ground-glass background, were observed in both lungs, forming a crazy paving pattern. The outlook was considered suspicious for Covid 19 pneumonia. Other viral pneumonias and drug toxicity can be considered in the differential diagnosis. There is an azygos lobe variation in the upper lobe of the right lung. As far as can be observed in the sections, hypodense mass lesions compatible with metastasis, the largest of which is 5 cm in diameter, were observed in both lobes of the liver. The spleen, both adrenal glands and both kidneys are normal. The pancreas is normal. At the infrarenal level, several pathological lymph nodes were observed in the retrocaval-interaorthocaval area, the largest of which was 15mm in the long axis. No intraabdominal free-loculated fluid was detected. Diffuse calcific atheroma plaques were observed in the abdominal aorta and its visceral branches. No critical stenosis was detected at the level of renal artery ostia. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No lytic-destructive lesion in favor of metastasis was observed. Impression: Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, increased diameters of the ascending aorta and pulmonary trunk, diffuse calcific atheroma plaques in the thoracic aorta and coronary arteries. Aortopulmonary and subcarinal pathologically sized lymph nodes. Hiatal hernia. Metastatic nodules in both lungs.  Ground-glass consolidation areas that form a peripherally weighted crazy paving pattern in all segments in both lungs, the appearance is suspicious for covid 19 pneumonia. Other viral pneumonias-drug toxicity can be considered in the differential diagnosis. It is recommended to evaluate clinical and laboratory together.  Multiple metastases in both lobes of the liver.  Right retrocaval-interaorthocaval pathological lymph nodes at the infrarenal level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_559/valid_559_a/valid_559_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1336",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Millimetric calcific atheroma plaques are observed in the anterior descending coronary artery and aorta. Several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal emphysematous changes are present in both lungs. Approximately 10 nodules are observed in both lungs, the largest of which is in the medial segment of the middle lobe, with a perifissure location of 6x7.5 mm in size. Atelectasis and local volume loss are observed in the left lung upper lobe lingular segment inferior subsegment, right lung middle lobe medial segment, left lung lower lobe medial segment. No infiltrative lesion was detected in both lungs. Sliding type hiatal hernia is observed at the esophagogastric junction. There is a paraesophageal lymph node with a diameter of 5 mm. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There are bridging osteophytes in the anterior corners of the corpus of the thoracic vertebrae within the sections. No lytic-destructive lesion was detected. Impression:  Multiple nodules in both lungs; It is recommended to be evaluated together with previous examinations, if any.  Minimal emphysematous changes in both lungs, areas of linear atelectasis.  Mediastinal millimetric lymph nodes.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_560/valid_560_a/valid_560_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1337",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Millimetric calcific atheroma plaques are observed in the anterior descending coronary artery and aorta. Several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal emphysematous changes are present in both lungs. Approximately 10 nodules are observed in both lungs, the largest of which is in the medial segment of the middle lobe, with a perifissure location of 6x7.5 mm in size. Atelectasis and local volume loss are observed in the left lung upper lobe lingular segment inferior subsegment, right lung middle lobe medial segment, left lung lower lobe medial segment. No infiltrative lesion was detected in both lungs. Sliding type hiatal hernia is observed at the esophagogastric junction. There is a paraesophageal lymph node with a diameter of 5 mm. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There are bridging osteophytes in the anterior corners of the corpus of the thoracic vertebrae within the sections. No lytic-destructive lesion was detected. Impression:  Multiple nodules in both lungs; It is recommended to be evaluated together with previous examinations, if any.  Minimal emphysematous changes in both lungs, areas of linear atelectasis.  Mediastinal millimetric lymph nodes.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_560/valid_560_a/valid_560_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1338",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. No pathological size and configuration lymph nodes were detected in the mediastinum. Pathological size and configured lymph nodes were not observed at both hilar levels. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. A nonspecific nodule with a diameter of 3 mm is observed in the middle lobe on the right. A 2 mm diameter subpleural nodule is observed in the lateral subpleural area in the upper lobe apicoposterior segment on the left. There is also a parenchymal band in the lower lobe laterobasal segment. No ground-glass-like density increase, consolidation or pleural effusion was observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding in favor of pneumonia. 1-2 nonspecific millimetric nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_561/valid_561_a/valid_561_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1339",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. No pathological size and configuration lymph nodes were detected in the mediastinum. Pathological size and configured lymph nodes were not observed at both hilar levels. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. A nonspecific nodule with a diameter of 3 mm is observed in the middle lobe on the right. A 2 mm diameter subpleural nodule is observed in the lateral subpleural area in the upper lobe apicoposterior segment on the left. There is also a parenchymal band in the lower lobe laterobasal segment. No ground-glass-like density increase, consolidation or pleural effusion was observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding in favor of pneumonia. 1-2 nonspecific millimetric nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_561/valid_561_a/valid_561_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1340",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_561/valid_561_b/valid_561_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1341",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Central tubular bronchiectasis was observed in both lungs. Apart from this, no mass lesion-active infiltration with selectable margins was detected in both lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Accessory spleen with 11 mm diameter was observed in the inferior of the splenic hilus. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Central tubular bronchiectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_562/valid_562_a/valid_562_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1342",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Central tubular bronchiectasis was observed in both lungs. Apart from this, no mass lesion-active infiltration with selectable margins was detected in both lung parenchyma. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Accessory spleen with 11 mm diameter was observed in the inferior of the splenic hilus. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Central tubular bronchiectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_562/valid_562_a/valid_562_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1343",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. There are millimetric lymph nodes in the mediastinum that do not reach pathological dimensions. No lymph node with pathological size and configuration is observed at the hilar level. In the case with a history of perforation during dilatation due to achalasia, an increase in the circumferential thickness of the wall in the distal part of the esophagus and secondary narrowing in the lumen are observed. In the paraesophageal area, there are one or two lymph nodes of millimeric size. When examined in the lung parenchyma window; At the apical level, there are pleuroparenchymal sequelae changes on both sides and the appearance of intense emphysema. At the level of the minor interlobar fissure, sequelae changes are observed. In the right lung upper lobe posterior segment, pleuroparamchymal sequelae changes are observed adjacent to the fissure. There are densities compatible with pleuroparenchymal sequelae at the lower lobe superior segment level. Nodular densities with irregular borders are observed in the peribronchovascular area at the central level in the apicoposterior segment of the left upper lobe of the lung. Again, there are similar amorphous density increases in the peribronchial area more caudally. A 3 mm diameter nodule is observed at the posterobasal level of the lower lobe. There are centriacinar amorphous density increments at the anterobasal level. Ground-glass-like density increases in the lower lobe superior segment and bud branch appearance are observed in the lower lobe superior segment. No bilateral pleural effusion or pneumothorax was detected. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Bilateral adrenal glands are normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. There is an increase in dorsal kyphosis. Impression: Diffuse sequelae changes in both lungs, emphysema . Branches with buds in the superior segment of the lower lobe of the left lung, centriacinar nodules (evaluation with clinical and laboratory findings for infective processes is recommended).  In addition, nodular lesions with irregular borders in the upper lobe of the right lung and in the superior segment of the lower lobe and in the lingular segment. Comparative evaluation is recommended if the case has a previous history.  Increase in dorsal kyphosis.  Hepatosteatosis. In the case with a history of perforation during dilatation due to achalasia, an increase in circumferential thickness of the wall in the distal part of the esophagus and secondary narrowing in the lumen are observed. In the paraesophageal area, there are one or two lymph nodes of millimeric size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_563/valid_563_a/valid_563_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1344",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. There are millimetric lymph nodes in the mediastinum that do not reach pathological dimensions. No lymph node with pathological size and configuration is observed at the hilar level. In the case with a history of perforation during dilatation due to achalasia, an increase in the circumferential thickness of the wall in the distal part of the esophagus and secondary narrowing in the lumen are observed. In the paraesophageal area, there are one or two lymph nodes of millimeric size. When examined in the lung parenchyma window; At the apical level, there are pleuroparenchymal sequelae changes on both sides and the appearance of intense emphysema. At the level of the minor interlobar fissure, sequelae changes are observed. In the right lung upper lobe posterior segment, pleuroparamchymal sequelae changes are observed adjacent to the fissure. There are densities compatible with pleuroparenchymal sequelae at the lower lobe superior segment level. Nodular densities with irregular borders are observed in the peribronchovascular area at the central level in the apicoposterior segment of the left upper lobe of the lung. Again, there are similar amorphous density increases in the peribronchial area more caudally. A 3 mm diameter nodule is observed at the posterobasal level of the lower lobe. There are centriacinar amorphous density increments at the anterobasal level. Ground-glass-like density increases in the lower lobe superior segment and bud branch appearance are observed in the lower lobe superior segment. No bilateral pleural effusion or pneumothorax was detected. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Bilateral adrenal glands are normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. There is an increase in dorsal kyphosis. Impression: Diffuse sequelae changes in both lungs, emphysema . Branches with buds in the superior segment of the lower lobe of the left lung, centriacinar nodules (evaluation with clinical and laboratory findings for infective processes is recommended).  In addition, nodular lesions with irregular borders in the upper lobe of the right lung and in the superior segment of the lower lobe and in the lingular segment. Comparative evaluation is recommended if the case has a previous history.  Increase in dorsal kyphosis.  Hepatosteatosis. In the case with a history of perforation during dilatation due to achalasia, an increase in circumferential thickness of the wall in the distal part of the esophagus and secondary narrowing in the lumen are observed. In the paraesophageal area, there are one or two lymph nodes of millimeric size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_563/valid_563_a/valid_563_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1345",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Evaluation of mediastinal structures is suboptimal since no contrast material is given. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are cylindrical bronchiectasis areas in the lower lobes of both lungs and in the lingula inferior segment of the left lung upper lobe. There is an increase in bronchial wall thickness in the basal segments of the lower lobes of both lungs, and mucoid impactions filling the bronchial lumen. In the upper lobes of both lungs, in the right lung middle lobe, in the left lung lingula superior and inferior segment, and in the lower lobes of both lungs, there are confluenced consolidation areas and widespread budding tree views, which were evaluated in favor of pneumonic infiltration showing endobronchial spread. In the differential diagnosis, besides bacterial agents, TB should be considered. In the upper abdominal organs included in the sections, an appearance compatible with polysplenia is observed in the spleen lodge. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Pneumonic consolidation areas with prominent confluence in the right and lower lobe basal segments in all lobes of both lungs and budding tree landscapes showing endobronchial spread, cylindrical bronchiectasis in the lower lobes of both lungs, and mucoid impactions that occasionally obstruct the bronchial lumens."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_564/valid_564_a/valid_564_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1346",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Evaluation of mediastinal structures is suboptimal since no contrast material is given. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are cylindrical bronchiectasis areas in the lower lobes of both lungs and in the lingula inferior segment of the left lung upper lobe. There is an increase in bronchial wall thickness in the basal segments of the lower lobes of both lungs, and mucoid impactions filling the bronchial lumen. In the upper lobes of both lungs, in the right lung middle lobe, in the left lung lingula superior and inferior segment, and in the lower lobes of both lungs, there are confluenced consolidation areas and widespread budding tree views, which were evaluated in favor of pneumonic infiltration showing endobronchial spread. In the differential diagnosis, besides bacterial agents, TB should be considered. In the upper abdominal organs included in the sections, an appearance compatible with polysplenia is observed in the spleen lodge. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Pneumonic consolidation areas with prominent confluence in the right and lower lobe basal segments in all lobes of both lungs and budding tree landscapes showing endobronchial spread, cylindrical bronchiectasis in the lower lobes of both lungs, and mucoid impactions that occasionally obstruct the bronchial lumens."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_564/valid_564_a/valid_564_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1347",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and peribronchial thickening are observed in both lungs, most prominently in the lower lobes. Budding tree appearances are observed in both lung lower lobes, right lung middle lobe and left lung upper lobe lingular segment inferior subsegment. The described manifestations are consistent with infective pathology. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural effusion was detected. There is minimal pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No upper abdominal free fluid-collection was detected in the sections. Nodular hypodense appearance is observed in the left upper quadrant adjacent to the spleen. The described appearance was also present in the previous examination of the patient and was evaluated in favor of splenosis. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Extensive budding tree appearances in both lungs. Minimal pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_564/valid_564_b/valid_564_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and peribronchial thickening are observed in both lungs, most prominently in the lower lobes. Budding tree appearances are observed in both lung lower lobes, right lung middle lobe and left lung upper lobe lingular segment inferior subsegment. The described manifestations are consistent with infective pathology. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural effusion was detected. There is minimal pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No upper abdominal free fluid-collection was detected in the sections. Nodular hypodense appearance is observed in the left upper quadrant adjacent to the spleen. The described appearance was also present in the previous examination of the patient and was evaluated in favor of splenosis. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Extensive budding tree appearances in both lungs. Minimal pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_564/valid_564_b/valid_564_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1349",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; A nodule with a diameter of 4 mm was observed in the lateral part of the right lung lower lobe superior segment. An appearance compatible with a 3 mm diameter intrapulmonary lymph node was observed in the medial basal segment of the lower lobe of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Nodule in the right lung Intrapulmonary lymph node in the right?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_565/valid_565_a/valid_565_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1350",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; A nodule with a diameter of 4 mm was observed in the lateral part of the right lung lower lobe superior segment. An appearance compatible with a 3 mm diameter intrapulmonary lymph node was observed in the medial basal segment of the lower lobe of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Nodule in the right lung Intrapulmonary lymph node in the right?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_565/valid_565_a/valid_565_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1351",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nodule of 4 mm in diameter was observed in the lateral part of the right lung lower lobe superior segment. In the mediobasal segment of the lower lobe of the right lung, an appearance compatible with an intrapulmonary lymph node with a diameter of 3 mm was observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Parenchymal nodule in the right lung lower lobe superior segment. Intrapulmonary lymph node in the right lung lower lobe mediobasal segment?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_565/valid_565_b/valid_565_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1352",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nodule of 4 mm in diameter was observed in the lateral part of the right lung lower lobe superior segment. In the mediobasal segment of the lower lobe of the right lung, an appearance compatible with an intrapulmonary lymph node with a diameter of 3 mm was observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Parenchymal nodule in the right lung lower lobe superior segment. Intrapulmonary lymph node in the right lung lower lobe mediobasal segment?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_565/valid_565_b/valid_565_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and vascular structures is suboptimal due to the lack of contrast of the examination. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Effusion reaching approximately 6.5 cm in the thickest part of the left hemithorax and atelectasis in the accompanying parenchyma are observed. Minimal emphysematous changes are observed in both lungs. Consolidation-ground glass areas are observed in the anterior part of the upper lobe of the right lung, the middle lobe and the lower lobe of the right lung. The outlook is compatible with pneumonia. Although these findings are not specific, they are also observed in Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma. In the bony structures within the study area, multiple sclerotic features compatible with metastases are observed, especially along the vertebral column. Impression:  Multiple bone metastases  Pneumonic infiltration areas, which are more prominent in the middle and lower lobes of the right lung, are observed.  There are ground glass areas in the anterior part of the upper lobe of the right lung. Although the appearance is not specific, it is also observed in Covid-19 pneumonia.  There is pleural effusion and accompanying compression atelectasis in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_566/valid_566_a/valid_566_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1354",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and vascular structures is suboptimal due to the lack of contrast of the examination. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Effusion reaching approximately 6.5 cm in the thickest part of the left hemithorax and atelectasis in the accompanying parenchyma are observed. Minimal emphysematous changes are observed in both lungs. Consolidation-ground glass areas are observed in the anterior part of the upper lobe of the right lung, the middle lobe and the lower lobe of the right lung. The outlook is compatible with pneumonia. Although these findings are not specific, they are also observed in Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma. In the bony structures within the study area, multiple sclerotic features compatible with metastases are observed, especially along the vertebral column. Impression:  Multiple bone metastases  Pneumonic infiltration areas, which are more prominent in the middle and lower lobes of the right lung, are observed.  There are ground glass areas in the anterior part of the upper lobe of the right lung. Although the appearance is not specific, it is also observed in Covid-19 pneumonia.  There is pleural effusion and accompanying compression atelectasis in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_566/valid_566_a/valid_566_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1355",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. The left lower lobe has a total atelectasis appearance. Pleural effusion measuring 6.5 cm in its thickest part is observed in the left hemithorax. Also available in previous reviews. Pleural effusion measuring 16 mm is observed in the thickest part of the right hemithorax entering the fissure. Right upper and bilateral lower paratracheal narrow lymph nodes with a diameter of less than 1 cm are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pericardial effusion in the form of thin smears is observed. In the evaluation of both lung parenchyma; bulla formation and centriacinar emphysematous areas are observed in the apex of both lungs. Minimal ground glass density is observed in the peripheral lung parenchyma in the anterior segment of the right lung upper lobe. In addition, peribronchial wall thickening and subsegmental atelectasis are observed in the basal segments of the lower lobe of the right lung. Infiltrates, which were more obvious in the right lung in previous examinations, have completely regressed. In the right hemithorax, a drainage catheter ending in the major fissure was observed. In the sections passing through the upper part of the abdomen, bilateral surrenal lobes appear natural. Widespread sclerotic metastases are observed in the vertebrae and ribs in the study area. Impression:  Regression in right lung infiltration, bilateral stable pleural effusion evident on the left.  Drainage catheter that ends in the major fissure in the right hemithorax"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_566/valid_566_b/valid_566_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1356",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. The left lower lobe has a total atelectasis appearance. Pleural effusion measuring 6.5 cm in its thickest part is observed in the left hemithorax. Also available in previous reviews. Pleural effusion measuring 16 mm is observed in the thickest part of the right hemithorax entering the fissure. Right upper and bilateral lower paratracheal narrow lymph nodes with a diameter of less than 1 cm are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pericardial effusion in the form of thin smears is observed. In the evaluation of both lung parenchyma; bulla formation and centriacinar emphysematous areas are observed in the apex of both lungs. Minimal ground glass density is observed in the peripheral lung parenchyma in the anterior segment of the right lung upper lobe. In addition, peribronchial wall thickening and subsegmental atelectasis are observed in the basal segments of the lower lobe of the right lung. Infiltrates, which were more obvious in the right lung in previous examinations, have completely regressed. In the right hemithorax, a drainage catheter ending in the major fissure was observed. In the sections passing through the upper part of the abdomen, bilateral surrenal lobes appear natural. Widespread sclerotic metastases are observed in the vertebrae and ribs in the study area. Impression:  Regression in right lung infiltration, bilateral stable pleural effusion evident on the left.  Drainage catheter that ends in the major fissure in the right hemithorax"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_566/valid_566_b/valid_566_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Calcified atheromatous plaques were observed on the walls of the thoracic aorta and coronary vascular structures. No pathological increase in thoracic esophagus wall thickness is observed. Sliding type hiatal hernia was observed at the lower end of the esophagus. Trachea, both main bronchi are open and no occlusive pathology is detected. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. No pericardial, pleural effusion or thickening was detected. When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. There are non-specific nodules in both lungs, the largest of which is 5 mm in diameter in the left lung superior lingular segment. Minimal emphysematous changes were observed in both lungs. There are sequelae parenchymal changes in the apex of both lungs, left lung upper lobe inferior lingular segment, right lung middle lobe medial segment and lower lobe posterobasal segments. No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. In bone structures within the image; Left-facing scoliosis was observed in the thoracic vertebral column. There are osteophytic taperings that tend to coalesce at the vertebral corpus corners. Impression:  There was no finding in favor of pneumonic infiltration in both lungs.  Sequela parenchymal changes in both lungs, millimetric nonspecific nodules, emphysematous changes.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Sliding type hiatal hernia at the lower end of the esophagus.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_567/valid_567_a/valid_567_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1358",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Calcified atheromatous plaques were observed on the walls of the thoracic aorta and coronary vascular structures. No pathological increase in thoracic esophagus wall thickness is observed. Sliding type hiatal hernia was observed at the lower end of the esophagus. Trachea, both main bronchi are open and no occlusive pathology is detected. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. No pericardial, pleural effusion or thickening was detected. When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. There are non-specific nodules in both lungs, the largest of which is 5 mm in diameter in the left lung superior lingular segment. Minimal emphysematous changes were observed in both lungs. There are sequelae parenchymal changes in the apex of both lungs, left lung upper lobe inferior lingular segment, right lung middle lobe medial segment and lower lobe posterobasal segments. No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. In bone structures within the image; Left-facing scoliosis was observed in the thoracic vertebral column. There are osteophytic taperings that tend to coalesce at the vertebral corpus corners. Impression:  There was no finding in favor of pneumonic infiltration in both lungs.  Sequela parenchymal changes in both lungs, millimetric nonspecific nodules, emphysematous changes.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Sliding type hiatal hernia at the lower end of the esophagus.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_567/valid_567_a/valid_567_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1359",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of mediastinal major vascular structures is natural. Thymic tissue with trigonal configuration and no mass effect is observed in the anterior mediastinum. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are nonspecific nodules with a diameter of 2 mm in the posterior at the apical level of the upper lobe of the right lung. Pleuroparenchymal sequelae changes are observed in the middle lobe adjacent to the minor fissure on the right. There is a 2 mm diameter subpleural nodule at the laterobasal level. Bilateral pleural effusion was not detected. Ground-glass-like density increases are observed in both lungs, which are scattered but more frequent in the focal basals. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  focal ground glass-style density increments that may be consistent with Covid pneumonia; clinical and laboratory correlation is recommended.  Formation of several millimetric, nonpsychic nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_568/valid_568_a/valid_568_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of mediastinal major vascular structures is natural. Thymic tissue with trigonal configuration and no mass effect is observed in the anterior mediastinum. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are nonspecific nodules with a diameter of 2 mm in the posterior at the apical level of the upper lobe of the right lung. Pleuroparenchymal sequelae changes are observed in the middle lobe adjacent to the minor fissure on the right. There is a 2 mm diameter subpleural nodule at the laterobasal level. Bilateral pleural effusion was not detected. Ground-glass-like density increases are observed in both lungs, which are scattered but more frequent in the focal basals. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  focal ground glass-style density increments that may be consistent with Covid pneumonia; clinical and laboratory correlation is recommended.  Formation of several millimetric, nonpsychic nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_568/valid_568_a/valid_568_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1361",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Findings consistent with gynecomastia were observed in the bilateral retroalveolar area. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A nonspecific parenchymal nodule with a diameter of 5 mm was observed in the anterobasal segment of the lower lobe of the right lung. A millimetric air cyst was observed in the upper lobe of the right lung. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Nonspecific parenchymal nodule in the lower lobe of the right lung.  Millimetric sized air cyst in the upper lobe of the right lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_a/valid_569_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1362",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Findings consistent with gynecomastia were observed in the bilateral retroalveolar area. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A nonspecific parenchymal nodule with a diameter of 5 mm was observed in the anterobasal segment of the lower lobe of the right lung. A millimetric air cyst was observed in the upper lobe of the right lung. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Nonspecific parenchymal nodule in the lower lobe of the right lung.  Millimetric sized air cyst in the upper lobe of the right lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_a/valid_569_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_b/valid_569_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1364",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_b/valid_569_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1365",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_b/valid_569_b_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_1366",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_b/valid_569_b_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_1367",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: There is millimetric nodular density in the major fissure in series 202 image 85 in the superior right lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_b/valid_569_b_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_1368",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_c/valid_569_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1369",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_569/valid_569_c/valid_569_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1370",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There are several nonspecific millimetric mediastinal lymph nodes in the mediastinum, right lower paratracheal and subcarinal. Left ventricular diameter increased. Calcific atherosclerotic plaques are observed in LAD. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Normal calibration of the esophagus is observed. Slippery type mild hiatal hernia was observed. When examined in the lung parenchyma window; In both lungs, there are areas of pneumonic infiltration in the upper lobes that confluence towards the lower lobes in the form of ground glass densities and are concentrated in consolidation. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. No mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma. Calcified atherosclerotic plaques are observed in the thoracic aorta and abdominal aorta. There is a cortical cyst in the left kidney. No lytic-destructive lesion was detected in the bone structures in the study area. Impression: Diffuse areas of atypical pneumonic infiltration in both lungs. Radiological findings were evaluated in accordance with the involvement of the lung parenchyma of Covid infection.  Increase in left ventricular diameter, calcified atheromatous plaques in LAD"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_570/valid_570_a/valid_570_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1371",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Anteroposterior diameter of the descending aorta was measured as 26 mm. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Aberrant right subclavian artery variation with retroesophageal course was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A smear-like effusion was observed in the right hemithorax. Minimal sequelae thickening was observed in the left posterior costal pleura. Both lungs are emphysematous. A small focal ground-glass nodule is observed at the interface of the anterior-posterior segment junction of the upper lobe of the right lung, and the appearance is nonspecific. Ultra-early stage Covid-19 pneumonia could not be excluded due to the pandemic. Suspected for Covid-19 pneumonia due to the pandemic. It is recommended to be evaluated together with clinical and laboratory. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Left adrenal gland locus is normal and no space-occupying lesion was detected. A high-density nodular mass lesion with a diameter of approximately 9 mm was observed in the right adrenal gland corpus (fat-poor adenoma?). A hypodense nodular lesion with a diameter of 24 mm was observed in the upper pole of the left kidney (cyst?). Degenerative changes were observed in the bone structures in the study area. Impression: Fusiform aneurysmatic dilatation in the ascending aorta, calcific atheromatous plaques in the thoracic aorta and supraaortic branches. Aberrant right subclavian artery variation . Sliding type hiatal hernia . Plastering pleural effusion on the right . It is a millimetrical nonspherical glass nodule at the level of the anterior-posterior segment junction of the right lung upper lobe, Due to the pandemic, it is suspected in terms of ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory.  Emphysematous appearance in both lungs . Nodular thickening in the right adrenal gland corpus . Hypodense nodular lesion area (cyst?) in the upper pole of the left kidney.  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_571/valid_571_a/valid_571_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1372",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Anteroposterior diameter of the descending aorta was measured as 26 mm. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Aberrant right subclavian artery variation with retroesophageal course was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A smear-like effusion was observed in the right hemithorax. Minimal sequelae thickening was observed in the left posterior costal pleura. Both lungs are emphysematous. A small focal ground-glass nodule is observed at the interface of the anterior-posterior segment junction of the upper lobe of the right lung, and the appearance is nonspecific. Ultra-early stage Covid-19 pneumonia could not be excluded due to the pandemic. Suspected for Covid-19 pneumonia due to the pandemic. It is recommended to be evaluated together with clinical and laboratory. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Left adrenal gland locus is normal and no space-occupying lesion was detected. A high-density nodular mass lesion with a diameter of approximately 9 mm was observed in the right adrenal gland corpus (fat-poor adenoma?). A hypodense nodular lesion with a diameter of 24 mm was observed in the upper pole of the left kidney (cyst?). Degenerative changes were observed in the bone structures in the study area. Impression: Fusiform aneurysmatic dilatation in the ascending aorta, calcific atheromatous plaques in the thoracic aorta and supraaortic branches. Aberrant right subclavian artery variation . Sliding type hiatal hernia . Plastering pleural effusion on the right . It is a millimetrical nonspherical glass nodule at the level of the anterior-posterior segment junction of the right lung upper lobe, Due to the pandemic, it is suspected in terms of ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory.  Emphysematous appearance in both lungs . Nodular thickening in the right adrenal gland corpus . Hypodense nodular lesion area (cyst?) in the upper pole of the left kidney.  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_571/valid_571_a/valid_571_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1373",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart size, contour, configuration are natural. Mediastinal main vascular structures are natural. In the mediastinum, prevascular, preparatracheal, and calcific lymph nodes were observed at the hilar level, with a diameter of both hilar short axis not exceeding 1 cm. No lymph nodes were detected in pathological size and appearance. Abdominal solid organs are normal in sections passing through the upper abdomen. No clear focal lesion was observed in the liver and spleen. No space-occupying lesion was observed in both adrenal sites. When the lung parenchyma window is examined; increased aeration of both lungs. Thorax AP diameter increased. There are diffuse emphysematous changes in both lungs. Volume loss, structural distortion and sequelae pleuroparenchymal-fibrotic recessions accompanied by subpleural bullae were observed in both upper lobe apex of both lungs. In both lungs, bronchiectasis in the central part, which is more prominent in cystic form, was observed. In the right lung upper lobe posterior, a rounded consolidation area of approximately 1 cm accompanied by subpleural sequelae retraction was initially evaluated in favor of round atelectasis. In addition, more prominent sequela pleuroparenchymal band-fibrotic recessions are observed in the upper lobe of both lungs on the right and in the lower lobes of both lungs, anteromedial and posterobasal sequelae. In the lower lobe of the right lung, the appearance of hyperdense foreign bodies in linear form is observed. A subpleural 5 mm diameter nodule was observed in the left lung lower lobe laterobasal. There are minimal subsegmental atelectatic changes in the left lung lingular segment inferior. Interlobular septal thickness increases are observed in the lower lobes of both lungs, more prominently on the left. Thoracic kyphosis slightly flattened. Vertebra corpus heights and alignments are natural. No lytic - destructive lesion was observed. No pleural effusion was detected in both hemithorax. Impression: Mediastinal milimetric, hilar calcific lymph nodes . Diffuse emphysematous appearance in both lungs . Bronchiectatic changes in cystic form, more prominent in the center of both lungs . More pronounced sequelae in the lower lobes of both lungs . Millimetric nodule in the laterobasal lower lobe of the left lung . The appearance evaluated in favor of round atelectasis in the first plan accompanied by sequelae recessions in the posterior right lung upper lobe; follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_572/valid_572_a/valid_572_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1374",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart size, contour, configuration are natural. Mediastinal main vascular structures are natural. In the mediastinum, prevascular, preparatracheal, and calcific lymph nodes were observed at the hilar level, with a diameter of both hilar short axis not exceeding 1 cm. No lymph nodes were detected in pathological size and appearance. Abdominal solid organs are normal in sections passing through the upper abdomen. No clear focal lesion was observed in the liver and spleen. No space-occupying lesion was observed in both adrenal sites. When the lung parenchyma window is examined; increased aeration of both lungs. Thorax AP diameter increased. There are diffuse emphysematous changes in both lungs. Volume loss, structural distortion and sequelae pleuroparenchymal-fibrotic recessions accompanied by subpleural bullae were observed in both upper lobe apex of both lungs. In both lungs, bronchiectasis in the central part, which is more prominent in cystic form, was observed. In the right lung upper lobe posterior, a rounded consolidation area of approximately 1 cm accompanied by subpleural sequelae retraction was initially evaluated in favor of round atelectasis. In addition, more prominent sequela pleuroparenchymal band-fibrotic recessions are observed in the upper lobe of both lungs on the right and in the lower lobes of both lungs, anteromedial and posterobasal sequelae. In the lower lobe of the right lung, the appearance of hyperdense foreign bodies in linear form is observed. A subpleural 5 mm diameter nodule was observed in the left lung lower lobe laterobasal. There are minimal subsegmental atelectatic changes in the left lung lingular segment inferior. Interlobular septal thickness increases are observed in the lower lobes of both lungs, more prominently on the left. Thoracic kyphosis slightly flattened. Vertebra corpus heights and alignments are natural. No lytic - destructive lesion was observed. No pleural effusion was detected in both hemithorax. Impression: Mediastinal milimetric, hilar calcific lymph nodes . Diffuse emphysematous appearance in both lungs . Bronchiectatic changes in cystic form, more prominent in the center of both lungs . More pronounced sequelae in the lower lobes of both lungs . Millimetric nodule in the laterobasal lower lobe of the left lung . The appearance evaluated in favor of round atelectasis in the first plan accompanied by sequelae recessions in the posterior right lung upper lobe; follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_572/valid_572_a/valid_572_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and central consolidations and ground-glass appearances are observed in both lungs, more prominently in the lower lobes. Some of the described views are round shaped. The appearances described during the pandemic process were thought to be compatible with Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_573/valid_573_a/valid_573_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1376",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and central consolidations and ground-glass appearances are observed in both lungs, more prominently in the lower lobes. Some of the described views are round shaped. The appearances described during the pandemic process were thought to be compatible with Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_573/valid_573_a/valid_573_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_574/valid_574_a/valid_574_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_575/valid_575_a/valid_575_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_575/valid_575_a/valid_575_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In the anterobasal segment of the lower lobe of the left lung, an increase in ground glass density was observed adjacent to the fissure, accompanied by the consolidation area. Imaging features can be seen in Covid-19 pneumonia. However, it is not specific and can be seen in other infectious-non-infectious diseases. Clinical laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Focal consolidation area and accompanying ground-glass density increase were observed in the lower lobe of the left lung. Imaging features can be seen in Covid-19 pneumonia. However, it is not specific and can be seen in other infectious-non-infectious diseases. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_575/valid_575_b/valid_575_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1381",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In the anterobasal segment of the lower lobe of the left lung, an increase in ground glass density was observed adjacent to the fissure, accompanied by the consolidation area. Imaging features can be seen in Covid-19 pneumonia. However, it is not specific and can be seen in other infectious-non-infectious diseases. Clinical laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Focal consolidation area and accompanying ground-glass density increase were observed in the lower lobe of the left lung. Imaging features can be seen in Covid-19 pneumonia. However, it is not specific and can be seen in other infectious-non-infectious diseases. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_575/valid_575_b/valid_575_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1382",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; A 5 mm diameter nodule was observed in the right lung lower lobe superior segment. There are subpleural reticular density increases in the posterior segments of the superior segments of the bilateral lower lobes. Interlobular septal thickening? Transient atelectasis? In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. There are degenerative changes in bone structures. Impression: Nodule in the superior segment of the lower lobe of the right lung. In the superior segments of the bilateral lower lobes, there are increases in the posterior subpleural reticular density. Interlobular septal thickening? Transient atelectasis? There was no evidence of active infection in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_576/valid_576_a/valid_576_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1383",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. In the non-contrast examination, the diameter of the ascending aorta, which was selected as suboptimal, is 4.2 cm and it has an ectaic appearance. The cardiothoracic index appears to be increased in favor of the heart. Mitral valve calcification is observed. There is a millimetric calcific plaque in the descending aorta. In the evaluation of both lung parenchyma; There are linear pleuroparenchymal sequelae densities in the middle lobe of the right lung. Densities, which can be considered as mosaic attenuation pattern, are observed more prominently in the bilateral lower lobes of the lung. A paraesophageal hernia is observed and the diaphragmatic defect was measured as approximately 5 cm. Gastric gas and mesenteric fatty tissue are observed intrathoracically in the paracardiac distance. In addition, low-density hypodensity with a diameter of approximately 3x2.5 cm is observed in the right adrenal region in the abdominal sections (non-functioning adenoma?) (HU=7). Hypodense areas of approximately 4x4 cm are observed in the liver, the largest of which is in the right lobe anterior segment-left lobe medial segment. On the right, there is an appearance that may belong to a 3 cm diameter lipoma located intramuscularly on the lateral wall of the abdomen. Bone structures appear osteopenic. In the dorsal localization, left-facing scoliosis is observed. Internal fixator is observed in the L2 vertebra, which is in the examination area. Impression: Ectasia, cardiomegaly in the ascending aorta.  Paraesophageal hernia . More pronounced mosaic attenuation in the bilateral lower lung lobes . Lesions in the hypodense appearance at the junction of the right lobe anterior-left lobe medial segment, the larger one in the liver included in the examination area. Contrast-enhanced MRI is recommended for differential diagnosis of the lesion, including metastasis.  Appearance that may belong to a lipoma with a diameter of 3 cm located intramuscularly on the right side of the abdomen. Low-density nodular lesion in the right adrenal region, which may belong to a nonfunctional adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_577/valid_577_a/valid_577_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1384",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. In the non-contrast examination, the diameter of the ascending aorta, which was selected as suboptimal, is 4.2 cm and it has an ectaic appearance. The cardiothoracic index appears to be increased in favor of the heart. Mitral valve calcification is observed. There is a millimetric calcific plaque in the descending aorta. In the evaluation of both lung parenchyma; There are linear pleuroparenchymal sequelae densities in the middle lobe of the right lung. Densities, which can be considered as mosaic attenuation pattern, are observed more prominently in the bilateral lower lobes of the lung. A paraesophageal hernia is observed and the diaphragmatic defect was measured as approximately 5 cm. Gastric gas and mesenteric fatty tissue are observed intrathoracically in the paracardiac distance. In addition, low-density hypodensity with a diameter of approximately 3x2.5 cm is observed in the right adrenal region in the abdominal sections (non-functioning adenoma?) (HU=7). Hypodense areas of approximately 4x4 cm are observed in the liver, the largest of which is in the right lobe anterior segment-left lobe medial segment. On the right, there is an appearance that may belong to a 3 cm diameter lipoma located intramuscularly on the lateral wall of the abdomen. Bone structures appear osteopenic. In the dorsal localization, left-facing scoliosis is observed. Internal fixator is observed in the L2 vertebra, which is in the examination area. Impression: Ectasia, cardiomegaly in the ascending aorta.  Paraesophageal hernia . More pronounced mosaic attenuation in the bilateral lower lung lobes . Lesions in the hypodense appearance at the junction of the right lobe anterior-left lobe medial segment, the larger one in the liver included in the examination area. Contrast-enhanced MRI is recommended for differential diagnosis of the lesion, including metastasis.  Appearance that may belong to a lipoma with a diameter of 3 cm located intramuscularly on the right side of the abdomen. Low-density nodular lesion in the right adrenal region, which may belong to a nonfunctional adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_577/valid_577_a/valid_577_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of mediastinal major vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch and descending aorta. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Hiatal hernia is observed. The calibration of the trachea and main bronchi is normal and their lumens are clear. Nodular density, which may be compatible with mucus secretion, is observed in the right posterolateral area in the proximal part of the trachea. When examined in the lung parenchyma window; 2 mm diameter nonspecific nodular density is observed in the anterior segment of the right lung upper lobe. A nonspecific nodule with a diameter of 3 mm is observed in the middle lobe of the right lung. There is a 5x3 mm nodule with calcific appearance in the lingular segment of the left lung. Mild emphysema appearance is observed in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No pneumonia, pneumothorax or pleural effusion was observed. In the upper abdominal organs, including sections; Operative densities were observed in the gallbladder bed. There is a hypodense lesion in the middle part of the left kidney, which may be compatible with the cortical cyst partially entering the image. Degenerative changes are observed in the bone structure. There are postoperative changes and degenerative findings at the level of the humeral head in the right shoulder. There are degenerative changes at the level of the 1st costosternal joint on the left. Impression:  No finding compatible with pneumonia was detected.  Cortical cyst in left kidney.  Hiatal hernia.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_578/valid_578_a/valid_578_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1386",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of mediastinal major vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch and descending aorta. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Hiatal hernia is observed. The calibration of the trachea and main bronchi is normal and their lumens are clear. Nodular density, which may be compatible with mucus secretion, is observed in the right posterolateral area in the proximal part of the trachea. When examined in the lung parenchyma window; 2 mm diameter nonspecific nodular density is observed in the anterior segment of the right lung upper lobe. A nonspecific nodule with a diameter of 3 mm is observed in the middle lobe of the right lung. There is a 5x3 mm nodule with calcific appearance in the lingular segment of the left lung. Mild emphysema appearance is observed in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No pneumonia, pneumothorax or pleural effusion was observed. In the upper abdominal organs, including sections; Operative densities were observed in the gallbladder bed. There is a hypodense lesion in the middle part of the left kidney, which may be compatible with the cortical cyst partially entering the image. Degenerative changes are observed in the bone structure. There are postoperative changes and degenerative findings at the level of the humeral head in the right shoulder. There are degenerative changes at the level of the 1st costosternal joint on the left. Impression:  No finding compatible with pneumonia was detected.  Cortical cyst in left kidney.  Hiatal hernia.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_578/valid_578_a/valid_578_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1387",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. In the case, pectus escavatus appearance is observed. Calibration of mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There is a prosthetic appearance in the left breast. Prosthetic contours are smooth. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Right lung upper lobe posterior segment is at the mid-level hilar level in the peribronchial area, and its density appearance is observed in the areas suggesting air bronchograms in the peribronchial area. review is recommended. Sequelae changes are observed at the apical level. There are sequelae changes at the posterobasal level of the lower lobe and a slight consolidation area at this level and a prominent vascular structure in it. A 2 mm diameter nodule is observed at the level of the major interlobar fissure on the right. There is a 4 mm diameter nodule in the upper lobe apicoposterior segment of the left lung. In the left lung, in the superior segment of the lower lobe, a 4 mm diameter faint nodular density and ground-glass-like density increases are observed around it. There is a 5 mm diameter nodule in the upper lobe apicoposterior segment of the left lung. In the upper abdominal organs included in the sections, nodular density compatible with 2 accessory spleens is observed adjacent to the spleen. Degenerative changes are observed in the bone structures in the study area. Impression: There are findings suggesting Covid-19 pneumonia in both lungs in the first place. Other viral pneumonias can be considered in the differential diagnosis.  In the right lung, the density of the consolidation defined in the upper lobe is evident in places and there is spiculation in its contours. Therefore, post-treatment control examination is recommended for possible space-occupying lesions.  There are several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_579/valid_579_a/valid_579_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1388",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. In the case, pectus escavatus appearance is observed. Calibration of mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There is a prosthetic appearance in the left breast. Prosthetic contours are smooth. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Right lung upper lobe posterior segment is at the mid-level hilar level in the peribronchial area, and its density appearance is observed in the areas suggesting air bronchograms in the peribronchial area. review is recommended. Sequelae changes are observed at the apical level. There are sequelae changes at the posterobasal level of the lower lobe and a slight consolidation area at this level and a prominent vascular structure in it. A 2 mm diameter nodule is observed at the level of the major interlobar fissure on the right. There is a 4 mm diameter nodule in the upper lobe apicoposterior segment of the left lung. In the left lung, in the superior segment of the lower lobe, a 4 mm diameter faint nodular density and ground-glass-like density increases are observed around it. There is a 5 mm diameter nodule in the upper lobe apicoposterior segment of the left lung. In the upper abdominal organs included in the sections, nodular density compatible with 2 accessory spleens is observed adjacent to the spleen. Degenerative changes are observed in the bone structures in the study area. Impression: There are findings suggesting Covid-19 pneumonia in both lungs in the first place. Other viral pneumonias can be considered in the differential diagnosis.  In the right lung, the density of the consolidation defined in the upper lobe is evident in places and there is spiculation in its contours. Therefore, post-treatment control examination is recommended for possible space-occupying lesions.  There are several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_579/valid_579_a/valid_579_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1389",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the examination made in the lung parenchyma window; In both lungs, there are areas of multilobar, peripheral, subpleural localization with an indistinct limited consolidation tendency and increase in density. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. Parenchymal calcification was observed in the middle zone of the left kidney in the upper abdominal sections within the image. In addition, there is a lesion of hypodense fluid density measuring 45 mm in diameter anteriorly in the middle zone. It cannot be clearly characterized (cyst?) within the limits of unenhanced CT. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with viral pneumonia in both lungs.  Hypodense fluid density lesion (cyst?) in the middle zone of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_580/valid_580_a/valid_580_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1390",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the examination made in the lung parenchyma window; In both lungs, there are areas of multilobar, peripheral, subpleural localization with an indistinct limited consolidation tendency and increase in density. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. Parenchymal calcification was observed in the middle zone of the left kidney in the upper abdominal sections within the image. In addition, there is a lesion of hypodense fluid density measuring 45 mm in diameter anteriorly in the middle zone. It cannot be clearly characterized (cyst?) within the limits of unenhanced CT. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with viral pneumonia in both lungs.  Hypodense fluid density lesion (cyst?) in the middle zone of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_580/valid_580_a/valid_580_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1391",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: In both supraclavicular fossas, no lymph node in pathological size and appearance was observed in the cross-section. Heart size increased. Left ventricular diameter increased. There is valve calcification in the aortic valve. The diameter of the ascending aorta is 55 mm and there is aneurysmatic dilatation in a short segment. Diffuse calcified atheroma plaques are observed in LAD. Widespread calcific atheroma plaques are also present in RCA. There are wall calcifications in the thoracic aorta and aortic arch. Thyroid gland sizes are natural. Its contours are smooth. Right upper paratracheal, bilateral lower paratracheal subcarinal and hilar-located lymph nodes with short axes reaching 1 cm are present. Calcified lymph nodes are observed in the subcarinal and left hilum. Diffuse bronchial wall thickness increases in both lung segment bronchi and narrowing of their luminal calibrations are observed. Increases in wall thickness are observed especially in the left lung upper lobe lingular segment, right lung middle lobe and both lung basal segments. In both lungs, emphysematous aeration increases accompanying the increase in bronchial wall thickness are observed. Centri acinar emphysema areas are present in the upper lobe of the left lung. Widespread endobronchial infectious involvement in both lungs, but more prominent in the lower lobes and lingular segment of the left lung, and in the middle lobe of the right lung, in the form of diffuse budded tree views, and accompanying acinar infiltrates in the right lung lower lobe superior segment are observed. Findings are consistent with bilateral diffuse bronchopneumonic infiltration. Thinning of both kidney parenchyma thickness is observed. Esophageal calibration is natural. Osteoporotic appearance is observed in bone structures. Impression: Increased aneurysmatic diameter in the ascending aorta, calcific atheroma plaques in prominent coronary arteries in the LAD and RCA, increased left ventricular diameter. Increased bronchial wall thickness in both lung segment bronchi causing marked narrowing of the lower lobes and diffuse bronchopneumonic infiltration in both lungs. Thinning of both kidney parenchyma thickness.  Osteoporotic appearance in bone structures. CONCLUSION: . Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_581/valid_581_a/valid_581_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1392",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: In both supraclavicular fossas, no lymph node in pathological size and appearance was observed in the cross-section. Heart size increased. Left ventricular diameter increased. There is valve calcification in the aortic valve. The diameter of the ascending aorta is 55 mm and there is aneurysmatic dilatation in a short segment. Diffuse calcified atheroma plaques are observed in LAD. Widespread calcific atheroma plaques are also present in RCA. There are wall calcifications in the thoracic aorta and aortic arch. Thyroid gland sizes are natural. Its contours are smooth. Right upper paratracheal, bilateral lower paratracheal subcarinal and hilar-located lymph nodes with short axes reaching 1 cm are present. Calcified lymph nodes are observed in the subcarinal and left hilum. Diffuse bronchial wall thickness increases in both lung segment bronchi and narrowing of their luminal calibrations are observed. Increases in wall thickness are observed especially in the left lung upper lobe lingular segment, right lung middle lobe and both lung basal segments. In both lungs, emphysematous aeration increases accompanying the increase in bronchial wall thickness are observed. Centri acinar emphysema areas are present in the upper lobe of the left lung. Widespread endobronchial infectious involvement in both lungs, but more prominent in the lower lobes and lingular segment of the left lung, and in the middle lobe of the right lung, in the form of diffuse budded tree views, and accompanying acinar infiltrates in the right lung lower lobe superior segment are observed. Findings are consistent with bilateral diffuse bronchopneumonic infiltration. Thinning of both kidney parenchyma thickness is observed. Esophageal calibration is natural. Osteoporotic appearance is observed in bone structures. Impression: Increased aneurysmatic diameter in the ascending aorta, calcific atheroma plaques in prominent coronary arteries in the LAD and RCA, increased left ventricular diameter. Increased bronchial wall thickness in both lung segment bronchi causing marked narrowing of the lower lobes and diffuse bronchopneumonic infiltration in both lungs. Thinning of both kidney parenchyma thickness.  Osteoporotic appearance in bone structures. CONCLUSION: . Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_581/valid_581_a/valid_581_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO slightly increased in favor of the heart. The aortic arch calibration is 32 mm wider than normal. The pulmonary trunk is at the maximal physiological limit. The right pulmonary artery is 28 mm above normal. The left pulmonary artery is normal. The descending and ascending aorta are natural. Lymph nodes are observed in the subcarinal area at the prevascular level in the upper-lower paratracheal area in the mediastinum. Mild hiatal hernia is observed. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; There are consolidative parenchyma areas in both lungs, including air bronchograms that are scattered but confluent on the right, and accompanying ground glass densities in places. It has been evaluated as compatible with Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory data. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. There is a slight decrease in density consistent with steatosis in the liver. No space occupying lesion was detected. There are clip appearances secondary to cholecystectomy in the gallbladder bed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Consolidative parenchyma areas in both lungs, including scattered but confluent air bronchograms on the right, and accompanying ground glass densities in places; It has been evaluated as compatible with Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory data.  Slight calibration increase in mediastinal major vascular structures.  Mild hiatal hernia.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_582/valid_582_a/valid_582_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO slightly increased in favor of the heart. The aortic arch calibration is 32 mm wider than normal. The pulmonary trunk is at the maximal physiological limit. The right pulmonary artery is 28 mm above normal. The left pulmonary artery is normal. The descending and ascending aorta are natural. Lymph nodes are observed in the subcarinal area at the prevascular level in the upper-lower paratracheal area in the mediastinum. Mild hiatal hernia is observed. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; There are consolidative parenchyma areas in both lungs, including air bronchograms that are scattered but confluent on the right, and accompanying ground glass densities in places. It has been evaluated as compatible with Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory data. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. There is a slight decrease in density consistent with steatosis in the liver. No space occupying lesion was detected. There are clip appearances secondary to cholecystectomy in the gallbladder bed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Consolidative parenchyma areas in both lungs, including scattered but confluent air bronchograms on the right, and accompanying ground glass densities in places; It has been evaluated as compatible with Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory data.  Slight calibration increase in mediastinal major vascular structures.  Mild hiatal hernia.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_582/valid_582_a/valid_582_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Minimal emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a stone with a diameter of 3 mm in the middle part of the right kidney. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal bronchiectasis in the central parts of both lungs . Minimal emphysematous changes in both lungs . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_583/valid_583_a/valid_583_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1396",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Minimal emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a stone with a diameter of 3 mm in the middle part of the right kidney. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal bronchiectasis in the central parts of both lungs . Minimal emphysematous changes in both lungs . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_583/valid_583_a/valid_583_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1397",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal major vascular structures are normal within the limits of the unenhanced examination. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No pathological LAP was detected in the mediastinum, in the hilum of both lungs, and in the bilateral axillae within the limits of the non-contrast examination. When examined in the lung parenchyma window; Especially in the lower lobe of the left lung, ground glass opacities are observed in the form of a budding tree view, which is more prominent in the posterobasal and mediobasal segments. In addition, focal ground glass densities are observed in the superior part of the left lung. The outlook was primarily evaluated in favor of viral pneumonia. These appearances are also frequently observed findings in Covid-19 pneumonia. Other viral pneumonias and opportunistic infections are also included in the differential diagnosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Focal ground glass densities, which are more prominent in the lower lobe of the left lung, especially in the mediobasal and posterobasal segments, and are also observed in the lower lobe superior segment of the left lung, were primarily evaluated in favor of Covid-19 pneumonia under pandemic conditions. Opportunistic infections are also included in the differential diagnosis due to other viral pneumonias and pulmonary nodules in the form of a budding tree landscape."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_584/valid_584_a/valid_584_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1398",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal major vascular structures are normal within the limits of the unenhanced examination. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No pathological LAP was detected in the mediastinum, in the hilum of both lungs, and in the bilateral axillae within the limits of the non-contrast examination. When examined in the lung parenchyma window; Especially in the lower lobe of the left lung, ground glass opacities are observed in the form of a budding tree view, which is more prominent in the posterobasal and mediobasal segments. In addition, focal ground glass densities are observed in the superior part of the left lung. The outlook was primarily evaluated in favor of viral pneumonia. These appearances are also frequently observed findings in Covid-19 pneumonia. Other viral pneumonias and opportunistic infections are also included in the differential diagnosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Focal ground glass densities, which are more prominent in the lower lobe of the left lung, especially in the mediobasal and posterobasal segments, and are also observed in the lower lobe superior segment of the left lung, were primarily evaluated in favor of Covid-19 pneumonia under pandemic conditions. Opportunistic infections are also included in the differential diagnosis due to other viral pneumonias and pulmonary nodules in the form of a budding tree landscape."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_584/valid_584_a/valid_584_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There is a hypodense lesion measuring approximately 25 mm in diameter in the lateral segment of the left lobe of the liver. This lesion could not be characterized as no contrast agent was given. It is recommended to be evaluated together with previous examinations, if any. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs. Hypodense lesion in the left lobe lateral segment of the liver that cannot be characterized on this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_585/valid_585_a/valid_585_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1400",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There is a hypodense lesion measuring approximately 25 mm in diameter in the lateral segment of the left lobe of the liver. This lesion could not be characterized as no contrast agent was given. It is recommended to be evaluated together with previous examinations, if any. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs. Hypodense lesion in the left lobe lateral segment of the liver that cannot be characterized on this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_585/valid_585_a/valid_585_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1401",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland has increased. Its contours are lobulated. Nodules with faint borders are observed in the parenchyma. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There are several nonspecific lymph nodes in the right lower paratracheal and subcarinal mediastinum. Heart sizes have increased. Left and ventricle and left atrium diameters have increased. Calcified atherosclerotic plaques are observed in LAD. The ascending aorta diameter slightly increased by 45 mm. Pericardial effusion was not detected. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Between the right pleural leaves, a light pleural effusion is observed, reaching a diameter of 1 cm. Shooting was done in expiration. Mosaic attenuation is present in both lung parenchyma. Mosaic attenuation was thought to belong to the collapsed appearance and sometimes air trapping areas in the airways due to the fact that the attraction takes place in expiration. Linear atelectasis areas are present in the lower lobe basal segments. No pneumonic infiltration was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected. The right kidney is atrophic. No loculated or free fluid was detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Mild effusion between the leaves of the right pleura  Increased heart size, calcified atherosclerotic plaques in the coronary arteries, slight increase in diameter in the ascending aorta  Right atrophic kidney  Mosaic attenuation in the lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_586/valid_586_a/valid_586_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1402",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland has increased. Its contours are lobulated. Nodules with faint borders are observed in the parenchyma. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There are several nonspecific lymph nodes in the right lower paratracheal and subcarinal mediastinum. Heart sizes have increased. Left and ventricle and left atrium diameters have increased. Calcified atherosclerotic plaques are observed in LAD. The ascending aorta diameter slightly increased by 45 mm. Pericardial effusion was not detected. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Between the right pleural leaves, a light pleural effusion is observed, reaching a diameter of 1 cm. Shooting was done in expiration. Mosaic attenuation is present in both lung parenchyma. Mosaic attenuation was thought to belong to the collapsed appearance and sometimes air trapping areas in the airways due to the fact that the attraction takes place in expiration. Linear atelectasis areas are present in the lower lobe basal segments. No pneumonic infiltration was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected. The right kidney is atrophic. No loculated or free fluid was detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Mild effusion between the leaves of the right pleura  Increased heart size, calcified atherosclerotic plaques in the coronary arteries, slight increase in diameter in the ascending aorta  Right atrophic kidney  Mosaic attenuation in the lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_586/valid_586_a/valid_586_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1403",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a nodule with a ground glass area around the posterobasal segment of the lower lobe of the right lung. The described appearance is non-specific. Sometimes a similar appearance can be seen in Covid-19 pneumonia. However, it is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Nodule in the posterobasal segment of the lower lobe of the right lung with a ground glass image around it."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_587/valid_587_a/valid_587_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1404",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a nodule with a ground glass area around the posterobasal segment of the lower lobe of the right lung. The described appearance is non-specific. Sometimes a similar appearance can be seen in Covid-19 pneumonia. However, it is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Nodule in the posterobasal segment of the lower lobe of the right lung with a ground glass image around it."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_587/valid_587_a/valid_587_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nonspecific calcific nodules were observed in both lung lower lobe basal segments. Apart from this, no mass lesion - active infiltration lesion with discernible borders was detected in both lungs. Pleural effusion-thickening was not detected. Intra-abdominal solid organs were clearly evaluated in MR examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits except for millimetric nonspecific calcific nodules in both lung lower lobe basal segments"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_588/valid_588_a/valid_588_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1406",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nonspecific calcific nodules were observed in both lung lower lobe basal segments. Apart from this, no mass lesion - active infiltration lesion with discernible borders was detected in both lungs. Pleural effusion-thickening was not detected. Intra-abdominal solid organs were clearly evaluated in MR examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits except for millimetric nonspecific calcific nodules in both lung lower lobe basal segments"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_588/valid_588_a/valid_588_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1407",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Thyroid gland sizes are natural. No space-occupying lesion was detected in the parenchyma. No lymph node was observed in the mediastinum in pathological size and appearance. Esophageal calibration was followed naturally. Calibrations of mediastinal major vascular structures are natural. Heart sizes and compartments are natural. Calibrations of mediastinal main vascular structures were followed naturally. Infiltrative involvement or consolidation area is not observed in the lung parenchyma. No suspicious nodular or mass lesion was detected. Nonspecific pulmonary nodules with a diameter of 4 mm in the right lung lower lobe superior segment and 3 mm in diameter in the left lung upper lobe linguloinferior segment were observed. Parenchymal aeration and mild emphysematous changes are observed in the upper lobes of both lungs. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. No space-occupying lesion was detected in the spleen, pancreas, liver, and adrenal parenchyma of both kidneys, as far as can be evaluated in the non-contrast examination. There is a 12 mm diameter nodular lesion in the superior part of the pancreatic body. No loculated or free fluid was observed in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression: A few nonspecific pulmonary nodules in both lungs . Increased parenchymal aeration and mild emphysema in the upper lobe of both lungs . Stable lesion in the superior part of the pancreatic body"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_589/valid_589_a/valid_589_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1408",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Thyroid gland sizes are natural. No space-occupying lesion was detected in the parenchyma. No lymph node was observed in the mediastinum in pathological size and appearance. Esophageal calibration was followed naturally. Calibrations of mediastinal major vascular structures are natural. Heart sizes and compartments are natural. Calibrations of mediastinal main vascular structures were followed naturally. Infiltrative involvement or consolidation area is not observed in the lung parenchyma. No suspicious nodular or mass lesion was detected. Nonspecific pulmonary nodules with a diameter of 4 mm in the right lung lower lobe superior segment and 3 mm in diameter in the left lung upper lobe linguloinferior segment were observed. Parenchymal aeration and mild emphysematous changes are observed in the upper lobes of both lungs. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. No space-occupying lesion was detected in the spleen, pancreas, liver, and adrenal parenchyma of both kidneys, as far as can be evaluated in the non-contrast examination. There is a 12 mm diameter nodular lesion in the superior part of the pancreatic body. No loculated or free fluid was observed in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression: A few nonspecific pulmonary nodules in both lungs . Increased parenchymal aeration and mild emphysema in the upper lobe of both lungs . Stable lesion in the superior part of the pancreatic body"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_589/valid_589_a/valid_589_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1409",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; centriacinar type nonspecific ground glass densities are observed in both lungs, especially in the upper lobes (small airway disease?). Subsegmental atelectasis is observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. No active infiltration-consolidation or space-occupying lesion was observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Centriacinar type nonspecific ground-glass densities (small airway disease?), especially in the upper lobes of both lungs.  Subsegmental atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_589/valid_589_b/valid_589_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1410",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; centriacinar type nonspecific ground glass densities are observed in both lungs, especially in the upper lobes (small airway disease?). Subsegmental atelectasis is observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. No active infiltration-consolidation or space-occupying lesion was observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Centriacinar type nonspecific ground-glass densities (small airway disease?), especially in the upper lobes of both lungs.  Subsegmental atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_589/valid_589_b/valid_589_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. Stent-calcific atheroma plaques are observed in the coronary arteries. The widths of the mediastinal main vascular structures are normal. In the mediastinum and bilateral hilar regions, several lymph nodes, the largest of which are in the subcarinal area and with a short diameter of 7 mm, are observed, and no enlarged lymph nodes in pathological size and appearance were detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a web-like appearance in the right main bronchus. No pathological increase in wall thickness was observed in the esophagus. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis areas in the left lung upper lobe lingular segment and right lung middle lobe lateral segment. No discernible mass was detected in the upper abdominal organs within the limits of unenhanced CT. Both adrenal glands are normal. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Sequelae of linear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_590/valid_590_a/valid_590_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. Stent-calcific atheroma plaques are observed in the coronary arteries. The widths of the mediastinal main vascular structures are normal. In the mediastinum and bilateral hilar regions, several lymph nodes, the largest of which are in the subcarinal area and with a short diameter of 7 mm, are observed, and no enlarged lymph nodes in pathological size and appearance were detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a web-like appearance in the right main bronchus. No pathological increase in wall thickness was observed in the esophagus. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis areas in the left lung upper lobe lingular segment and right lung middle lobe lateral segment. No discernible mass was detected in the upper abdominal organs within the limits of unenhanced CT. Both adrenal glands are normal. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Sequelae of linear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_590/valid_590_a/valid_590_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion was not observed. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion reaching 1.5 cm thickness in the left lung and 0.5 cm in the left right lung is observed. Centrally located centriacinar ground glass density nodules and ground glass opacities are observed in both lungs, especially in the lower lobes. There is minimal thickness increase in the major fissure on the right. The outlook was primarily evaluated in favor of pulmonary edema. In the differential diagnosis, pneumonia is also found due to centriacinar pulmonary nodules located in the upper lobes. Post-treatment follow-up examination is recommended. Linear fibrotic atelectatic areas are observed in the lower lobes of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nodular opacities of ground glass density observed in the central areas of both lungs and pleural effusion in both lungs were primarily evaluated in favor of pulmonary edema. Pneumonia are also included in the differential diagnosis. It is recommended to be evaluated with follow-up examination after treatment.  Diffuse calcific plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_591/valid_591_a/valid_591_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion was not observed. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion reaching 1.5 cm thickness in the left lung and 0.5 cm in the left right lung is observed. Centrally located centriacinar ground glass density nodules and ground glass opacities are observed in both lungs, especially in the lower lobes. There is minimal thickness increase in the major fissure on the right. The outlook was primarily evaluated in favor of pulmonary edema. In the differential diagnosis, pneumonia is also found due to centriacinar pulmonary nodules located in the upper lobes. Post-treatment follow-up examination is recommended. Linear fibrotic atelectatic areas are observed in the lower lobes of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nodular opacities of ground glass density observed in the central areas of both lungs and pleural effusion in both lungs were primarily evaluated in favor of pulmonary edema. Pneumonia are also included in the differential diagnosis. It is recommended to be evaluated with follow-up examination after treatment.  Diffuse calcific plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_591/valid_591_a/valid_591_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally. The pulmonary conus is noticeably wider than normal at 39 mm. An increase in the cardiothoracic ratio in favor of the heart is observed. There are surgical suture materials in the sternum secondary to bypass surgery. Calcified atheroma plaques are observed in the wall of the coronary vascular structures and in the aorta. No lymph node is observed in the mediastinum and at the bilateral hilus level in pathological size and appearance. In addition, no lymph nodes were detected in pathological size and appearance in both axillary regions. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. In the thoracic esophagus, diffuse slight increase in wall thickness proximal was noted. There is a sliding type hiatal hernia at the lower end. Evaluation with endoscopy examination is recommended. Minimal effusion is observed in the pericardial area and measured 9 mm at its deepest point. When examined in the lung parenchyma window; There are emphysematous changes in both lungs. Pleuroparenchymal sequelae bands are observed in the middle lobe of the right lung and the lower lobe of the left lung. No active infiltration or mass lesion was detected in either lung. In the upper abdomen sections within the image, no solid mass, free fluid or collection is observed within the borders of non-contrast CT. There are suture materials secondary to the operation in the gallbladder lodge. No lytic-destructive lesion was detected in the bone structures in the study area, and the vertebral corpus heights were preserved. Impression: Wide view than normal in the pulmonary arch . Increased cardiothoracic ratio in favor of the heart , mild pericardial effusion . Calcified atheroma plaques in the wall of the aorta and coronary vascular structures . Diffuse mildly suspicious increase in wall thickness in the proximal part of the esophagus and sliding type hiatal hernia at the lower end ; Evaluation with endoscopy examination is recommended.  Emphysematous changes in both lungs, pleuroparenchymal sequelae bands in the lower lobe of the left lung and middle lobe of the right lung . Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_592/valid_592_a/valid_592_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1416",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. CTO increased in favor of the heart. The diameter of the ascending aorta increased by 37mm. Pulmonary trunk diameter increased to 30mm at the upper limit. There are multiple LAPs in the paratracheal, pretracheal, aortopulmonary, prevascular, subcarinal, and both hilar regions, the largest measuring approximately 13x12mm in the prevascular area. Thoracic esophageal calibration was normal, and no significant tumoral wall thickening was detected. There is a hiatal hernia in the esophagus. On the right, there is a pleural effusion measuring 18 mm in its thickest part, which can be seen extending to the major fissure without loculation. There is a pleural effusion approximately 8 mm deep on the left. There is a soft tissue appearance filling the right paraesophageal area at the level of the main bronchus and intermediate bronchus on the right. Contrast control CT is recommended after treatment. Consolidative density increases are observed in the lower lobe of both lungs and are accompanied by peribronchial thickening. In the presence of clinical correlation, it can be evaluated secondary to the infective process. There are pleuroparenchymal fibrotic sequelae bands in the right lung middle lobe medial and left lung lingular segment. Nonspecific nodules less than 3 mm were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteodegenerative changes were observed in the vertebrae and bone structures. Impression: Consolidative density increases and peribronchial thickening in the lower lobes of both lungs were evaluated secondary to the infective process in the presence of clinical correlation. Soft tissue density filling the right paraesophageal space at the level of the right main bronchus and intermediate bronchus; Contrast control CT is recommended after treatment.  Nonspecific pulmonary nodules in both lungs.  Bilateral pleural effusion in ankyx on the right. Multiple LAPs in the mediastinum. Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_593/valid_593_a/valid_593_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. CTO increased in favor of the heart. The diameter of the ascending aorta increased by 37mm. Pulmonary trunk diameter increased to 30mm at the upper limit. There are multiple LAPs in the paratracheal, pretracheal, aortopulmonary, prevascular, subcarinal, and both hilar regions, the largest measuring approximately 13x12mm in the prevascular area. Thoracic esophageal calibration was normal, and no significant tumoral wall thickening was detected. There is a hiatal hernia in the esophagus. On the right, there is a pleural effusion measuring 18 mm in its thickest part, which can be seen extending to the major fissure without loculation. There is a pleural effusion approximately 8 mm deep on the left. There is a soft tissue appearance filling the right paraesophageal area at the level of the main bronchus and intermediate bronchus on the right. Contrast control CT is recommended after treatment. Consolidative density increases are observed in the lower lobe of both lungs and are accompanied by peribronchial thickening. In the presence of clinical correlation, it can be evaluated secondary to the infective process. There are pleuroparenchymal fibrotic sequelae bands in the right lung middle lobe medial and left lung lingular segment. Nonspecific nodules less than 3 mm were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteodegenerative changes were observed in the vertebrae and bone structures. Impression: Consolidative density increases and peribronchial thickening in the lower lobes of both lungs were evaluated secondary to the infective process in the presence of clinical correlation. Soft tissue density filling the right paraesophageal space at the level of the right main bronchus and intermediate bronchus; Contrast control CT is recommended after treatment.  Nonspecific pulmonary nodules in both lungs.  Bilateral pleural effusion in ankyx on the right. Multiple LAPs in the mediastinum. Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_593/valid_593_a/valid_593_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1418",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch is at the maximal physiological limit. Pulmonary trunk caliber 30 mm wider than normal. Right pulmonary artery calibration is normal. The left pulmonary artery is at the maximal physiological limit. Calcific atheroma plaques are observed in the main branches of the descending and ascending aorta in the aortic arch. Nasogastric tube image is available. No pathologically sized and configured lymph nodes were detected in the mediastinum. Both hilar levels cannot be evaluated clearly in non-contrast examination. At the right pectoral level, a venous port and a catheter are observed in the superior vena cava. When examined in the lung parenchyma window; diffuse mild sequelae changes are observed in both lungs. In both lungs, more prominent on the right, consolidative parenchyma area containing air bronchograms at posterobasal level and bud branch views are observed around it. Branches with buds-centriacinar nodules are also observed in the upper lobe and left lingular segment. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the right adrenal genus, there is a fusiform-looking lesion of approximately 25x10 mm in size with an average density of -8 HU (adenoma?). Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure Impression: Consolidative areas with air bronchograms in the basal segments of both lungs prominent on the right, focal scattered bud branch views in the upper zone and left lingular segment. The lesions described may be compatible with aspiration pneumonia. Evaluation with clinical and laboratory findings is recommended.  Atherosclerotic changes . In the right adrenal genus Fusiform-looking lesion (adenoma?) with an average density of -8 HU."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_594/valid_594_a/valid_594_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1419",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Since the patient is not breathing properly during the examination, both lung parenchyma cannot be evaluated optimally. There is no mass or infiltrative lesion in both lungs. There are millimetric nonspecific nodules in both lungs. Emphysematous changes are observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: Central venous catheter is seen on the right. The venous catheter terminates in the superior distal part of the vena cava. Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left coronary artery. There are lymph nodes in the prevascular, paratracheal, subcarinal, and both hilar regions. The largest of the described lymph nodes is observed in the subcarinal area and their short diameter is 15 mm. In addition, similar lymph nodes are observed in both axillae and bilateral retropectoral regions. The short diameters of these lymph nodes were measured as 10 mm in the shortest diameter of the largest. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. The vertical length of the spleen was 140 mm and was larger than normal. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Periosteal reaction was not observed. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. Impression: Lymphoma, splenomegaly, lymph nodes in both axillae, retropectoral region and mediastinal hilar region on follow-up.  Diffuse emphysematous changes in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_595/valid_595_a/valid_595_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1420",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Since the patient is not breathing properly during the examination, both lung parenchyma cannot be evaluated optimally. There is no mass or infiltrative lesion in both lungs. There are millimetric nonspecific nodules in both lungs. Emphysematous changes are observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: Central venous catheter is seen on the right. The venous catheter terminates in the superior distal part of the vena cava. Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the left coronary artery. There are lymph nodes in the prevascular, paratracheal, subcarinal, and both hilar regions. The largest of the described lymph nodes is observed in the subcarinal area and their short diameter is 15 mm. In addition, similar lymph nodes are observed in both axillae and bilateral retropectoral regions. The short diameters of these lymph nodes were measured as 10 mm in the shortest diameter of the largest. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. The vertical length of the spleen was 140 mm and was larger than normal. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Periosteal reaction was not observed. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. Impression: Lymphoma, splenomegaly, lymph nodes in both axillae, retropectoral region and mediastinal hilar region on follow-up.  Diffuse emphysematous changes in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_595/valid_595_a/valid_595_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1421",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No pleural effusion was observed. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. A total of a few non-specific nodular lesions less than 3 mm in diameter were observed in both lungs. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Several non-specific millimetric nodular lesions in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_596/valid_596_a/valid_596_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No pleural effusion was observed. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. A total of a few non-specific nodular lesions less than 3 mm in diameter were observed in both lungs. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Several non-specific millimetric nodular lesions in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_596/valid_596_a/valid_596_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1423",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Mediastinal and main vascular structures could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed. When examined in the lung parenchyma window; Segmentary-subsegmental tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. A subsegmental atelectatic change was observed in the medial segment of the right lung middle lobe. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small-groom disease?). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Segmental-subsegmental tubular bronchiectasis in both lungs, minimal peribronchial thickening  Mosaic attenuation pattern in both lungs (small airway disease?, small groom's disease?)  Subsegmental atelectasis in the medial segment of the right lung middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_597/valid_597_a/valid_597_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Mediastinal and main vascular structures could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed. When examined in the lung parenchyma window; Segmentary-subsegmental tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. A subsegmental atelectatic change was observed in the medial segment of the right lung middle lobe. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small-groom disease?). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Segmental-subsegmental tubular bronchiectasis in both lungs, minimal peribronchial thickening  Mosaic attenuation pattern in both lungs (small airway disease?, small groom's disease?)  Subsegmental atelectasis in the medial segment of the right lung middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_597/valid_597_a/valid_597_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1425",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_598/valid_598_a/valid_598_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_598/valid_598_a/valid_598_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1427",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: In the axilla, in the supraclavicular fossa, within the cross-section, and in the mediastinum, no lymph node was observed in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. Millimetric pure squamous calcification focus is observed in the right lung lower lobe superior segment. Sequelae of infection are in favor. Sliding type mild hiatal hernia is present in upper abdominal sections. There is a decrease in liver parenchyma density consistent with moderate adiposity. No lytic-destructive lesions were detected in bone structures. Impression: Pneumonic infiltration was not detected.  Hepatosteatosis . Mild sliding type hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_599/valid_599_a/valid_599_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1428",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. In the sections passing through the upper abdomen, pathology stones in the gallbladder lumen and 3 mm in size in the middle zone of the left kidney were observed. No lytic or destructive lesions were detected in bone structures. Impression: Cholelithiasis and left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_600/valid_600_a/valid_600_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. In the sections passing through the upper abdomen, pathology stones in the gallbladder lumen and 3 mm in size in the middle zone of the left kidney were observed. No lytic or destructive lesions were detected in bone structures. Impression: Cholelithiasis and left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_600/valid_600_a/valid_600_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1430",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No detectable pathological size and configuration lymph nodes were detected in the mediastinum and in both hilar-level non-contrast examinations. Thymic tissue with conical-trigonal configuration in the anterior meidyasthene, in which hypodene areas compatible with fat involution are observed, does not show mass configuration. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. When examined in the lung parenchyma window; Mild sequela pleuroparenchymal density increase is observed at the apical level in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_601/valid_601_a/valid_601_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1431",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No detectable pathological size and configuration lymph nodes were detected in the mediastinum and in both hilar-level non-contrast examinations. Thymic tissue with conical-trigonal configuration in the anterior meidyasthene, in which hypodene areas compatible with fat involution are observed, does not show mass configuration. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. When examined in the lung parenchyma window; Mild sequela pleuroparenchymal density increase is observed at the apical level in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_601/valid_601_a/valid_601_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1432",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_602/valid_602_a/valid_602_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1433",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_602/valid_602_a/valid_602_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1434",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Several degenerative changes are observed in the vertebral corpus end plates. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_603/valid_603_a/valid_603_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1435",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Several degenerative changes are observed in the vertebral corpus end plates. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_603/valid_603_a/valid_603_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1436",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the proximal parts of the LAD and circumflex artery. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Band atelectatic changes were observed in the left lung inferior lingular segment and right lung lower lobe basal. In addition, linear pleuroparenchymal fibrotic density increases were observed in both lung lower lobe basal segments. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with 11 mm diameter was observed in the inferior of the splenic hilus. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcific atheromatous plaques in the proximal parts of the LAD and circumflex arteries . Linear-band atelectasis sequelae changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_604/valid_604_a/valid_604_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1437",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the proximal parts of the LAD and circumflex artery. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Band atelectatic changes were observed in the left lung inferior lingular segment and right lung lower lobe basal. In addition, linear pleuroparenchymal fibrotic density increases were observed in both lung lower lobe basal segments. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with 11 mm diameter was observed in the inferior of the splenic hilus. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcific atheromatous plaques in the proximal parts of the LAD and circumflex arteries . Linear-band atelectasis sequelae changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_604/valid_604_a/valid_604_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1438",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Hiatal hernia was observed. Lymph nodes measuring 8.5 mm in the short axis of the largest were observed in the upper-lower paratracheal, subcarinal area. When the liver is examined in the parenchyma window; pleuroparenchymal sequelae density increases were observed in the lower lobes of both lungs. A calcified nonspecific parenchymal nodule with a diameter of 3.5 mm was observed in the paramediastinal neighborhood of the upper lobe of the right lung. A mosaic attenuation pattern was observed in both lung parenchyma (small airway disease? small vessel disease?). In the upper abdominal sections included in the examination area, the liver parenchyma density was diffusely decreased in line with the adiposity. Diffuse thickening was observed in the bilateral adrenal gland. It was evaluated in favor of hyperplasia rather than adenoma. Degenerative changes were observed in bone structures. Impression: Mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?).  Sequelae of fibroatelectatic changes in both lungs. Millimetric sized nonspecific calcified parenchymal nodules in the upper lobe of the right lung. Hepatosteatosis. Hiatal hernia. Diffuse thickening of bilateral adrenal gland (evaluated in favor of hyperplasia rather than adenoma)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_605/valid_605_a/valid_605_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1439",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Hiatal hernia was observed. Lymph nodes measuring 8.5 mm in the short axis of the largest were observed in the upper-lower paratracheal, subcarinal area. When the liver is examined in the parenchyma window; pleuroparenchymal sequelae density increases were observed in the lower lobes of both lungs. A calcified nonspecific parenchymal nodule with a diameter of 3.5 mm was observed in the paramediastinal neighborhood of the upper lobe of the right lung. A mosaic attenuation pattern was observed in both lung parenchyma (small airway disease? small vessel disease?). In the upper abdominal sections included in the examination area, the liver parenchyma density was diffusely decreased in line with the adiposity. Diffuse thickening was observed in the bilateral adrenal gland. It was evaluated in favor of hyperplasia rather than adenoma. Degenerative changes were observed in bone structures. Impression: Mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?).  Sequelae of fibroatelectatic changes in both lungs. Millimetric sized nonspecific calcified parenchymal nodules in the upper lobe of the right lung. Hepatosteatosis. Hiatal hernia. Diffuse thickening of bilateral adrenal gland (evaluated in favor of hyperplasia rather than adenoma)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_605/valid_605_a/valid_605_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1440",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Sequelae changes are observed at the apical level. Mild sequelae changes are observed in the middle lobe on the right. Densities compatible with pleuroparenchymal sequelae are observed in the lingular segment. There was no finding compatible with bilateral pneumonia, pleural effusion or pneumothorax. Upper abdominal organs included in the sections are normal. A decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area. Nonspecific hypodense lesions with a diameter of 7 mm in the medial segment of the left lobe and 8x7 mm in the anterior of the lateral segment are observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a hypodense appearance in the superior pole anterior section of the left kidney, which is considered consistent with a cortical cyst. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No finding compatible with pneumonia was detected.  Hepatosteatosis.  2 nonspecific hypodense lesions in the left lobe of the liver.  Cortical cyst in left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_606/valid_606_a/valid_606_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Sequelae changes are observed at the apical level. Mild sequelae changes are observed in the middle lobe on the right. Densities compatible with pleuroparenchymal sequelae are observed in the lingular segment. There was no finding compatible with bilateral pneumonia, pleural effusion or pneumothorax. Upper abdominal organs included in the sections are normal. A decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area. Nonspecific hypodense lesions with a diameter of 7 mm in the medial segment of the left lobe and 8x7 mm in the anterior of the lateral segment are observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a hypodense appearance in the superior pole anterior section of the left kidney, which is considered consistent with a cortical cyst. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No finding compatible with pneumonia was detected.  Hepatosteatosis.  2 nonspecific hypodense lesions in the left lobe of the liver.  Cortical cyst in left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_606/valid_606_a/valid_606_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are sequelae parenchymal changes in the apex of both lungs, right lung middle lobe medial segment, lower lobe posterobasal segment, and left lung upper lobe inferior lingular segment. In the upper abdominal sections within the image, diffuse density reduction consistent with minimal hepatosteatosis was observed within the limits of non-contrast CT. In the lateral and medial segments of the left lobe of the liver, there are hypodense nodular lesions observed in the previous CT scan, which cannot be characterized within the borders of unenhanced CT. In the upper pole of the left kidney, a lesion of cortical localized hypodense fluid density is observed, and there is a stone of millimeter size in the upper pole of the left kidney. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Pneumonia was not observed in both lungs. In places, there are sequela parenchymal changes.  Hepatosteatosis, two stable hypodense lesions in the left lobe of the liver.  Left nephrolithiasis and cortical located lesion (cyst?) in hypodense fluid density in the upper pole of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_606/valid_606_b/valid_606_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1443",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are sequelae parenchymal changes in the apex of both lungs, right lung middle lobe medial segment, lower lobe posterobasal segment, and left lung upper lobe inferior lingular segment. In the upper abdominal sections within the image, diffuse density reduction consistent with minimal hepatosteatosis was observed within the limits of non-contrast CT. In the lateral and medial segments of the left lobe of the liver, there are hypodense nodular lesions observed in the previous CT scan, which cannot be characterized within the borders of unenhanced CT. In the upper pole of the left kidney, a lesion of cortical localized hypodense fluid density is observed, and there is a stone of millimeter size in the upper pole of the left kidney. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Pneumonia was not observed in both lungs. In places, there are sequela parenchymal changes.  Hepatosteatosis, two stable hypodense lesions in the left lobe of the liver.  Left nephrolithiasis and cortical located lesion (cyst?) in hypodense fluid density in the upper pole of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_606/valid_606_b/valid_606_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1444",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the evaluation made in the lung parenchyma window; Ground glass and areas of density increase consistent with consolidation are observed in the right lung upper lobe anterior, middle lobe lateral segment, lower lobe posterobasal segment, left lung lower lobe anterior, lateral segments and upper lobe inferior lingular segment. Viral pneumonias are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image, diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density. There are suture materials secondary to the operation in the gallbladder lodge. No solid mass was detected. No free fluid or loculated collection was detected. No lytic-destructive lesion was observed in bone structures. Impression: Consolidation and ground glass density increases in both lungs evaluated in favor of viral pneumonia. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_607/valid_607_a/valid_607_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1445",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Pericardial, pleural effusion was not detected. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the evaluation made in the lung parenchyma window; Ground glass and areas of density increase consistent with consolidation are observed in the right lung upper lobe anterior, middle lobe lateral segment, lower lobe posterobasal segment, left lung lower lobe anterior, lateral segments and upper lobe inferior lingular segment. Viral pneumonias are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image, diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density. There are suture materials secondary to the operation in the gallbladder lodge. No solid mass was detected. No free fluid or loculated collection was detected. No lytic-destructive lesion was observed in bone structures. Impression: Consolidation and ground glass density increases in both lungs evaluated in favor of viral pneumonia. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_607/valid_607_a/valid_607_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 37.5 mm, and the anterior-posterior diameter of the descending aorta was 27.7 mm. Heart contour and size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment. Nonspecific millimetric nodules less than 5 mm in diameter were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fusiform ectasia in the ascending aorta . Hiatal hernia . Millimetric nonspecific parenchymal nodules in both lungs . Passive atelectatic changes in the right lung middle lobe medial and left lung inferior lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_608/valid_608_a/valid_608_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1447",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 37.5 mm, and the anterior-posterior diameter of the descending aorta was 27.7 mm. Heart contour and size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment. Nonspecific millimetric nodules less than 5 mm in diameter were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fusiform ectasia in the ascending aorta . Hiatal hernia . Millimetric nonspecific parenchymal nodules in both lungs . Passive atelectatic changes in the right lung middle lobe medial and left lung inferior lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_608/valid_608_a/valid_608_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1448",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_609/valid_609_a/valid_609_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_609/valid_609_a/valid_609_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1450",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of mediastinal vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph nodes in pathological size and appearance were observed in both axillary regions, bilateral supraclavicular fossae and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. A few millimeter-sized nonspecific nodules were observed. Pleural effusion-thickening was not detected. No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were detected in bone structures. Impression:  No active infiltration or mass lesion was detected in both lung parenchyma. There are a few nonspecific nodules in millimetric sizes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_610/valid_610_a/valid_610_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1451",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of mediastinal vascular structures, heart contour and size are natural. No pericardial, pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph nodes in pathological size and appearance were observed in both axillary regions, bilateral supraclavicular fossae and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. A few millimeter-sized nonspecific nodules were observed. Pleural effusion-thickening was not detected. No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were detected in bone structures. Impression:  No active infiltration or mass lesion was detected in both lung parenchyma. There are a few nonspecific nodules in millimetric sizes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_610/valid_610_a/valid_610_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_611/valid_611_a/valid_611_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1453",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_611/valid_611_a/valid_611_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1454",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The evaluation of solid organs, vascular structures, and mediastinum is suboptimal because the examination is non-contrast. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections included in the examination, lymph nodes with a short axis of 7 mm are observed in the paraaortic area. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits.  Lymph nodes in the paraaortic area on the upper abdominal sections included in the examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_611/valid_611_b/valid_611_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1455",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The evaluation of solid organs, vascular structures, and mediastinum is suboptimal because the examination is non-contrast. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections included in the examination, lymph nodes with a short axis of 7 mm are observed in the paraaortic area. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits.  Lymph nodes in the paraaortic area on the upper abdominal sections included in the examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_611/valid_611_b/valid_611_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1456",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_612/valid_612_a/valid_612_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_612/valid_612_a/valid_612_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1458",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  In the current examination, it reaches a thickness of about 4 cm at its thickest point. Apart from this, a small amount of stable pleural effusion is also observed in the left lung. In the anterior mediastinum, starting from the substernal area and continuing to the inferior between the heart and the sternum, a mass lesion with the widest dimensions of 95x85 mm at the level of the aortic arch and a craniocaudal length of 20 cm is observed in the axial plane. . An irregularly circumscribed mass lesion with pathological FDG uptake is observed in the previous examination at the level of the major fissure in the superior segment of the right lung lower lobe. The dimensions of this lesion have also decreased in the current examination. The dimensions of the lesion described in the current examination are 30x20 mm (40x30 mm in the previous examination), apart from this, mass lesions in the form of plaques and locally nodular areas are observed, especially in the left lung pleura. Lymphadenopathy was not observed in both axillae and retropectoral areas in pathological size and appearance. In the upper abdominal sections included in the examination, stable lymph nodes with short axes not exceeding 1 cm are observed in the paraaortic area. A stable size increase is observed in both kidneys, more prominently in the right kidney. Linear densities extending from the pleural thickenings in both lungs to the lung parenchyma are observed. Atelectasis or sequelae may be compatible with change and these appearances are stable. Apart from this, no newly developed lesion was observed in both lungs. No fractures, lytic or sclerotic lesions were observed in the bones. Impression:  No significant dimensional difference was detected in the gross mass in the anterior mediastinum.  In the right lung lower lobe superior segment, adjacent to the major fissure, the size of the mass showing pathological FDG uptake in the previous examination has decreased.  Minimal reduction in the size of lymph nodes in the mediastinal area is observed. The size of one lymph node showing pathological FDG uptake, especially in the subcarinal area, decreased more than the other lymph nodes.  No significant difference was observed in nodular pleural thickening in both lungs, which is more prominent in the left lung.  The rate of pleural effusion in the right lung has increased.  No newly developed lesion was observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_613/valid_613_a/valid_613_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  In the current examination, it reaches a thickness of about 4 cm at its thickest point. Apart from this, a small amount of stable pleural effusion is also observed in the left lung. In the anterior mediastinum, starting from the substernal area and continuing to the inferior between the heart and the sternum, a mass lesion with the widest dimensions of 95x85 mm at the level of the aortic arch and a craniocaudal length of 20 cm is observed in the axial plane. . An irregularly circumscribed mass lesion with pathological FDG uptake is observed in the previous examination at the level of the major fissure in the superior segment of the right lung lower lobe. The dimensions of this lesion have also decreased in the current examination. The dimensions of the lesion described in the current examination are 30x20 mm (40x30 mm in the previous examination), apart from this, mass lesions in the form of plaques and locally nodular areas are observed, especially in the left lung pleura. Lymphadenopathy was not observed in both axillae and retropectoral areas in pathological size and appearance. In the upper abdominal sections included in the examination, stable lymph nodes with short axes not exceeding 1 cm are observed in the paraaortic area. A stable size increase is observed in both kidneys, more prominently in the right kidney. Linear densities extending from the pleural thickenings in both lungs to the lung parenchyma are observed. Atelectasis or sequelae may be compatible with change and these appearances are stable. Apart from this, no newly developed lesion was observed in both lungs. No fractures, lytic or sclerotic lesions were observed in the bones. Impression:  No significant dimensional difference was detected in the gross mass in the anterior mediastinum.  In the right lung lower lobe superior segment, adjacent to the major fissure, the size of the mass showing pathological FDG uptake in the previous examination has decreased.  Minimal reduction in the size of lymph nodes in the mediastinal area is observed. The size of one lymph node showing pathological FDG uptake, especially in the subcarinal area, decreased more than the other lymph nodes.  No significant difference was observed in nodular pleural thickening in both lungs, which is more prominent in the left lung.  The rate of pleural effusion in the right lung has increased.  No newly developed lesion was observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_613/valid_613_a/valid_613_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Stent is observed in LAD. Calibrations of mediastinal major vascular structures are normal. Tracheal, both main bronchi, lobar and segmental bronchi lumens are open. In the case with Covid positivity in the posterior segment of the upper lobe of both lungs, in the right middle lobe and in the lower lobes of both lungs, parenchymal findings are observed during the recovery period. There was no finding in favor of active inflammation. No sequelae change is observed. Linear subsegmental atelectasis is observed in the left lung upper lobe lingula inferior segment. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. There are two calcified millimetric nodules and one nonspecific nodule with a diameter of 2 mm in the upper lobe of the left lung. In the upper abdomen sections, there are two lesions of cystic density in the right kidney, the largest of which is 23 and 18 mm in diameter. No lytic-destructive lesions were detected in bone structures. Impression:  Stent in LAD.  Parenchymal findings in the late recovery period of Covid pneumonia in the lung parenchyma  Two lesions of cystic density in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_614/valid_614_a/valid_614_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Stent is observed in LAD. Calibrations of mediastinal major vascular structures are normal. Tracheal, both main bronchi, lobar and segmental bronchi lumens are open. In the case with Covid positivity in the posterior segment of the upper lobe of both lungs, in the right middle lobe and in the lower lobes of both lungs, parenchymal findings are observed during the recovery period. There was no finding in favor of active inflammation. No sequelae change is observed. Linear subsegmental atelectasis is observed in the left lung upper lobe lingula inferior segment. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. There are two calcified millimetric nodules and one nonspecific nodule with a diameter of 2 mm in the upper lobe of the left lung. In the upper abdomen sections, there are two lesions of cystic density in the right kidney, the largest of which is 23 and 18 mm in diameter. No lytic-destructive lesions were detected in bone structures. Impression:  Stent in LAD.  Parenchymal findings in the late recovery period of Covid pneumonia in the lung parenchyma  Two lesions of cystic density in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_614/valid_614_a/valid_614_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobes of both lungs and in the middle lobe of the right lung, several nodules, some of them calcified, are observed, the size of which reaches 4.5 mm. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific nodules, some of which are calcified, in the bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_615/valid_615_a/valid_615_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1463",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobes of both lungs and in the middle lobe of the right lung, several nodules, some of them calcified, are observed, the size of which reaches 4.5 mm. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific nodules, some of which are calcified, in the bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_615/valid_615_a/valid_615_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1464",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_616/valid_616_a/valid_616_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1465",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric non-specific nodules are observed in both lungs, both lung parenchyma aeration is normal, and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There is a decrease in density in bone structures and mild osteophytic sharpenings. Vertebral corpus heights are preserved. Impression:  A few millimetric non-specific nodules are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_617/valid_617_a/valid_617_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1466",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric non-specific nodules are observed in both lungs, both lung parenchyma aeration is normal, and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There is a decrease in density in bone structures and mild osteophytic sharpenings. Vertebral corpus heights are preserved. Impression:  A few millimetric non-specific nodules are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_617/valid_617_a/valid_617_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1467",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. In the mediastinum, lymph nodes with diameters less than 1 cm located in the right upper paratracheal, bilateral lower paratracheal, subcarinal, peribronchial and paraaortic were observed. Mediastinal lymph nodes were thought to belong to reactive lymph nodes. In the lung parenchyma, bilateral asymmetric peribronchial patchy ground glass density areas and septal thickenings within ground glass density areas are observed. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. There is mild hepatosteatosis in liver parenchyma density in upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression: Findings compatible with parenchymal involvement of Covid infection in both lungs . Mediastinal lymph nodes were primarily evaluated in favor of reactive lymph nodes.  Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_618/valid_618_a/valid_618_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1468",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. In the mediastinum, lymph nodes with diameters less than 1 cm located in the right upper paratracheal, bilateral lower paratracheal, subcarinal, peribronchial and paraaortic were observed. Mediastinal lymph nodes were thought to belong to reactive lymph nodes. In the lung parenchyma, bilateral asymmetric peribronchial patchy ground glass density areas and septal thickenings within ground glass density areas are observed. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. There is mild hepatosteatosis in liver parenchyma density in upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression: Findings compatible with parenchymal involvement of Covid infection in both lungs . Mediastinal lymph nodes were primarily evaluated in favor of reactive lymph nodes.  Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_618/valid_618_a/valid_618_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of mediastinal vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There are multiple lymph nodes in the mediastinum with a short diameter of less than 1 cm, oval configuration, and without pathological size and appearance. No lymph nodes in pathological size and appearance were observed in both axillary regions and in the supraclavicular fossa. In the left lung upper lobe apicoposterior segment, upper lobe inferior lingular segment, and lower lobe, peribronchial thickness increases accompanying peribronchial thickness increases, areas of indistinct ground glass and density increase consistent with consolidation are observed in the peribronchial area. Viral pneumonias suggest the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No signs in favor of active infiltration were observed in the right lung. Ventilation of both lungs is natural. There is a diffuse decrease in liver parenchymal density secondary to hepatosteatosis as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. There is sclerosis accompanying vertebral erosion in T11 vertebra lower end plateau, T9, T8, T7 lower end plateau anterior part. It is recommended to be evaluated for spondyloarthropathies. Impression:  Findings consistent with viral pneumonia in the left lung  Lymph nodes in the mediastinum that are not pathological in size and appearance  Sclerosis accompanying erosion at the vertebral corpus corners; It is recommended to evaluate for spondyloarthropathies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_619/valid_619_a/valid_619_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of mediastinal vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There are multiple lymph nodes in the mediastinum with a short diameter of less than 1 cm, oval configuration, and without pathological size and appearance. No lymph nodes in pathological size and appearance were observed in both axillary regions and in the supraclavicular fossa. In the left lung upper lobe apicoposterior segment, upper lobe inferior lingular segment, and lower lobe, peribronchial thickness increases accompanying peribronchial thickness increases, areas of indistinct ground glass and density increase consistent with consolidation are observed in the peribronchial area. Viral pneumonias suggest the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No signs in favor of active infiltration were observed in the right lung. Ventilation of both lungs is natural. There is a diffuse decrease in liver parenchymal density secondary to hepatosteatosis as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. There is sclerosis accompanying vertebral erosion in T11 vertebra lower end plateau, T9, T8, T7 lower end plateau anterior part. It is recommended to be evaluated for spondyloarthropathies. Impression:  Findings consistent with viral pneumonia in the left lung  Lymph nodes in the mediastinum that are not pathological in size and appearance  Sclerosis accompanying erosion at the vertebral corpus corners; It is recommended to evaluate for spondyloarthropathies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_619/valid_619_a/valid_619_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1471",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A focal ground-glass density increase was observed in the peripheral subpleural area in the superior segment of the lower lobe of the right lung (viral pneumonia?). Clinical and laboratory correlation is recommended for Covid-19 pneumonia. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Right lung lower lobe peripheral focal ground glass nodule (viral pneumonia?). Clinical and laboratory correlation is recommended for Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_620/valid_620_a/valid_620_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1472",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A focal ground-glass density increase was observed in the peripheral subpleural area in the superior segment of the lower lobe of the right lung (viral pneumonia?). Clinical and laboratory correlation is recommended for Covid-19 pneumonia. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Right lung lower lobe peripheral focal ground glass nodule (viral pneumonia?). Clinical and laboratory correlation is recommended for Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_620/valid_620_a/valid_620_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_621/valid_621_a/valid_621_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1474",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_621/valid_621_a/valid_621_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1475",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A millimetric-sized hypodense nodular lesion was observed in the left thyroid lobe. (nodule?). US control is recommended. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed; Calcified lymph nodes measuring 6.7 mm in the short axis of the largest are observed in the mediastinal upper paratracheal, right hilar region. In addition, multiple hyperdense nodular lesions measuring 5.1 mm in diameter on the short axis of the larger one were observed in both subdiaphragmatic areas (calcified lymph nodes?). Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. No mass nodule infiltration was detected in both lungs. A calcified nonspecific parenchymal nodule with a diameter of 3 mm was observed in the anterior segment of the right lung upper lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  No sign of pneumonia was detected.  Millimetric sized nonspecific calcified parenchymal nodule in the right lung.  Calcified lymph nodes in the mediastinal and subdiaphragmatic area?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_622/valid_622_a/valid_622_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1476",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A millimetric-sized hypodense nodular lesion was observed in the left thyroid lobe. (nodule?). US control is recommended. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed; Calcified lymph nodes measuring 6.7 mm in the short axis of the largest are observed in the mediastinal upper paratracheal, right hilar region. In addition, multiple hyperdense nodular lesions measuring 5.1 mm in diameter on the short axis of the larger one were observed in both subdiaphragmatic areas (calcified lymph nodes?). Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. No mass nodule infiltration was detected in both lungs. A calcified nonspecific parenchymal nodule with a diameter of 3 mm was observed in the anterior segment of the right lung upper lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  No sign of pneumonia was detected.  Millimetric sized nonspecific calcified parenchymal nodule in the right lung.  Calcified lymph nodes in the mediastinal and subdiaphragmatic area?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_622/valid_622_a/valid_622_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis reaching 13 mm in diameter, the largest of which were located in the right upper paratracheal region, were observed in the mediastinum. When examined in the lung parenchyma window; Central and peripheral diffuse ground glass densities are observed in both lung parenchyma. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion reaching 13 mm in diameter was observed on the left. No pleural thickening was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are minimal degenerations in the thoracic vertebrae. Thoracic kyphosis slightly increased. Impression:  Mediastinal lymph nodes.  Left pleural effusion.  Thoracic kyphosis and spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_623/valid_623_a/valid_623_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis reaching 13 mm in diameter, the largest of which were located in the right upper paratracheal region, were observed in the mediastinum. When examined in the lung parenchyma window; Central and peripheral diffuse ground glass densities are observed in both lung parenchyma. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion reaching 13 mm in diameter was observed on the left. No pleural thickening was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are minimal degenerations in the thoracic vertebrae. Thoracic kyphosis slightly increased. Impression:  Mediastinal lymph nodes.  Left pleural effusion.  Thoracic kyphosis and spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_623/valid_623_a/valid_623_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  On the right, the port chamber on the anterior chest wall and the anterior surface of the pectoral muscle and the image of the catheter extending to the superior-right atrium junction of the vena cava were observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinum could not be evaluated as optimal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; A parenchymal nodule measuring 3.9 mm (2.1 mm in the previous examination) was observed in the mediobasal segment of the lower lobe of the right lung. Apart from this, a few more stable millimetric nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not detected. Within the sections, the upper abdominal organs are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. In this examination, nodular lesion with a diameter of 12 mm is observed in the corpus of the left adrenal gland, which cannot be characterized. It is also present in the previous examination of the patient. It is stable. An incision scar was observed in the midline of the abdomen. No lytic-destructive lesion in favor of metastasis was detected in the bone structures included in the study area. Vertebral corpus heights are preserved. Impression: Stable nodular lesion in the left adrenal gland corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_624/valid_624_a/valid_624_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1480",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  On the right, the port chamber on the anterior chest wall and the anterior surface of the pectoral muscle and the image of the catheter extending to the superior-right atrium junction of the vena cava were observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinum could not be evaluated as optimal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; A parenchymal nodule measuring 3.9 mm (2.1 mm in the previous examination) was observed in the mediobasal segment of the lower lobe of the right lung. Apart from this, a few more stable millimetric nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not detected. Within the sections, the upper abdominal organs are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. In this examination, nodular lesion with a diameter of 12 mm is observed in the corpus of the left adrenal gland, which cannot be characterized. It is also present in the previous examination of the patient. It is stable. An incision scar was observed in the midline of the abdomen. No lytic-destructive lesion in favor of metastasis was detected in the bone structures included in the study area. Vertebral corpus heights are preserved. Impression: Stable nodular lesion in the left adrenal gland corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_624/valid_624_a/valid_624_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The port chamber is observed on the right anterior chest wall, and there is a catheter extending to the superior right atrium junction of the vena cava. Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. Minimal pericardial effusion was observed. No pleural effusion was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. Multiple nodular lesions in round configuration, the largest of which measured 9.5x8 mm in the posterobasal segment of the left lung lower lobe, were observed in both lungs. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Follow-up colon Ca."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_624/valid_624_b/valid_624_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1482",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The port chamber is observed on the right anterior chest wall, and there is a catheter extending to the superior right atrium junction of the vena cava. Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. Minimal pericardial effusion was observed. No pleural effusion was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. Multiple nodular lesions in round configuration, the largest of which measured 9.5x8 mm in the posterobasal segment of the left lung lower lobe, were observed in both lungs. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Follow-up colon Ca."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_624/valid_624_b/valid_624_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. A peripherally located nodule measuring approximately 25x15 mm was observed in the posterior segment of the right lung upper lobe. In addition, there are millimetric nodules in both lungs, the largest of which is approximately 5 mm in diameter. If present, it is recommended that the patient be evaluated together with previous examinations and followed closely. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Nodules in both lungs (if any, they are recommended to be evaluated together with previous examinations and followed closely) . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_625/valid_625_a/valid_625_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1484",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. A peripherally located nodule measuring approximately 25x15 mm was observed in the posterior segment of the right lung upper lobe. In addition, there are millimetric nodules in both lungs, the largest of which is approximately 5 mm in diameter. If present, it is recommended that the patient be evaluated together with previous examinations and followed closely. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Nodules in both lungs (if any, they are recommended to be evaluated together with previous examinations and followed closely) . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_625/valid_625_a/valid_625_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; No nodular or infiltrative lesion was detected in both lung parenchyma. Paraseptal emphysematous changes and sequela parenchymal changes are observed in the apex of both lungs. Pleural effusion-thickening was not detected. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  Active infiltration or mass lesion is not detected in both lungs, and there are paraseptal emphysematous changes and sequela parenchymal changes in the apex of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_626/valid_626_a/valid_626_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1486",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; No nodular or infiltrative lesion was detected in both lung parenchyma. Paraseptal emphysematous changes and sequela parenchymal changes are observed in the apex of both lungs. Pleural effusion-thickening was not detected. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  Active infiltration or mass lesion is not detected in both lungs, and there are paraseptal emphysematous changes and sequela parenchymal changes in the apex of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_626/valid_626_a/valid_626_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Mild emphysematous changes are present. Pleuroparenchymal sequelae changes are observed in the left lung lower lobe laterobasal segment. A 3 mm diameter nodule is observed at the posterobasal level. There is a 2 mm diameter nodule at the laterobasal level. There was no finding compatible with pleural effusion, pneumothorax or pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression: No finding compatible with pneumonia was detected"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_627/valid_627_a/valid_627_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Mild emphysematous changes are present. Pleuroparenchymal sequelae changes are observed in the left lung lower lobe laterobasal segment. A 3 mm diameter nodule is observed at the posterobasal level. There is a 2 mm diameter nodule at the laterobasal level. There was no finding compatible with pleural effusion, pneumothorax or pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression: No finding compatible with pneumonia was detected"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_627/valid_627_a/valid_627_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1489",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Calcific nodules with a diameter of 4 mm were observed in both lungs, the largest of which was in the posterior segment of the left lung upper lobe. Mass lesion with distinguishable borders in both lungs \u2013 no active infiltration was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspewsific calcific nodules in both lungs.  There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_628/valid_628_a/valid_628_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1490",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Calcific nodules with a diameter of 4 mm were observed in both lungs, the largest of which was in the posterior segment of the left lung upper lobe. Mass lesion with distinguishable borders in both lungs \u2013 no active infiltration was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspewsific calcific nodules in both lungs.  There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_628/valid_628_a/valid_628_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea is in the midline and both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Heart dimensions and major vascular structures appear normal. Lymph node enlargement in pathological size and appearance was not observed in the pretracheal, prevascular and subcarinal regions, bilateral hilar and axillary regions. No pathological wall thickness increase was observed in the esophagus within the sections. When the lung parenchyma window is examined; Linear atelectasis is observed in the inferior lingular segment of the left lung. parenchymal aeration of bilateral lungs is natural. No active infiltration, consolidation or space-occupying lesion was observed. Pericardial-pleural thickening and effusion were not observed. Upper abdominal organs in the study area have a natural appearance. No fractures or lytic-sclerotic lesions were observed in the bone structures in the study area. Impression:  Atherosclerosis of the aorta and coronary artery.  Linear atelectasis in the lingula of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_629/valid_629_a/valid_629_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1492",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea is in the midline and both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Heart dimensions and major vascular structures appear normal. Lymph node enlargement in pathological size and appearance was not observed in the pretracheal, prevascular and subcarinal regions, bilateral hilar and axillary regions. No pathological wall thickness increase was observed in the esophagus within the sections. When the lung parenchyma window is examined; Linear atelectasis is observed in the inferior lingular segment of the left lung. parenchymal aeration of bilateral lungs is natural. No active infiltration, consolidation or space-occupying lesion was observed. Pericardial-pleural thickening and effusion were not observed. Upper abdominal organs in the study area have a natural appearance. No fractures or lytic-sclerotic lesions were observed in the bone structures in the study area. Impression:  Atherosclerosis of the aorta and coronary artery.  Linear atelectasis in the lingula of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_629/valid_629_a/valid_629_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch is 30 mm wider than normal. Calibration of other major vascular structures is normal. Lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the prevascular level and in the subcarinal area. The largest was measured in the subcarinal area, measuring 15x9 mm. There were no pathologically sized and configured lymph nodes at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Scattered, peripherally located ground-glass-style density increases are observed in both lungs and were evaluated as compatible with Covid pneumonia. Clinical laboratory verification is recommended. Sequelae of pleuroparenchymal densities at basal levels are observed in the middle lobe and lower lobe on the right. Sequelae changes are observed at the basal level of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The spleen is slightly enlarged. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Findings consistent with Covid pneumonia; Clinical-laboratory verification is recommended.  Slight fullness in the spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_630/valid_630_a/valid_630_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1494",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch is 30 mm wider than normal. Calibration of other major vascular structures is normal. Lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the prevascular level and in the subcarinal area. The largest was measured in the subcarinal area, measuring 15x9 mm. There were no pathologically sized and configured lymph nodes at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Scattered, peripherally located ground-glass-style density increases are observed in both lungs and were evaluated as compatible with Covid pneumonia. Clinical laboratory verification is recommended. Sequelae of pleuroparenchymal densities at basal levels are observed in the middle lobe and lower lobe on the right. Sequelae changes are observed at the basal level of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The spleen is slightly enlarged. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Findings consistent with Covid pneumonia; Clinical-laboratory verification is recommended.  Slight fullness in the spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_630/valid_630_a/valid_630_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the ascending aorta is wider than normal with an anterior-posterior diameter of 37 mm. Calibration of other major vascular structures of the mediastinum is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Locally, calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mitral valve is calcified. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Central-peripheral weighted nodular-patchy ground-glass consolidations with crazy paving pattern were observed in the upper-middle and lower lobes of the right lung, lingular in the left lung upper lobe, and most prominently in the anterobasal segment of the left lung lower lobe. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A sequelae change was observed in the subpleural area in the posterior segment of the right lung upper lobe. No mass lesion with distinguishable borders was observed in the lung parenchyma. As far as can be observed in the sections, a hypodense lesion area of 25x12 mm in diameter was observed, located subcapsular in the lateral side of the right lobe of the liver. It could not be characterized in the non-contrast examination. In case of clinical necessity, it is recommended to be evaluated together with MRI examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the abdominal aorta. Bridging spur formations were observed in the anterolateral corners of the thoracic vertebrae (consistent with DISH). Impression: \u00b7 Fusiform ectasia of the ascending aorta, occasional calcific atheroma plaques in the thoracic aorta and coronary arteries, calcification in the mitral valve. \u00b7 Findings consistent with Covid-19 pneumonia in the lung parenchyma. \u00b7 Fibroatelectatic sequelae changes in both lungs. \u00b7 Mosaic attenuation pattern in the lung parenchyma (small airway disease?, small vessel disease?). \u00b7 Hypodense lesion in the lateral right lobe of the liver, which cannot be characterized on non-contrast examination; In case of clinical necessity, it is recommended to be evaluated together with MR examination. \u00b7 Findings consistent with diffuse idiopathic bone hyperostosis of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_631/valid_631_a/valid_631_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1496",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the ascending aorta is wider than normal with an anterior-posterior diameter of 37 mm. Calibration of other major vascular structures of the mediastinum is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Locally, calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mitral valve is calcified. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Central-peripheral weighted nodular-patchy ground-glass consolidations with crazy paving pattern were observed in the upper-middle and lower lobes of the right lung, lingular in the left lung upper lobe, and most prominently in the anterobasal segment of the left lung lower lobe. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A sequelae change was observed in the subpleural area in the posterior segment of the right lung upper lobe. No mass lesion with distinguishable borders was observed in the lung parenchyma. As far as can be observed in the sections, a hypodense lesion area of 25x12 mm in diameter was observed, located subcapsular in the lateral side of the right lobe of the liver. It could not be characterized in the non-contrast examination. In case of clinical necessity, it is recommended to be evaluated together with MRI examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the abdominal aorta. Bridging spur formations were observed in the anterolateral corners of the thoracic vertebrae (consistent with DISH). Impression: \u00b7 Fusiform ectasia of the ascending aorta, occasional calcific atheroma plaques in the thoracic aorta and coronary arteries, calcification in the mitral valve. \u00b7 Findings consistent with Covid-19 pneumonia in the lung parenchyma. \u00b7 Fibroatelectatic sequelae changes in both lungs. \u00b7 Mosaic attenuation pattern in the lung parenchyma (small airway disease?, small vessel disease?). \u00b7 Hypodense lesion in the lateral right lobe of the liver, which cannot be characterized on non-contrast examination; In case of clinical necessity, it is recommended to be evaluated together with MR examination. \u00b7 Findings consistent with diffuse idiopathic bone hyperostosis of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_631/valid_631_a/valid_631_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1497",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Paraseptal emphysema areas are observed in the upper lobe apical segment of both lungs. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Subsegmental atelectasis areas are observed in the left lung upper lobe lingula inferior segment. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. Focal fissure sequela thickness increase is observed in the left lung major fissure. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Paraseptal emphysema in both upper lobe apical segments of both lungs, subsegmental atelectasis area in left lung upper lobe lingula inferior segment . Pneumonic infiltration was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_632/valid_632_a/valid_632_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1498",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed, soft tissue density in a soft triangular style was observed in the anterior mediastinum, which does not cause a mass effect that may belong to the remnant thymus tissue. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; No mass was detected in both lung parenchyma. Nodular ground glass density increases were observed in the middle lobe of the right lung and the lower lobes of both lungs. The outlook may be compatible with early signs of Covid-19 pneumonia. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. Calcifications were observed in the right adrenal gland in the upper abdominal sections that entered the examination area. Upper abdominal organs included in other sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric size nodular ground glass density increases in both lung parenchyma. The appearance may be compatible with early signs of Covid-19 pneumonia. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_633/valid_633_a/valid_633_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1499",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed, soft tissue density in a soft triangular style was observed in the anterior mediastinum, which does not cause a mass effect that may belong to the remnant thymus tissue. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; No mass was detected in both lung parenchyma. Nodular ground glass density increases were observed in the middle lobe of the right lung and the lower lobes of both lungs. The outlook may be compatible with early signs of Covid-19 pneumonia. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. Calcifications were observed in the right adrenal gland in the upper abdominal sections that entered the examination area. Upper abdominal organs included in other sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric size nodular ground glass density increases in both lung parenchyma. The appearance may be compatible with early signs of Covid-19 pneumonia. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_633/valid_633_a/valid_633_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1500",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  No occlusive pathology was detected in the trachea and both main bronchi. Linear density increases, minimal structural distortion and minimal volume loss, which are evaluated in favor of pleuroparenchymal sequelae changes, are observed in both lung apexes. In addition, there is a similar appearance in the laterobasal segment of the lower lobe of the right lung. Occasionally, linear atelectasis is observed in both lungs. In addition, linear density increases are observed in both lungs, especially in the subpelvral areas. There are millimetric nodules in both lungs. When the previous examinations of the patient are examined, it is understood that the many millimetric nodules observed in both lungs have almost completely disappeared. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaque is observed in the aorta. No pleural or pericardial effusion was detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was approximately 7 mm. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There is a hypodense lesion in the left lobe lateral segment of the liver, which cannot be characterized because contrast agent is not given. However, when the patient was evaluated together with his previous examinations, it was understood that he also had previous examinations and that there was no difference in the dimensions. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances were minimally narrowed. The neural foramina are open. Impression: Localized pleuroparenchymal sequelae and atelectasis in both lungs . Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_634/valid_634_a/valid_634_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1501",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  No occlusive pathology was detected in the trachea and both main bronchi. Linear density increases, minimal structural distortion and minimal volume loss, which are evaluated in favor of pleuroparenchymal sequelae changes, are observed in both lung apexes. In addition, there is a similar appearance in the laterobasal segment of the lower lobe of the right lung. Occasionally, linear atelectasis is observed in both lungs. In addition, linear density increases are observed in both lungs, especially in the subpelvral areas. There are millimetric nodules in both lungs. When the previous examinations of the patient are examined, it is understood that the many millimetric nodules observed in both lungs have almost completely disappeared. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaque is observed in the aorta. No pleural or pericardial effusion was detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was approximately 7 mm. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There is a hypodense lesion in the left lobe lateral segment of the liver, which cannot be characterized because contrast agent is not given. However, when the patient was evaluated together with his previous examinations, it was understood that he also had previous examinations and that there was no difference in the dimensions. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances were minimally narrowed. The neural foramina are open. Impression: Localized pleuroparenchymal sequelae and atelectasis in both lungs . Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_634/valid_634_a/valid_634_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Effusion reaching 9 mm thickness was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Effusion was observed in both hemithorax, reaching 2.2 cm in the deepest part on the right and 2.1 cm in the deepest part on the left. Patchy consolidation areas with ground glass areas in the central location were observed in the upper lobe of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung. In addition, there are more diffuse nodular ground glass opacities on the right in the lower lobe basal segments of both lungs. The appearance was evaluated in favor of infective processes, especially atypical pneumonias. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pericardial-pleural effusion.  Findings consistent with infective processes, especially atypical pneumonias, in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_635/valid_635_a/valid_635_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Effusion reaching 9 mm thickness was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Effusion was observed in both hemithorax, reaching 2.2 cm in the deepest part on the right and 2.1 cm in the deepest part on the left. Patchy consolidation areas with ground glass areas in the central location were observed in the upper lobe of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung. In addition, there are more diffuse nodular ground glass opacities on the right in the lower lobe basal segments of both lungs. The appearance was evaluated in favor of infective processes, especially atypical pneumonias. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pericardial-pleural effusion.  Findings consistent with infective processes, especially atypical pneumonias, in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_635/valid_635_a/valid_635_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1504",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pulmonary conus calibration is 38 mm, wider than normal. Calibration of the right and left pulmonary arteries and other mediastinal major vascular structures is normal. Calibration of the aortic arch is at the maximal physiological limit. There is mild protrusion compatible with pericardial thickening-effusion. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchus is natural. Mosaic attenuation pattern is observed in both lungs. There are occasional frosted glass-style density increments. In the posterior segment of the upper lobe of the right lung, there is a branch view with faint buds. Again, similar changes are observed in the lower lobe superior segment and at the basal level. Consolidative areas containing partially air bronchograms are observed in the lingular segment of the left lung, and they are slightly more pronounced according to the previous examination (25.1.2020). At the basal level, bud branch appearance in a focal segment at the left lung laterobasal level and sequela changes at the basal level are observed. In the superior segment, there are branches with faint buds. It was not tracked in the previous review. The spleen is larger than normal in the upper abdominal organs on non-contrast images. Circular density is observed at the level of the vena cava. Degenerative changes are observed in the bone structure. Impression:   Focal bud branch views in both lungs, ground glass-style density increments in places, consolidative area in the lingular segment of the left lung. According to the previous examination, there is a slight clarification from place to place. It is recommended to evaluate the case with clinical and laboratory findings in terms of infective processes. Mosaic attenuation pattern. Splenomegaly. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_636/valid_636_a/valid_636_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pulmonary conus calibration is 38 mm, wider than normal. Calibration of the right and left pulmonary arteries and other mediastinal major vascular structures is normal. Calibration of the aortic arch is at the maximal physiological limit. There is mild protrusion compatible with pericardial thickening-effusion. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchus is natural. Mosaic attenuation pattern is observed in both lungs. There are occasional frosted glass-style density increments. In the posterior segment of the upper lobe of the right lung, there is a branch view with faint buds. Again, similar changes are observed in the lower lobe superior segment and at the basal level. Consolidative areas containing partially air bronchograms are observed in the lingular segment of the left lung, and they are slightly more pronounced according to the previous examination (25.1.2020). At the basal level, bud branch appearance in a focal segment at the left lung laterobasal level and sequela changes at the basal level are observed. In the superior segment, there are branches with faint buds. It was not tracked in the previous review. The spleen is larger than normal in the upper abdominal organs on non-contrast images. Circular density is observed at the level of the vena cava. Degenerative changes are observed in the bone structure. Impression:   Focal bud branch views in both lungs, ground glass-style density increments in places, consolidative area in the lingular segment of the left lung. According to the previous examination, there is a slight clarification from place to place. It is recommended to evaluate the case with clinical and laboratory findings in terms of infective processes. Mosaic attenuation pattern. Splenomegaly. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_636/valid_636_a/valid_636_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1506",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the main pulmonary artery was 37 mm and showed fusiform. Pericardial effusion was observed. Heart size increased. Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, in the upper-lower paratracheal area, lymph nodes with a short axis of 7 mm are observed in the subcarinal localization. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Widespread patchy consolidation areas, inter-lobular septal thickenings and accompanying ground-glass density increases were observed in the upper lobe of the right lung, the anterior and lingular segments of the left lung, and the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. The outlook was initially evaluated in favor of the infectious process. A free pleural effusion with a thickness of 11 mm on the right and 4 mm on the left was observed. No mass nodule was detected in both lung parenchyma. Liver and spleen sizes increased in the upper abdominal sections included in the study area. Operation material was observed in the inferior vena cava. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Dilatation of the pulmonary artery. Diffuse patchy areas of consolidation in both lungs, inter-lobular septal thickening, and accompanying ground-glass density increases. According to the review dated 28.0.1.2020, a significant progression was observed. The appearance suggests an infectious process in the first place. Clinical and laboratory correlation is recommended.  Hepatosplenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_636/valid_636_b/valid_636_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1507",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the main pulmonary artery was 37 mm and showed fusiform. Pericardial effusion was observed. Heart size increased. Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, in the upper-lower paratracheal area, lymph nodes with a short axis of 7 mm are observed in the subcarinal localization. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Widespread patchy consolidation areas, inter-lobular septal thickenings and accompanying ground-glass density increases were observed in the upper lobe of the right lung, the anterior and lingular segments of the left lung, and the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. The outlook was initially evaluated in favor of the infectious process. A free pleural effusion with a thickness of 11 mm on the right and 4 mm on the left was observed. No mass nodule was detected in both lung parenchyma. Liver and spleen sizes increased in the upper abdominal sections included in the study area. Operation material was observed in the inferior vena cava. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Dilatation of the pulmonary artery. Diffuse patchy areas of consolidation in both lungs, inter-lobular septal thickening, and accompanying ground-glass density increases. According to the review dated 28.0.1.2020, a significant progression was observed. The appearance suggests an infectious process in the first place. Clinical and laboratory correlation is recommended.  Hepatosplenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_636/valid_636_b/valid_636_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; extensive patchy areas of consolidation in both lungs seen in previous studies; In the current study, the right lung upper lobe is observed at the apical level, the left lung upper lobe is at the anterior and lingular segment level in the current study, and the described consolidation areas show significant regression. In the current study, especially in the upper lobes, mosaic pattern attenuations, interlobular septal thickenings and accompanying ground glass density increases are also present. Findings evaluated in favor of the infectious process described above show regression. The effusions observed in the previous study were not detected in the current study, and there is mild pericardial effusion. Liver and spleen sizes increased in the upper abdominal sections included in the study area. No significant difference was found with the previous study. Stent material in the superior vena cava? operating material? is monitored. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The density of the bone structures in the study area has decreased, there are mild oseophytic tapering in the vertebral corpus endplates, and left-facing scoliosis in the dorsal vertebrae. Impression: The findings observed in the previous study in both lungs show significant regression in the current study, and they are observed in the apical level of the right lung upper lobe and a small amount in the left lung anterior and lingular segment. The appearance is suggestive of an infectious process in the first place. Clinical laboratory correlation is recommended.  Hepatosplenomegaly . In pulmonary artery dilatation, effusions observed in the previous study are not observed in the current study Mild pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_636/valid_636_c/valid_636_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1509",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; extensive patchy areas of consolidation in both lungs seen in previous studies; In the current study, the right lung upper lobe is observed at the apical level, the left lung upper lobe is at the anterior and lingular segment level in the current study, and the described consolidation areas show significant regression. In the current study, especially in the upper lobes, mosaic pattern attenuations, interlobular septal thickenings and accompanying ground glass density increases are also present. Findings evaluated in favor of the infectious process described above show regression. The effusions observed in the previous study were not detected in the current study, and there is mild pericardial effusion. Liver and spleen sizes increased in the upper abdominal sections included in the study area. No significant difference was found with the previous study. Stent material in the superior vena cava? operating material? is monitored. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The density of the bone structures in the study area has decreased, there are mild oseophytic tapering in the vertebral corpus endplates, and left-facing scoliosis in the dorsal vertebrae. Impression: The findings observed in the previous study in both lungs show significant regression in the current study, and they are observed in the apical level of the right lung upper lobe and a small amount in the left lung anterior and lingular segment. The appearance is suggestive of an infectious process in the first place. Clinical laboratory correlation is recommended.  Hepatosplenomegaly . In pulmonary artery dilatation, effusions observed in the previous study are not observed in the current study Mild pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_636/valid_636_c/valid_636_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. The mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast, and the heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. No lymph node in pathological size and appearance was detected in mediastinal lymph node stations. When examined in the lung parenchyma window; mosaic attenuation pattern is present in both lung parenchyma 8 small airway disease ? small vessel disease?). Active infiltration or mass lesion is not observed in both lung parenchyma, and nonspecific nodules in millimetric dimensions, measured at 3.5 mm in size, are observed in the posterobasal segment of the left lung lower lobe. In the abdominal sections within the image, no solid mass is observed within the borders of non-contrast CT, and there are millimetric calcifications in the bilateral adrenal gland. Suture materials are observed in the greater curvature of the stomach. No lytic-destructive lesion was detected in the bone structures within the image, and vertebral corpus heights were preserved. Impression: Mosaic attenuation pattern in both lung parenchyma (small airway disease ? small vessel disease?), millimetrically sized nonspecific nodules in both lung parenchyma. Nonspecific calcifications in bilateral adrenal glands in abdominal sections within image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_637/valid_637_a/valid_637_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1511",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. The mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast, and the heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. No lymph node in pathological size and appearance was detected in mediastinal lymph node stations. When examined in the lung parenchyma window; mosaic attenuation pattern is present in both lung parenchyma 8 small airway disease ? small vessel disease?). Active infiltration or mass lesion is not observed in both lung parenchyma, and nonspecific nodules in millimetric dimensions, measured at 3.5 mm in size, are observed in the posterobasal segment of the left lung lower lobe. In the abdominal sections within the image, no solid mass is observed within the borders of non-contrast CT, and there are millimetric calcifications in the bilateral adrenal gland. Suture materials are observed in the greater curvature of the stomach. No lytic-destructive lesion was detected in the bone structures within the image, and vertebral corpus heights were preserved. Impression: Mosaic attenuation pattern in both lung parenchyma (small airway disease ? small vessel disease?), millimetrically sized nonspecific nodules in both lung parenchyma. Nonspecific calcifications in bilateral adrenal glands in abdominal sections within image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_637/valid_637_a/valid_637_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1512",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae reticulonodular fibrotic density increases are observed in the apex of both lungs. Pleural parenchymal sequelae change was observed in the left lung upper lobe inferior lingular segment. No mass lesion-active infiltration was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression:  Pleuroparenchymal sequela change in left lung upper lobe inferior lingular segment  Sequela parenchymal changes in both lung apices  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_638/valid_638_a/valid_638_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1513",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae reticulonodular fibrotic density increases are observed in the apex of both lungs. Pleural parenchymal sequelae change was observed in the left lung upper lobe inferior lingular segment. No mass lesion-active infiltration was detected in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area. Impression:  Pleuroparenchymal sequela change in left lung upper lobe inferior lingular segment  Sequela parenchymal changes in both lung apices  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_638/valid_638_a/valid_638_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1514",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Small nodules measuring up to 3 mm are observed in the perihilar area in the upper lobe of the left lung. The upper abdomen is partially observed within the limits of the examination, and the left kidney is not detected (nephrectomized?). Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  A few nonspecific nodules measuring up to 3 mm, mostly on the left in both lungs.  The upper abdomen is partially observed within the limits of the examination, and the left kidney is not detected (nephrectomized?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_639/valid_639_a/valid_639_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1515",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Small nodules measuring up to 3 mm are observed in the perihilar area in the upper lobe of the left lung. The upper abdomen is partially observed within the limits of the examination, and the left kidney is not detected (nephrectomized?). Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  A few nonspecific nodules measuring up to 3 mm, mostly on the left in both lungs.  The upper abdomen is partially observed within the limits of the examination, and the left kidney is not detected (nephrectomized?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_639/valid_639_a/valid_639_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1516",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  There is an appearance compatible with thymic remnant in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. A few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several nodules measuring 3.5x6 mm in both lungs, the largest of which is in the lateral segment of the left lung lower lobe. There are linear atelectasis areas in the right lung middle lobe lateral segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. As far as it can be evaluated within the limits of non-contrast CT; There are no discernible masses in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  A few millimetric nonspecific nodules in both lungs; is stable.  Linear atelectasis areas in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_640/valid_640_a/valid_640_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1517",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  There is an appearance compatible with thymic remnant in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. A few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 5 mm. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several nodules measuring 3.5x6 mm in both lungs, the largest of which is in the lateral segment of the left lung lower lobe. There are linear atelectasis areas in the right lung middle lobe lateral segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. As far as it can be evaluated within the limits of non-contrast CT; There are no discernible masses in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  A few millimetric nonspecific nodules in both lungs; is stable.  Linear atelectasis areas in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_640/valid_640_a/valid_640_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1518",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The cardiothoracic index increased in favor of the heart. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Conglomerate lymph nodes measuring up to 27x17 mm are observed in the infraclavicular region of the mediastinum, especially in the aorticopulmonary window and in the right infraclavicular region. When examined in the lung parenchyma window; Less-moderate effusions are observed in both lungs, more prominent on the left. Space-occupying consolidation?, Lesion? is monitored. Hiatal hernia is observed. Both kidneys are partially included in the study and their sizes have decreased. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Density reduction is observed in the bone structures in the study area. Impression: Space-occupying consolidation measuring up to 59x31 mm in axial sections, more prominent in the upper lobe anterior in the subpleural area in the left hemithorax? Lesion?. For a better differential diagnosis of a carcinomatous process, it is recommended to compare with previous studies if clinical laboratory cor. follow-up is available. Few-moderate effusions in both lungs, more prominent on the left.  Conglomerated lymph nodes in the mediastinum and supraclavicular regions. Calcific atheroma plaques are observed in the coronary arteries.  Cardiomegaly. Hiatal hernia is observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_641/valid_641_a/valid_641_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1519",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; diffuse centriacinar nodular appearances with faint borders are observed in both lungs. Numerous patchy ground-glass nodular opacities are observed in the upper lobe anterior segment of the right lung, the lateral and medial segments of the middle lobe, and the superior-posterior segment of the lower lobe of the right lung. Appearances are among the frequently observed findings in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_642/valid_642_a/valid_642_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. One or two lymph nodes, the largest of which is 13x10 mm in size, are observed at the right hilar level. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?). Mild sequelae changes are observed in both lungs. On this background, a nodule of approximately 5x3 mm in size is observed in the right lung upper lobe caudal. No pleural effusion pneumothorax was detected. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Degenerative changes are observed in the bone structure entering the examination area. Impression: Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_643/valid_643_a/valid_643_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1521",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. One or two lymph nodes, the largest of which is 13x10 mm in size, are observed at the right hilar level. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?). Mild sequelae changes are observed in both lungs. On this background, a nodule of approximately 5x3 mm in size is observed in the right lung upper lobe caudal. No pleural effusion pneumothorax was detected. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Degenerative changes are observed in the bone structure entering the examination area. Impression: Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_643/valid_643_a/valid_643_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1522",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcified atherosclerotic changes were observed in the coronary artery wall. Other mediastinal major vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal, prevascular and subcarinal areas. No lymph node was detected in mediastinal pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. When both lung parenchyma windows are evaluated; Emphysematous changes were observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Two parenchymal nodules measuring 5.7 mm in diameter were observed in the upper lobe and middle lobe of the right lung. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. Liver parenchyma density in the cross-sectional area has decreased diffusely in line with fatty deposits. Degenerative changes were observed in the bone structure. Impression:  Emphysematous changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway, disease? small vessel disease?).  Two parenchymal nodules in the right lung.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_643/valid_643_b/valid_643_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcified atherosclerotic changes were observed in the coronary artery wall. Other mediastinal major vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal, prevascular and subcarinal areas. No lymph node was detected in mediastinal pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. When both lung parenchyma windows are evaluated; Emphysematous changes were observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Two parenchymal nodules measuring 5.7 mm in diameter were observed in the upper lobe and middle lobe of the right lung. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. Liver parenchyma density in the cross-sectional area has decreased diffusely in line with fatty deposits. Degenerative changes were observed in the bone structure. Impression:  Emphysematous changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway, disease? small vessel disease?).  Two parenchymal nodules in the right lung.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_643/valid_643_b/valid_643_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1524",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is minimal emphysema in the upper lobes of both lungs. Band atelectasis and subsegmental atelectasis are observed in the left lung upper lobe anterior and lingula. There are linear atelectasis in the middle lobe and lower lobe anterior on the right, and in the lower lobe on the left. The bronchial walls are slightly thickened. Minimal reticular density increases are observed in peribronchial areas. No significant ground glass infiltration was detected. Several nodules, the largest of which reached 4.5 mm in diameter, were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal emphysema, millimetric nonspecific nodules, atelectasis in both lungs,  Minimal bronchial wall thickening and peribronchial reticular densities in both lungs are nonspecific and may be compatible with bronchiolitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_644/valid_644_a/valid_644_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1525",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is minimal emphysema in the upper lobes of both lungs. Band atelectasis and subsegmental atelectasis are observed in the left lung upper lobe anterior and lingula. There are linear atelectasis in the middle lobe and lower lobe anterior on the right, and in the lower lobe on the left. The bronchial walls are slightly thickened. Minimal reticular density increases are observed in peribronchial areas. No significant ground glass infiltration was detected. Several nodules, the largest of which reached 4.5 mm in diameter, were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal emphysema, millimetric nonspecific nodules, atelectasis in both lungs,  Minimal bronchial wall thickening and peribronchial reticular densities in both lungs are nonspecific and may be compatible with bronchiolitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_644/valid_644_a/valid_644_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1526",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Soft tissue densities of mucosal secretion were observed in the lumen of the trachea and right main bronchus. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Mild emphysematous changes were observed in both lungs. Several air cysts, the largest measuring 1 cm in diameter, were observed in both lungs. Bilateral minimal peribronchial thickenings were observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild emphysematous changes in both lungs, mild bronchiectasis, millimeter-sized air cysts, sequelae in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_645/valid_645_a/valid_645_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Soft tissue densities of mucosal secretion were observed in the lumen of the trachea and right main bronchus. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Mild emphysematous changes were observed in both lungs. Several air cysts, the largest measuring 1 cm in diameter, were observed in both lungs. Bilateral minimal peribronchial thickenings were observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild emphysematous changes in both lungs, mild bronchiectasis, millimeter-sized air cysts, sequelae in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_645/valid_645_a/valid_645_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Soft tissue densities of mucosal secretion were observed in the lumen of the trachea and right main bronchus. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Mild emphysematous changes were observed in both lungs. Several air cysts, the largest measuring 1 cm in diameter, were observed in both lungs. Bilateral minimal peribronchial thickenings were observed. Viral pneumonia is considered in its etiology. Clinic and lab. verification is recommended. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild emphysematous changes in both lungs, mild bronchiectasis, millimeter-sized air cysts, sequelae in both lungs. Viral pneumonia is considered in its etiology. Clinic and lab. verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_645/valid_645_b/valid_645_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1529",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Soft tissue densities of mucosal secretion were observed in the lumen of the trachea and right main bronchus. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Mild emphysematous changes were observed in both lungs. Several air cysts, the largest measuring 1 cm in diameter, were observed in both lungs. Bilateral minimal peribronchial thickenings were observed. Viral pneumonia is considered in its etiology. Clinic and lab. verification is recommended. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild emphysematous changes in both lungs, mild bronchiectasis, millimeter-sized air cysts, sequelae in both lungs. Viral pneumonia is considered in its etiology. Clinic and lab. verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_645/valid_645_b/valid_645_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1530",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. In the middle and distal parts of the proximal trachea and at the levels of both main bronchi, a nodular formation is observed in the proximal trachea, the largest of which is 10x5.5 mm, projecting into the lumen (mucus impaction?). It was not detected in the previous review. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level in both lungs. Emphysematous findings are present in both lungs. Small air cysts are observed in the lower zones of both lungs. There is a stable nodule with a diameter of 2 mm in the anterior segment of the right lung upper lobe. Mild sequelae changes are observed at the posterobasal level in both lungs. There are sequelae changes in the linguistic segment. There was no significant finding in favor of pneumonia in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A nodular formation is observed in the anterior of the spleen, measuring 9x5 mm, which is considered compatible with the accessory spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. Impression: No findings consistent with pneumonia were detected. Emphysematous changes in both lungs and mild sequelae changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_645/valid_645_c/valid_645_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. In the middle and distal parts of the proximal trachea and at the levels of both main bronchi, a nodular formation is observed in the proximal trachea, the largest of which is 10x5.5 mm, projecting into the lumen (mucus impaction?). It was not detected in the previous review. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level in both lungs. Emphysematous findings are present in both lungs. Small air cysts are observed in the lower zones of both lungs. There is a stable nodule with a diameter of 2 mm in the anterior segment of the right lung upper lobe. Mild sequelae changes are observed at the posterobasal level in both lungs. There are sequelae changes in the linguistic segment. There was no significant finding in favor of pneumonia in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A nodular formation is observed in the anterior of the spleen, measuring 9x5 mm, which is considered compatible with the accessory spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. Impression: No findings consistent with pneumonia were detected. Emphysematous changes in both lungs and mild sequelae changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_645/valid_645_c/valid_645_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1532",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific pleural nodules are observed in the upper lobe of the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Calcifications measuring 3 mm in size are observed in the right lobe of the liver entering the section area. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands are normal. No space-occupying lesions were detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific nodules in the upper lobe of the right lung, millimetric calcification in the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_646/valid_646_a/valid_646_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1533",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific pleural nodules are observed in the upper lobe of the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Calcifications measuring 3 mm in size are observed in the right lobe of the liver entering the section area. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands are normal. No space-occupying lesions were detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific nodules in the upper lobe of the right lung, millimetric calcification in the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_646/valid_646_a/valid_646_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1534",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Pacemaker placed on the anterior chest wall and electrodes extending to the floor of the right ventricle are observed on the left. Suture materials secondary to mitral valvuloplasty were observed in the sternum. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, which is above normal. The diameters of the pulmonary trunk, right and left pulmonary arteries have increased. Heart size increased. Left heart chambers are dilated. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Band atelectatic changes were observed in the right lung lower lobe posterobasal segment and linear subsegmental atelectatic changes were observed in the left lung lower lobe mediobasal segment. A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). Nodular ground glass areas were observed in the anterobasal subsegment of the left lung lower lobe anteromediobasal segment and in the right lung lower lobe mediobasal segment. Appearance is nonspecific. It may be compatible with sequelae or early viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. Defect areas compatible with sequelae were observed in the right kidney parenchyma. Two calculi, the largest of which was 2 mm in diameter, were observed in the middle part of the right kidney. As far as can be seen within the sections; other upper abdominal organs are normal. Schmorl nodule impressions were observed in the thoracic vertebrae end plates. Impression:  Mitral valve prosthesis, postoperative surgical suture materials in the sternum, fusiform aneurysmatic dilation in the thoracic aorta, increased pulmonary artery diameters, cardiomegaly.  Sequelae changes in both lungs, millimetric nonspecific parenchymal nodules.  Focal ground glass areas in both lungs; appearance is nonspecific. It may be compatible with sequelae or early viral pneumonias. It is recommended to be evaluated together with the clinic and laboratory.  Sequelae changes in right kidney parenchyma, right nephrolithiasis.  Osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_647/valid_647_a/valid_647_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1535",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. Pacemaker placed on the anterior chest wall and electrodes extending to the floor of the right ventricle are observed on the left. Suture materials secondary to mitral valvuloplasty were observed in the sternum. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, which is above normal. The diameters of the pulmonary trunk, right and left pulmonary arteries have increased. Heart size increased. Left heart chambers are dilated. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Band atelectatic changes were observed in the right lung lower lobe posterobasal segment and linear subsegmental atelectatic changes were observed in the left lung lower lobe mediobasal segment. A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). Nodular ground glass areas were observed in the anterobasal subsegment of the left lung lower lobe anteromediobasal segment and in the right lung lower lobe mediobasal segment. Appearance is nonspecific. It may be compatible with sequelae or early viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable borders was detected in the lung parenchyma. Defect areas compatible with sequelae were observed in the right kidney parenchyma. Two calculi, the largest of which was 2 mm in diameter, were observed in the middle part of the right kidney. As far as can be seen within the sections; other upper abdominal organs are normal. Schmorl nodule impressions were observed in the thoracic vertebrae end plates. Impression:  Mitral valve prosthesis, postoperative surgical suture materials in the sternum, fusiform aneurysmatic dilation in the thoracic aorta, increased pulmonary artery diameters, cardiomegaly.  Sequelae changes in both lungs, millimetric nonspecific parenchymal nodules.  Focal ground glass areas in both lungs; appearance is nonspecific. It may be compatible with sequelae or early viral pneumonias. It is recommended to be evaluated together with the clinic and laboratory.  Sequelae changes in right kidney parenchyma, right nephrolithiasis.  Osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_647/valid_647_a/valid_647_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_648/valid_648_a/valid_648_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_648/valid_648_a/valid_648_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1538",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Several nonspecific nodules are observed in both lungs, the largest of which is in the left lung lower lobe anteromedial segment (4.6 mm). There was no finding in favor of active infiltration in both lungs. In the upper abdominal organs, including sections; pancreas, gallbladder, spleen are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A decrease in liver density, consistent with steatosis, is observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A few nonspecific nodules within the parenchyma of both lungs, the largest of which is in the anteromedial segment of the lower lobe of the left lung. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_649/valid_649_a/valid_649_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Several nonspecific nodules are observed in both lungs, the largest of which is in the left lung lower lobe anteromedial segment (4.6 mm). There was no finding in favor of active infiltration in both lungs. In the upper abdominal organs, including sections; pancreas, gallbladder, spleen are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A decrease in liver density, consistent with steatosis, is observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A few nonspecific nodules within the parenchyma of both lungs, the largest of which is in the anteromedial segment of the lower lobe of the left lung. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_649/valid_649_a/valid_649_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1540",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The supraclavicular fossa is partially sectioned. No lymph node in pathological size and appearance was observed in the visible parts. No lymph node in pathological size and appearance was observed in both axillae. Thyroid gland is atrophic. Diffuse calcific atherosclerotic plaques are observed in the aortic arch and thoracic aorta. Heart sizes were significantly increased. Although there is an increase in diameter in all 4 compartments, the increase in biatrial diameter is more pronounced. More prominent diffuse calcified atherosclerotic plaques are observed in the coronary arteries, LAD and surcumflexes. Diffuse pathological mediastinal lymph nodes in paraaortic, prevascular, bilateral upper and lower paratracheal and peribronchial and hilar localizations are observed in the mediastinum. Due to the lack of contrast material, beribronchial lymph nodes cannot be distinguished from vascular structures and healthy size measurement cannot be made. The shortest diameter was measured 15 mm, the largest of which was in the right lower paratracheal area. Pericardial effusion was not detected. The diameter of the pulmonary trunk increased by 34 mm, the diameter of the right main pulmonary artery 23, and the diameter of the left main pulmonary artery 22 mm. In lung parenchyma evaluation; Bronchial wall thickness increases are observed in segmental bronchi in both lungs. In the lower lobe, the diameters of the parenchymal branches of both pulmonary arteries are evident. It is recommended to be examined for pulmonary hypertension. Fissuritis is observed in the right major fissure. Subsegmental atelectasis area is observed in the left lung lingula inferior segment. There are subpleural density increases with subsegmentary atelectasis areas in the lower lobes of both lungs. It is nonspecific. Primarily, it was thought that they might belong to the atelectasis parenchyma. The area of nodular subpleural ground glass density in the left lung lower lobe laterobasal segment is the only focus that was considered suspicious in favor of infectious involvement. Although the finding was nonspecific, infection could not be ruled out. Clinical follow-up would be appropriate. Liver sizes are normal within the limits of non-enhanced CT. Its contours are smooth. Parenchyma density is homogeneous. No space-occupying lesion was detected in the parenchyma within the limits of non-contrast CT. Intra and extrahepatic bile ducts, gallbladder are normal. Choledoch calibration is natural. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Sliding type hiatal hernia is observed at the gastroesophageal junction. In the esophageal hiatus, a nonspecific lymph node with a short diameter of 6 mm is observed in the right paraesophageal hiatus. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. Contour, size, localization, parenchyma thickness, pelvicalyceal structures of both kidneys are normal. A 10 mm diameter cortical cyst was observed in the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The contour, capacity and wall thickness of the bladder are natural. Paravesical fat planes are preserved. The uterus is atrophic. No space-occupying lesion was detected in the adnexal lobes. Widespread atherosclerotic plaques and iliac vascular structures are observed in the abdominal aorta. No pathological increase in diameter and wall thickness was observed in the intestinal and colonic loops within the non-contrast CT limits. No lymph node in pathological size and appearance was observed in the portal hilus, paraaortic, paracaval localization, iliac chain and obturator chain. No omental or peritoneal space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: Lymph nodes reaching pathological dimensions in the mediastinum. Lymph nodes located in the hilar and peribronchial areas create external pressure in the bronchial lumens in the lung hilum and narrow their calibration. Subsegmentary atelectatic areas in the lower lobes of both lungs. The parenchyma area in the left lower lobe lower lobe laterobasal segment could not be characterized because of the subpleural ground glass density because it was in a single focus. It may belong to atelectasis parenchyma or early infectious involvement. Clinical follow-up would be appropriate.  Fissuritis in the right major fissure. An increase in heart size and an increase in biatrial diameter are evident.  Diffuse atherosclerotic plaques in the coronary arteries and aorta. Increased diameter of the pulmonary artery and its branches in favor of pulmonary hypertension.  Cortical cyst in the right kidney. Slight hiatal hernia of the sliding type."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_650/valid_650_a/valid_650_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The supraclavicular fossa is partially sectioned. No lymph node in pathological size and appearance was observed in the visible parts. No lymph node in pathological size and appearance was observed in both axillae. Thyroid gland is atrophic. Diffuse calcific atherosclerotic plaques are observed in the aortic arch and thoracic aorta. Heart sizes were significantly increased. Although there is an increase in diameter in all 4 compartments, the increase in biatrial diameter is more pronounced. More prominent diffuse calcified atherosclerotic plaques are observed in the coronary arteries, LAD and surcumflexes. Diffuse pathological mediastinal lymph nodes in paraaortic, prevascular, bilateral upper and lower paratracheal and peribronchial and hilar localizations are observed in the mediastinum. Due to the lack of contrast material, beribronchial lymph nodes cannot be distinguished from vascular structures and healthy size measurement cannot be made. The shortest diameter was measured 15 mm, the largest of which was in the right lower paratracheal area. Pericardial effusion was not detected. The diameter of the pulmonary trunk increased by 34 mm, the diameter of the right main pulmonary artery 23, and the diameter of the left main pulmonary artery 22 mm. In lung parenchyma evaluation; Bronchial wall thickness increases are observed in segmental bronchi in both lungs. In the lower lobe, the diameters of the parenchymal branches of both pulmonary arteries are evident. It is recommended to be examined for pulmonary hypertension. Fissuritis is observed in the right major fissure. Subsegmental atelectasis area is observed in the left lung lingula inferior segment. There are subpleural density increases with subsegmentary atelectasis areas in the lower lobes of both lungs. It is nonspecific. Primarily, it was thought that they might belong to the atelectasis parenchyma. The area of nodular subpleural ground glass density in the left lung lower lobe laterobasal segment is the only focus that was considered suspicious in favor of infectious involvement. Although the finding was nonspecific, infection could not be ruled out. Clinical follow-up would be appropriate. Liver sizes are normal within the limits of non-enhanced CT. Its contours are smooth. Parenchyma density is homogeneous. No space-occupying lesion was detected in the parenchyma within the limits of non-contrast CT. Intra and extrahepatic bile ducts, gallbladder are normal. Choledoch calibration is natural. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Sliding type hiatal hernia is observed at the gastroesophageal junction. In the esophageal hiatus, a nonspecific lymph node with a short diameter of 6 mm is observed in the right paraesophageal hiatus. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. Contour, size, localization, parenchyma thickness, pelvicalyceal structures of both kidneys are normal. A 10 mm diameter cortical cyst was observed in the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The contour, capacity and wall thickness of the bladder are natural. Paravesical fat planes are preserved. The uterus is atrophic. No space-occupying lesion was detected in the adnexal lobes. Widespread atherosclerotic plaques and iliac vascular structures are observed in the abdominal aorta. No pathological increase in diameter and wall thickness was observed in the intestinal and colonic loops within the non-contrast CT limits. No lymph node in pathological size and appearance was observed in the portal hilus, paraaortic, paracaval localization, iliac chain and obturator chain. No omental or peritoneal space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: Lymph nodes reaching pathological dimensions in the mediastinum. Lymph nodes located in the hilar and peribronchial areas create external pressure in the bronchial lumens in the lung hilum and narrow their calibration. Subsegmentary atelectatic areas in the lower lobes of both lungs. The parenchyma area in the left lower lobe lower lobe laterobasal segment could not be characterized because of the subpleural ground glass density because it was in a single focus. It may belong to atelectasis parenchyma or early infectious involvement. Clinical follow-up would be appropriate.  Fissuritis in the right major fissure. An increase in heart size and an increase in biatrial diameter are evident.  Diffuse atherosclerotic plaques in the coronary arteries and aorta. Increased diameter of the pulmonary artery and its branches in favor of pulmonary hypertension.  Cortical cyst in the right kidney. Slight hiatal hernia of the sliding type."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_650/valid_650_a/valid_650_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1542",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Millimetric sized calcified lymph nodes were observed in the right hilar region and paratracheal area. When examined in the lung parenchyma window; A calcified parenchymal nodule with a diameter of 5 mm was observed in the upper lobe of the right lung. Mild emphysematous changes were observed in both lungs. No mass-infiltration was detected in both lung parenchyma. Bilateral pleural effusion-thickening was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Right hilar calcified lymph nodes and calcified parenchymal nodule in the upper lobe of the right lung. No sign of pneumonia was detected. (Note: CT may be negative early in Covid-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_651/valid_651_a/valid_651_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1543",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a milimetric calcific lymph node at the hilar level on the right. When examined in the lung parenchyma window; A millimetric calcific nodule was observed in the upper lobe of the right lung. Right lung sub-millimetric nodules are present. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcified milimetric nodules in the upper lobe of the right lung, non-calcified in the lower lobe  Hilar calcific sequela lymph node on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_651/valid_651_b/valid_651_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1544",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a milimetric calcific lymph node at the hilar level on the right. When examined in the lung parenchyma window; A millimetric calcific nodule was observed in the upper lobe of the right lung. Right lung sub-millimetric nodules are present. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcified milimetric nodules in the upper lobe of the right lung, non-calcified in the lower lobe  Hilar calcific sequela lymph node on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_651/valid_651_b/valid_651_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1545",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. The esophagogastric junction is normal. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, and in the bilateral hilar region, oval-shaped lymph nodes with a short diameter of up to 5 mm were observed. There was no lymph node that reached pathological dimensions in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; Minimal fibroatelectatic changes were observed at the bases of both lungs. A calcified parenchymal nodule with a diameter of approximately 4.5 mm was observed in the posterior segment of the right lung upper lobe. No nodular or infiltrative lesion was detected in the left lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcified parenchymal nodule in the posterior segment of the right lung upper lobe . Lymph nodes that do not reach mediastinal pathological size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_652/valid_652_a/valid_652_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1546",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. The esophagogastric junction is normal. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, and in the bilateral hilar region, oval-shaped lymph nodes with a short diameter of up to 5 mm were observed. There was no lymph node that reached pathological dimensions in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; Minimal fibroatelectatic changes were observed at the bases of both lungs. A calcified parenchymal nodule with a diameter of approximately 4.5 mm was observed in the posterior segment of the right lung upper lobe. No nodular or infiltrative lesion was detected in the left lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcified parenchymal nodule in the posterior segment of the right lung upper lobe . Lymph nodes that do not reach mediastinal pathological size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_652/valid_652_a/valid_652_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: KTO is in normal calibration. The aortic arch calibration is 32 mm wider than normal. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A millimetric hypodense nodule is observed in the inferior part of the left lobe of the thyroid gland. If necessary, US examination is recommended. Trachea, both main bronchi are open. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level of the left lung. Density reductions consistent with mild emphysema are observed. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a decrease in density consistent with mild steatosis in the liver is observed. Wall calcification is observed in the gallbladder, and the intralumenal density is increased and heterogeneous. Although it cannot be evaluated clearly because it is partially included in the image, density increments compatible with micro-calculus are observed in the lumen at the level considered to be compatible with the choledoch-cystic duct. But around the pouch, the oily planes are clean. Pericholecystic fluid was not detected. Significant finding in favor of cholecystic was not detected in the present examination. It is recommended to evaluate the porcelain gallbladder together with USG. In the posterior of the right scapula, a hypodense lesion compatible with an intramuscular lipoma is observed within the muscle structures of approximately 55x29 mm. Degenerative changes are observed in the bone structure entering the examination area. There are findings compatible with DISH. Impression:  Mild emphysematous changes  Porcelain pouch?  Significant increase in density consistent with bile sludge in the lumen of the bladder.  Possible choledocholithiasis appearance in the choledoch-cystic duct. It is recommended to evaluate the case together with sonography.  Mild hiatal hernia  Degenerative changes in bone structure, findings consistent with DISH"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_653/valid_653_a/valid_653_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1548",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: KTO is in normal calibration. The aortic arch calibration is 32 mm wider than normal. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A millimetric hypodense nodule is observed in the inferior part of the left lobe of the thyroid gland. If necessary, US examination is recommended. Trachea, both main bronchi are open. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level of the left lung. Density reductions consistent with mild emphysema are observed. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a decrease in density consistent with mild steatosis in the liver is observed. Wall calcification is observed in the gallbladder, and the intralumenal density is increased and heterogeneous. Although it cannot be evaluated clearly because it is partially included in the image, density increments compatible with micro-calculus are observed in the lumen at the level considered to be compatible with the choledoch-cystic duct. But around the pouch, the oily planes are clean. Pericholecystic fluid was not detected. Significant finding in favor of cholecystic was not detected in the present examination. It is recommended to evaluate the porcelain gallbladder together with USG. In the posterior of the right scapula, a hypodense lesion compatible with an intramuscular lipoma is observed within the muscle structures of approximately 55x29 mm. Degenerative changes are observed in the bone structure entering the examination area. There are findings compatible with DISH. Impression:  Mild emphysematous changes  Porcelain pouch?  Significant increase in density consistent with bile sludge in the lumen of the bladder.  Possible choledocholithiasis appearance in the choledoch-cystic duct. It is recommended to evaluate the case together with sonography.  Mild hiatal hernia  Degenerative changes in bone structure, findings consistent with DISH"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_653/valid_653_a/valid_653_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1549",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in both lungs, being more prominent in the peripheral areas. Ground glass areas are accompanied by linear density increases in places. The findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In liver parenchyma density, there is a decrease in density compatible with moderate to severe adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_654/valid_654_a/valid_654_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1550",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in both lungs, being more prominent in the peripheral areas. Ground glass areas are accompanied by linear density increases in places. The findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In liver parenchyma density, there is a decrease in density compatible with moderate to severe adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_654/valid_654_a/valid_654_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. In the anterior mediastinum, thymic tissue is observed in the trigonal configuration, in which hypodense areas compatible with fatty involution are observed and do not give the configuration. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. A ground-glass nodule with a diameter of approximately 3. At other levels, no significant nodule formation in both lungs, pleural thickening-pneumothorax or pleural effusion was detected. In the sections passing through the upper abdomen entering the examination area, nodular density is observed in the anterior of the spleen, which is considered to be compatible with the accessory spleen with a diameter of approximately 12 mm. Right-facing scoliosis is present at the dorso- lumbar level. Impression:   A ground-glass nodule with a diameter of approximately 3.5 mm is observed in the right lung lower lobe superior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_655/valid_655_a/valid_655_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1552",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. In the anterior mediastinum, thymic tissue is observed in the trigonal configuration, in which hypodense areas compatible with fatty involution are observed and do not give the configuration. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. A ground-glass nodule with a diameter of approximately 3. At other levels, no significant nodule formation in both lungs, pleural thickening-pneumothorax or pleural effusion was detected. In the sections passing through the upper abdomen entering the examination area, nodular density is observed in the anterior of the spleen, which is considered to be compatible with the accessory spleen with a diameter of approximately 12 mm. Right-facing scoliosis is present at the dorso- lumbar level. Impression:   A ground-glass nodule with a diameter of approximately 3.5 mm is observed in the right lung lower lobe superior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_655/valid_655_a/valid_655_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal, there is no mass or infiltrative lesion in both lungs. There is one millimetric nodule in the right lung. Mediastinal structures cannot be evaluated optimally because no contrast material is given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. No pleural effusion was observed. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Periosteal reaction was not observed. Impression: Minimal pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_655/valid_655_b/valid_655_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal, there is no mass or infiltrative lesion in both lungs. There is one millimetric nodule in the right lung. Mediastinal structures cannot be evaluated optimally because no contrast material is given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. No pleural effusion was observed. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Periosteal reaction was not observed. Impression: Minimal pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_655/valid_655_b/valid_655_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1555",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a small hiatal hernia. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Atelectasis changes are observed in the lower lobes of both lungs, causing shrinkage in the pleura extending to the posterior and pleura, with minimal ground glass densities around it, and an increase in paracardiac density in the right upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Imaging features can be seen in Covid-19 pneumonia. Clinical laboratory correlation is recommended for differential diagnosis.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_656/valid_656_a/valid_656_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a small hiatal hernia. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Atelectasis changes are observed in the lower lobes of both lungs, causing shrinkage in the pleura extending to the posterior and pleura, with minimal ground glass densities around it, and an increase in paracardiac density in the right upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Imaging features can be seen in Covid-19 pneumonia. Clinical laboratory correlation is recommended for differential diagnosis.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_656/valid_656_a/valid_656_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1557",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Millimetric nonspecific nodules are observed in the anterior segment of the upper lobe of the right lung and the anteromedial segments of the lower lobe of the right lung. Impression: Millimetric nonspecific nodules are observed in the anterior segment of the upper lobe of the right lung and the anteromedial segments of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_657/valid_657_a/valid_657_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1558",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Millimetric nonspecific nodules are observed in the anterior segment of the upper lobe of the right lung and the anteromedial segments of the lower lobe of the right lung. Impression: Millimetric nonspecific nodules are observed in the anterior segment of the upper lobe of the right lung and the anteromedial segments of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_657/valid_657_a/valid_657_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1559",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Minimal pericardial effusion was observed. Measured 18mm deep at its deepest point. No pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, as far as can be seen, no lymph node in pathological size and appearance is observed in both hilar regions, bilateral supraclavicular fossae and both axillary regions. When examined in the lung parenchyma window; Diffuse mild ectasia was observed in the bronchial structures in both lung parenchyma, which became prominent in the center. There are sequela parenchymal changes at the apex of both lungs. No active infiltration or mass lesion was detected in both lungs. There are millimetric nodules in both lungs, the largest of which is 6x3 mm in size with a pleural base in the lateral segment of the right lung middle lobe. It is recommended to evaluate or follow-up with old-dated CT examinations, if any. Ventilation of both lungs is natural. Uniform thickness increases in interlobular septa in both lungs, and uniform interlobular septal thickness increases in both lungs were observed. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  Pericardial effusion.  Diffuse mild ectasia in the bronchial structures of both lungs, evident centrally.  Uniform interlobular septal thickness increases in both lungs.  Millimeter sized nodules in both lungs; If there is, it is recommended to evaluate or follow up with old-dated CT examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_658/valid_658_a/valid_658_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Minimal pericardial effusion was observed. Measured 18mm deep at its deepest point. No pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, as far as can be seen, no lymph node in pathological size and appearance is observed in both hilar regions, bilateral supraclavicular fossae and both axillary regions. When examined in the lung parenchyma window; Diffuse mild ectasia was observed in the bronchial structures in both lung parenchyma, which became prominent in the center. There are sequela parenchymal changes at the apex of both lungs. No active infiltration or mass lesion was detected in both lungs. There are millimetric nodules in both lungs, the largest of which is 6x3 mm in size with a pleural base in the lateral segment of the right lung middle lobe. It is recommended to evaluate or follow-up with old-dated CT examinations, if any. Ventilation of both lungs is natural. Uniform thickness increases in interlobular septa in both lungs, and uniform interlobular septal thickness increases in both lungs were observed. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  Pericardial effusion.  Diffuse mild ectasia in the bronchial structures of both lungs, evident centrally.  Uniform interlobular septal thickness increases in both lungs.  Millimeter sized nodules in both lungs; If there is, it is recommended to evaluate or follow up with old-dated CT examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_658/valid_658_a/valid_658_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1561",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. The ascending aorta measures 42 mm. It is wider than normal. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Nodular ground glass densities with halo sign are observed in both lungs. The findings were primarily evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Degenerative changes are observed in bone structures. Impression: Findings consistent with Covid-19 viral pneumonia. Slight enlargement of the ascending aorta.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_659/valid_659_a/valid_659_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1562",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There are calcified atheromatous plaques on the walls of the coronary vascular structures. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Active infiltration is not observed in both lungs. There is a 37 mm long axis mass in the axial sections adjacent to the hilar area in the upper lobe of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding in favor of pneumonic infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_660/valid_660_a/valid_660_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1563",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There are calcified atheromatous plaques on the walls of the coronary vascular structures. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Active infiltration is not observed in both lungs. There is a 37 mm long axis mass in the axial sections adjacent to the hilar area in the upper lobe of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding in favor of pneumonic infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_660/valid_660_a/valid_660_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1564",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are diffuse emphysematous changes in both lungs. Millimetric nonspecific nodules, some of which are calcific, were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Diffuse emphysematous changes in both lungs . Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_661/valid_661_a/valid_661_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1565",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are diffuse emphysematous changes in both lungs. Millimetric nonspecific nodules, some of which are calcific, were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Diffuse emphysematous changes in both lungs . Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_661/valid_661_a/valid_661_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1566",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Heart size increased. Pericardial thickening-effusion was not detected. Diffuse fusiform dilatation was observed in the thoracic aorta. Thoracic aorta calibration was normal and no significant pathological wall thickness increase was detected. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, there is a stable lymph node with a short axis measuring 12 mm in the right upper paratracheal area. When evaluated in the lung parenchyma window; A mass lesion with irregular borders measuring 64 mm in long axis was observed in the apical region of the upper lobe of the right lung. There was no significant change in the size and appearance of the described mass lesion. Emphysematous changes were observed in both lungs. Atelectatic changes were observed in both lungs. According to the previous examination, several millimetric parenchymal nodules, some of which were stable, were observed in both lungs. Bilateral adrenal gland calibration is normal. No lytic-destructive lesion was detected in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. Impression:  Stable mass lesion in the upper lobe of the right lung, adjacent parenchymal nodules evaluated in favor of multiple metastases, with no significant change in size and number.  Pleural effusion showing increased size on the right.  Cardiomegaly, atherosclerotic changes.  Mediastinal stable lymph nodes.  Emphysematous changes, atelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_662/valid_662_a/valid_662_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1567",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Heart size increased. Pericardial thickening-effusion was not detected. Diffuse fusiform dilatation was observed in the thoracic aorta. Thoracic aorta calibration was normal and no significant pathological wall thickness increase was detected. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, there is a stable lymph node with a short axis measuring 12 mm in the right upper paratracheal area. When evaluated in the lung parenchyma window; A mass lesion with irregular borders measuring 64 mm in long axis was observed in the apical region of the upper lobe of the right lung. There was no significant change in the size and appearance of the described mass lesion. Emphysematous changes were observed in both lungs. Atelectatic changes were observed in both lungs. According to the previous examination, several millimetric parenchymal nodules, some of which were stable, were observed in both lungs. Bilateral adrenal gland calibration is normal. No lytic-destructive lesion was detected in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. Impression:  Stable mass lesion in the upper lobe of the right lung, adjacent parenchymal nodules evaluated in favor of multiple metastases, with no significant change in size and number.  Pleural effusion showing increased size on the right.  Cardiomegaly, atherosclerotic changes.  Mediastinal stable lymph nodes.  Emphysematous changes, atelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_662/valid_662_a/valid_662_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1568",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Respiratory artifacts are observed. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Widespread, patchy, predominantly peripheral consolidation foci are observed in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. There are degenerative changes in bone structures. Impression: Viral pneumonia? Views include classic findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_663/valid_663_a/valid_663_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1569",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Respiratory artifacts are observed. Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Widespread, patchy, predominantly peripheral consolidation foci are observed in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. There are degenerative changes in bone structures. Impression: Viral pneumonia? Views include classic findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_663/valid_663_a/valid_663_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the mediastinum in pathological size and appearance. Bilateral peribronchial hilar localized nonspecific millimetric lymph nodes are observed. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Central and peripheral ground-glass nodules are observed in both lungs, which become prominent towards the basals. Occasionally, septal thickness increases are accompanied. Radiological findings were evaluated as compatible with Covid pneumonia. no consolidation area was detected. No space-occupying lesion was detected in the mediastinal fat pad. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Findings compatible with Covid pneumonia  Mediastinal reactive lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_664/valid_664_a/valid_664_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1571",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the mediastinum in pathological size and appearance. Bilateral peribronchial hilar localized nonspecific millimetric lymph nodes are observed. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Central and peripheral ground-glass nodules are observed in both lungs, which become prominent towards the basals. Occasionally, septal thickness increases are accompanied. Radiological findings were evaluated as compatible with Covid pneumonia. no consolidation area was detected. No space-occupying lesion was detected in the mediastinal fat pad. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Findings compatible with Covid pneumonia  Mediastinal reactive lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_664/valid_664_a/valid_664_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1572",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Millimetric sized calcific atheroma is observed at the level of the aortic arch. Other mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Mild sequelae changes are observed at the apical level in the right lung. Focal ground-glass-like density increase is observed in the right lung lower lobe superior segment. The appearance is nonspecific (Se:3 Im:162/343). A superposed 2 mm diameter nodule is observed on the left interlobar fissure. There was no finding in favor of pneumonia. No pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the level of the left axilla, 1-2 lymph nodes are observed, some of which have partially calcified, the largest of which is 12x7 mm in size. Minimal degenerative changes are observed in the bone structure. Impression:  No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_665/valid_665_a/valid_665_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1573",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Millimetric sized calcific atheroma is observed at the level of the aortic arch. Other mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Mild sequelae changes are observed at the apical level in the right lung. Focal ground-glass-like density increase is observed in the right lung lower lobe superior segment. The appearance is nonspecific (Se:3 Im:162/343). A superposed 2 mm diameter nodule is observed on the left interlobar fissure. There was no finding in favor of pneumonia. No pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the level of the left axilla, 1-2 lymph nodes are observed, some of which have partially calcified, the largest of which is 12x7 mm in size. Minimal degenerative changes are observed in the bone structure. Impression:  No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_665/valid_665_a/valid_665_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. However, no obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, in the bilateral hilar region, some calcified lymph nodes with a short diameter of 7 mm were observed. There was no lymph node that reached pathological size in the bilateral axillary region. When examined in the lung parenchyma window; Minimal ground glass appearance accompanied by fibroatelectatic changes was observed in the posterior segment of the right lung upper lobe (infective?). Clinical correlation and control are recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Minimal ground glass appearance (infective?) accompanying fibroatelectatic changes in the right lung upper lobe posterior segment. Correlation with clinical and post-treatment control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_666/valid_666_a/valid_666_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1575",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. However, no obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, in the bilateral hilar region, some calcified lymph nodes with a short diameter of 7 mm were observed. There was no lymph node that reached pathological size in the bilateral axillary region. When examined in the lung parenchyma window; Minimal ground glass appearance accompanied by fibroatelectatic changes was observed in the posterior segment of the right lung upper lobe (infective?). Clinical correlation and control are recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Minimal ground glass appearance (infective?) accompanying fibroatelectatic changes in the right lung upper lobe posterior segment. Correlation with clinical and post-treatment control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_666/valid_666_a/valid_666_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground glass areas and consolidations were observed in both lungs. The described manifestations were evaluated in favor of Covid-19 pneumonia. There are minimal emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are millimetric atheromatous plaques in the left anterior descending coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_667/valid_667_a/valid_667_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and centrally located ground glass areas and consolidations were observed in both lungs. The described manifestations were evaluated in favor of Covid-19 pneumonia. There are minimal emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are millimetric atheromatous plaques in the left anterior descending coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_667/valid_667_a/valid_667_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Widespread consolidations and areas of ground glass accompanying consolidations are observed in both lungs. There is minimal pleural effusion on the left. No pleural effusion or pericardial effusion was detected on the right. There is dilatation of the right renal collecting system and right renal pelvis. No dilatation was detected in the ureter within the sections. Further examination of the patient is recommended for a possible obstructive pathology. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_667/valid_667_b/valid_667_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1579",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Widespread consolidations and areas of ground glass accompanying consolidations are observed in both lungs. There is minimal pleural effusion on the left. No pleural effusion or pericardial effusion was detected on the right. There is dilatation of the right renal collecting system and right renal pelvis. No dilatation was detected in the ureter within the sections. Further examination of the patient is recommended for a possible obstructive pathology. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_667/valid_667_b/valid_667_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1580",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in LAD. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal emphysematous changes were observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Mild scoliosis with left opening was observed at the thoracic level. Impression:  Calcific atheroma plaques in LAD.  Emphysematous-sequelae changes in both lungs.  Hepatosteatosis.  Degenerative changes in bone structure, left-facing scoliosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_667/valid_667_c/valid_667_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in LAD. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal emphysematous changes were observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Mild scoliosis with left opening was observed at the thoracic level. Impression:  Calcific atheroma plaques in LAD.  Emphysematous-sequelae changes in both lungs.  Hepatosteatosis.  Degenerative changes in bone structure, left-facing scoliosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_667/valid_667_c/valid_667_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1582",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal peribronchial thickening was observed in both lungs. Peripheral and centrally located ground-glass appearances are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The appearance and distribution of the described lesions are non-specific. However, when evaluated together with the patient's clinical information, it was thought that the appearance described during the pandemic process was Covid-19 pneumonia. Minimal emphysematous changes are observed in both lungs. No mass was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. In the bone structures within the sections, low density compatible with osteopenia is observed. Height loss is observed in the L1 vertebral corpus. The height loss is around 50% in the central section. Impression:  Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_668/valid_668_a/valid_668_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1583",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal peribronchial thickening was observed in both lungs. Peripheral and centrally located ground-glass appearances are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The appearance and distribution of the described lesions are non-specific. However, when evaluated together with the patient's clinical information, it was thought that the appearance described during the pandemic process was Covid-19 pneumonia. Minimal emphysematous changes are observed in both lungs. No mass was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. In the bone structures within the sections, low density compatible with osteopenia is observed. Height loss is observed in the L1 vertebral corpus. The height loss is around 50% in the central section. Impression:  Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_668/valid_668_a/valid_668_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1584",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; The borders of ground glass densities consistent with viral pneumonia in both lungs were slightly erased. It is seen that minimal atelectasis develops in the lower lobes. No newly developed significant infiltration was detected. Apart from this, no significant difference was found between the examinations. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_668/valid_668_b/valid_668_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1585",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; The borders of ground glass densities consistent with viral pneumonia in both lungs were slightly erased. It is seen that minimal atelectasis develops in the lower lobes. No newly developed significant infiltration was detected. Apart from this, no significant difference was found between the examinations. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_668/valid_668_b/valid_668_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1586",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Mediastinal vascular structures and cardiac examination are not optimally evaluated due to the lack of contract, and the calibrations of the vascular structures are natural. Pericardial pleural effusion-thickening was not observed. No pathological increase in wall thickness is observed in the thoracic esophagus. There is no lymph node in the mediastinum in pathological size and appearance. In addition, no lymph nodes in pathological size and appearance were observed in the bilateral axillary region and at the supraclavicular level. When examined in the lung parenchyma window; 2 parenchymal nodules measuring 4 mm in size in the superior segment of the left lung lower lobe and 4.5 mm in size in the anterior segment of the right lung upper lobe are observed. No active infiltration or mass lesion was detected in both lung parenchyma. Centriacinar emphysematous changes are observed in both lung apexes. In addition, there are sequelae fibrotic structures in both lung apexes. No pathology is observed in the upper abdomen sections within the image. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures within the image. Impression: Sequelae fibrotic bands in both lung apexes, mild centriacinar emphysematous changes . A few millimetric parenchymal nodules in left lower lobe superior and right upper lobe of lung; There was no finding in favor of pneumonic infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_669/valid_669_a/valid_669_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1587",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Mediastinal vascular structures and cardiac examination are not optimally evaluated due to the lack of contract, and the calibrations of the vascular structures are natural. Pericardial pleural effusion-thickening was not observed. No pathological increase in wall thickness is observed in the thoracic esophagus. There is no lymph node in the mediastinum in pathological size and appearance. In addition, no lymph nodes in pathological size and appearance were observed in the bilateral axillary region and at the supraclavicular level. When examined in the lung parenchyma window; 2 parenchymal nodules measuring 4 mm in size in the superior segment of the left lung lower lobe and 4.5 mm in size in the anterior segment of the right lung upper lobe are observed. No active infiltration or mass lesion was detected in both lung parenchyma. Centriacinar emphysematous changes are observed in both lung apexes. In addition, there are sequelae fibrotic structures in both lung apexes. No pathology is observed in the upper abdomen sections within the image. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures within the image. Impression: Sequelae fibrotic bands in both lung apexes, mild centriacinar emphysematous changes . A few millimetric parenchymal nodules in left lower lobe superior and right upper lobe of lung; There was no finding in favor of pneumonic infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_669/valid_669_a/valid_669_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1588",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_670/valid_670_a/valid_670_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1589",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_670/valid_670_a/valid_670_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1590",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration lymph nodes were detected at both hilar levels. Mild hiatal hernia appearance is observed in the distal esophagus. In the evaluation of both lungs in the parenchyma window; The calibrations of the trachea and main bronchi are normal and their lumens are clear. Mild pleuroparenchymal sequelae changes are observed at the apical level of the left lung. Mild bronchiectatic changes, more prominent at the basal level in the lower lobe of the right lung, thickening of the peribronchovascular sheath and parenchymal band appearances are present. At this level, bud branch landscapes, which are considered compatible with pneumonic infiltration, are observed in the surrounding parenchyma. In the case with liver Tx operation; Density increases are observed in the operation demarcation line. In the upper abdominal organs, including sections; Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. Impression: Mild bronchiectatic changes in the lower lobe of the right lung and a branch with bud view compatible with pneumonic infiltration around it"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_671/valid_671_a/valid_671_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1591",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration lymph nodes were detected at both hilar levels. Mild hiatal hernia appearance is observed in the distal esophagus. In the evaluation of both lungs in the parenchyma window; The calibrations of the trachea and main bronchi are normal and their lumens are clear. Mild pleuroparenchymal sequelae changes are observed at the apical level of the left lung. Mild bronchiectatic changes, more prominent at the basal level in the lower lobe of the right lung, thickening of the peribronchovascular sheath and parenchymal band appearances are present. At this level, bud branch landscapes, which are considered compatible with pneumonic infiltration, are observed in the surrounding parenchyma. In the case with liver Tx operation; Density increases are observed in the operation demarcation line. In the upper abdominal organs, including sections; Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. Impression: Mild bronchiectatic changes in the lower lobe of the right lung and a branch with bud view compatible with pneumonic infiltration around it"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_671/valid_671_a/valid_671_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is observed in normal calibration. In both lungs, ground glass density and slight septal thickness increases in the upper lobes, ground glass densities in the lower lobes, as well as linear pleuroparenchymal linear density increases of the atelectatic parenchyma are observed. Radiological findings are consistent with covid infection with lung parenchyma involvement. In areas of active infectious involvement and in basals, findings of parenchyma areas are observed together during the healing period. No lytic-destructive lesions were detected in bone structures. Impression:  Findings consistent with parenchymal involvement of Covid infection in the lung parenchyma. Findings of parenchyma areas are observed during active infection and recovery period."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_672/valid_672_a/valid_672_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1593",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is observed in normal calibration. In both lungs, ground glass density and slight septal thickness increases in the upper lobes, ground glass densities in the lower lobes, as well as linear pleuroparenchymal linear density increases of the atelectatic parenchyma are observed. Radiological findings are consistent with covid infection with lung parenchyma involvement. In areas of active infectious involvement and in basals, findings of parenchyma areas are observed together during the healing period. No lytic-destructive lesions were detected in bone structures. Impression:  Findings consistent with parenchymal involvement of Covid infection in the lung parenchyma. Findings of parenchyma areas are observed during active infection and recovery period."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_672/valid_672_a/valid_672_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1594",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and calibration of the vascular structures is natural as far as can be observed. An increase in heart size was observed. Calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. Sliding type hiatal hernia was observed at the lower end. Lymph nodes were observed in the mediastinum, the largest of which was at the aorticopulmonary window and subcarinal level, with short diameters of 10 mm and 9 mm, respectively, without pathological size and appearance. There are no lymph nodes in pathological size and appearance in both axillary regions and in the supraclavicular fossa. When examined in the lung parenchyma window; There are areas of increase in density consistent with subsegmental atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. A nonspecific nodule measuring approximately 5.5 mm in diameter was observed in the anterobasal segment of the left lung lower lobe. No active infiltrative or mass lesion was observed in both lungs. There is a mosaic attenuation pattern (small airway disease?, small vessel disease?). No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes. Impression:  No active infiltrative or mass lesion was observed in both lungs.  Density increase areas compatible with sequelae atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment, millimetric nonspecific nodules in the left lung lower lobe anterobasal segment, and a mosaic attenuation pattern in both lungs were observed.  There are calcified atheroma plaques on the walls of the thoracic aorta, coronary vascular structures, and an increase in heart size.  Degenerative changes were observed in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_673/valid_673_a/valid_673_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1595",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and calibration of the vascular structures is natural as far as can be observed. An increase in heart size was observed. Calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. Sliding type hiatal hernia was observed at the lower end. Lymph nodes were observed in the mediastinum, the largest of which was at the aorticopulmonary window and subcarinal level, with short diameters of 10 mm and 9 mm, respectively, without pathological size and appearance. There are no lymph nodes in pathological size and appearance in both axillary regions and in the supraclavicular fossa. When examined in the lung parenchyma window; There are areas of increase in density consistent with subsegmental atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. A nonspecific nodule measuring approximately 5.5 mm in diameter was observed in the anterobasal segment of the left lung lower lobe. No active infiltrative or mass lesion was observed in both lungs. There is a mosaic attenuation pattern (small airway disease?, small vessel disease?). No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes. Impression:  No active infiltrative or mass lesion was observed in both lungs.  Density increase areas compatible with sequelae atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment, millimetric nonspecific nodules in the left lung lower lobe anterobasal segment, and a mosaic attenuation pattern in both lungs were observed.  There are calcified atheroma plaques on the walls of the thoracic aorta, coronary vascular structures, and an increase in heart size.  Degenerative changes were observed in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_673/valid_673_a/valid_673_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1596",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. In both lung lower lobes, there are peripheral and centrally located ground glass areas and enlarged vascular structures within the ground glass areas. The findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_674/valid_674_a/valid_674_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1597",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. In both lung lower lobes, there are peripheral and centrally located ground glass areas and enlarged vascular structures within the ground glass areas. The findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_674/valid_674_a/valid_674_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1598",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A port placed on the anterior chest wall on the right and a pacemaker are observed on the anterior chest wall on the left. Trachea, both main bronchi are open. The heart is noticeably larger than normal. Pericardial effusion reaching a diameter of 12 mm is observed. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are effusions in the form of smearing in the bilateral hemithorax, thickening of the bronchial wall in the central, subpleural reticular density increases and minimal consolidations in the lower lobes of both lungs. Within the sections, perihepatic minimal fluid and cholecystectomy are observed on the right. There are osteodegenerative changes in the vertebrae. Impression: Cardiomegaly and pacemaker. Pericardial effusion, minimal pleural effusion. Changes of heart failure in both lungs. Perihepatic minimal fluid and cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_675/valid_675_a/valid_675_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1599",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A port placed on the anterior chest wall on the right and a pacemaker are observed on the anterior chest wall on the left. Trachea, both main bronchi are open. The heart is noticeably larger than normal. Pericardial effusion reaching a diameter of 12 mm is observed. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are effusions in the form of smearing in the bilateral hemithorax, thickening of the bronchial wall in the central, subpleural reticular density increases and minimal consolidations in the lower lobes of both lungs. Within the sections, perihepatic minimal fluid and cholecystectomy are observed on the right. There are osteodegenerative changes in the vertebrae. Impression: Cardiomegaly and pacemaker. Pericardial effusion, minimal pleural effusion. Changes of heart failure in both lungs. Perihepatic minimal fluid and cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_675/valid_675_a/valid_675_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. There is an effusion measuring 14 mm in the widest part of the pericardium. On the left chest wall, there is an electrode that looks like a pacemaker and extends to the floor of the ventricle. Port chamber and catheter image extending to the superior vena cava were observed on the right anterior chest wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: There is mild regression in the peripheral-subpleural area of both lungs in the consolidation areas observed in the previous examination. Emphysematous changes were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion measuring 35 mm in thickness on the right and 34 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. The liver contours are irregular in the upper abdominal sections in the examination area. At the level of segment 6 of the right lobe of the liver, subcapsular hypodense areas with a diameter of 23 mm and 15 mm with irregular borders were observed. When the examination is without contrast, it cannot be characterized. There are suture materials secondary to the operation in the gallbladder lodge. No lytic-destructive lesion was detected in bone structures. Impression:  Cardiomegaly,pericardial effusion, bilateral pleural effusion.  Atelectatic changes in both lungs, areas of consolidation in both lungs regressing from previous examination.  Free fluid in the abdomen.  Hypodense lesions in the liver; cannot be characterized in this examination.  Emphysematous changes in both lungs.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_675/valid_675_b/valid_675_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. There is an effusion measuring 14 mm in the widest part of the pericardium. On the left chest wall, there is an electrode that looks like a pacemaker and extends to the floor of the ventricle. Port chamber and catheter image extending to the superior vena cava were observed on the right anterior chest wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: There is mild regression in the peripheral-subpleural area of both lungs in the consolidation areas observed in the previous examination. Emphysematous changes were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion measuring 35 mm in thickness on the right and 34 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. The liver contours are irregular in the upper abdominal sections in the examination area. At the level of segment 6 of the right lobe of the liver, subcapsular hypodense areas with a diameter of 23 mm and 15 mm with irregular borders were observed. When the examination is without contrast, it cannot be characterized. There are suture materials secondary to the operation in the gallbladder lodge. No lytic-destructive lesion was detected in bone structures. Impression:  Cardiomegaly,pericardial effusion, bilateral pleural effusion.  Atelectatic changes in both lungs, areas of consolidation in both lungs regressing from previous examination.  Free fluid in the abdomen.  Hypodense lesions in the liver; cannot be characterized in this examination.  Emphysematous changes in both lungs.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_675/valid_675_b/valid_675_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1602",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. There is an effusion measuring 14 mm in the widest part of the pericardium. On the left chest wall, there is an electrode that looks like a pacemaker and extends to the floor of the ventricle. Port chamber and catheter image extending to the superior vena cava were observed on the right anterior chest wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: There is mild regression in the peripheral-subpleural area of both lungs in the consolidation areas observed in the previous examination. Emphysematous changes were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion with a thickness of 59 mm on the right and 49 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. The liver contours are irregular in the upper abdominal sections in the examination area. At the level of segment 6 of the right lobe of the liver, subcapsular hypodense areas with a diameter of 23 mm and 15 mm with irregular borders were observed. When the examination is without contrast, it cannot be characterized. There are suture materials secondary to the operation in the gallbladder lodge. No lytic-destructive lesion was detected in bone structures. Impression:  Cardiomegaly, pericardial effusion and increasing bilateral pleural effusion.  Atelectasis changes and slight consolidated density increases in both lungs that are not significantly different.  Hypodense lesions in the liver; It cannot be characterized in this examination. Suspicious peritoneal carcinomatosis in the inferior of the liver.  Emphysematous changes in both lungs.  Sequelae changes in both lungs.  No significant difference was found in the findings described above."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_675/valid_675_c/valid_675_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. There is an effusion measuring 14 mm in the widest part of the pericardium. On the left chest wall, there is an electrode that looks like a pacemaker and extends to the floor of the ventricle. Port chamber and catheter image extending to the superior vena cava were observed on the right anterior chest wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: There is mild regression in the peripheral-subpleural area of both lungs in the consolidation areas observed in the previous examination. Emphysematous changes were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion with a thickness of 59 mm on the right and 49 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. The liver contours are irregular in the upper abdominal sections in the examination area. At the level of segment 6 of the right lobe of the liver, subcapsular hypodense areas with a diameter of 23 mm and 15 mm with irregular borders were observed. When the examination is without contrast, it cannot be characterized. There are suture materials secondary to the operation in the gallbladder lodge. No lytic-destructive lesion was detected in bone structures. Impression:  Cardiomegaly, pericardial effusion and increasing bilateral pleural effusion.  Atelectasis changes and slight consolidated density increases in both lungs that are not significantly different.  Hypodense lesions in the liver; It cannot be characterized in this examination. Suspicious peritoneal carcinomatosis in the inferior of the liver.  Emphysematous changes in both lungs.  Sequelae changes in both lungs.  No significant difference was found in the findings described above."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_675/valid_675_c/valid_675_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1604",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions, and in the bilateral supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. In both lungs, there are nodules in millimetric sizes, with the largest pleural-based approximately 5x4.5 mm in the lower lobe posterobasal segment on the left and approximately 7x3 mm in size on the right lower lobe posterobasal segment. If available, it is recommended to evaluate or follow-up the patient with an old CT examination. There are minimal emphysematous changes in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Millimetric nodular lesions were observed in both lungs. It is recommended to evaluate or follow-up with an old-dated CT examination, if any.  Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_676/valid_676_a/valid_676_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions, and in the bilateral supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. In both lungs, there are nodules in millimetric sizes, with the largest pleural-based approximately 5x4.5 mm in the lower lobe posterobasal segment on the left and approximately 7x3 mm in size on the right lower lobe posterobasal segment. If available, it is recommended to evaluate or follow-up the patient with an old CT examination. There are minimal emphysematous changes in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  Millimetric nodular lesions were observed in both lungs. It is recommended to evaluate or follow-up with an old-dated CT examination, if any.  Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_676/valid_676_a/valid_676_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1606",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The air passages of the trachea, both main and segmental bronchi are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Cardiac pacemarker catheter is monitored. Its distal end terminates in the right ventricle. Left ventricular diameter slightly increased. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. No space-occupying lesion was observed in the mediastinal fat pad. When the lung parenchyma window is examined; In the right lung hilum, fullness is observed in the right main bronchus anterior, which cannot be distinguished from the pulmonary vascular structures due to the lack of contrast material. Contrast-enhanced examination would be appropriate to rule out the possible presence of a space-occupying lesion in this localization (series 2, ima 140). Lumenal secretions are observed within the lumens of the right lung lower lobe segment bronchi distal to the hilar fullness. It was thought that it may have developed secondary to the fullness in the hilus. Contrast-enhanced examination of the patient will be appropriate. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. In the posterior segment of the upper lobe of the right lung, a soft tissue area of fat density is observed between the pleura leaves. Pleuroparenchymal sequelae density increases are observed in both upper lobe apical segments of both lungs. Linear atelectasis areas are observed in the right lung middle lobe and lower lobe basal segments. Several non-specific millimetric nodules are observed in the lung parenchyma. The longest diameter was measured 5 mm in the minor fissure, the largest of which was in the upper lobe of the right lung. These nodules are non-specific. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Pacemaker catheter.  Fullness in the right lung hilum; The presence of a space-occupying lesion in this localization could not be ruled out due to lack of contrast agent, and luminal secretion accumulation in the lower lobe anterobasal segment bronchi is accompanied. Contrast-enhanced examination is recommended.  Sequela parenchymal changes and linear atelectasis in both lungs.  Millimetric non-specific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_677/valid_677_a/valid_677_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1607",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The air passages of the trachea, both main and segmental bronchi are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Cardiac pacemarker catheter is monitored. Its distal end terminates in the right ventricle. Left ventricular diameter slightly increased. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. No space-occupying lesion was observed in the mediastinal fat pad. When the lung parenchyma window is examined; In the right lung hilum, fullness is observed in the right main bronchus anterior, which cannot be distinguished from the pulmonary vascular structures due to the lack of contrast material. Contrast-enhanced examination would be appropriate to rule out the possible presence of a space-occupying lesion in this localization (series 2, ima 140). Lumenal secretions are observed within the lumens of the right lung lower lobe segment bronchi distal to the hilar fullness. It was thought that it may have developed secondary to the fullness in the hilus. Contrast-enhanced examination of the patient will be appropriate. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. In the posterior segment of the upper lobe of the right lung, a soft tissue area of fat density is observed between the pleura leaves. Pleuroparenchymal sequelae density increases are observed in both upper lobe apical segments of both lungs. Linear atelectasis areas are observed in the right lung middle lobe and lower lobe basal segments. Several non-specific millimetric nodules are observed in the lung parenchyma. The longest diameter was measured 5 mm in the minor fissure, the largest of which was in the upper lobe of the right lung. These nodules are non-specific. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Pacemaker catheter.  Fullness in the right lung hilum; The presence of a space-occupying lesion in this localization could not be ruled out due to lack of contrast agent, and luminal secretion accumulation in the lower lobe anterobasal segment bronchi is accompanied. Contrast-enhanced examination is recommended.  Sequela parenchymal changes and linear atelectasis in both lungs.  Millimetric non-specific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_677/valid_677_a/valid_677_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1608",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 39 mm in diameter and shows slight dilatation. No dilatation was detected in the pulmonary artery. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. There are lymph nodes measuring 8 mm in the short axis of the largest in the mediastinal upper-lower paratracheal hilar vascular, subcarinal, aorticopulmonary window. When evaluated in the lung parenchyma window; In both lungs, ground glass density increases, consolidative areas and crazy paving appearances were observed, with septal thickenings showing a tendency to merge in the peripheral subpleural area, which became evident in the lower lobes of both lungs. The findings described include typical-probable manifestations of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the liver dome localization, there is a 1 cm diameter hyperdensity that may belong to calfication. Other upper abdominal sections within the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Slight dilatation in the ascending aorta.  Ground-glass density increases, consolidative areas and crazy paving appearances with septal thickenings, which tend to merge in the peripheral subpleural area, which are prominent in the lower lobes of both lungs. The described findings include typical-probable findings of Covid-19 pneumonia and other symptoms in the differential diagnosis. viral pneumonias may be considered, Kilnik and laboratory correlation recommended. Bilateral pleural thickening-effusion was not detected.  Millimetric lymph nodes in the mediastinum . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_678/valid_678_a/valid_678_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1609",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 39 mm in diameter and shows slight dilatation. No dilatation was detected in the pulmonary artery. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. There are lymph nodes measuring 8 mm in the short axis of the largest in the mediastinal upper-lower paratracheal hilar vascular, subcarinal, aorticopulmonary window. When evaluated in the lung parenchyma window; In both lungs, ground glass density increases, consolidative areas and crazy paving appearances were observed, with septal thickenings showing a tendency to merge in the peripheral subpleural area, which became evident in the lower lobes of both lungs. The findings described include typical-probable manifestations of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the liver dome localization, there is a 1 cm diameter hyperdensity that may belong to calfication. Other upper abdominal sections within the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Slight dilatation in the ascending aorta.  Ground-glass density increases, consolidative areas and crazy paving appearances with septal thickenings, which tend to merge in the peripheral subpleural area, which are prominent in the lower lobes of both lungs. The described findings include typical-probable findings of Covid-19 pneumonia and other symptoms in the differential diagnosis. viral pneumonias may be considered, Kilnik and laboratory correlation recommended. Bilateral pleural thickening-effusion was not detected.  Millimetric lymph nodes in the mediastinum . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_678/valid_678_a/valid_678_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are bronchiectatic changes in both lungs with central prominent. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. No mass, nodule-infiltration was detected in the parenchyma of both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Bronchiectatic changes evident in the central part of both lungs. Sequelae changes in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_679/valid_679_a/valid_679_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1611",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are bronchiectatic changes in both lungs with central prominent. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. No mass, nodule-infiltration was detected in the parenchyma of both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Bronchiectatic changes evident in the central part of both lungs. Sequelae changes in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_679/valid_679_a/valid_679_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_680/valid_680_a/valid_680_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1613",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_680/valid_680_a/valid_680_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1614",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Several nonspecific parenchymal nodules with a diameter of 5.5 mm were observed in both lungs, the largest of which was adjacent to the minor fissure in the anterior segment of the right lung upper lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Diffuse thickening was observed in the medial crus of the left adrenal gland. Osteodegenerative changes are observed in the bone structures in the study area. Impression:  Several nonspecific parenchymal nodules in both lungs.  Diffuse thickening of left adrenal gland medial crus.  Osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_681/valid_681_a/valid_681_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Several nonspecific parenchymal nodules with a diameter of 5.5 mm were observed in both lungs, the largest of which was adjacent to the minor fissure in the anterior segment of the right lung upper lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Diffuse thickening was observed in the medial crus of the left adrenal gland. Osteodegenerative changes are observed in the bone structures in the study area. Impression:  Several nonspecific parenchymal nodules in both lungs.  Diffuse thickening of left adrenal gland medial crus.  Osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_681/valid_681_a/valid_681_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are nodular ground glass densities in both lung parenchyma. A slightly irregularly circumscribed nodule of 8 mm in size was observed in the superior lower lobe of the right lung. Pleural effusion-thickening was not detected. In the upper abdominal sections, a cortical hypodense lesion is observed in the upper pole of the right kidney. Apart from this, the upper abdominal organs included in the sections are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Degenerative changes are observed in the vertebrae. Impression:  Findings consistent with Covid pneumonia in both lungs, nodule in the superior lower lobe of the right lung (nodular consolidation?). If necessary, control examination is recommended after treatment.  Cortical hypodense lesion (cyst?) in the upper pole of the right kidney.  Aortic and coronary artery atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_682/valid_682_a/valid_682_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are nodular ground glass densities in both lung parenchyma. A slightly irregularly circumscribed nodule of 8 mm in size was observed in the superior lower lobe of the right lung. Pleural effusion-thickening was not detected. In the upper abdominal sections, a cortical hypodense lesion is observed in the upper pole of the right kidney. Apart from this, the upper abdominal organs included in the sections are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Degenerative changes are observed in the vertebrae. Impression:  Findings consistent with Covid pneumonia in both lungs, nodule in the superior lower lobe of the right lung (nodular consolidation?). If necessary, control examination is recommended after treatment.  Cortical hypodense lesion (cyst?) in the upper pole of the right kidney.  Aortic and coronary artery atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_682/valid_682_a/valid_682_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; no mass, nodule-infiltration was detected in both lung parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: No mass, nodule-infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_683/valid_683_a/valid_683_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1619",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; no mass, nodule-infiltration was detected in both lung parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: No mass, nodule-infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_683/valid_683_a/valid_683_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1620",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; a few sequelae calcific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_684/valid_684_a/valid_684_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1621",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; a few sequelae calcific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_684/valid_684_a/valid_684_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1622",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: No occlusive pathology was detected in the lumen of the trachea and both main bronchi. . Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus. Lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed in the mediastinum and both hilum. Subcentimetric effusion was observed in both pleural spaces. Ground glass densities, peribronchial thickenings in both lungs and low density ground glass consolidation area were observed in the right lung middle lobe lateral segment. Findings were evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. The most prominent pleuroparenchymal fibrotic bands were observed in the upper lobe of the right lung in both lungs. In addition, band atelectatic changes are observed in the right lung lower lobe superior segment and most prominently in the right lung upper lobe in both lungs. A pleural-based nodule measuring 15x11mm was observed in the apicoposterior segment of the upper lobe of the left lung. It has just appeared on current review (round pneumonia?). In addition, nonspecific pleural nodules with a diameter of 5.7 mm were observed in both lungs, the largest of which was in the mediobasal segment of the lower lobe of the right lung. Liver, gallbladder, spleen, and both adrenal glands are normal as far as can be seen on non-contrast images. No stones were observed in both kidneys. No intra-abdominal pathological lymph node and free fluid were observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Cardiomegaly. Sliding hiatal hernia at the lower end of the esophagus.  Bilateral smear-like pleural effusion, diffuse ground glass densities in both lungs, focal consolidation in the middle lobe of the right lung. The findings were evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with the clinic and laboratory.  Fibroatelectasis sequelae changes and stable nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_685/valid_685_a/valid_685_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1623",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: No occlusive pathology was detected in the lumen of the trachea and both main bronchi. . Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus. Lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed in the mediastinum and both hilum. Subcentimetric effusion was observed in both pleural spaces. Ground glass densities, peribronchial thickenings in both lungs and low density ground glass consolidation area were observed in the right lung middle lobe lateral segment. Findings were evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. The most prominent pleuroparenchymal fibrotic bands were observed in the upper lobe of the right lung in both lungs. In addition, band atelectatic changes are observed in the right lung lower lobe superior segment and most prominently in the right lung upper lobe in both lungs. A pleural-based nodule measuring 15x11mm was observed in the apicoposterior segment of the upper lobe of the left lung. It has just appeared on current review (round pneumonia?). In addition, nonspecific pleural nodules with a diameter of 5.7 mm were observed in both lungs, the largest of which was in the mediobasal segment of the lower lobe of the right lung. Liver, gallbladder, spleen, and both adrenal glands are normal as far as can be seen on non-contrast images. No stones were observed in both kidneys. No intra-abdominal pathological lymph node and free fluid were observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Cardiomegaly. Sliding hiatal hernia at the lower end of the esophagus.  Bilateral smear-like pleural effusion, diffuse ground glass densities in both lungs, focal consolidation in the middle lobe of the right lung. The findings were evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with the clinic and laboratory.  Fibroatelectasis sequelae changes and stable nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_685/valid_685_a/valid_685_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_686/valid_686_a/valid_686_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_686/valid_686_a/valid_686_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1626",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The parenchyma of the thyroid gland is slightly heterogeneous in the right lobe. CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding mild hiatal hernia is observed at the lower end of the esophagus. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There are findings consistent with mild emphysema in both lungs. A nodule with a diameter of 4 mm is observed in the anterior segment of the right lung upper lobe. In the lower lobe, there are nodules with a diameter of 4 mm in the laterobasal segment and two additional nodules with a diameter of 4 mm towards the superior segment. There are nodules with a diameter of 3 mm in the apicoposterior segment of the left lung upper lobe and 3 mm in diameter in the caudal of the apicoposterior segment. Significant pneumonia, pleural effusion, pneumothorax were not detected. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Gallbladder, pancreas, bilateral kidneys are normal. Nodular density compatible with millimetric accessory spleen is observed in the anterior neighborhood of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There are findings consistent with emphysema, but no appearance of pneumonia. A few millimetric nodules, the largest of which is 4 mm in diameter, in both lungs. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_687/valid_687_a/valid_687_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1627",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The parenchyma of the thyroid gland is slightly heterogeneous in the right lobe. CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding mild hiatal hernia is observed at the lower end of the esophagus. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There are findings consistent with mild emphysema in both lungs. A nodule with a diameter of 4 mm is observed in the anterior segment of the right lung upper lobe. In the lower lobe, there are nodules with a diameter of 4 mm in the laterobasal segment and two additional nodules with a diameter of 4 mm towards the superior segment. There are nodules with a diameter of 3 mm in the apicoposterior segment of the left lung upper lobe and 3 mm in diameter in the caudal of the apicoposterior segment. Significant pneumonia, pleural effusion, pneumothorax were not detected. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Gallbladder, pancreas, bilateral kidneys are normal. Nodular density compatible with millimetric accessory spleen is observed in the anterior neighborhood of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There are findings consistent with emphysema, but no appearance of pneumonia. A few millimetric nodules, the largest of which is 4 mm in diameter, in both lungs. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_687/valid_687_a/valid_687_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1628",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_688/valid_688_a/valid_688_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1629",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_688/valid_688_a/valid_688_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1630",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight increases in density are observed in the basal segments of the lower lobes of both lungs. Depandane was evaluated in favor of atelectasis. A few millimetric nonspecific nodular densities are observed at the apical levels of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Dependent atelectatic changes and millimetric non-specific subpleural nodules in both lower lobe basal segments of both lungs. Fibrotic nonspecific nodules, fibrotic sequelae changes at apical levels."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_689/valid_689_a/valid_689_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight increases in density are observed in the basal segments of the lower lobes of both lungs. Depandane was evaluated in favor of atelectasis. A few millimetric nonspecific nodular densities are observed at the apical levels of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Dependent atelectatic changes and millimetric non-specific subpleural nodules in both lower lobe basal segments of both lungs. Fibrotic nonspecific nodules, fibrotic sequelae changes at apical levels."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_689/valid_689_a/valid_689_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1632",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally, and a wider than normal appearance at the level of the pulmonary conus was noted (35 mm). Heart contour and size are natural. Thoracic aorta diameter is normal. Pericardial effusion was not observed. Diffuse calcified atheroma plaques are observed in the wall of the aortic arch, descending aorta and abdominal aorta. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In mediastinal lymph node stations, lymphadenopathies measuring 14 mm in diameter are observed, the largest of which is in the left hilar region. When examined in the lung parenchyma window; Two nodules, the largest of which is 10x5 mm in size, are observed in the anterior segment of the left lung upper lobe. There are areas of density increase in the right lung lower lobe superior, lower lobe mediobasal segment and middle lobe lateral segment, and left lung lower lobe superior - lower lobe posterobasal segment in the air bronchograms, which are compatible with consolidation. In the etiology, primarily infectious pathologies are considered, and the presence of an underlying mass cannot be excluded. Post-treatment control is recommended. Pleural effusion-thickening was not detected. An effusion measuring 113 mm in the deepest part of the right pleural area when the patient is in the supine position, extending to the apex when the patient is in the supine position, and measuring 22 mm in the deepest part of the left pleural area is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Ectasia in the left kidney pelvicalyceal system and a well-circumscribed nodular lesion of approximately 42x27 mm fat density, located cortical in the lower pole of the left kidney, are observed (angiomyolipoma?). Widespread osteodegenerative changes are observed in the bone structures in the study area. There is left-facing scoliosis in the thoracic vertebral column. An increase is observed in thoracic kyphosis. Impression: Enlargement of the pulmonary conus, calcified atheroma plaques in the wall of the aortic arch, descending aorta and abdominal aorta . Bilateral pleural effusion, more prominent on the right . Emphysematous change in both lungs, two nodules in the anterior segment of the left lung upper lobe . In the segments described above in both lung parenchyma First of all, areas of increase in density compatible with consolidation, infectious pathologies in etiology are considered first, and post-treatment control is recommended.  Ectasia in the left kidney pelvicalyceal system, hypodense nodular lesion with regular fat density in the lower pole (angiomyolipoim?, AML). Diffuse osteodegenerative changes in bone structures, increase in thoracic kyphosis, left-facing deviation in the thoracic vertebral column"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_690/valid_690_a/valid_690_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1633",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally, and a wider than normal appearance at the level of the pulmonary conus was noted (35 mm). Heart contour and size are natural. Thoracic aorta diameter is normal. Pericardial effusion was not observed. Diffuse calcified atheroma plaques are observed in the wall of the aortic arch, descending aorta and abdominal aorta. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In mediastinal lymph node stations, lymphadenopathies measuring 14 mm in diameter are observed, the largest of which is in the left hilar region. When examined in the lung parenchyma window; Two nodules, the largest of which is 10x5 mm in size, are observed in the anterior segment of the left lung upper lobe. There are areas of density increase in the right lung lower lobe superior, lower lobe mediobasal segment and middle lobe lateral segment, and left lung lower lobe superior - lower lobe posterobasal segment in the air bronchograms, which are compatible with consolidation. In the etiology, primarily infectious pathologies are considered, and the presence of an underlying mass cannot be excluded. Post-treatment control is recommended. Pleural effusion-thickening was not detected. An effusion measuring 113 mm in the deepest part of the right pleural area when the patient is in the supine position, extending to the apex when the patient is in the supine position, and measuring 22 mm in the deepest part of the left pleural area is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Ectasia in the left kidney pelvicalyceal system and a well-circumscribed nodular lesion of approximately 42x27 mm fat density, located cortical in the lower pole of the left kidney, are observed (angiomyolipoma?). Widespread osteodegenerative changes are observed in the bone structures in the study area. There is left-facing scoliosis in the thoracic vertebral column. An increase is observed in thoracic kyphosis. Impression: Enlargement of the pulmonary conus, calcified atheroma plaques in the wall of the aortic arch, descending aorta and abdominal aorta . Bilateral pleural effusion, more prominent on the right . Emphysematous change in both lungs, two nodules in the anterior segment of the left lung upper lobe . In the segments described above in both lung parenchyma First of all, areas of increase in density compatible with consolidation, infectious pathologies in etiology are considered first, and post-treatment control is recommended.  Ectasia in the left kidney pelvicalyceal system, hypodense nodular lesion with regular fat density in the lower pole (angiomyolipoim?, AML). Diffuse osteodegenerative changes in bone structures, increase in thoracic kyphosis, left-facing deviation in the thoracic vertebral column"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_690/valid_690_a/valid_690_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A mass lesion is observed in the right hilar region, obliterating the right main bronchus and extending inferiorly, and which cannot be clearly distinguished from the obstructive atelectasis area in the adjacent lung parenchyma. There is almost complete loss of aeration in the right lung, and there is minimal aeration only in the apical segment of the upper lobe. An effusion measuring 39 mm in size is observed in the deepest part of the right pleural area. In addition, in the dorsal part of the right lower lobe posterobasal segment, measuring approximately 43x62 mm, sitting on the subcostal-paravertebral pleural surface, its borders are from the intercostal muscle planes and 12 . There is a mass lesion indistinguishable from the rib and costal vertebral junction level. In PET CT, the size of the lesion was measured as approximately 33x23 mm. Significant increase in size is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: In the right hilar region, an infiltrative mass lesion is observed in the area extending to the subcrainal level by obliterating the right main bronchus. There are two newly developed nodules in the superior segment of the lower lobe in the current examination, which are observed in the CT examination but show an increase in size. Compression fractures in T8, L1 and L4 vertebral corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_691/valid_691_a/valid_691_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1635",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: A mass lesion is observed in the right hilar region, obliterating the right main bronchus and extending inferiorly, and which cannot be clearly distinguished from the obstructive atelectasis area in the adjacent lung parenchyma. There is almost complete loss of aeration in the right lung, and there is minimal aeration only in the apical segment of the upper lobe. An effusion measuring 39 mm in size is observed in the deepest part of the right pleural area. In addition, in the dorsal part of the right lower lobe posterobasal segment, measuring approximately 43x62 mm, sitting on the subcostal-paravertebral pleural surface, its borders are from the intercostal muscle planes and 12 . There is a mass lesion indistinguishable from the rib and costal vertebral junction level. In PET CT, the size of the lesion was measured as approximately 33x23 mm. Significant increase in size is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: In the right hilar region, an infiltrative mass lesion is observed in the area extending to the subcrainal level by obliterating the right main bronchus. There are two newly developed nodules in the superior segment of the lower lobe in the current examination, which are observed in the CT examination but show an increase in size. Compression fractures in T8, L1 and L4 vertebral corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_691/valid_691_a/valid_691_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Calcified atherosclerotic changes were observed in the coronary artery wall. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Hiatal hernia was observed. There are lymph nodes measuring 7mm on the short axis of the largest in the mediastinal, upper-lower paratracheal, subcarinal, and bilateral hilar regions. When examined in the lung parenchyma window; Parenchymal fibrosis area with structural distortion and volume loss and paracicatricial bronchiectatic changes were observed in the apical left lung. Emphysematous changes are present in both lungs. Bilateral peribronchial thickenings were observed. In both lung parenchyma, ground glass density increases were observed in the diffuse peripheral subpleural area, which became prominent in the lower lobes and basal segments, and ground glass densities accompanied by thickening of interlobular septa in the lower lobes were observed. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: There are widely reported imaging features of Covid-19 pneumonia. Clinical and laboratory correlation is recommended. NOTE: Influenza pneumonia Other diseases such as rheumatoid arthritis, organizing pneumonia, drug toxicity, and connective tissue disease can cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_692/valid_692_a/valid_692_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1637",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral minimal pleural effusion is observed. The pleural effusion measured 30 mm at its thickest point. There is minimal interlobular septal thickening in both lungs, especially in the upper lobes. When evaluated together with the findings in the heart and pleural effusion, it was thought that this appearance might be due to cardiac pathology. There are occasional atelectasis in both lungs. Emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. Minimal pericardial effusion was observed. There are atheromatous plaques in the aorta and coronary arteries. Lymph nodes are observed in the mediastinum and hilar regions. The shortest diameter of the largest of these lymph nodes was 13 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries. Bilateral pleural effusion.  Minimal interlobular septal thickening, more prominent in the upper lobes of both lungs. Mediastinal and hilar lymph nodes. Atelectasis in both lungs. Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_693/valid_693_a/valid_693_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1638",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral minimal pleural effusion is observed. The pleural effusion measured 30 mm at its thickest point. There is minimal interlobular septal thickening in both lungs, especially in the upper lobes. When evaluated together with the findings in the heart and pleural effusion, it was thought that this appearance might be due to cardiac pathology. There are occasional atelectasis in both lungs. Emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. Minimal pericardial effusion was observed. There are atheromatous plaques in the aorta and coronary arteries. Lymph nodes are observed in the mediastinum and hilar regions. The shortest diameter of the largest of these lymph nodes was 13 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries. Bilateral pleural effusion.  Minimal interlobular septal thickening, more prominent in the upper lobes of both lungs. Mediastinal and hilar lymph nodes. Atelectasis in both lungs. Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_693/valid_693_a/valid_693_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1639",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. A hypodense nodular appearance with a diameter of approximately 13 mm is observed in the liver segment 4B, which is included in the examination (cyst? focal lipoidosis?). It is recommended that the patient's correlation with US should be evaluated together with the previous examination, if any. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hypodense nodular lesion in the liver (cyst? focal fat area?). Correlation with US is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_694/valid_694_a/valid_694_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. A hypodense nodular appearance with a diameter of approximately 13 mm is observed in the liver segment 4B, which is included in the examination (cyst? focal lipoidosis?). It is recommended that the patient's correlation with US should be evaluated together with the previous examination, if any. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hypodense nodular lesion in the liver (cyst? focal fat area?). Correlation with US is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_694/valid_694_a/valid_694_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1641",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  There is a prosthesis in the left breast. Stable thickening of the breast skin, reaching a diameter of 5 mm, is observed in the lower medial at its widest part. There is a stable heterogeneous appearance in the soft tissues towards the chest wall in the lower lateral section of the silicone (considered as post-op). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; there are subpleural reticular ground glass densities in the anterior upper lobe on the left and are stable. A millimetric calcific nodule was observed in the lingula of the left lung. Linear atelectasis is observed in the medial part of the right lung middle lobe. In the lower lobe of the right lung, several nonspecific nodules with a size of 3 mm were observed, but not clearly discernible in the previous examination. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Post-op changes in the left breast, stable thickening of the breast skin and stable post-op soft tissue thickening towards the lower lateral.  Radiotherapy-related changes in the anterior upper lobe of the left lung.  Calcific nodule in left lung lingula.  A few millimetric nonspecific nodules in the lower lobe of the right lung, but not clearly discernible in the previous examination; follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_694/valid_694_b/valid_694_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1642",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  There is a prosthesis in the left breast. Stable thickening of the breast skin, reaching a diameter of 5 mm, is observed in the lower medial at its widest part. There is a stable heterogeneous appearance in the soft tissues towards the chest wall in the lower lateral section of the silicone (considered as post-op). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; there are subpleural reticular ground glass densities in the anterior upper lobe on the left and are stable. A millimetric calcific nodule was observed in the lingula of the left lung. Linear atelectasis is observed in the medial part of the right lung middle lobe. In the lower lobe of the right lung, several nonspecific nodules with a size of 3 mm were observed, but not clearly discernible in the previous examination. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Post-op changes in the left breast, stable thickening of the breast skin and stable post-op soft tissue thickening towards the lower lateral.  Radiotherapy-related changes in the anterior upper lobe of the left lung.  Calcific nodule in left lung lingula.  A few millimetric nonspecific nodules in the lower lobe of the right lung, but not clearly discernible in the previous examination; follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_694/valid_694_b/valid_694_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1643",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified lymph nodes, some of which have a short diameter of 6 mm, are observed in the mediastinal, prevascular area, aortopulmonary window, upper and lower paratracheal area, and bilateral hilar region. No pericardial effusion or thickening was detected. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Reactive lymph nodes with radiolucent hiluses were observed in the bilateral axillary region. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. Minimal reticular consolidations accompanying linear atelectasis were observed in the middle lobe of the right lung and the lingula inferior segment of the left lung (infective pathology?). Post-treatment control is recommended. Ventilation of both lung parenchyma is normal, and no nodules are detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Several lymph nodes, the largest of which is 6 mm in diameter, are observed in the epiphrenic region on the right. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mosaic attenuation pattern in both lungs. Minimal reticular consolidations (infective?) accompanying fibroatelectatic changes in the right lung middle lobe and left lung lingular segment. Post-treatment control is recommended.  Lymph nodes that do not reach mediastinal pathological size . Epiphrenic lymph nodes . Other areas are normal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_695/valid_695_a/valid_695_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1644",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified lymph nodes, some of which have a short diameter of 6 mm, are observed in the mediastinal, prevascular area, aortopulmonary window, upper and lower paratracheal area, and bilateral hilar region. No pericardial effusion or thickening was detected. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Reactive lymph nodes with radiolucent hiluses were observed in the bilateral axillary region. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. Minimal reticular consolidations accompanying linear atelectasis were observed in the middle lobe of the right lung and the lingula inferior segment of the left lung (infective pathology?). Post-treatment control is recommended. Ventilation of both lung parenchyma is normal, and no nodules are detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Several lymph nodes, the largest of which is 6 mm in diameter, are observed in the epiphrenic region on the right. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mosaic attenuation pattern in both lungs. Minimal reticular consolidations (infective?) accompanying fibroatelectatic changes in the right lung middle lobe and left lung lingular segment. Post-treatment control is recommended.  Lymph nodes that do not reach mediastinal pathological size . Epiphrenic lymph nodes . Other areas are normal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_695/valid_695_a/valid_695_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the mediastinum. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, hyperdensities are observed in the gallbladder and both pelvicalyceal systems, which are considered to belong to the enhancement of the previous examination. Bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression: Imaging findings of pneumonia were not detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_696/valid_696_a/valid_696_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the mediastinum. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, hyperdensities are observed in the gallbladder and both pelvicalyceal systems, which are considered to belong to the enhancement of the previous examination. Bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression: Imaging findings of pneumonia were not detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_696/valid_696_a/valid_696_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1647",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nodule in the lower lobe of the right lung. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric calcific nodule in the lower lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_697/valid_697_a/valid_697_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nodule in the lower lobe of the right lung. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric calcific nodule in the lower lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_697/valid_697_a/valid_697_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1649",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. No lymph node in pathological size and appearance was observed in the mediastinum. Calcified atheroma plaques are observed in the coronary arteries. Pericardial effusion was not detected. When examined in the lung parenchyma window; A mosaic attenuation pattern is observed in the upper and lower lobes of the lung parenchyma. Image resolution is significantly reduced due to motion artifact. Therefore, differential diagnosis of mosaic attenuation could not be made. Pneumonic infiltration areas were detected in 2 foci in the right lung lower lobe superior segment. Subpleural focal ground-glass opacity area is also observed in the left lung lower lobe superior segment. There are occasional focal pleural thickness increase and pleural calcifications in the lower lobe pleura of the left lung. A few nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections, there are parapelvic cysts in both kidneys. There is local thinning of the parenchyma thickness of both kidneys. The gallbladder was not observed (operated). Air images are present in the intrahepatic bile ducts. No lytic-destructive lesions were detected in bone structures. Impression: Mosaic attenuation pattern is present in both lungs. Image resolution is low due to motion artifact, and the etiology could not be evaluated. Focal nodular pneumonic consolidation areas in the superior segments of the lower lobes of both lungs, ground glass nodule on the left, Radiological findings Early stage of Covid-19 may belong to parenchyma involvement.  Aerial images of intrahepatic bile ducts, cholecystectomized, parapelvic cysts in both kidneys, decreased thickness of both kidneys parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_698/valid_698_a/valid_698_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1650",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral pleural effusion is observed. The pleural effusion continued to the apex of the lung when the patient was lying down and was approximately 9 cm at the level of the lower lobe of the right lung at its widest point. There is atelectasis in the lower lobes of both lungs adjacent to the pleural effusion. The lower lobe of the right lung is total atelectatic. Left lung lower lobe is totally atelectatic except for the superior segment. There is no pleural thickening. No occlusive pathology was detected in the trachea and both main bronchi. Minimal peribronchial thickening is observed in the central parts of both lungs. No mass or infiltrative lesion was detected in both ventilated lungs. Both lungs have a mosaic attenuation pattern (small airway disease? Small vessel disease?). There are millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. Diffuse atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are pathological lymph nodes in the mediastinum and hilar regions, some of which are calcified. There are no enlarged lymph nodes in pathological size and appearance. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Bilateral pleural effusion, atelectasis in the lower lobes of both lungs adjacent to the pleural effusion . Mosaic attenuation pattern in both lungs . Atheosclerotic changes in the aorta and coronary . Minimal peribronchial thickening in the central parts of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_699/valid_699_a/valid_699_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1651",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral pleural effusion is observed. The pleural effusion continued to the apex of the lung when the patient was lying down and was approximately 9 cm at the level of the lower lobe of the right lung at its widest point. There is atelectasis in the lower lobes of both lungs adjacent to the pleural effusion. The lower lobe of the right lung is total atelectatic. Left lung lower lobe is totally atelectatic except for the superior segment. There is no pleural thickening. No occlusive pathology was detected in the trachea and both main bronchi. Minimal peribronchial thickening is observed in the central parts of both lungs. No mass or infiltrative lesion was detected in both ventilated lungs. Both lungs have a mosaic attenuation pattern (small airway disease? Small vessel disease?). There are millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. Diffuse atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are pathological lymph nodes in the mediastinum and hilar regions, some of which are calcified. There are no enlarged lymph nodes in pathological size and appearance. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Bilateral pleural effusion, atelectasis in the lower lobes of both lungs adjacent to the pleural effusion . Mosaic attenuation pattern in both lungs . Atheosclerotic changes in the aorta and coronary . Minimal peribronchial thickening in the central parts of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_699/valid_699_a/valid_699_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. Calcified atheroma plaques are observed in the wall of the coronary vascular structures and in the wall of the aortic arch and descending aorta. No pericardial, pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus, and a sliding type hiatal hernia is observed at the lower end. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Multilobar, subpleural ground-glass density areas are observed in both lungs, and viral pneumonias are considered in the etiology of the findings. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. In the left lung lower lobe posterobasal segment, upper lobe inferior lingular segment, and right lung middle lobe medial segment, there are areas of increase in density consistent with atelectasis in a linear band style. No solid mass was detected in the upper abdominal sections, as far as it can be observed within the borders of non-contrast CT. In the middle zone of the left kidney, thinning of the parenchyma thickness, focal-cortical defect is observed, and there is ectasia in the pelvicalyceal system. Calcified atheroma plaques are observed in the abdominal aortic wall. No intraabdominal free fluid or loculated collection is observed. No lytic or destructive lesions are detected in the bone structures within the image, and there are degenerative changes. Impression: Widespread ground-glass density areas located in both lungs subpleural; viral pneumonias are considered in its etiology. Clinical and laboratory evaluation is recommended in terms of Covid-19 pneumonia. Calcified atheroma plaques on the wall of coronary vascular structures.  Sliding type hiatal hernia at the lower end of the esophagus. Focal parenchymal defect in the middle zone of the left kidney, ectasia in the pelvicalyceal system"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_700/valid_700_a/valid_700_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1653",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. Calcified atheroma plaques are observed in the wall of the coronary vascular structures and in the wall of the aortic arch and descending aorta. No pericardial, pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus, and a sliding type hiatal hernia is observed at the lower end. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Multilobar, subpleural ground-glass density areas are observed in both lungs, and viral pneumonias are considered in the etiology of the findings. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. In the left lung lower lobe posterobasal segment, upper lobe inferior lingular segment, and right lung middle lobe medial segment, there are areas of increase in density consistent with atelectasis in a linear band style. No solid mass was detected in the upper abdominal sections, as far as it can be observed within the borders of non-contrast CT. In the middle zone of the left kidney, thinning of the parenchyma thickness, focal-cortical defect is observed, and there is ectasia in the pelvicalyceal system. Calcified atheroma plaques are observed in the abdominal aortic wall. No intraabdominal free fluid or loculated collection is observed. No lytic or destructive lesions are detected in the bone structures within the image, and there are degenerative changes. Impression: Widespread ground-glass density areas located in both lungs subpleural; viral pneumonias are considered in its etiology. Clinical and laboratory evaluation is recommended in terms of Covid-19 pneumonia. Calcified atheroma plaques on the wall of coronary vascular structures.  Sliding type hiatal hernia at the lower end of the esophagus. Focal parenchymal defect in the middle zone of the left kidney, ectasia in the pelvicalyceal system"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_700/valid_700_a/valid_700_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1654",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Calcific atheroma plaques are observed in the coronary arteries and aortic arch. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are small lymph nodes with a short axis measuring up to 12 mm in both axillary regions. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Transpeduncular fixation screwings are partially observed at the thoracolumbar junction. The upper abdomen secondary to artifacts was considered suboptimal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Hypertrophic-osteophytic taperings are observed in the end plates of the vertebral corpuscles. Intervertebral disc spaces are narrowed. There is diffuse density reduction in bone structures. Impression:  There are 12 mm lymph nodes in both axillary regions.  Increase in heart size.  Mild atherosclerosis.  Degenerative post op changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_701/valid_701_a/valid_701_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1655",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Calcific atheroma plaques are observed in the coronary arteries and aortic arch. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are small lymph nodes with a short axis measuring up to 12 mm in both axillary regions. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Transpeduncular fixation screwings are partially observed at the thoracolumbar junction. The upper abdomen secondary to artifacts was considered suboptimal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Hypertrophic-osteophytic taperings are observed in the end plates of the vertebral corpuscles. Intervertebral disc spaces are narrowed. There is diffuse density reduction in bone structures. Impression:  There are 12 mm lymph nodes in both axillary regions.  Increase in heart size.  Mild atherosclerosis.  Degenerative post op changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_701/valid_701_a/valid_701_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1656",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a large consolidation area in the superior posterior of the lower lobe of the right lung, in which an air bronchogram sign is observed. In the first place, it appears to be compatible with Covid-19 viral pneumonia. Clinical and laboratory correlation and close follow-up are recommended for the differential diagnosis of other infectious processes. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical and laboratory correlation and close follow-up are recommended for the differential diagnosis of other infectious processes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_702/valid_702_a/valid_702_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1657",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a large consolidation area in the superior posterior of the lower lobe of the right lung, in which an air bronchogram sign is observed. In the first place, it appears to be compatible with Covid-19 viral pneumonia. Clinical and laboratory correlation and close follow-up are recommended for the differential diagnosis of other infectious processes. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical and laboratory correlation and close follow-up are recommended for the differential diagnosis of other infectious processes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_702/valid_702_a/valid_702_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1658",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Calcific atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. Calibration of mediastinal vascular structures is natural. An increase in heart size is observed. There is minimal pericardial and right pleural effusion. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There are minimal emphysematous changes in both lungs. Fibrotic bands of 01.17 parenchymal sequelae were observed in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Vertebra corpus heights and alignments are natural. Neural pheromones are clear. Impression:  No active infiltration or mass lesion was observed in both lungs. Minimal emphysematous changes and pleuroparenchymal sequelae fibrotic bands were observed in both lungs.  Thoracic aorta, calcific atheroma plaques on the wall of coronary vascular structures and increase in heart size  Minimal pericardial and right pleural effusion  Sliding type mild hiatal hernia at the lower end of the esophagus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_703/valid_703_a/valid_703_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1659",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Calcific atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. Calibration of mediastinal vascular structures is natural. An increase in heart size is observed. There is minimal pericardial and right pleural effusion. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There are minimal emphysematous changes in both lungs. Fibrotic bands of 01.17 parenchymal sequelae were observed in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Vertebra corpus heights and alignments are natural. Neural pheromones are clear. Impression:  No active infiltration or mass lesion was observed in both lungs. Minimal emphysematous changes and pleuroparenchymal sequelae fibrotic bands were observed in both lungs.  Thoracic aorta, calcific atheroma plaques on the wall of coronary vascular structures and increase in heart size  Minimal pericardial and right pleural effusion  Sliding type mild hiatal hernia at the lower end of the esophagus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_703/valid_703_a/valid_703_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1660",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia is observed at the lower end. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; in both lungs; more diffuse centriacinar-paraseptal emphysematous changes were observed in the upper lobes. Pleuroparenchymal sequela fibrotic density increases accompanied by subsegmental atelectatic changes were observed in the right lung middle lobe medial-lateral segments and left lung lingular segment. In both lungs, parenchymal-subpleural nodules of 6.2x5.1 mm in size were observed, the largest of which was superposed on the fissure in the posterior subsegment of the left lung upper lobe apicoposterior segment. An irregularly circumscribed semi-solid nodule measuring 7.8x8 mm was observed in the anterior segment of the upper lobe of the right lung, and it has recently emerged in the current examination. FNAB is recommended. There was no finding in favor of infection in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcific atheromatous plaques in the aortic arch. Hiatal hernia.  Centriacinar-paraseptal emphysematous changes in both lungs, more extensive in the upper lobes. In the right lung upper lobe anterior segment, newly emerged semi-solid nodule with irregular borders on current examination; FNAB is recommended.  Stable millimetric nonspecific nodules in both lungs. Pleuroparenchymal sequelae fibrotic density increases in both lungs accompanied by subsegmental atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_704/valid_704_a/valid_704_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1661",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia is observed at the lower end. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; in both lungs; more diffuse centriacinar-paraseptal emphysematous changes were observed in the upper lobes. Pleuroparenchymal sequela fibrotic density increases accompanied by subsegmental atelectatic changes were observed in the right lung middle lobe medial-lateral segments and left lung lingular segment. In both lungs, parenchymal-subpleural nodules of 6.2x5.1 mm in size were observed, the largest of which was superposed on the fissure in the posterior subsegment of the left lung upper lobe apicoposterior segment. An irregularly circumscribed semi-solid nodule measuring 7.8x8 mm was observed in the anterior segment of the upper lobe of the right lung, and it has recently emerged in the current examination. FNAB is recommended. There was no finding in favor of infection in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcific atheromatous plaques in the aortic arch. Hiatal hernia.  Centriacinar-paraseptal emphysematous changes in both lungs, more extensive in the upper lobes. In the right lung upper lobe anterior segment, newly emerged semi-solid nodule with irregular borders on current examination; FNAB is recommended.  Stable millimetric nonspecific nodules in both lungs. Pleuroparenchymal sequelae fibrotic density increases in both lungs accompanied by subsegmental atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_704/valid_704_a/valid_704_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1662",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The aortic arch calibration is 38 mm. Calibration of other mediastinal major vascular structures is normal. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are millimetric calcific atheroma plaques in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a hiatal hernia. Millimetric sized lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. In the superior segment of the left lung lower lobe, a consolidative parenchyma area with air bronchograms extending from the interlobar fissure adjacent to the lower lobe central through the perbronchial sheath is observed. There are faint ground-glass-like density beats in the right lung posterobasal. Density reduction consistent with emphysema is observed in both lungs. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. A decrease in density consistent with mild hepatosteatosis is observed in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. D8 and D12 vertebrae have appearances compatible with hemangioma. Impression:  Consolidative parenchyma area in the lower lobe of the left lung. A faint ground-glass-like density increase at the posterobasal level of the right lung; findings are not typical for Covid pneumonia but are included in the differential diagnosis. In general, it is recommended to be evaluated together with clinical and laboratory findings in terms of bacterial-viral pneumonia (including Covid).  Findings consistent with emphysema.  Slight prominence in the aortic arch, millimetric calcific atheroma plaques in the coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_705/valid_705_a/valid_705_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1663",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The aortic arch calibration is 38 mm. Calibration of other mediastinal major vascular structures is normal. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are millimetric calcific atheroma plaques in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a hiatal hernia. Millimetric sized lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. In the superior segment of the left lung lower lobe, a consolidative parenchyma area with air bronchograms extending from the interlobar fissure adjacent to the lower lobe central through the perbronchial sheath is observed. There are faint ground-glass-like density beats in the right lung posterobasal. Density reduction consistent with emphysema is observed in both lungs. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. A decrease in density consistent with mild hepatosteatosis is observed in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. D8 and D12 vertebrae have appearances compatible with hemangioma. Impression:  Consolidative parenchyma area in the lower lobe of the left lung. A faint ground-glass-like density increase at the posterobasal level of the right lung; findings are not typical for Covid pneumonia but are included in the differential diagnosis. In general, it is recommended to be evaluated together with clinical and laboratory findings in terms of bacterial-viral pneumonia (including Covid).  Findings consistent with emphysema.  Slight prominence in the aortic arch, millimetric calcific atheroma plaques in the coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_705/valid_705_a/valid_705_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1664",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. In the mediastinal area and in the hilum of both lungs, a few lymph nodes with coarse calcifications and evaluated primarily as sequelae are observed. No pathological lymphadenopathy was detected in the mediastinum. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Nodular calcification and linear densities are observed in both lungs, especially in the right lung apical segment, which is evaluated in favor of sequelae change. There are subsegmental atelectasis more prominent in the lower lobes of both lungs. Millimetric sized nonspecific pulmonary nodules are observed in both lungs. No mass was detected. Pleural effusion-thickening was not detected. Gallstones are observed in the gallbladder included in the examination. A hypodense nodular appearance, which is evaluated primarily in favor of a cyst, is observed in the left kidney. There are widespread degenerative changes in the bones. Impression:  Calcific plaques in the aorta, coronary arteries.  Emphysema and sequelae changes in both lungs.  Areas of atelectasis and nonspecific millimetric pulmonary nodules in both lungs.  Cholelithiasis.  Hypodense lesion (cyst?) in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_706/valid_706_a/valid_706_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1665",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. In the mediastinal area and in the hilum of both lungs, a few lymph nodes with coarse calcifications and evaluated primarily as sequelae are observed. No pathological lymphadenopathy was detected in the mediastinum. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Nodular calcification and linear densities are observed in both lungs, especially in the right lung apical segment, which is evaluated in favor of sequelae change. There are subsegmental atelectasis more prominent in the lower lobes of both lungs. Millimetric sized nonspecific pulmonary nodules are observed in both lungs. No mass was detected. Pleural effusion-thickening was not detected. Gallstones are observed in the gallbladder included in the examination. A hypodense nodular appearance, which is evaluated primarily in favor of a cyst, is observed in the left kidney. There are widespread degenerative changes in the bones. Impression:  Calcific plaques in the aorta, coronary arteries.  Emphysema and sequelae changes in both lungs.  Areas of atelectasis and nonspecific millimetric pulmonary nodules in both lungs.  Cholelithiasis.  Hypodense lesion (cyst?) in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_706/valid_706_a/valid_706_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1666",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. The ascending aorta measures 39 mm in diameter and shows slight dilatation. Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; There is significant volume loss in the lower lobe of the left lung, and widespread atelectatic changes are observed at this level. Since the examination does not have contrast, a clear mass differentiation cannot be made. Evaluation with contrast-enhanced thoracic CT is recommended. Pleural effusion measuring 18 mm in thickness was observed between the pleural leaves on the left. Peribronchial thickenings were observed on the left. Diffuse subsegmental atelectasis was observed in the lower lobes of both lungs and in the middle lobe of the right lung and the inferior lingular segment of the left lung. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). No nodules were detected in both lungs. Pleural effusion-bilateral pleural thickening was not detected on the right. A hypodense lesion with a diameter of 17 mm was observed in the anterior part of the right lobe of the liver entering the section area (cyst?). Liver parenchyma density is diffusely decreased, consistent with mild adiposity. Other upper abdominal organs within the examination area are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in bone structures and an appearance compatible with osteopenia. No lytic-destructive lesion was detected. Impression:  Minimal dilatation, atherosclerotic changes in the thoracic aorta.  Diffuse subsegmental atelectasis in both lungs, mild pleural effusion on the left.  There is significant volume loss in the lower lobe of the left lung, and widespread atelectatic changes are observed at this level. Since the examination does not have contrast, a clear mass differentiation cannot be made. It is recommended to be evaluated together with contrast-enhanced thoracic CT examination.  Hepatosteatosis.  Hypodes lesion (cyst?) in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_707/valid_707_a/valid_707_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1667",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. The ascending aorta measures 39 mm in diameter and shows slight dilatation. Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; There is significant volume loss in the lower lobe of the left lung, and widespread atelectatic changes are observed at this level. Since the examination does not have contrast, a clear mass differentiation cannot be made. Evaluation with contrast-enhanced thoracic CT is recommended. Pleural effusion measuring 18 mm in thickness was observed between the pleural leaves on the left. Peribronchial thickenings were observed on the left. Diffuse subsegmental atelectasis was observed in the lower lobes of both lungs and in the middle lobe of the right lung and the inferior lingular segment of the left lung. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). No nodules were detected in both lungs. Pleural effusion-bilateral pleural thickening was not detected on the right. A hypodense lesion with a diameter of 17 mm was observed in the anterior part of the right lobe of the liver entering the section area (cyst?). Liver parenchyma density is diffusely decreased, consistent with mild adiposity. Other upper abdominal organs within the examination area are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in bone structures and an appearance compatible with osteopenia. No lytic-destructive lesion was detected. Impression:  Minimal dilatation, atherosclerotic changes in the thoracic aorta.  Diffuse subsegmental atelectasis in both lungs, mild pleural effusion on the left.  There is significant volume loss in the lower lobe of the left lung, and widespread atelectatic changes are observed at this level. Since the examination does not have contrast, a clear mass differentiation cannot be made. It is recommended to be evaluated together with contrast-enhanced thoracic CT examination.  Hepatosteatosis.  Hypodes lesion (cyst?) in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_707/valid_707_a/valid_707_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung, atelectatic changes are observed in the upper lobe inferior lingular segment. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Atelectatic changes in the upper lobe inferior lingular segment of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_708/valid_708_a/valid_708_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1669",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung, atelectatic changes are observed in the upper lobe inferior lingular segment. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Atelectatic changes in the upper lobe inferior lingular segment of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_708/valid_708_a/valid_708_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1670",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the technique performed without contrast. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Several pathological lymph nodes, the largest of which were 17x12 mm in size, were observed at the right upper-lower paratracheal and left hilar levels. When examined in the lung parenchyma window; Fibroreticular density increases and accompanying paraseptal emphysematous changes were observed in both lung apexes. A millimetric subpleural nodule was observed in the posterior segment of the upper lobe of the right lung. Apart from this, no mass lesion with distinguishable borders-active infiltration was detected in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved. Impression: A few lymph nodes in the right upper-lower and left hilar pathological dimensions. Paraseptal emphysema areas accompanied by increases in fibroreticular density in the apices of both lungs.  Millimetric subpleural nodule in the posterior segment of the right lung upper lobe. Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_709/valid_709_a/valid_709_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the technique performed without contrast. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Several pathological lymph nodes, the largest of which were 17x12 mm in size, were observed at the right upper-lower paratracheal and left hilar levels. When examined in the lung parenchyma window; Fibroreticular density increases and accompanying paraseptal emphysematous changes were observed in both lung apexes. A millimetric subpleural nodule was observed in the posterior segment of the upper lobe of the right lung. Apart from this, no mass lesion with distinguishable borders-active infiltration was detected in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved. Impression: A few lymph nodes in the right upper-lower and left hilar pathological dimensions. Paraseptal emphysema areas accompanied by increases in fibroreticular density in the apices of both lungs.  Millimetric subpleural nodule in the posterior segment of the right lung upper lobe. Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_709/valid_709_a/valid_709_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1672",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Calibration of mediastinal vascular structures, heart contour and size are natural. Calcific atheroma plaques were observed on the walls of the coronary vascular structures. No pericardial or pleural effusion was observed. No lymph node was observed in the mediastinum in pathological size and appearance. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. When examined in the lung parenchyma window; No mass lesion was detected in both lung parenchyma. In both lungs, areas of increased density were observed in the right lung lower lobe superior segment, in the peripheral subpleural area, and in the peribronchial areas, in the peribronchial areas, with indistinct millimeter-sized ground glass density, and in places with bud tree appearance. The outlook is primarily suggestive of distal airway disease. However, pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. In both lungs, nonspecific nodules of millimetric dimensions, 4 mm in diameter, were observed in the posterobasal segment of the lower lobe of the right lung. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Calcific atheromatous plaques in the wall of coronary vascular structures.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Millimeter sized nodules in both lungs.  In both lungs, multilobar, especially in the peripheral subpleural areas, and in the peribronchial area, there are areas of increased density in the ground glass density, with a tree appearance with buds, with indistinct limited millimeters. Although there may be distal airway diseases in its etiology, the underlying pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_710/valid_710_a/valid_710_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1673",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Calibration of mediastinal vascular structures, heart contour and size are natural. Calcific atheroma plaques were observed on the walls of the coronary vascular structures. No pericardial or pleural effusion was observed. No lymph node was observed in the mediastinum in pathological size and appearance. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. When examined in the lung parenchyma window; No mass lesion was detected in both lung parenchyma. In both lungs, areas of increased density were observed in the right lung lower lobe superior segment, in the peripheral subpleural area, and in the peribronchial areas, in the peribronchial areas, with indistinct millimeter-sized ground glass density, and in places with bud tree appearance. The outlook is primarily suggestive of distal airway disease. However, pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. In both lungs, nonspecific nodules of millimetric dimensions, 4 mm in diameter, were observed in the posterobasal segment of the lower lobe of the right lung. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Calcific atheromatous plaques in the wall of coronary vascular structures.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Millimeter sized nodules in both lungs.  In both lungs, multilobar, especially in the peripheral subpleural areas, and in the peribronchial area, there are areas of increased density in the ground glass density, with a tree appearance with buds, with indistinct limited millimeters. Although there may be distal airway diseases in its etiology, the underlying pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_710/valid_710_a/valid_710_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. There is a view of the tracheostomy cannula. The ascending aorta measures 36 mm in diameter and shows minimal dilatation. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Lymph nodes measuring 7 mm in the short axis of the largest were observed in the mediastinal, upper-lower paratracheal, and subcarinal areas. Nasogastric catheter image was observed. Heart contour size is natural. Pericardial thickening-effusion was not detected. When examined in the lung parenchyma window; Broad emphysematous changes were observed in both lungs. Widespread parenchymal fibrosis areas, paracicatricial bronchiectatic changes were observed in both lungs apical, causing structural distortion and volume loss. Multiple, mostly calcified, non-specific parenchymal nodules measuring 6 mm in diameter were observed in both lungs, the largest in the upper lobe of the right lung. Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. Branches with buds and acinar infiltrative opacities were observed in the lower lobes of both lungs. The appearance was thought to be compatible with the infectious process. Clinical laboratory correlation is recommended. In addition, subpleural focal minimal consolidation areas were observed in the posterobasal segment of the lower lobe of the right lung. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Diffuse emphysematous changes in both lungs, areas of parenchymal fibrosis and paracicatricial bronchiectasis.  Non-specific parenchymal nodules in both lungs, some of which are calcified.  Branches with buds and acinar infiltrates in the lower lobes of both lungs and focal consolidation in the lower lobe of the right lung lung; clinical laboratory correlation is recommended, as the outlook is in terms of infectious process.  Bilateral peribronchial thickenings.  Slight dilatation of the ascending aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_711/valid_711_a/valid_711_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. There is a view of the tracheostomy cannula. The ascending aorta measures 36 mm in diameter and shows minimal dilatation. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Lymph nodes measuring 7 mm in the short axis of the largest were observed in the mediastinal, upper-lower paratracheal, and subcarinal areas. Nasogastric catheter image was observed. Heart contour size is natural. Pericardial thickening-effusion was not detected. When examined in the lung parenchyma window; Broad emphysematous changes were observed in both lungs. Widespread parenchymal fibrosis areas, paracicatricial bronchiectatic changes were observed in both lungs apical, causing structural distortion and volume loss. Multiple, mostly calcified, non-specific parenchymal nodules measuring 6 mm in diameter were observed in both lungs, the largest in the upper lobe of the right lung. Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. Branches with buds and acinar infiltrative opacities were observed in the lower lobes of both lungs. The appearance was thought to be compatible with the infectious process. Clinical laboratory correlation is recommended. In addition, subpleural focal minimal consolidation areas were observed in the posterobasal segment of the lower lobe of the right lung. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Diffuse emphysematous changes in both lungs, areas of parenchymal fibrosis and paracicatricial bronchiectasis.  Non-specific parenchymal nodules in both lungs, some of which are calcified.  Branches with buds and acinar infiltrates in the lower lobes of both lungs and focal consolidation in the lower lobe of the right lung lung; clinical laboratory correlation is recommended, as the outlook is in terms of infectious process.  Bilateral peribronchial thickenings.  Slight dilatation of the ascending aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_711/valid_711_a/valid_711_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1676",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A well-circumscribed lesion area of 9x6.5 m was observed in the lateral aspect of the left breast. It is recommended to be evaluated together with breast US. No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectasis changes were observed in the left lung upper lobe inferiolingular segment and right lung middle lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with 11 mm diameter was observed inferior to the splenic hilum. Millimetric Schmorl nodules were observed in the end plates at the lower thoracic-upper lumbar level in the bone structures within the examination area. Impression:  Well-circumscribed nodular lesion in the left breast midsection lateral; It is recommended to be evaluated together with breast US.  Linear atelectasis sequelae change in left lung upper lobe inferiolingular segment and right lung middle lobe  Millimetric Schmorl nodules in lower thoracic-lumbar end plates"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_712/valid_712_a/valid_712_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1677",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: A well-circumscribed lesion area of 9x6.5 m was observed in the lateral aspect of the left breast. It is recommended to be evaluated together with breast US. No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectasis changes were observed in the left lung upper lobe inferiolingular segment and right lung middle lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with 11 mm diameter was observed inferior to the splenic hilum. Millimetric Schmorl nodules were observed in the end plates at the lower thoracic-upper lumbar level in the bone structures within the examination area. Impression:  Well-circumscribed nodular lesion in the left breast midsection lateral; It is recommended to be evaluated together with breast US.  Linear atelectasis sequelae change in left lung upper lobe inferiolingular segment and right lung middle lobe  Millimetric Schmorl nodules in lower thoracic-lumbar end plates"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_712/valid_712_a/valid_712_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the lower lobe of the right lung. A 3.5 mm diameter nonspecific parenchymal nodule was observed in the right lung middle lobe lateral segment. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Millimetric size nonspecific parenchymal nodule in the right lung, sequelae change in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_713/valid_713_a/valid_713_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the lower lobe of the right lung. A 3.5 mm diameter nonspecific parenchymal nodule was observed in the right lung middle lobe lateral segment. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Millimetric size nonspecific parenchymal nodule in the right lung, sequelae change in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_713/valid_713_a/valid_713_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear subsegmental atelectatic changes were observed in the basal segments of both lungs in the lower lobes. A 3.5 mm diameter nonspecific parenchymal nodule was observed in the right lung middle lobe lateral segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in the bone structures in the study area. Impression: Millimetric nonspecific parenchymal nodule in the middle lobe of the right lung. Linear subsegmentary atelectatic changes in the basal segments of the lower lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_713/valid_713_b/valid_713_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1681",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear subsegmental atelectatic changes were observed in the basal segments of both lungs in the lower lobes. A 3.5 mm diameter nonspecific parenchymal nodule was observed in the right lung middle lobe lateral segment. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in the bone structures in the study area. Impression: Millimetric nonspecific parenchymal nodule in the middle lobe of the right lung. Linear subsegmentary atelectatic changes in the basal segments of the lower lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_713/valid_713_b/valid_713_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1682",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; a millimetric nonspecific parenchymal nodule (3.5 mm) was observed in the middle lobe of the right lung. Nodular ground glass density increases-consolidations were observed in both lung parenchyma, peripheral subpleural area and bronchovascular localization. There are frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Subsegmental atelectasis was observed in the lower lobes of both lungs. No pleural effusion was detected. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with mild adiposity. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric-sized nonspecific parenchymal nodule in the right lung, subsegmental atelectasis in both lungs. There are frequently reported imaging features of Covid-19 pneumonia in both lungs. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_713/valid_713_c/valid_713_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; a millimetric nonspecific parenchymal nodule (3.5 mm) was observed in the middle lobe of the right lung. Nodular ground glass density increases-consolidations were observed in both lung parenchyma, peripheral subpleural area and bronchovascular localization. There are frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Subsegmental atelectasis was observed in the lower lobes of both lungs. No pleural effusion was detected. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with mild adiposity. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric-sized nonspecific parenchymal nodule in the right lung, subsegmental atelectasis in both lungs. There are frequently reported imaging features of Covid-19 pneumonia in both lungs. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_713/valid_713_c/valid_713_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1684",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_714/valid_714_a/valid_714_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1685",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific nodule with a diameter of 3 mm is observed adjacent to the pleura in the superior segment of the left lung lower lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nonspecific nodule with a diameter of 3 mm in the superior segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_715/valid_715_a/valid_715_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1686",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific nodule with a diameter of 3 mm is observed adjacent to the pleura in the superior segment of the left lung lower lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nonspecific nodule with a diameter of 3 mm in the superior segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_715/valid_715_a/valid_715_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1687",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass opacities are observed in both lungs, diffuse and predominant in the subpleural areas, the largest of which is a large ground glass opacity accompanied by minimal consolidation in the left lung lower lobe laterobasal segment. The outlook is consistent with Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_715/valid_715_b/valid_715_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1688",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass opacities are observed in both lungs, diffuse and predominant in the subpleural areas, the largest of which is a large ground glass opacity accompanied by minimal consolidation in the left lung lower lobe laterobasal segment. The outlook is consistent with Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_715/valid_715_b/valid_715_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1689",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, multilobar-multisegmental, central-peripheral crazy paving pattern and multiple nodular ground glass opacities showing vascular enlargement were observed. The outlook is consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in the lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_716/valid_716_a/valid_716_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1690",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, multilobar-multisegmental, central-peripheral crazy paving pattern and multiple nodular ground glass opacities showing vascular enlargement were observed. The outlook is consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in the lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_716/valid_716_a/valid_716_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Both thyroid glands are larger than normal and several hypodense nodules are observed, the largest of which is 2 cm in diameter in the right thyroid gland; USG verification is recommended. Trachea, both main bronchi are open. The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. No pericardial effusion or increased thickness was detected. Trachea and both main bronchi are open and no obstructive pathology is observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Calcified atheroma plaques are observed on the wall of the main mediastinal vascular structures. In mediastinal lymph node stations, lymphadenopathies measuring 26 mm in size are observed in the upper and lower paratracheal area, in the subcarinal area, in the right hilar region, and the largest in the subcarinal area. When examined in the lung parenchyma window; Panlobular emphysematous changes are observed in both lungs and diffuse ectasia and peribrochial thickness increases are present in the bronchial structures, more prominently at the central level. In both lungs, nodules with stable millimeter size, size and appearance are observed. In the current examination, an indistinct ground-glass density is observed, accompanied by increases in centriacinar nodular opacity in the appearance of a tree with buds, which is observed to have newly developed in the lower lobe posterobasal segment of both lungs. It is recommended to be evaluated in terms of infectious pathologies. Osteoarthritic degenerative changes are observed in the bone structures within the image. There is a fracture sequelae in the lateral part of the right 10th rib. In the abdominal sections within the image, no space-occupying lesion was observed in the liver. Bilateral adrenal glands are normal. There are simple cortical cysts in both kidneys. Impression: Mediastinal lymphadenopathies in a patient with prediagnosed AML, millimetric nodules with stable number, size and appearance in both lungs, panlobular emphysema in both lungs, centriacinar ground glass densities in the posterobasal segment of the lower lobes of both lungs, which are newly developed in the current examination, and look like a tree with buds; It is recommended to be evaluated in terms of infectious pathologies.  Right 10. Fracture sequelae in rib. Bilateral renal simple cortical cyst in the abdominal sections within the image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_717/valid_717_a/valid_717_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1692",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Both thyroid glands are larger than normal and several hypodense nodules are observed, the largest of which is 2 cm in diameter in the right thyroid gland; USG verification is recommended. Trachea, both main bronchi are open. The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. No pericardial effusion or increased thickness was detected. Trachea and both main bronchi are open and no obstructive pathology is observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Calcified atheroma plaques are observed on the wall of the main mediastinal vascular structures. In mediastinal lymph node stations, lymphadenopathies measuring 26 mm in size are observed in the upper and lower paratracheal area, in the subcarinal area, in the right hilar region, and the largest in the subcarinal area. When examined in the lung parenchyma window; Panlobular emphysematous changes are observed in both lungs and diffuse ectasia and peribrochial thickness increases are present in the bronchial structures, more prominently at the central level. In both lungs, nodules with stable millimeter size, size and appearance are observed. In the current examination, an indistinct ground-glass density is observed, accompanied by increases in centriacinar nodular opacity in the appearance of a tree with buds, which is observed to have newly developed in the lower lobe posterobasal segment of both lungs. It is recommended to be evaluated in terms of infectious pathologies. Osteoarthritic degenerative changes are observed in the bone structures within the image. There is a fracture sequelae in the lateral part of the right 10th rib. In the abdominal sections within the image, no space-occupying lesion was observed in the liver. Bilateral adrenal glands are normal. There are simple cortical cysts in both kidneys. Impression: Mediastinal lymphadenopathies in a patient with prediagnosed AML, millimetric nodules with stable number, size and appearance in both lungs, panlobular emphysema in both lungs, centriacinar ground glass densities in the posterobasal segment of the lower lobes of both lungs, which are newly developed in the current examination, and look like a tree with buds; It is recommended to be evaluated in terms of infectious pathologies.  Right 10. Fracture sequelae in rib. Bilateral renal simple cortical cyst in the abdominal sections within the image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_717/valid_717_a/valid_717_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, the contour and size of the heart are natural. No pericardial effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. Trachea and both main bronchi are open and no obstructive pathology is detected. Conglomerate lymphadenopathies are observed in the paratracheal, subcarinal area, in the right hilar region, the largest at subcarinal level, with a short diameter of approximately 24 mm. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, more prominently in the upper lobes. It may be compatible with opportunistic infections (fungal infection) found in the preliminary diagnosis. Post-treatment control is recommended. Impression: Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_717/valid_717_b/valid_717_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1694",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, the contour and size of the heart are natural. No pericardial effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. Trachea and both main bronchi are open and no obstructive pathology is detected. Conglomerate lymphadenopathies are observed in the paratracheal, subcarinal area, in the right hilar region, the largest at subcarinal level, with a short diameter of approximately 24 mm. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, more prominently in the upper lobes. It may be compatible with opportunistic infections (fungal infection) found in the preliminary diagnosis. Post-treatment control is recommended. Impression: Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_717/valid_717_b/valid_717_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1695",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The examination was evaluated by comparing it with the old thorax CT examination. Hypodense nodular lesions were observed in the right thyroid lobe. It is stable. Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The heart is normal. No pericardial effusion or thickening was detected. In the mediastinal prevascular area, aortopulmonary window, paratracheal area and right hilar region, lymphadenopathies in multiple numbers and diameters were also observed at the lower paraesophageal level. The largest of the lymphadenopathies was at the subcarinal level and measured approximately 42x28 mm. It is stable. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. The thoracic esophagus is in normal calibration. No pathological wall thickening was detected. When examined in the lung parenchyma window; Parenchymal consolidations accompanying honeycomb appearance were observed in the upper lobes of both lungs. Consolidations are stable. In addition, cavitary lesions, the largest of which reach approximately 13 mm in the posterobasal segment of the left lung lower lobe, are stable. In both lungs, especially in the upper lobes, increased aeration consistent with panlobular emphysema was observed. Bilateral pleural effusion was not detected. In the evaluation of the upper abdominal organs within the image, hypodense appearances with a diameter of 2 cm were observed in the middle zone of the left kidney (cyst ?). In the bone structures within the sections, osteophyte formations in the thoracic region, especially in the lower levels of the vertebral corpus corners, and vacuum phenomena in the intervertebral disc spaces are noteworthy. Impression: Stable consolidations accompanying honeycomb appearance in the upper lobes of both lungs in a patient with a prediagnosis of AML (the appearance may be compatible with opportunistic infection, or reactivation tuberculosis can be considered in the differential diagnosis).  Stable cavitary lesions in both lungs.  Signs of panlobular emphysema in both lungs. Mediastinal stable lymphadenopathies.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_717/valid_717_c/valid_717_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1696",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The examination was evaluated by comparing it with the old thorax CT examination. Hypodense nodular lesions were observed in the right thyroid lobe. It is stable. Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The heart is normal. No pericardial effusion or thickening was detected. In the mediastinal prevascular area, aortopulmonary window, paratracheal area and right hilar region, lymphadenopathies in multiple numbers and diameters were also observed at the lower paraesophageal level. The largest of the lymphadenopathies was at the subcarinal level and measured approximately 42x28 mm. It is stable. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. The thoracic esophagus is in normal calibration. No pathological wall thickening was detected. When examined in the lung parenchyma window; Parenchymal consolidations accompanying honeycomb appearance were observed in the upper lobes of both lungs. Consolidations are stable. In addition, cavitary lesions, the largest of which reach approximately 13 mm in the posterobasal segment of the left lung lower lobe, are stable. In both lungs, especially in the upper lobes, increased aeration consistent with panlobular emphysema was observed. Bilateral pleural effusion was not detected. In the evaluation of the upper abdominal organs within the image, hypodense appearances with a diameter of 2 cm were observed in the middle zone of the left kidney (cyst ?). In the bone structures within the sections, osteophyte formations in the thoracic region, especially in the lower levels of the vertebral corpus corners, and vacuum phenomena in the intervertebral disc spaces are noteworthy. Impression: Stable consolidations accompanying honeycomb appearance in the upper lobes of both lungs in a patient with a prediagnosis of AML (the appearance may be compatible with opportunistic infection, or reactivation tuberculosis can be considered in the differential diagnosis).  Stable cavitary lesions in both lungs.  Signs of panlobular emphysema in both lungs. Mediastinal stable lymphadenopathies.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_717/valid_717_c/valid_717_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1697",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Diffuse calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The ascending aorta measures 41 mm in diameter and shows slight dilatation. Calibration of other thoracic major vascular structures is natural. A well-circumscribed cystic lesion measuring 43x40 mm was observed in the anterior mediastinum. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Widespread free pleural effusion reaching 9 cm in its thickest part between the pleural leaves on the right and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. No pleural thickening-effusion was detected on the left. In the upper abdominal sections in the study area; liver contours are irregular. A few lymphadenopathies were observed in the right anterior diaphragmatic localization, the short axis of the largest being 15 mm. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Atherosclerotic changes.  Slight fusiform dilatation of the ascending aorta.  Widespread pleural effusion on the right.  Uniformly circumscribed cystic lesion in the anterior mediastinum.  Atelectatic changes.  Emphysematous changes in both lungs.  Sequelae changes in both lungs.  Several lymph nodes in the right anterior diaphragmatic localization.  Irregular appearance in liver contours."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_718/valid_718_a/valid_718_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1698",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Diffuse calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The ascending aorta measures 41 mm in diameter and shows slight dilatation. Calibration of other thoracic major vascular structures is natural. A well-circumscribed cystic lesion measuring 43x40 mm was observed in the anterior mediastinum. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Widespread free pleural effusion reaching 9 cm in its thickest part between the pleural leaves on the right and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. No pleural thickening-effusion was detected on the left. In the upper abdominal sections in the study area; liver contours are irregular. A few lymphadenopathies were observed in the right anterior diaphragmatic localization, the short axis of the largest being 15 mm. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Atherosclerotic changes.  Slight fusiform dilatation of the ascending aorta.  Widespread pleural effusion on the right.  Uniformly circumscribed cystic lesion in the anterior mediastinum.  Atelectatic changes.  Emphysematous changes in both lungs.  Sequelae changes in both lungs.  Several lymph nodes in the right anterior diaphragmatic localization.  Irregular appearance in liver contours."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_718/valid_718_a/valid_718_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1699",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_719/valid_719_a/valid_719_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1700",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_719/valid_719_a/valid_719_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1701",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass infiltration was detected in both lung parenchyma. A small nodule of 3 mm in size was observed in series 2 image 106 in the anterior upper lobe of the right lung. No pleural effusion was detected. Millimetric air densities are observed in the upper abdomen, especially in the subdiaphragmatic area at the roof level near the liver. It was evaluated as secondary to post sectio. No lytic-destructive lesion was detected in bone structures. Impression:  A small non-specific nodule of 3 mm in size was observed in series 2 image 106 in the anterior upper lobe of the right lung.  Millimetric air densities in the abdomen secondary to the post sectio."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_720/valid_720_a/valid_720_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1702",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass infiltration was detected in both lung parenchyma. A small nodule of 3 mm in size was observed in series 2 image 106 in the anterior upper lobe of the right lung. No pleural effusion was detected. Millimetric air densities are observed in the upper abdomen, especially in the subdiaphragmatic area at the roof level near the liver. It was evaluated as secondary to post sectio. No lytic-destructive lesion was detected in bone structures. Impression:  A small non-specific nodule of 3 mm in size was observed in series 2 image 106 in the anterior upper lobe of the right lung.  Millimetric air densities in the abdomen secondary to the post sectio."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_720/valid_720_a/valid_720_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few calcific nodules are observed in the left lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Sclerotic calcic changes are observed in the TH6 vertebral body. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific nodules are observed in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_721/valid_721_a/valid_721_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few calcific nodules are observed in the left lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Sclerotic calcic changes are observed in the TH6 vertebral body. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific nodules are observed in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_721/valid_721_a/valid_721_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The diameter of the ascending aorta was 42 mm and showed fusiform dilatation. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour, size is normal. Pericardial effusion-thickening was not observed. According to the previous examination, stable millimetric lymph nodes are observed in the mediastinal upper-lower paratracheal bilateral hilar region and subcarinal localization. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar region. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Peribronchial thickenings were observed in both lungs. Peribronchial thickenings are observed in both lungs. The bilateral pleural effusion area observed in the previous examination is not detected in the current examination. There are atelectatic changes in the lower and upper lobes of the right lung. Subsegmental atelectasis area was also observed in the lower lobe of the left lung. The dimensions of the round-shaped, ground-glass appearance in the lateral part of the upper lobe of the right lung have decreased in the current examination. No mass was detected in both lungs. In the upper abdominal sections in the study area; liver contours are irregular. The parenchyma is heterogeneous. When the examination is unenhanced, the liver parenchyma cannot be evaluated in this examination. Evaluation together with contrast-enhanced examination is recommended. No dilatation was detected in the intra and extrahepatic bile ducts. There are calculi in the gallbladder. Widespread free fluid in the abdomen is observed. Degenerative changes were observed in bone structures. Impression:  It is recommended to be evaluated in terms of chronic liver parenchymal disease.  Cholelithiasis.  Intraabdominal diffuse free fluid.  Bilateral pleural effusion observed in the previous examination was not detected in the current examination.  Bilateral peribronchial thickenings.  Atelectatic changes, particularly in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_722/valid_722_a/valid_722_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The diameter of the ascending aorta was 42 mm and showed fusiform dilatation. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour, size is normal. Pericardial effusion-thickening was not observed. According to the previous examination, stable millimetric lymph nodes are observed in the mediastinal upper-lower paratracheal bilateral hilar region and subcarinal localization. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar region. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Peribronchial thickenings were observed in both lungs. Peribronchial thickenings are observed in both lungs. The bilateral pleural effusion area observed in the previous examination is not detected in the current examination. There are atelectatic changes in the lower and upper lobes of the right lung. Subsegmental atelectasis area was also observed in the lower lobe of the left lung. The dimensions of the round-shaped, ground-glass appearance in the lateral part of the upper lobe of the right lung have decreased in the current examination. No mass was detected in both lungs. In the upper abdominal sections in the study area; liver contours are irregular. The parenchyma is heterogeneous. When the examination is unenhanced, the liver parenchyma cannot be evaluated in this examination. Evaluation together with contrast-enhanced examination is recommended. No dilatation was detected in the intra and extrahepatic bile ducts. There are calculi in the gallbladder. Widespread free fluid in the abdomen is observed. Degenerative changes were observed in bone structures. Impression:  It is recommended to be evaluated in terms of chronic liver parenchymal disease.  Cholelithiasis.  Intraabdominal diffuse free fluid.  Bilateral pleural effusion observed in the previous examination was not detected in the current examination.  Bilateral peribronchial thickenings.  Atelectatic changes, particularly in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_722/valid_722_a/valid_722_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1707",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Pulmonary trunk calibration is at the maximal physiological limit. Calibrations of the right and left pulmonary artery, ascending aorta and descending aorta are normal. However, the aortic arch calibration was measured as 37 mm and was wider than normal. Calcific atheroma plaques are observed in the left coronary artery. No lymph node with pathological size and configuration was detected in the mediastinum. When examined in the lung parenchyma window; In the right lung, aeration is observed slightly at the apical level in the upper lobe and in the middle lobe. At other levels, the lung appears collapsed. There is significant pleural effusion in the right lung. No pleural effusion was found in the previous examination of the case. The right lung is observed proximally as distinctly atelectatic, except for the defined aeration. There are thickenings in the middle lobe and peribronchial sheath of the right lung. There are fibroatelectatic linear density increases in the inferior lingular segment and lower lobe level in the left lung. Upper abdominal organs included in the sections are normal. There are operative changes in the contours of the right lobe of the liver entering the cross-sectional area. In the intrahepatic biliary tract, the appearance of a catheter extending from the right hemithorax is observed and continues until the common bile duct. No space-occupying lesion was detected in other organs. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are millimetric lymph nodes at the right perigastric level and at the hepatic hilar level. There is gynecomastia appearance on both sides. Degenerative changes are observed in the bone structures in the study area. There is a 50% loss of height in the D8 vertebra, especially in the anterior part, and there is kyphotic angulation, especially in the center of the D8 vertebra. Fracture appearances are observed in D9 and D10 elevations on the left and D11 elevations on the right. Impression:   Widespread pleural effusion is observed in the right lung, and there is partial aeration in the upper lobe and middle lobe. In other parts, the lung parenchyma is partially collapsed in the central part, as can be seen in air bronchograms.  There are sequelae changes and pleuroparenchymal density increases in the left lung and the right lung sections. No pleural effusion was detected in the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_722/valid_722_b/valid_722_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Pulmonary trunk calibration is at the maximal physiological limit. Calibrations of the right and left pulmonary artery, ascending aorta and descending aorta are normal. However, the aortic arch calibration was measured as 37 mm and was wider than normal. Calcific atheroma plaques are observed in the left coronary artery. No lymph node with pathological size and configuration was detected in the mediastinum. When examined in the lung parenchyma window; In the right lung, aeration is observed slightly at the apical level in the upper lobe and in the middle lobe. At other levels, the lung appears collapsed. There is significant pleural effusion in the right lung. No pleural effusion was found in the previous examination of the case. The right lung is observed proximally as distinctly atelectatic, except for the defined aeration. There are thickenings in the middle lobe and peribronchial sheath of the right lung. There are fibroatelectatic linear density increases in the inferior lingular segment and lower lobe level in the left lung. Upper abdominal organs included in the sections are normal. There are operative changes in the contours of the right lobe of the liver entering the cross-sectional area. In the intrahepatic biliary tract, the appearance of a catheter extending from the right hemithorax is observed and continues until the common bile duct. No space-occupying lesion was detected in other organs. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are millimetric lymph nodes at the right perigastric level and at the hepatic hilar level. There is gynecomastia appearance on both sides. Degenerative changes are observed in the bone structures in the study area. There is a 50% loss of height in the D8 vertebra, especially in the anterior part, and there is kyphotic angulation, especially in the center of the D8 vertebra. Fracture appearances are observed in D9 and D10 elevations on the left and D11 elevations on the right. Impression:   Widespread pleural effusion is observed in the right lung, and there is partial aeration in the upper lobe and middle lobe. In other parts, the lung parenchyma is partially collapsed in the central part, as can be seen in air bronchograms.  There are sequelae changes and pleuroparenchymal density increases in the left lung and the right lung sections. No pleural effusion was detected in the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_722/valid_722_b/valid_722_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1709",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart size increased. Heart contours are seen regularly. No pericardial effusion or thickness increase was observed. In the midline of the trachea, both main broaches are open. No obstructive pathology was detected. Multiple lymph nodes are observed in the pretracheal paravascular spaces and hilar area, the short axis of the largest not exceeding 1 cm. When the lung parenchyma window is examined; In both lungs, consolidation areas and ground-glass opacities are observed, predominantly in the lower lobes, with a tendency to merge in a widespread patchy manner with subpleural location. The outlook is consistent with typical-probable Covid pneumonia. No pleural effusion or thickness increase was observed. Upper abdominal organs in the study area have a natural appearance. No fractures or lytic-sclerotic lesions were detected in bone structures. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_723/valid_723_a/valid_723_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart size increased. Heart contours are seen regularly. No pericardial effusion or thickness increase was observed. In the midline of the trachea, both main broaches are open. No obstructive pathology was detected. Multiple lymph nodes are observed in the pretracheal paravascular spaces and hilar area, the short axis of the largest not exceeding 1 cm. When the lung parenchyma window is examined; In both lungs, consolidation areas and ground-glass opacities are observed, predominantly in the lower lobes, with a tendency to merge in a widespread patchy manner with subpleural location. The outlook is consistent with typical-probable Covid pneumonia. No pleural effusion or thickness increase was observed. Upper abdominal organs in the study area have a natural appearance. No fractures or lytic-sclerotic lesions were detected in bone structures. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_723/valid_723_a/valid_723_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1711",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in the right lung. Ventilation of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Spleen measured 138 mm in K.C axis. It is larger than normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several millimetric nonspecific nodules in the right lung . Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_724/valid_724_a/valid_724_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in the right lung. Ventilation of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Spleen measured 138 mm in K.C axis. It is larger than normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several millimetric nonspecific nodules in the right lung . Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_724/valid_724_a/valid_724_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1713",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Multiple pleural masses are observed in the right hemithorax. In the current examination, the large ones extending from the posterior of the right lung upper lobe apical segment to the lower lobe posterobasal segment, the long axis is 105 mm in the axial sections, 98 mm (target 1 lesion) in the PET CT examination, and the long axis of the lower lobe posterobasal-laterobasal segment is 100 mm in the current examination in the axial sections. It was measured as 80 mm in PET CT examination. Atelectatic changes are observed in the lung parenchyma adjacent to the mass. Active infiltration was not detected in both lung parenchyma. There are emphysematous changes. Trachea, both main bronchi are open and no occlusive pathology is detected. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Larger ones in the mediastinum posterior to the vena cava superior right atrium junction localization; masses are observed in tissue density. (target 4 lesions). In the evaluation made according to RECIST 1.1, the sum of the target lesions was 264 in the current examination and 225 in the previous PET CT examination. There is a 17% increase in lesion sizes (stable disease, but an increase in non-target lesion sizes is also observed. No newly developed lesion was detected in the current examination. No free fluid-loculated collection was detected in the upper abdominal sections within the image. More clearly observed thickness in the right adrenal gland body and lateral crus). There is an increase in the number of lymph nodes in the celiac area at the level of the portal hilus, with a short diameter not exceeding 1 cm. . Impression: Pleural masses in the right hemithorax, lesions in soft tissue density evaluated in favor of multiple metastatic lymphadenopathies in the mediastinum; In the evaluation made according to RECIST 1.1, an increase in the size of the target lesions was observed by 17%, but there was an increase in the size of the non-target lesion. No newly developed lesions were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_725/valid_725_a/valid_725_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1714",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Multiple pleural masses are observed in the right hemithorax. In the current examination, the large ones extending from the posterior of the right lung upper lobe apical segment to the lower lobe posterobasal segment, the long axis is 105 mm in the axial sections, 98 mm (target 1 lesion) in the PET CT examination, and the long axis of the lower lobe posterobasal-laterobasal segment is 100 mm in the current examination in the axial sections. It was measured as 80 mm in PET CT examination. Atelectatic changes are observed in the lung parenchyma adjacent to the mass. Active infiltration was not detected in both lung parenchyma. There are emphysematous changes. Trachea, both main bronchi are open and no occlusive pathology is detected. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Larger ones in the mediastinum posterior to the vena cava superior right atrium junction localization; masses are observed in tissue density. (target 4 lesions). In the evaluation made according to RECIST 1.1, the sum of the target lesions was 264 in the current examination and 225 in the previous PET CT examination. There is a 17% increase in lesion sizes (stable disease, but an increase in non-target lesion sizes is also observed. No newly developed lesion was detected in the current examination. No free fluid-loculated collection was detected in the upper abdominal sections within the image. More clearly observed thickness in the right adrenal gland body and lateral crus). There is an increase in the number of lymph nodes in the celiac area at the level of the portal hilus, with a short diameter not exceeding 1 cm. . Impression: Pleural masses in the right hemithorax, lesions in soft tissue density evaluated in favor of multiple metastatic lymphadenopathies in the mediastinum; In the evaluation made according to RECIST 1.1, an increase in the size of the target lesions was observed by 17%, but there was an increase in the size of the non-target lesion. No newly developed lesions were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_725/valid_725_a/valid_725_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1715",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centrilobular paraseptal emphysematous changes are observed in both lungs at the apical levels, more prominent on the right. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Diffuse density reduction and mild degenerative changes are observed in bone structures in the examination area. Impression:  Centrilobular paraseptal emphysematous changes in both lungs at the apical levels, more prominent on the right.  Several millimetric non-specific nodules in both lungs.  Diffuse density reduction, mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_726/valid_726_a/valid_726_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1716",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centrilobular paraseptal emphysematous changes are observed in both lungs at the apical levels, more prominent on the right. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Diffuse density reduction and mild degenerative changes are observed in bone structures in the examination area. Impression:  Centrilobular paraseptal emphysematous changes in both lungs at the apical levels, more prominent on the right.  Several millimetric non-specific nodules in both lungs.  Diffuse density reduction, mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_726/valid_726_a/valid_726_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1717",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centrilobular paraseptal emphysematous changes are observed in both lungs at the apical levels, more prominent on the right. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Diffuse density reduction and mild degenerative changes are observed in bone structures in the examination area. Impression:  Centrilobular paraseptal emphysematous changes in both lungs at the apical levels, more prominent on the right.  Several millimetric non-specific nodules in both lungs.  Diffuse density reduction, mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_726/valid_726_a/valid_726_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_1718",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centrilobular paraseptal emphysematous changes are observed in both lungs at the apical levels, more prominent on the right. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Diffuse density reduction and mild degenerative changes are observed in bone structures in the examination area. Impression:  Centrilobular paraseptal emphysematous changes in both lungs at the apical levels, more prominent on the right.  Several millimetric non-specific nodules in both lungs.  Diffuse density reduction, mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_726/valid_726_a/valid_726_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_1719",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centrilobular paraseptal emphysematous changes are observed in both lungs at the apical levels, more prominent on the right. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Diffuse density reduction and mild degenerative changes are observed in bone structures in the examination area. Impression:  Centrilobular paraseptal emphysematous changes in both lungs at the apical levels, more prominent on the right.  Several millimetric non-specific nodules in both lungs.  Diffuse density reduction, mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_726/valid_726_a/valid_726_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_1720",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; In the left lung upper lobe lingular segment and lower lobe posterobasal segment, in the right lung lower lobe and middle lobe, there are peripheral subpleural areas of increase in density consistent with linear-subsegmental atelectasis, accompanied by areas of blurred circumscribed ground glass and density increase consistent with consolidation. The findings suggest Covid-19 pneumonia during the recovery period. It is recommended to be evaluated together with clinical and laboratory findings. No pathology was detected in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image. Impression: In the left lung upper lobe lingular segment and lower lobe posterobasal segment, in the right lung lower lobe and middle lobe, there are peripheral subpleural areas of increase in density consistent with linear-subsegmental atelectasis, accompanied by areas of blurred circumscribed ground glass and density increase consistent with consolidation. The findings suggest Covid-19 pneumonia during the recovery period. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_727/valid_727_a/valid_727_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1721",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; In the left lung upper lobe lingular segment and lower lobe posterobasal segment, in the right lung lower lobe and middle lobe, there are peripheral subpleural areas of increase in density consistent with linear-subsegmental atelectasis, accompanied by areas of blurred circumscribed ground glass and density increase consistent with consolidation. The findings suggest Covid-19 pneumonia during the recovery period. It is recommended to be evaluated together with clinical and laboratory findings. No pathology was detected in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image. Impression: In the left lung upper lobe lingular segment and lower lobe posterobasal segment, in the right lung lower lobe and middle lobe, there are peripheral subpleural areas of increase in density consistent with linear-subsegmental atelectasis, accompanied by areas of blurred circumscribed ground glass and density increase consistent with consolidation. The findings suggest Covid-19 pneumonia during the recovery period. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_727/valid_727_a/valid_727_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1722",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Peripheral and centrally located ground-glass areas are observed in the upper and lower lobes of both lungs, and in the middle lobe of the right lung, more prominently on the right. Ground glass areas are more prominent in peripheral sections. The described findings can often be observed in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. Pulmonary artery diameters are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Impression: Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_728/valid_728_a/valid_728_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1723",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Peripheral and centrally located ground-glass areas are observed in the upper and lower lobes of both lungs, and in the middle lobe of the right lung, more prominently on the right. Ground glass areas are more prominent in peripheral sections. The described findings can often be observed in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. Pulmonary artery diameters are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Impression: Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_728/valid_728_a/valid_728_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1724",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Surgical metallic densities are observed in the anterior mediastinum in the patient who was operated for thymoma. No residual-recurrent mass was detected at this level. Trachea and both main bronchi are open. In the non-contrast examination, the mediastinum could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial ground-glass-like centriacinar nodular infiltration areas were observed in the upper lobe of the right lung. The described findings may be compatible with viral-induced bronchopneumonias. It is recommended to be evaluated together with clinical and laboratory. Diffuse segmental atelectasis areas accompanied by traction bronchiectasis in the middle lobe of the right lung were primarily evaluated in favor of treatment-related changes. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; The nodular lesion area, which was evaluated in favor of flash filling hemangioma defined in liver segment 2 in the previous examinations, could not be distinguished in the non-contrast examination. An accessory spleen with a diameter of 1.5 cm was observed adjacent to the spleen hilum. No lytic-destructive lesion in favor of metastasis was observed in the bone structures included in the study area. Impression:  Operated thymoma in follow-up, postoperative changes in anterior mediastinum; no residual-recurrent mass was observed.  Findings consistent with bronchopneumonia (viral?) in the upper lobe of the right lung.  Stable parenchymal sequelae changes secondary to treatments in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_729/valid_729_a/valid_729_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1725",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Surgical metallic densities are observed in the anterior mediastinum in the patient who was operated for thymoma. No residual-recurrent mass was detected at this level. Trachea and both main bronchi are open. In the non-contrast examination, the mediastinum could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial ground-glass-like centriacinar nodular infiltration areas were observed in the upper lobe of the right lung. The described findings may be compatible with viral-induced bronchopneumonias. It is recommended to be evaluated together with clinical and laboratory. Diffuse segmental atelectasis areas accompanied by traction bronchiectasis in the middle lobe of the right lung were primarily evaluated in favor of treatment-related changes. No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; The nodular lesion area, which was evaluated in favor of flash filling hemangioma defined in liver segment 2 in the previous examinations, could not be distinguished in the non-contrast examination. An accessory spleen with a diameter of 1.5 cm was observed adjacent to the spleen hilum. No lytic-destructive lesion in favor of metastasis was observed in the bone structures included in the study area. Impression:  Operated thymoma in follow-up, postoperative changes in anterior mediastinum; no residual-recurrent mass was observed.  Findings consistent with bronchopneumonia (viral?) in the upper lobe of the right lung.  Stable parenchymal sequelae changes secondary to treatments in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_729/valid_729_a/valid_729_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1726",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: the short muscle of the largest is 7 mm in millimetric lymph nodes in the upper-lower paratracheal subcarinal area. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. No mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. No significant pathology was detected in the upper abdominal solid organs included in the study area. Bilateral adrenal gland calibration is normal. No lytic-destructive lesion was detected in bone structures. Impression: Sequelae changes in the left lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_730/valid_730_a/valid_730_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1727",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: the short muscle of the largest is 7 mm in millimetric lymph nodes in the upper-lower paratracheal subcarinal area. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. No mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. No significant pathology was detected in the upper abdominal solid organs included in the study area. Bilateral adrenal gland calibration is normal. No lytic-destructive lesion was detected in bone structures. Impression: Sequelae changes in the left lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_730/valid_730_a/valid_730_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1728",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_731/valid_731_a/valid_731_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1729",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_731/valid_731_a/valid_731_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1730",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. There is a pacemaker placed on the left chest wall. Calcific atheroma plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures are normal. The heart size has increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are effusions of 78 mm on the right and 65 mm on the left in the bilateral hemithorax. The lower lobes of the lung adjacent to the effusion are atelectasis. Minimal focal ground-glass densities and linear atelectasis are seen in both upper lobes of the ventilated lung parenchyma. In the upper abdominal sections, the liver contours are corrugated, the right lobe is smaller than normal, and minimal perihepatic fluid densities are seen. There are calcific plaques in the aorta and its branches. Bone structures are osteoporotic and vertebrae are degenerative. Impression:  Cardiomegaly, cardiac pacemaker  Aortic and coronary artery atherosclerosis.  Bilateral massive pleural effusion and atelectasis, bronchial wall thickening in the lung parenchyma, linear atelectasis and focal nonspecific ground glass densities.  Findings consistent with liver parenchymal disease.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_732/valid_732_a/valid_732_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1731",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. There is a pacemaker placed on the left chest wall. Calcific atheroma plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures are normal. The heart size has increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are effusions of 78 mm on the right and 65 mm on the left in the bilateral hemithorax. The lower lobes of the lung adjacent to the effusion are atelectasis. Minimal focal ground-glass densities and linear atelectasis are seen in both upper lobes of the ventilated lung parenchyma. In the upper abdominal sections, the liver contours are corrugated, the right lobe is smaller than normal, and minimal perihepatic fluid densities are seen. There are calcific plaques in the aorta and its branches. Bone structures are osteoporotic and vertebrae are degenerative. Impression:  Cardiomegaly, cardiac pacemaker  Aortic and coronary artery atherosclerosis.  Bilateral massive pleural effusion and atelectasis, bronchial wall thickening in the lung parenchyma, linear atelectasis and focal nonspecific ground glass densities.  Findings consistent with liver parenchymal disease.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_732/valid_732_a/valid_732_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1732",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion is observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There are no pathologically enlarged lymph nodes. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_733/valid_733_a/valid_733_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1733",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion is observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There are no pathologically enlarged lymph nodes. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_733/valid_733_a/valid_733_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; there are common patchy ground glass densities in both lungs. The outlook is in favor of viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_734/valid_734_a/valid_734_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1735",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; there are common patchy ground glass densities in both lungs. The outlook is in favor of viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_734/valid_734_a/valid_734_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1736",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the trachea and both main bronchi lumen, densities consistent with the leveling mucosal secretion are observed. Evaluation of mediastinal structures is suboptimal in non-contrast imaging. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Consolidation areas and accompanying acinar opacities are observed in the upper lobe and lower lobes of both lungs. No mass-infiltration was detected in both lung parenchyma. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Left-facing scoliosis is observed in the thoracic vertebrae. Degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. Impression: Areas of mucosal secretion that are leveled in the lumen of the trachea and both main bronchi.  Areas of consolidation and acinar opacities in both lung parenchyma, which tend to coalesce in places, particularly in the upper and lower lobes, and in the lower lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_735/valid_735_a/valid_735_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1737",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the trachea and both main bronchi lumen, densities consistent with the leveling mucosal secretion are observed. Evaluation of mediastinal structures is suboptimal in non-contrast imaging. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Consolidation areas and accompanying acinar opacities are observed in the upper lobe and lower lobes of both lungs. No mass-infiltration was detected in both lung parenchyma. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Left-facing scoliosis is observed in the thoracic vertebrae. Degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. Impression: Areas of mucosal secretion that are leveled in the lumen of the trachea and both main bronchi.  Areas of consolidation and acinar opacities in both lung parenchyma, which tend to coalesce in places, particularly in the upper and lower lobes, and in the lower lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_735/valid_735_a/valid_735_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Pacemaker and leads extending to the apex of the right ventricle were observed on the anterior chest wall on the right. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the thoracic aorta calibration is normal. The diameters of the pulmonary trunk and both pulmonary arteries were measured 33 mm and 28 mm, respectively. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Aortic valve replacement was performed. A well-circumscribed, benign cystic lesion measuring 27x23x36 mm was observed at the interface of the ascending aorta and pulmonary trunk in the anterior mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Linear subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. Peribronchial thickening in both lungs and more prominent interlobular septal thickening in the right lung middle lobe and lower lobe basal segments of the lung were observed. The described findings were evaluated in favor of cardiac stasis in the first place. Subpleural nodular ground glass density was observed in the posterior subsegment of the left lung upper lobe apicoposterior segment. Appearance is nonspecific. It may be compatible with viral pneumonias, especially Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. In addition, a 14x10 mm subpleural nodular consolidation area was observed in the posterobasal segment of the lower lobe of the right lung (round pneumonia?, round atelectasis?). Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable border was detected in the lung parenchyma. Sequelae thickening was observed in the bilateral posterior costal pleura. As far as can be observed in the sections, gall bladder and right kidney were not observed (operated). Thickening of the right adrenal gland corpus was observed. A nodular mass lesion with dimensions of 29x24mm and a density of 6 HU was observed in the left adrenal gland, consistent with adenoma. The pancreas is normal. Diffuse calcific atheroma plaques were observed in the abdominal aorta and its visceral branches, especially in the splenic artery. Diffuse osteodegenerative changes were observed in the thoracic vertebrae, and disc distances at the mid-thoracic level were significantly narrowed. Impression: Well-circumscribed benign cystic lesion in the anterior mediastinum. Increased pulmonary artery diameters, cardiomegaly, diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries. \u00b7 Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). \u00b7 Findings consistent with cardiac stasis in both lungs. \u00b7 Subpleural nodular ground-glass area in the apicoposterior segment of the left lung upper lobe; It may be compatible with viral pneumonias, especially Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. \u00b7 Focal nodular consolidation (round pneumonia?, round atelectasis?) in the posterobasal segment of the lower lobe of the right lung. Follow-up is recommended. \u00b7 Linear subsegmental atelectatic changes in both lungs, nonspecific parenchymal nodules. \u00b7 Thickening of the right adrenal gland corpus, adenoma in the left adrenal gland corpus. Diffuse osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_736/valid_736_a/valid_736_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Pacemaker and leads extending to the apex of the right ventricle were observed on the anterior chest wall on the right. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the thoracic aorta calibration is normal. The diameters of the pulmonary trunk and both pulmonary arteries were measured 33 mm and 28 mm, respectively. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Aortic valve replacement was performed. A well-circumscribed, benign cystic lesion measuring 27x23x36 mm was observed at the interface of the ascending aorta and pulmonary trunk in the anterior mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Linear subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. Peribronchial thickening in both lungs and more prominent interlobular septal thickening in the right lung middle lobe and lower lobe basal segments of the lung were observed. The described findings were evaluated in favor of cardiac stasis in the first place. Subpleural nodular ground glass density was observed in the posterior subsegment of the left lung upper lobe apicoposterior segment. Appearance is nonspecific. It may be compatible with viral pneumonias, especially Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. In addition, a 14x10 mm subpleural nodular consolidation area was observed in the posterobasal segment of the lower lobe of the right lung (round pneumonia?, round atelectasis?). Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion with distinguishable border was detected in the lung parenchyma. Sequelae thickening was observed in the bilateral posterior costal pleura. As far as can be observed in the sections, gall bladder and right kidney were not observed (operated). Thickening of the right adrenal gland corpus was observed. A nodular mass lesion with dimensions of 29x24mm and a density of 6 HU was observed in the left adrenal gland, consistent with adenoma. The pancreas is normal. Diffuse calcific atheroma plaques were observed in the abdominal aorta and its visceral branches, especially in the splenic artery. Diffuse osteodegenerative changes were observed in the thoracic vertebrae, and disc distances at the mid-thoracic level were significantly narrowed. Impression: Well-circumscribed benign cystic lesion in the anterior mediastinum. Increased pulmonary artery diameters, cardiomegaly, diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries. \u00b7 Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). \u00b7 Findings consistent with cardiac stasis in both lungs. \u00b7 Subpleural nodular ground-glass area in the apicoposterior segment of the left lung upper lobe; It may be compatible with viral pneumonias, especially Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. \u00b7 Focal nodular consolidation (round pneumonia?, round atelectasis?) in the posterobasal segment of the lower lobe of the right lung. Follow-up is recommended. \u00b7 Linear subsegmental atelectatic changes in both lungs, nonspecific parenchymal nodules. \u00b7 Thickening of the right adrenal gland corpus, adenoma in the left adrenal gland corpus. Diffuse osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_736/valid_736_a/valid_736_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Nodular ground-glass density increases were observed in the peribronchovascular area of the middle lobe of the right lung and subpleural located in the superior lower lobe of the left lung. The outlook can be traced in Covid-19 pneumonia. Viral infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; In the liver, hypodense lesions were observed in various localizations, the largest of which was at segment 4A level, measuring 41x36 mm in size. The examination cannot be characterized (cyst?) as it is unenhanced. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Trabeculation increases were observed in the vertebrae in the bone structures included in the study area (osteopenia?). Impression:  Nodular ground glass density increases in both lung parenchyma. The outlook can be traced in Covid-19 pneumonia. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hypodense lesions (cyst?) in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_737/valid_737_a/valid_737_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Nodular ground-glass density increases were observed in the peribronchovascular area of the middle lobe of the right lung and subpleural located in the superior lower lobe of the left lung. The outlook can be traced in Covid-19 pneumonia. Viral infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; In the liver, hypodense lesions were observed in various localizations, the largest of which was at segment 4A level, measuring 41x36 mm in size. The examination cannot be characterized (cyst?) as it is unenhanced. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Trabeculation increases were observed in the vertebrae in the bone structures included in the study area (osteopenia?). Impression:  Nodular ground glass density increases in both lung parenchyma. The outlook can be traced in Covid-19 pneumonia. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hypodense lesions (cyst?) in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_737/valid_737_a/valid_737_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1742",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. On the left, a round lymph node with a short axis reaching 12 mm is seen in the hilar region. When examined in the lung parenchyma window; In the upper lobe of the left lung, a lobulated contoured nodular soft tissue density extending along the bronchial tree with an AP diameter of 26x26 mm at its widest point and a length of approximately 46 mm, which surrounds the bronchial structures anteriorly and whose borders cannot be distinguished from the bronchus, is observed. Multiple nodules are seen in both lungs, the largest of which is 14 mm in the posterobasal right lower lobe, and the others are 5 mm or less. There are emphysematous appearance and sequela changes in both lungs. In the upper abdominal sections, there are millimetric stones in the gallbladder. In this examination, a nodular lesion with a size of 24 mm is observed in the left adrenal gland, which cannot be clearly characterized. Bone structures are degenerative. Impression:  Density of soft tissue surrounding the bronchi in the upper lobe of the left lung; malignancy cannot be excluded, PET-CT is recommended.  Multiple nodules in both lungs.  Emphysema and sequelae changes in the lungs.  Round lymph node in the hilar region on the left.  Aortic and coronary artery atherosclerosis.  Cholelithiasis.  Left adrenal nodular lesion (adenoma?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_738/valid_738_a/valid_738_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1743",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. On the left, a round lymph node with a short axis reaching 12 mm is seen in the hilar region. When examined in the lung parenchyma window; In the upper lobe of the left lung, a lobulated contoured nodular soft tissue density extending along the bronchial tree with an AP diameter of 26x26 mm at its widest point and a length of approximately 46 mm, which surrounds the bronchial structures anteriorly and whose borders cannot be distinguished from the bronchus, is observed. Multiple nodules are seen in both lungs, the largest of which is 14 mm in the posterobasal right lower lobe, and the others are 5 mm or less. There are emphysematous appearance and sequela changes in both lungs. In the upper abdominal sections, there are millimetric stones in the gallbladder. In this examination, a nodular lesion with a size of 24 mm is observed in the left adrenal gland, which cannot be clearly characterized. Bone structures are degenerative. Impression:  Density of soft tissue surrounding the bronchi in the upper lobe of the left lung; malignancy cannot be excluded, PET-CT is recommended.  Multiple nodules in both lungs.  Emphysema and sequelae changes in the lungs.  Round lymph node in the hilar region on the left.  Aortic and coronary artery atherosclerosis.  Cholelithiasis.  Left adrenal nodular lesion (adenoma?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_738/valid_738_a/valid_738_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are millimetric lymph nodes with a short axis not exceeding 10 mm in the mediastinum. When examined in the lung parenchyma window; Layer-like calcifications were observed in the pleural leaflets in the bilateral hemithorax. There are mosaic density differences in both lung parenchyma. Clarification of the central bronchovascular structures and thickening of the bronchial walls are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. There are osteophytes extending anteriorly in the vertebrae. Impression:  Aortic and coronary artery atherosclerosis.  Clarification of central bronchovascular structures, bronchial wall thickening, mosaic density differences in the accompanying lung parenchyma.  Layer-like calcifications in the pleura (sequelae of pleuritis?).  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_739/valid_739_a/valid_739_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1745",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are millimetric lymph nodes with a short axis not exceeding 10 mm in the mediastinum. When examined in the lung parenchyma window; Layer-like calcifications were observed in the pleural leaflets in the bilateral hemithorax. There are mosaic density differences in both lung parenchyma. Clarification of the central bronchovascular structures and thickening of the bronchial walls are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. There are osteophytes extending anteriorly in the vertebrae. Impression:  Aortic and coronary artery atherosclerosis.  Clarification of central bronchovascular structures, bronchial wall thickening, mosaic density differences in the accompanying lung parenchyma.  Layer-like calcifications in the pleura (sequelae of pleuritis?).  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_739/valid_739_a/valid_739_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. The ascending aorta is 46 mm, the descending aorta 36 mm wider than normal. The aortic arch calibration is 32 mm, wider than normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta at the root of the aorta. Right pulmonary artery calibration is 29 mm, left pulmonary artery calibration is 28 mm, wider than normal. Pulmonary trunk calibration is 30 mm, wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are linear density increases consistent with sequelae changes in the anterior segment of the right lung upper lobe. There are density increases in the posterior segment of the upper lobe and compatible with pleuroparenchymal sequelae. Mild emphysematous changes are observed in both lungs. A linear increase in density is observed in the left lung, consistent with sequelae changes in the upper lobe. There is a linear increase in density consistent with sequelae changes in the left lung lower lobe laterobasal segment. There is a parenchymal band and a 5 mm diameter nodule in the lower lobe of the left lung. Pleural effusion or pneumothorax is not observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_740/valid_740_a/valid_740_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1747",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. The ascending aorta is 46 mm, the descending aorta 36 mm wider than normal. The aortic arch calibration is 32 mm, wider than normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta at the root of the aorta. Right pulmonary artery calibration is 29 mm, left pulmonary artery calibration is 28 mm, wider than normal. Pulmonary trunk calibration is 30 mm, wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are linear density increases consistent with sequelae changes in the anterior segment of the right lung upper lobe. There are density increases in the posterior segment of the upper lobe and compatible with pleuroparenchymal sequelae. Mild emphysematous changes are observed in both lungs. A linear increase in density is observed in the left lung, consistent with sequelae changes in the upper lobe. There is a linear increase in density consistent with sequelae changes in the left lung lower lobe laterobasal segment. There is a parenchymal band and a 5 mm diameter nodule in the lower lobe of the left lung. Pleural effusion or pneumothorax is not observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_740/valid_740_a/valid_740_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1748",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. There is thymic tissue in the anterior mediastinum with a conical configuration, hypodense areas compatible with fatty involution, and no mass configuration. No lymph node with pathological size and configuration was detected in the mediastinum. No evaluable lymph node was detected in both hilar-level non-contrast examinations. When examined in the lung parenchyma window; A nodule with a diameter of approximately 4 mm is observed in the right lung upper lobe posterior segment, in the dorsal subpleural area. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Both adrenals are normal in the evaluation of the sections that pass through the upper abdomen, including the sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nodule in the right lung upper lobe posterior segment, dorsal subpleural area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_741/valid_741_a/valid_741_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. There is thymic tissue in the anterior mediastinum with a conical configuration, hypodense areas compatible with fatty involution, and no mass configuration. No lymph node with pathological size and configuration was detected in the mediastinum. No evaluable lymph node was detected in both hilar-level non-contrast examinations. When examined in the lung parenchyma window; A nodule with a diameter of approximately 4 mm is observed in the right lung upper lobe posterior segment, in the dorsal subpleural area. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Both adrenals are normal in the evaluation of the sections that pass through the upper abdomen, including the sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nodule in the right lung upper lobe posterior segment, dorsal subpleural area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_741/valid_741_a/valid_741_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1750",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A sequela calcific nodule with a diameter of 4 mm is observed adjacent to the pleura in the posterior segment of the upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae calcific nodule in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_741/valid_741_b/valid_741_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1751",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A sequela calcific nodule with a diameter of 4 mm is observed adjacent to the pleura in the posterior segment of the upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae calcific nodule in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_741/valid_741_b/valid_741_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1752",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; azygos fissure and lobe are observed in the upper lobe of the right lung. No mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Azigos fissure and lobe in the upper lobe of the right lung. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_742/valid_742_a/valid_742_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1753",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. Calibration of thoracic main vascular structures is natural as far as can be observed. Heart contour and size are natural. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. According to the previous examination, stable millimetric lymph nodes are observed in the right upper-lower paratracheal, aorticoulmonary window. No lymph node was detected in mediastinal pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. In the right hilar localization, an irregularly circumscribed soft tissue lesion with a central necrotic appearance of approximately 24x23 mm surrounding the right lung upper lobe segment artery is observed. In the evaluation of both lung parenchyma; There is a 25x21 mm spiculated contoured mass in the apex of the right lung. In the left lung, multiple irregularly circumscribed pulmonary nodules are observed at the apex, the larger one measuring 13x11 mm. The long axis of the nodular lesion observed in the superior lower lobe of the left lung was 14 mm in the current examination and 12 mm in the previous examination and slightly increased. In the current examination, a soft tissue density of 14x7 mm located in the pleura is observed in the upper lobe of the right lung, which was not observed in the previous examination. Apart from this, no newly emerging nodule mass-infiltration was detected in the current examination. No newly emerged lesion was detected in the current examination. Atelectatic changes are observed in the lower lobe of the left lung. Emphysematous changes are observed in both lungs. Mosaic attenuation areas are observed in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with contrast-enhanced abdominal CT examination. In addition, the lesion observed at the level of segment 8-7 junction in the right lobe, as far as can be observed in the current examination, its long axis was 45 mm, while it was increased by 29 mm in the previous examination. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There is an extrarenal pelvis variation in the left kidney, and the left renal pelvis is prominent. Parapelvic cysts are observed in both kidneys. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. At the level of T10 vertebra, in the localization of the posterior paravertebral muscles, a 57x40 mm mass lesion compatible with metastasis is observed in the first plan, which destroys the spinous process. At this level, a metastatic mass lesion that causes destruction and loss of height in the vertebrae is observed. In addition, there is a metastatic appearance that causes expansion in the posterior elements of the L2 vertebra. The lesions described in the previous review have increased in size. There is also a metastatic appearance in the right first rib that does not cause significant cortical destruction. Impression: Irregularly circumscribed soft tissue lesion with central necrotic character surrounding the right upper lobe segment of the right lung in the right hilar localization.  Newly appeared pleural localized soft tissue lesion in the upper lobe of the right lung in the current examination. Metastases in bone structure described in the report are an increase in the size of the soft tissue mass that causes destruction of the spinous process followed within the paraverenral muscles at the posterior of the T10 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_743/valid_743_a/valid_743_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1754",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. Calibration of thoracic main vascular structures is natural as far as can be observed. Heart contour and size are natural. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. According to the previous examination, stable millimetric lymph nodes are observed in the right upper-lower paratracheal, aorticoulmonary window. No lymph node was detected in mediastinal pathological size and appearance. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. In the right hilar localization, an irregularly circumscribed soft tissue lesion with a central necrotic appearance of approximately 24x23 mm surrounding the right lung upper lobe segment artery is observed. In the evaluation of both lung parenchyma; There is a 25x21 mm spiculated contoured mass in the apex of the right lung. In the left lung, multiple irregularly circumscribed pulmonary nodules are observed at the apex, the larger one measuring 13x11 mm. The long axis of the nodular lesion observed in the superior lower lobe of the left lung was 14 mm in the current examination and 12 mm in the previous examination and slightly increased. In the current examination, a soft tissue density of 14x7 mm located in the pleura is observed in the upper lobe of the right lung, which was not observed in the previous examination. Apart from this, no newly emerging nodule mass-infiltration was detected in the current examination. No newly emerged lesion was detected in the current examination. Atelectatic changes are observed in the lower lobe of the left lung. Emphysematous changes are observed in both lungs. Mosaic attenuation areas are observed in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with contrast-enhanced abdominal CT examination. In addition, the lesion observed at the level of segment 8-7 junction in the right lobe, as far as can be observed in the current examination, its long axis was 45 mm, while it was increased by 29 mm in the previous examination. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There is an extrarenal pelvis variation in the left kidney, and the left renal pelvis is prominent. Parapelvic cysts are observed in both kidneys. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. At the level of T10 vertebra, in the localization of the posterior paravertebral muscles, a 57x40 mm mass lesion compatible with metastasis is observed in the first plan, which destroys the spinous process. At this level, a metastatic mass lesion that causes destruction and loss of height in the vertebrae is observed. In addition, there is a metastatic appearance that causes expansion in the posterior elements of the L2 vertebra. The lesions described in the previous review have increased in size. There is also a metastatic appearance in the right first rib that does not cause significant cortical destruction. Impression: Irregularly circumscribed soft tissue lesion with central necrotic character surrounding the right upper lobe segment of the right lung in the right hilar localization.  Newly appeared pleural localized soft tissue lesion in the upper lobe of the right lung in the current examination. Metastases in bone structure described in the report are an increase in the size of the soft tissue mass that causes destruction of the spinous process followed within the paraverenral muscles at the posterior of the T10 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_743/valid_743_a/valid_743_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1755",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are ground-glass findings in both lungs in which vascular enlargement with a halo sign around it is detected in a nodular patchy manner. It was evaluated in favor of Covid-19 viral pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a splenul of 10 mm in size is observed in the same density as the spleen, adjacent to the superior anterior spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended.  Small accessory spleen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_744/valid_744_a/valid_744_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1756",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are ground-glass findings in both lungs in which vascular enlargement with a halo sign around it is detected in a nodular patchy manner. It was evaluated in favor of Covid-19 viral pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a splenul of 10 mm in size is observed in the same density as the spleen, adjacent to the superior anterior spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended.  Small accessory spleen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_744/valid_744_a/valid_744_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1757",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There are multiple short axis lymph nodes measuring up to 8 mm in the mediastinum. No lymph node was detected in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; In both lungs, diffuse ground-glass densities are observed in the lower lobes and more prominent in the areas extending to the apical level on the left in the upper lobes, mostly peripherally located patchy ground glass densities. Close follow-up of clinical laboratory correlation of findings in terms of viral pneumonia (Covid-19) is recommended. In the evaluation of the upper abdominal sections, mild density changes consistent with hepatosteatosis are observed in the liver. There is a 4 mm calculus in the pelvicalyceal structures of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings described in the lung parenchyma are recommended for clinical laboratory correlation and close follow-up in terms of viral pneumonia (Covid-19).  Hepatosteatosis . Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_745/valid_745_a/valid_745_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1758",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Normal calibration of the esophagus is observed. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area, malignancy infiltrative involvement, suspicious nodular or mass-occupying lesion were detected. Subsegmental atelectasis area is observed in the left lung upper lobe lingula inferior segment. There are 2 nonspecific nodules less than 3 mm in the right lung. In upper abdominal sections, a decrease in liver parenchyma density is observed, consistent with mild hepatosteatosis. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: 2 millimetric nonspecific nodules in the right lung.  Subsegmental atelectasis area in the left lung . Mild hepatosteatosis ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_746/valid_746_a/valid_746_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1759",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Normal calibration of the esophagus is observed. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area, malignancy infiltrative involvement, suspicious nodular or mass-occupying lesion were detected. Subsegmental atelectasis area is observed in the left lung upper lobe lingula inferior segment. There are 2 nonspecific nodules less than 3 mm in the right lung. In upper abdominal sections, a decrease in liver parenchyma density is observed, consistent with mild hepatosteatosis. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: 2 millimetric nonspecific nodules in the right lung.  Subsegmental atelectasis area in the left lung . Mild hepatosteatosis ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_746/valid_746_a/valid_746_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1760",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickening was observed in the right lung. Consolidation and ground-glass appearance are observed in the lower lobe of the right lung, especially in the superior segment. In addition, there are centriacinar nodules adjacent to the described findings. Similar appearances can be observed in the central part of the middle lobe of the right lung. Since the presence of an underlying mass cannot be completely excluded, appropriate post-treatment control is recommended. There was no mass in both lungs and no appearance compatible with pneumonic infiltration in the left lung. There are appearances compatible with pleuroparenchymal sequelae change in both lung apexes. There are millimetric nonspecific nodules in both lungs. There is minimal pleural effusion on the right. There is no pleural effusion on the left. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. Pericardial effusion was not detected. There are lymphadenopathies in the mediastinum and hilar regions. The largest of the described lymphadenopathies is observed in the subcarinal region and its short diameter is 28 mm. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. Impression:  Findings evaluated primarily in favor of pneumonic infiltration in the right lung, mediastinal and hilar lymphadenopathies  Pleural effusion in the right  Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_747/valid_747_a/valid_747_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1761",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickening was observed in the right lung. Consolidation and ground-glass appearance are observed in the lower lobe of the right lung, especially in the superior segment. In addition, there are centriacinar nodules adjacent to the described findings. Similar appearances can be observed in the central part of the middle lobe of the right lung. Since the presence of an underlying mass cannot be completely excluded, appropriate post-treatment control is recommended. There was no mass in both lungs and no appearance compatible with pneumonic infiltration in the left lung. There are appearances compatible with pleuroparenchymal sequelae change in both lung apexes. There are millimetric nonspecific nodules in both lungs. There is minimal pleural effusion on the right. There is no pleural effusion on the left. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. Pericardial effusion was not detected. There are lymphadenopathies in the mediastinum and hilar regions. The largest of the described lymphadenopathies is observed in the subcarinal region and its short diameter is 28 mm. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. Impression:  Findings evaluated primarily in favor of pneumonic infiltration in the right lung, mediastinal and hilar lymphadenopathies  Pleural effusion in the right  Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_747/valid_747_a/valid_747_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: A port catheter placed on the anterior chest wall is seen on the right. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific plaques are present in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs, more prominent in the upper lobes. Subsegmental atelectasis is observed in the lingula on the left. Upper abdominal organs included in the sections are normal. There is an increase in the size of the liver entering the cross-sectional area. Millimetric nodular density is observed in the adipose tissue adjacent to the diaphragmatic crus in the prehepatic area. In the pancreas, there is a mass that causes invasion in neighboring structures in the body-tail part. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is free fluid in the abdomen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Stable parenchymal nonspecific nodules in the lungs.  Malignant mass lesion causing invasion in adjacent structures at the level of the pancreas body and tail, fluid in the abdomen, hepatomegaly, millimetric nodule in the adipose tissue in the prehepatic area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_748/valid_748_a/valid_748_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1763",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: A port catheter placed on the anterior chest wall is seen on the right. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific plaques are present in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs, more prominent in the upper lobes. Subsegmental atelectasis is observed in the lingula on the left. Upper abdominal organs included in the sections are normal. There is an increase in the size of the liver entering the cross-sectional area. Millimetric nodular density is observed in the adipose tissue adjacent to the diaphragmatic crus in the prehepatic area. In the pancreas, there is a mass that causes invasion in neighboring structures in the body-tail part. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is free fluid in the abdomen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Stable parenchymal nonspecific nodules in the lungs.  Malignant mass lesion causing invasion in adjacent structures at the level of the pancreas body and tail, fluid in the abdomen, hepatomegaly, millimetric nodule in the adipose tissue in the prehepatic area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_748/valid_748_a/valid_748_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. In the evaluation of mediastinal main vascular structures, the aortic arch calibration is 30 mm. It is slightly above normal. Calibration of other major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Both hemithorax are symmetrical. There are diffuse ground-glass-like density increments with peripheral distribution showing confluence from place to place in both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. There is sequela pleuroparenchymal linear density increase in the left lung lower lobe superior segment. In the upper abdominal organs included in the sections, mild steatosis is observed in the liver. Degenerative changes are observed in the bone structure entering the examination area. Impression:  Widespread ground-glass-like density increases with peripheral distribution showing confluence in both lungs, it is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia  Mild hepatosteatosis  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_749/valid_749_a/valid_749_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1765",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. In the evaluation of mediastinal main vascular structures, the aortic arch calibration is 30 mm. It is slightly above normal. Calibration of other major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Both hemithorax are symmetrical. There are diffuse ground-glass-like density increments with peripheral distribution showing confluence from place to place in both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. There is sequela pleuroparenchymal linear density increase in the left lung lower lobe superior segment. In the upper abdominal organs included in the sections, mild steatosis is observed in the liver. Degenerative changes are observed in the bone structure entering the examination area. Impression:  Widespread ground-glass-like density increases with peripheral distribution showing confluence in both lungs, it is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia  Mild hepatosteatosis  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_749/valid_749_a/valid_749_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The diameter of the ascending aorta was 44 mm at its widest point, indicating fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour, size is natural. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Subsegmental atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections within the examination area, there are hypodense lesions with a diameter of 13 mm at the level of liver segment 8 and 11 mm at the level of segment 2. It cannot be characterized on examination. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure. No lytic-destructive lesion was detected. Impression:  Fusiform dilatation of the thoracic aorta, calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Subsegmental atelectasis in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Hypodense lesions in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_750/valid_750_a/valid_750_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The diameter of the ascending aorta was 44 mm at its widest point, indicating fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour, size is natural. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Subsegmental atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections within the examination area, there are hypodense lesions with a diameter of 13 mm at the level of liver segment 8 and 11 mm at the level of segment 2. It cannot be characterized on examination. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure. No lytic-destructive lesion was detected. Impression:  Fusiform dilatation of the thoracic aorta, calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Subsegmental atelectasis in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Hypodense lesions in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_750/valid_750_a/valid_750_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1768",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. No lymph node was observed in the mediastinum in pathological size and appearance. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodular or mass-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_751/valid_751_a/valid_751_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1769",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibration of mediastinal major vascular structures is normal. No lymph node was observed in the mediastinum in pathological size and appearance. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious nodular or mass-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_751/valid_751_a/valid_751_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Degenerative osteophytes were observed in the vertebral corpus corners. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_752/valid_752_a/valid_752_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1771",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Degenerative osteophytes were observed in the vertebral corpus corners. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_752/valid_752_a/valid_752_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1772",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures appear natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are several millimetric nonspecific nodules located peripherally in both lungs. Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several millimetric nonspecific nodules located peripherally in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_752/valid_752_b/valid_752_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures appear natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are several millimetric nonspecific nodules located peripherally in both lungs. Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Several millimetric nonspecific nodules located peripherally in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_752/valid_752_b/valid_752_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch is at the maximal physiological limit. Calibrations of other mediastinal major vascular structures are normal. Thymic-reminant is observed in the anterior mediastinum. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Density reductions consistent with emphysema are observed in both lungs. A subpleural 3 mm diameter nodule is observed in the anterior segment of the right lung upper lobe. A subpleural 5x3 mm diameter non-specific nodule is observed in the right lung lower lobe laterobasal segment. A subpleural nodule with a diameter of 4 mm is observed at the laterobasal level of the lower lobe of the left lung. No pleural effusion or pneumothorax was detected in both lungs. No finding compatible with pneumonia was observed. Upper abdominal organs included in the sections are normal. Non-specific hypodense formation is observed in the vicinity of the falciform ligament in the liver (focal adiposity?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Hemangiomatous focus is observed in D11 vertebra. Impression:  No finding compatible with pneumonia was detected.  A few millimetric non-specific nodule formations in both lungs.  Mild emphysema in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_753/valid_753_a/valid_753_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1775",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch is at the maximal physiological limit. Calibrations of other mediastinal major vascular structures are normal. Thymic-reminant is observed in the anterior mediastinum. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear. Density reductions consistent with emphysema are observed in both lungs. A subpleural 3 mm diameter nodule is observed in the anterior segment of the right lung upper lobe. A subpleural 5x3 mm diameter non-specific nodule is observed in the right lung lower lobe laterobasal segment. A subpleural nodule with a diameter of 4 mm is observed at the laterobasal level of the lower lobe of the left lung. No pleural effusion or pneumothorax was detected in both lungs. No finding compatible with pneumonia was observed. Upper abdominal organs included in the sections are normal. Non-specific hypodense formation is observed in the vicinity of the falciform ligament in the liver (focal adiposity?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Hemangiomatous focus is observed in D11 vertebra. Impression:  No finding compatible with pneumonia was detected.  A few millimetric non-specific nodule formations in both lungs.  Mild emphysema in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_753/valid_753_a/valid_753_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In both lung parenchyma, posterior weighted bronchiectasis, thickening of the bronchial wall, peribronchial fibrotic densities, peribronchial reticulonodular density increases are observed in the right middle lobe and bilaterally more prominently in the lower lobes. There is minimal consolidation in both lung lower lobe posterobasales. In the upper abdominal organs included in the sections, both kidneys partially enter the section and there are suspicious thinnings in their cortices. The spleen has increased in size (154 mm). The bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Significant findings in terms of bronchiectasis, bronchial wall thickening, peribronchial active bronchiolitis in both lungs  Suspicion of bilateral renal atrophy  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_754/valid_754_a/valid_754_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1777",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In both lung parenchyma, posterior weighted bronchiectasis, thickening of the bronchial wall, peribronchial fibrotic densities, peribronchial reticulonodular density increases are observed in the right middle lobe and bilaterally more prominently in the lower lobes. There is minimal consolidation in both lung lower lobe posterobasales. In the upper abdominal organs included in the sections, both kidneys partially enter the section and there are suspicious thinnings in their cortices. The spleen has increased in size (154 mm). The bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Significant findings in terms of bronchiectasis, bronchial wall thickening, peribronchial active bronchiolitis in both lungs  Suspicion of bilateral renal atrophy  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_754/valid_754_a/valid_754_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1778",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_755/valid_755_a/valid_755_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1779",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_755/valid_755_a/valid_755_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1780",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. A few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are areas of linear atelectasis in both lungs. There is a subpleural 1 mm diameter nonspecific nodule in the lateral segment of the left lung lower lobe. No mass or infiltrative lesion was detected in both lungs. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Liver parenchyma density has decreased in favor of fattening. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear areas of atelectasis in both lungs.  Submillimetric nodule in the left lung.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_756/valid_756_a/valid_756_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1781",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. A few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are areas of linear atelectasis in both lungs. There is a subpleural 1 mm diameter nonspecific nodule in the lateral segment of the left lung lower lobe. No mass or infiltrative lesion was detected in both lungs. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Liver parenchyma density has decreased in favor of fattening. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear areas of atelectasis in both lungs.  Submillimetric nodule in the left lung.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_756/valid_756_a/valid_756_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; nodular ground glass consolidations forming a crazy paving pattern with air bronchograms in the right lung upper lobe posterior segment, right lung lower lobe laterobasal segment, left lung upper lobe apicoposterior and superior lingular segment, the largest showing reverse halo sign in the right lung upper lobe posterior segment, were observed. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A linear density increase of 14.5x5 mm was observed in the right lung lower lobe superior segment, adjacent to the major fissure (intrapulmonary lymph node?). Apart from this, no mass lesion with distinguishable borders was detected in both lungs. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. Impression: Aneurysmatic dilatation in the ascending and descending aorta . Calcified atheromatous plaques in the aortic arch and coronary arteries . Hiatal hernia . Nodular ground-glass consolidations highly suspected for Covid-19 pneumonia in the above-defined areas of both lungs; It is recommended to be evaluated together with clinical and laboratory.  Superposed linear density increase over the major fissure in the superior segment of the right lung lower lobe (intrapulmonary lymph node?) . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_757/valid_757_a/valid_757_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1783",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; nodular ground glass consolidations forming a crazy paving pattern with air bronchograms in the right lung upper lobe posterior segment, right lung lower lobe laterobasal segment, left lung upper lobe apicoposterior and superior lingular segment, the largest showing reverse halo sign in the right lung upper lobe posterior segment, were observed. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A linear density increase of 14.5x5 mm was observed in the right lung lower lobe superior segment, adjacent to the major fissure (intrapulmonary lymph node?). Apart from this, no mass lesion with distinguishable borders was detected in both lungs. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. Impression: Aneurysmatic dilatation in the ascending and descending aorta . Calcified atheromatous plaques in the aortic arch and coronary arteries . Hiatal hernia . Nodular ground-glass consolidations highly suspected for Covid-19 pneumonia in the above-defined areas of both lungs; It is recommended to be evaluated together with clinical and laboratory.  Superposed linear density increase over the major fissure in the superior segment of the right lung lower lobe (intrapulmonary lymph node?) . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_757/valid_757_a/valid_757_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1784",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques in the coronary arteries, aortic arch, and descending thoracic aorta. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, especially in the upper lobes. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. There is a change in favor of steatosis in the liver parenchyma entering the section area. A hypodense finding of 9 mm in size, which can hardly be distinguished from the cortical parenchyma in the left kidney within the limits of the examination, was initially evaluated in favor of a suspected cortical cyst. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Density reduction is also observed in the bone structures in the study area. There are hypertrophic, osteophytic taperings and fissions in the anteriors of the vertebral corpus endplates. Impression:  Suspected small cortical cyst in left kidney.  Emphysematous changes at the apical levels of the upper lobes of both lungs.  Atherosclerosis.  Hepatosteatosis.  Diffuse density reduction, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_758/valid_758_a/valid_758_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1785",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques in the coronary arteries, aortic arch, and descending thoracic aorta. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, especially in the upper lobes. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. There is a change in favor of steatosis in the liver parenchyma entering the section area. A hypodense finding of 9 mm in size, which can hardly be distinguished from the cortical parenchyma in the left kidney within the limits of the examination, was initially evaluated in favor of a suspected cortical cyst. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Density reduction is also observed in the bone structures in the study area. There are hypertrophic, osteophytic taperings and fissions in the anteriors of the vertebral corpus endplates. Impression:  Suspected small cortical cyst in left kidney.  Emphysematous changes at the apical levels of the upper lobes of both lungs.  Atherosclerosis.  Hepatosteatosis.  Diffuse density reduction, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_758/valid_758_a/valid_758_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Thorax AP diameter increased. A nodular lesion, which may also belong to the thyroid nodule, which did not show any significant change in the previous examination, is observed in the posterior inferior part of the right part of the thyroid gland, which is included in the examination area. It is 19x16 mmm and does not differ significantly from the previous review. Trachea and main bronchi are open. Right upper-lower paratracheal aortapulmonary lymph nodes with millimetric size are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Mosaic perfusion appearance is observed in both lungs. Mild protrusions are observed in the interlobular septa in the lower lobes of both lungs. Honeycomb appearance is observed in the lower lobes of the right lung. According to the previous examination, there is a pronounced mosaic perfusion. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Mosaic perfusion in both lungs (small airway disease, small vessel disease). More prominent honeycomb lung in the posterobasal segment of the lower lobe of the right lung, mildly stable interlobular septal thickenings of the peripheral lung tissue more prominent on the right in both lungs. It is recommended to be evaluated for interstitial lung disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_759/valid_759_a/valid_759_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Thorax AP diameter increased. A nodular lesion, which may also belong to the thyroid nodule, which did not show any significant change in the previous examination, is observed in the posterior inferior part of the right part of the thyroid gland, which is included in the examination area. It is 19x16 mmm and does not differ significantly from the previous review. Trachea and main bronchi are open. Right upper-lower paratracheal aortapulmonary lymph nodes with millimetric size are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Mosaic perfusion appearance is observed in both lungs. Mild protrusions are observed in the interlobular septa in the lower lobes of both lungs. Honeycomb appearance is observed in the lower lobes of the right lung. According to the previous examination, there is a pronounced mosaic perfusion. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Mosaic perfusion in both lungs (small airway disease, small vessel disease). More prominent honeycomb lung in the posterobasal segment of the lower lobe of the right lung, mildly stable interlobular septal thickenings of the peripheral lung tissue more prominent on the right in both lungs. It is recommended to be evaluated for interstitial lung disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_759/valid_759_a/valid_759_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1788",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Calcifications were observed in the aortic valve. Pericardial, pleural effusion was not detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. Trachea, both main bronchi are open and no occlusive pathology is detected. No lymph nodes in pathological size and appearance were observed in both supraclavicular fossa, axillary region and mediastinum. In the examination made in the lung parenchyma window; In the peripheral subpleural area of the left lung lower lobe anterobasal, right lung lower lobe posterobasal and laterobasal segment, density increases were observed in the ground glass density with indistinct borders. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No mass lesions were detected in both lungs. In the upper abdominal sections within the image, no pathology was observed as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was detected in the bone structures within the image. Impression:  Findings consistent with viral pneumonia in both lungs.  Sliding type mild hiatal hernia at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_760/valid_760_a/valid_760_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1789",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Calcifications were observed in the aortic valve. Pericardial, pleural effusion was not detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. Trachea, both main bronchi are open and no occlusive pathology is detected. No lymph nodes in pathological size and appearance were observed in both supraclavicular fossa, axillary region and mediastinum. In the examination made in the lung parenchyma window; In the peripheral subpleural area of the left lung lower lobe anterobasal, right lung lower lobe posterobasal and laterobasal segment, density increases were observed in the ground glass density with indistinct borders. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. No mass lesions were detected in both lungs. In the upper abdominal sections within the image, no pathology was observed as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was detected in the bone structures within the image. Impression:  Findings consistent with viral pneumonia in both lungs.  Sliding type mild hiatal hernia at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_760/valid_760_a/valid_760_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1790",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Lymph nodes are observed in the aorticopulmonary window in the pretracheal area at the prevascular level in the upper-lower paratracheal area, with the largest measuring 8x6 mm in the prevascular area. At the hilar level, no bilaterally pathologically sized and configured lymph nodes were detected. In the evaluation of the parenchymal window of both lungs, the calibration of the trachea and main bronchi is normal, and their lumens are clear. Paraseptal-central lobular emphysema appearance is observed in the upper lobe of both lungs. A nodule with a diameter of approximately 4 mm is observed in the middle lobe of the right lung. Degenerative changes are observed in the bone structure. Impression: Centrilobular-paraseptal emphysema in the upper lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_761/valid_761_a/valid_761_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1791",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Lymph nodes are observed in the aorticopulmonary window in the pretracheal area at the prevascular level in the upper-lower paratracheal area, with the largest measuring 8x6 mm in the prevascular area. At the hilar level, no bilaterally pathologically sized and configured lymph nodes were detected. In the evaluation of the parenchymal window of both lungs, the calibration of the trachea and main bronchi is normal, and their lumens are clear. Paraseptal-central lobular emphysema appearance is observed in the upper lobe of both lungs. A nodule with a diameter of approximately 4 mm is observed in the middle lobe of the right lung. Degenerative changes are observed in the bone structure. Impression: Centrilobular-paraseptal emphysema in the upper lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_761/valid_761_a/valid_761_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1792",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. There is a sliding type mild hiatal hernia at the lower end.No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimetric nodules that are nomspecific. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: There is a sliding type hiatal hernia at the lower end of the esophagus . In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimetric nodules that are nomspecific."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_762/valid_762_a/valid_762_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. There is a sliding type mild hiatal hernia at the lower end.No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimetric nodules that are nomspecific. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: There is a sliding type hiatal hernia at the lower end of the esophagus . In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimetric nodules that are nomspecific."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_762/valid_762_a/valid_762_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1794",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_763/valid_763_a/valid_763_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1795",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_763/valid_763_a/valid_763_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1796",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are several short axis lymph nodes measuring up to 11 mm in the carina. When examined in the lung parenchyma window; Bronchiectasis and sequelae changes, which are thought to be postoperative in the upper and lower lobes of the left lung, air-fluid leveling in the perihilar region of the left lung lower lobe superior. There is a consolidation area in the posterior segment of the lower lobe of the left lung, which is observed in the air bronchogram sign. It was evaluated in favor of the infectious process in the first plan. The left hemidiaphragm shows elevation. Postoperative sequelae are in the differential diagnosis of atelectatic change. It is recommended to compare with previous examinations, if any. Mild atelectatic changes are also observed in the middle lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  In the presence of postop changes, bronchiectasis, peribronchial thickening in the upper lobe and lower lobe superior of the left lung, increase in the density of the air bronchogram in the lower lobe of the left lung, and post-op chronic changes, infectious process? clinical lab. blind. 4  Postop changes in left ribs.  Several millimetric nonspecific nodules in the right lung.  Atelectatic changes in the middle lobe of the right lung.  Lymph nodes with a short axis measuring 11 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_764/valid_764_a/valid_764_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are several short axis lymph nodes measuring up to 11 mm in the carina. When examined in the lung parenchyma window; Bronchiectasis and sequelae changes, which are thought to be postoperative in the upper and lower lobes of the left lung, air-fluid leveling in the perihilar region of the left lung lower lobe superior. There is a consolidation area in the posterior segment of the lower lobe of the left lung, which is observed in the air bronchogram sign. It was evaluated in favor of the infectious process in the first plan. The left hemidiaphragm shows elevation. Postoperative sequelae are in the differential diagnosis of atelectatic change. It is recommended to compare with previous examinations, if any. Mild atelectatic changes are also observed in the middle lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  In the presence of postop changes, bronchiectasis, peribronchial thickening in the upper lobe and lower lobe superior of the left lung, increase in the density of the air bronchogram in the lower lobe of the left lung, and post-op chronic changes, infectious process? clinical lab. blind. 4  Postop changes in left ribs.  Several millimetric nonspecific nodules in the right lung.  Atelectatic changes in the middle lobe of the right lung.  Lymph nodes with a short axis measuring 11 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_764/valid_764_a/valid_764_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1798",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are patchy ground glass densities located peripherally in the close neighborhood of the subpleural area. The findings were evaluated in terms of early viral pneumonia (Covid-19). Close monitoring of clinical laboratory correlation is recommended. No nodular lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Patchy ground-glass densities located peripherally in close neighborhoods of the subpleural area in both lungs. The findings were evaluated for early viral pneumonia (Covid-19). Close clinical laboratory correlation is recommended. Close follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_765/valid_765_a/valid_765_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1799",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, there are patchy ground glass densities located peripherally in the close neighborhood of the subpleural area. The findings were evaluated in terms of early viral pneumonia (Covid-19). Close monitoring of clinical laboratory correlation is recommended. No nodular lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Patchy ground-glass densities located peripherally in close neighborhoods of the subpleural area in both lungs. The findings were evaluated for early viral pneumonia (Covid-19). Close clinical laboratory correlation is recommended. Close follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_765/valid_765_a/valid_765_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1800",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; More than one patchy ground glass densities are observed in both lungs, especially in the lower lobe superior and posterior basal parts. Clinical and laboratory correlation and follow-up are recommended for viral pneumonia. Upper abdominal organs are included in the study partially and no gross pathology was found. A slight decrease in density is observed in the bone structures in the examination area, and there are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles. Impression: The findings described above have been evaluated in terms of viral pneumonia (covid-19), and it is in the differential diagnosis of other viral pneumonias. Clinical laboratory correlation of the findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_766/valid_766_a/valid_766_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; More than one patchy ground glass densities are observed in both lungs, especially in the lower lobe superior and posterior basal parts. Clinical and laboratory correlation and follow-up are recommended for viral pneumonia. Upper abdominal organs are included in the study partially and no gross pathology was found. A slight decrease in density is observed in the bone structures in the examination area, and there are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles. Impression: The findings described above have been evaluated in terms of viral pneumonia (covid-19), and it is in the differential diagnosis of other viral pneumonias. Clinical laboratory correlation of the findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_766/valid_766_a/valid_766_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Several lymph nodes are observed in the mediastinum and bilateral hilar regions, the largest of which is 6 mm in diameter in the lower paratracheal area. No enlarged lymph node was detected in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. More prominent minimal emphysematous changes are present in the upper lobes of both lungs. In the lateral and posterior segments of the lower lobe of the right lung, there are diffuse ground glass areas and accompanying interlobular septal thickness increases in and around the nodular consolidation area in which air bronchograms are observed in places (infectious processes?). There are multiple millimetric calcific nodules in both lungs. In the upper lobe apical segments of both lungs, subsegmental atelectasis areas accompanied by pleuroparenchymal recesses and tractional bronchiectasis and occasionally coarse calcifications-calcific nodules are observed. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Nodular consolidation with air bronchograms in the lower lobe of the right lung, diffuse ground glass areas in the lower lobe, accompanying interlobular septal thickness increases; findings are consistent with infectious processes.  Areas of subsegmental atelectasis accompanied by tractional bronchiectasis in the apical regions of the upper lobes of both lungs, minimal emphysematous changes in both lungs.  Multiple calcific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_767/valid_767_a/valid_767_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1803",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. Several lymph nodes are observed in the mediastinum and bilateral hilar regions, the largest of which is 6 mm in diameter in the lower paratracheal area. No enlarged lymph node was detected in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. More prominent minimal emphysematous changes are present in the upper lobes of both lungs. In the lateral and posterior segments of the lower lobe of the right lung, there are diffuse ground glass areas and accompanying interlobular septal thickness increases in and around the nodular consolidation area in which air bronchograms are observed in places (infectious processes?). There are multiple millimetric calcific nodules in both lungs. In the upper lobe apical segments of both lungs, subsegmental atelectasis areas accompanied by pleuroparenchymal recesses and tractional bronchiectasis and occasionally coarse calcifications-calcific nodules are observed. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Nodular consolidation with air bronchograms in the lower lobe of the right lung, diffuse ground glass areas in the lower lobe, accompanying interlobular septal thickness increases; findings are consistent with infectious processes.  Areas of subsegmental atelectasis accompanied by tractional bronchiectasis in the apical regions of the upper lobes of both lungs, minimal emphysematous changes in both lungs.  Multiple calcific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_767/valid_767_a/valid_767_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1804",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of medastinal major vascular structures is natural. Minimal calcified atherosclerotic changes were observed in the wall of the coronary aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal, and no significant pathological wall thickness increase was detected in the examination limits in the non-contrast examination limits. Calcified lymph nodes were observed in the mediastinum, upper-lower paratracheal, right hilar, prevascular area, with a short axis of less than 5 mm in the right hilar area. No lymph node was detected in pathological size and appearance. When evaluated in the parenchyma window of both lungs: Emphysematous changes were documented in both lungs. Widespread bulla formations measuring 8 cm on the right and 6 cm on the left were observed in the upper lobes of both lungs. There are bronchiectatic changes that are evident in the center of both lungs. Pleuroparenchymal sequelae density increases were observed in both lungs apical. A calcified parenchymal nodule with a diameter of 4 mm was observed in the upper lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in the posterobasal segment of the right lung lower lobe. Upper abdominal sections entering the examination area are natural. Liver parenchyma density is diffusely decreased in line with fatty deposits. Millimetric coarse calcifications were observed in the right lobe of the liver. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. A hypodense lesion with a diameter of 12 mm was observed in the right kidney (cyst?). No lytic-destructive lesion was detected in bone structures. Impression:  Mediastinal milimetric lymph nodes, some of which are calcified.  Diffuse emphysematous changes in both lungs, diffuse bullae formations in the upper lobes.  Sequelae changes in both lungs, bronchiectatic changes in both lungs.  Millimetric calcified nonspecific parenchymal nodule in the right lung.  Hepatosteatosis.  Right renal hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_768/valid_768_a/valid_768_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1805",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of medastinal major vascular structures is natural. Minimal calcified atherosclerotic changes were observed in the wall of the coronary aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal, and no significant pathological wall thickness increase was detected in the examination limits in the non-contrast examination limits. Calcified lymph nodes were observed in the mediastinum, upper-lower paratracheal, right hilar, prevascular area, with a short axis of less than 5 mm in the right hilar area. No lymph node was detected in pathological size and appearance. When evaluated in the parenchyma window of both lungs: Emphysematous changes were documented in both lungs. Widespread bulla formations measuring 8 cm on the right and 6 cm on the left were observed in the upper lobes of both lungs. There are bronchiectatic changes that are evident in the center of both lungs. Pleuroparenchymal sequelae density increases were observed in both lungs apical. A calcified parenchymal nodule with a diameter of 4 mm was observed in the upper lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in the posterobasal segment of the right lung lower lobe. Upper abdominal sections entering the examination area are natural. Liver parenchyma density is diffusely decreased in line with fatty deposits. Millimetric coarse calcifications were observed in the right lobe of the liver. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. A hypodense lesion with a diameter of 12 mm was observed in the right kidney (cyst?). No lytic-destructive lesion was detected in bone structures. Impression:  Mediastinal milimetric lymph nodes, some of which are calcified.  Diffuse emphysematous changes in both lungs, diffuse bullae formations in the upper lobes.  Sequelae changes in both lungs, bronchiectatic changes in both lungs.  Millimetric calcified nonspecific parenchymal nodule in the right lung.  Hepatosteatosis.  Right renal hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_768/valid_768_a/valid_768_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1806",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial millimetric reticulonodular densities are observed in both lungs, being more prominent in the upper lobes. Millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Peribronchial reticulonodular vague densities in both lungs (tobacco smoking?, small airway disease?)  Millimetric nonspecific nodules in the lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_769/valid_769_a/valid_769_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1807",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peribronchial millimetric reticulonodular densities are observed in both lungs, being more prominent in the upper lobes. Millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Peribronchial reticulonodular vague densities in both lungs (tobacco smoking?, small airway disease?)  Millimetric nonspecific nodules in the lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_769/valid_769_a/valid_769_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1808",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: In the axilla, in the supraclavicular fossa, within the cross-section, and in the mediastinum, no lymph node was observed in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration-consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_770/valid_770_a/valid_770_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1809",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: In the axilla, in the supraclavicular fossa, within the cross-section, and in the mediastinum, no lymph node was observed in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration-consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was observed. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_770/valid_770_a/valid_770_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1810",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Nodular ground glass density areas were noted in the medial segment of the right lung middle lobe. .The etiology of the described findings may be viral pneumonia. Clinic and lab. verification is recommended. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Nodular ground glass density areas were noted in the medial segment of the right lung middle lobe. Viral pneumonia is considered in the etiology of the described findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_770/valid_770_b/valid_770_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1811",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy areas of consolidation are observed in the bilateral peripheral subpleural area, and the described findings are typical findings of covid-19 pneumonia. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: In the evaluation of both lung parenchyma; Patchy areas of consolidation are observed in the bilateral peripheral subpleural area, and the described findings are typical findings of covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_770/valid_770_c/valid_770_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1812",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is 40 mm and is ectatic. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a diameter of 10 mm were observed in the mediastinum. When examined in the lung parenchyma window; Sequelae fibrotic changes are observed in the upper lobe of the left lung and the lower lobe of the right lower lobe. Several nodules with a diameter of 5 mm were observed in both lungs, the largest of which was in the left lower lobe superior. In the upper abdominal organs included in the sections, a cortical exophytic hypodense lesion extending to the anterior of the left kidney upper pole was observed. There are osteophytes extending anteriorly in the vertebrae in the bone structures within the study area. Impression:  Ectasia in the ascending aorta  Coronary atherosclerosis  Mediastinal lymph nodes  Sequelae changes in the lung  Millimetric nonspecific nodules in both lungs  Left renal hypodense lesion (cyst?)  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_771/valid_771_a/valid_771_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is 40 mm and is ectatic. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a diameter of 10 mm were observed in the mediastinum. When examined in the lung parenchyma window; Sequelae fibrotic changes are observed in the upper lobe of the left lung and the lower lobe of the right lower lobe. Several nodules with a diameter of 5 mm were observed in both lungs, the largest of which was in the left lower lobe superior. In the upper abdominal organs included in the sections, a cortical exophytic hypodense lesion extending to the anterior of the left kidney upper pole was observed. There are osteophytes extending anteriorly in the vertebrae in the bone structures within the study area. Impression:  Ectasia in the ascending aorta  Coronary atherosclerosis  Mediastinal lymph nodes  Sequelae changes in the lung  Millimetric nonspecific nodules in both lungs  Left renal hypodense lesion (cyst?)  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_771/valid_771_a/valid_771_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1814",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Heart contour and size are normal. No pleural effusion or thickening was detected. The diameter of the ascending aorta was 40 mm, and the diameter of the pulmonary trunk was 30 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. A low-density nodular lesion with a diameter of 9. It could not be characterized because no contrast material was given, and it was first evaluated in favor of benign pathology. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are areas of linear atelectasis accompanied by linear pleural retraction in the left lung upper lobe lingular segment inferior subsegment, lower lobe lateral and posterior segment, right lung middle lobe medial segment. Several nodules with a diameter of 4.5 mm are observed in both lungs, the largest of which is located in the superior segment of the left lung lower lobe, located in the perifissural region. There is a sliding type hiatal hernia at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; 15 mm diameter low-density hypodense lesion with exophytic location in the upper pole of the left kidney is stable (cyst?). Bridging osteophytes are observed at the corners of the thoracic vertebra corpus. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Dilatation of the aorta and pulmonary trunk.  Areas of linear atelectasis in both lungs.  A few millimetric nonspecific nodules in both lungs; is stable.  Low-density stable nodular lesion with epicardial fat pad. It could not be characterized because no contrast material was given, and it was evaluated primarily in favor of benign pathology.  Hypodense lesion (cyst?) in the left kidney.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_771/valid_771_b/valid_771_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1815",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Heart contour and size are normal. No pleural effusion or thickening was detected. The diameter of the ascending aorta was 40 mm, and the diameter of the pulmonary trunk was 30 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. A low-density nodular lesion with a diameter of 9. It could not be characterized because no contrast material was given, and it was first evaluated in favor of benign pathology. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are areas of linear atelectasis accompanied by linear pleural retraction in the left lung upper lobe lingular segment inferior subsegment, lower lobe lateral and posterior segment, right lung middle lobe medial segment. Several nodules with a diameter of 4.5 mm are observed in both lungs, the largest of which is located in the superior segment of the left lung lower lobe, located in the perifissural region. There is a sliding type hiatal hernia at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; 15 mm diameter low-density hypodense lesion with exophytic location in the upper pole of the left kidney is stable (cyst?). Bridging osteophytes are observed at the corners of the thoracic vertebra corpus. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Dilatation of the aorta and pulmonary trunk.  Areas of linear atelectasis in both lungs.  A few millimetric nonspecific nodules in both lungs; is stable.  Low-density stable nodular lesion with epicardial fat pad. It could not be characterized because no contrast material was given, and it was evaluated primarily in favor of benign pathology.  Hypodense lesion (cyst?) in the left kidney.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_771/valid_771_b/valid_771_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calcified atheroma plaques are observed in the coronary arteries. The esophagus is in normal calibration. There are calcified atheroma plaques in the thoracic and abdominal aorta. There are several nonspecific pulmonary nodules less than 5 mm in diameter in both lungs. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. Significant degenerative changes in bone structures and osteoporosis are present. Impression: Several nonspecific millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_772/valid_772_a/valid_772_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1817",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calcified atheroma plaques are observed in the coronary arteries. The esophagus is in normal calibration. There are calcified atheroma plaques in the thoracic and abdominal aorta. There are several nonspecific pulmonary nodules less than 5 mm in diameter in both lungs. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. Significant degenerative changes in bone structures and osteoporosis are present. Impression: Several nonspecific millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_772/valid_772_a/valid_772_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1818",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread ground-glass opacities are observed in both lungs, localized in the subpleural areas, and showing a consolidation tendency from place to place, involving all lung lobes. The outlook is consistent with Covid-19 pneumonia. A sequela calcific nodule with a diameter of 1.5 cm is observed in the superior segment of the left lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_773/valid_773_a/valid_773_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1819",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Widespread ground-glass opacities are observed in both lungs, localized in the subpleural areas, and showing a consolidation tendency from place to place, involving all lung lobes. The outlook is consistent with Covid-19 pneumonia. A sequela calcific nodule with a diameter of 1.5 cm is observed in the superior segment of the left lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_773/valid_773_a/valid_773_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral subpleural patchy ground glass densities are observed in both lungs, mostly in the lower lobes. Clinical laboratory correlation follow-up is recommended for viral pneumonia (Covid-19). No nodular lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Patchy ground-glass densities with peripheral subpleural localization, mostly in the lower lobes of both lungs. Close follow-up of clinical laboratory correlation is recommended for viral pneumonia (Covid-19)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_774/valid_774_a/valid_774_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1821",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral subpleural patchy ground glass densities are observed in both lungs, mostly in the lower lobes. Clinical laboratory correlation follow-up is recommended for viral pneumonia (Covid-19). No nodular lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Patchy ground-glass densities with peripheral subpleural localization, mostly in the lower lobes of both lungs. Close follow-up of clinical laboratory correlation is recommended for viral pneumonia (Covid-19)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_774/valid_774_a/valid_774_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal ground glass densities are observed in the posterobasal segments of both lung lower lobes. It was evaluated primarily for position-dependent atelectasis. There are atelectatic changes in both upper lobes anterior inferiors of both lungs. Findings are atypical for viral pneumonia and clinical laboratory correlation is recommended for better differential diagnosis. Upper abdomen organs are included in the study partially and evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings identified in the lung parenchyma are typical of viral pneumonia in terms of Covid-19 or an infectious process. Clinical laboratory correlation is recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_774/valid_774_b/valid_774_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal ground glass densities are observed in the posterobasal segments of both lung lower lobes. It was evaluated primarily for position-dependent atelectasis. There are atelectatic changes in both upper lobes anterior inferiors of both lungs. Findings are atypical for viral pneumonia and clinical laboratory correlation is recommended for better differential diagnosis. Upper abdomen organs are included in the study partially and evaluated as suboptimal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings identified in the lung parenchyma are typical of viral pneumonia in terms of Covid-19 or an infectious process. Clinical laboratory correlation is recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_774/valid_774_b/valid_774_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1824",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Density reduction compatible with mild emphysema is observed in both lungs. There are sequelae changes at the apical level. Pleuroparenchymal sequelae changes are observed in the right lung upper lobe caudal to the anterior segment. A subpleural 2 mm diameter nodule is observed at the posterobasal level of the lower lobe. A 2 mm diameter nodule is observed in the superior segment of the right lung lower lobe. There is a subpleural 2 mm diameter nodule in the anterior segment of the left lung upper lobe. A nonspecific nodule with a diameter of 3 mm is observed in the apicoposterior segment of the upper lobe of the left lung. There was no finding compatible with bilateral pleural effusion, pneumothorax, pneumonia. Operative densities are observed in the gallbladder bed in the upper abdominal organs included in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Impression:  Mild sequelae changes in both lungs, a few nonspecific millimetric nodule formations  Mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_775/valid_775_a/valid_775_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1825",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Density reduction compatible with mild emphysema is observed in both lungs. There are sequelae changes at the apical level. Pleuroparenchymal sequelae changes are observed in the right lung upper lobe caudal to the anterior segment. A subpleural 2 mm diameter nodule is observed at the posterobasal level of the lower lobe. A 2 mm diameter nodule is observed in the superior segment of the right lung lower lobe. There is a subpleural 2 mm diameter nodule in the anterior segment of the left lung upper lobe. A nonspecific nodule with a diameter of 3 mm is observed in the apicoposterior segment of the upper lobe of the left lung. There was no finding compatible with bilateral pleural effusion, pneumothorax, pneumonia. Operative densities are observed in the gallbladder bed in the upper abdominal organs included in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Impression:  Mild sequelae changes in both lungs, a few nonspecific millimetric nodule formations  Mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_775/valid_775_a/valid_775_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1826",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. Wall calcifications consistent with tracheobronchopathy osteochondroplastica were observed in the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric ground glass nodules were observed in the left lung lower lobe superior, anteromediobasal and laterobasal segments. Appearance is nonspecific. Suspicious for ultra-early Covid-19 pneumonia due to the pandemic. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with tracheobronchopathy osteochondroplastica in the walls of the trachea and both main bronchi.  Suspicious findings for ultra-early Covid-19 pneumonia in the left lung lower lobe superior and anteromediobasal-laterobasal segments; It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_776/valid_776_a/valid_776_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1827",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. Wall calcifications consistent with tracheobronchopathy osteochondroplastica were observed in the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric ground glass nodules were observed in the left lung lower lobe superior, anteromediobasal and laterobasal segments. Appearance is nonspecific. Suspicious for ultra-early Covid-19 pneumonia due to the pandemic. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with tracheobronchopathy osteochondroplastica in the walls of the trachea and both main bronchi.  Suspicious findings for ultra-early Covid-19 pneumonia in the left lung lower lobe superior and anteromediobasal-laterobasal segments; It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_776/valid_776_a/valid_776_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1828",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, prevascular, aortopulmonary large, a few of them narrow diameter exceeding 1 cm, others millimetric mediastinal lymphadenomegaly and lymph nodes are observed. Calcific atherosclerotic plaques are observed in the walls of the coronary artery in the aortic arch. There are metallic sutures secondary to bypass surgery in the sternum. Cardothoracic index increased in favor of the heart. Cardiac cavities appear enlarged. Bilateral pleural effusion is observed, reaching 5.5 cm in the right hemithorax and 2.5 cm in the left hemithorax, extending to fissures on the mountain. In the evaluation of both lung parenchyma; In both lung parenchyma, interstitial pattern prominence and interlobular septal thickening are observed in peripheral lung parenchyma. Paraseptal-centriacinar emphysemato areas are observed in both lungs. Nonspecific ground-glass appearances are observed in the lower lobe of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Degenerative changes are observed in bone structures. Impression: Cardiomegaly . Mediastinal LAP . Bilateral pleural effusion entering the fissure on the right . Passive atelectasis adjacent to the effusion in the lower lobe of the right lung . Cardiac edema in both lungs and early stage lung fibrosis developed on this background"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_777/valid_777_a/valid_777_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1829",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, prevascular, aortopulmonary large, a few of them narrow diameter exceeding 1 cm, others millimetric mediastinal lymphadenomegaly and lymph nodes are observed. Calcific atherosclerotic plaques are observed in the walls of the coronary artery in the aortic arch. There are metallic sutures secondary to bypass surgery in the sternum. Cardothoracic index increased in favor of the heart. Cardiac cavities appear enlarged. Bilateral pleural effusion is observed, reaching 5.5 cm in the right hemithorax and 2.5 cm in the left hemithorax, extending to fissures on the mountain. In the evaluation of both lung parenchyma; In both lung parenchyma, interstitial pattern prominence and interlobular septal thickening are observed in peripheral lung parenchyma. Paraseptal-centriacinar emphysemato areas are observed in both lungs. Nonspecific ground-glass appearances are observed in the lower lobe of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Degenerative changes are observed in bone structures. Impression: Cardiomegaly . Mediastinal LAP . Bilateral pleural effusion entering the fissure on the right . Passive atelectasis adjacent to the effusion in the lower lobe of the right lung . Cardiac edema in both lungs and early stage lung fibrosis developed on this background"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_777/valid_777_a/valid_777_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: In the anterior mediastinum; A unilocular, low-density, well-defined lesion area of approximately 58x48 mm was observed in the widest part of the aorta, sitting on the pericardium, adjacent to the left anterolateral aorta (congenital mediastinal cyst?). Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Occasionally, calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; patchy ground-glass opacities were observed in both lungs, more common peripherally in the lower lobes, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). It is recommended to evaluate together with clinical and laboratory. The upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. Impression: A unilocular, well-defined cyst (congenital mediastinal cyst?) in the left anterolateral neighborhood of the aortic arch in the anterior mediastinum. Locally calcified atheroma plaques in the aortic arch and coronary arteries . Ground-glass opacities in both lungs, tending to be more diffuse peripheral in lower lobe basal segments; appearance highly suspicious for Covid-19 pneumonia. Evaluation with clinical and laboratory is recommended.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_778/valid_778_a/valid_778_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: In the anterior mediastinum; A unilocular, low-density, well-defined lesion area of approximately 58x48 mm was observed in the widest part of the aorta, sitting on the pericardium, adjacent to the left anterolateral aorta (congenital mediastinal cyst?). Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Occasionally, calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; patchy ground-glass opacities were observed in both lungs, more common peripherally in the lower lobes, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). It is recommended to evaluate together with clinical and laboratory. The upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. Impression: A unilocular, well-defined cyst (congenital mediastinal cyst?) in the left anterolateral neighborhood of the aortic arch in the anterior mediastinum. Locally calcified atheroma plaques in the aortic arch and coronary arteries . Ground-glass opacities in both lungs, tending to be more diffuse peripheral in lower lobe basal segments; appearance highly suspicious for Covid-19 pneumonia. Evaluation with clinical and laboratory is recommended.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_778/valid_778_a/valid_778_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal hilar fat content. Several lymph nodes with distinctive benign appearance are observed. No pathological LAP was detected in the mediastinum. Millimetric calcific plaques are observed in the aortic arch. A cystic structure of approximately 5.5x2.5 cm is observed adjacent to the aortic arch (congenital mediastinal cyst?). The cardiothoracic index appears normal. Pleural effusion-thickening was not detected in both hemithorax. In addition, there are air trapping areas in the upper lobe of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the sections passing through the upper abdomen without contrast. No lytic-destructive lesion was detected in bone structures. Degenerative changes are observed. Impression: Stable cystic structure with smooth contours adjacent to the aorta of the left arch (congenital mediastinal cyst?).  More prominent air trapping areas in the upper lobe of the right lung (small airway disease? small vascular disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_778/valid_778_b/valid_778_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1833",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal hilar fat content. Several lymph nodes with distinctive benign appearance are observed. No pathological LAP was detected in the mediastinum. Millimetric calcific plaques are observed in the aortic arch. A cystic structure of approximately 5.5x2.5 cm is observed adjacent to the aortic arch (congenital mediastinal cyst?). The cardiothoracic index appears normal. Pleural effusion-thickening was not detected in both hemithorax. In addition, there are air trapping areas in the upper lobe of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the sections passing through the upper abdomen without contrast. No lytic-destructive lesion was detected in bone structures. Degenerative changes are observed. Impression: Stable cystic structure with smooth contours adjacent to the aorta of the left arch (congenital mediastinal cyst?).  More prominent air trapping areas in the upper lobe of the right lung (small airway disease? small vascular disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_778/valid_778_b/valid_778_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1834",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Nodular and patchy ground glass areas are observed in subpleural location, mostly in the lower lobes of both lungs. The outlook is consistent with viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_779/valid_779_a/valid_779_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1835",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Nodular and patchy ground glass areas are observed in subpleural location, mostly in the lower lobes of both lungs. The outlook is consistent with viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_779/valid_779_a/valid_779_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1836",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Subpleural weighted fibrotic densities are seen in the lower lobes of both lungs. There is nodular ground-glass density in a focal area posterior to the upper lobe of the right lung. Minimal emphysema is seen in the upper lobes of both lungs. In the left lung lower lobe laterobasal segment, there is a 7x4 mm nodular appearance adjacent to the pleura, which is primarily evaluated as sequelae. Apart from this, nonspecific nodules not exceeding 5 mm were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Fibrotic changes and minimal emphysema in both lungs.  Nodular appearance, which is evaluated primarily as a sequela, adjacent to the pleura in the left lung lower lobe laterobasal, other than that, millimetric nonspecific nodules in both lungs.  Nodular ground-glass density in a focal area posterior to the upper lobe of the right lung; It is highly suspicious for the onset of Covid pneumonia. Clinical, LAB correlation and, if necessary, control examination are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_780/valid_780_a/valid_780_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1837",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Subpleural weighted fibrotic densities are seen in the lower lobes of both lungs. There is nodular ground-glass density in a focal area posterior to the upper lobe of the right lung. Minimal emphysema is seen in the upper lobes of both lungs. In the left lung lower lobe laterobasal segment, there is a 7x4 mm nodular appearance adjacent to the pleura, which is primarily evaluated as sequelae. Apart from this, nonspecific nodules not exceeding 5 mm were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Fibrotic changes and minimal emphysema in both lungs.  Nodular appearance, which is evaluated primarily as a sequela, adjacent to the pleura in the left lung lower lobe laterobasal, other than that, millimetric nonspecific nodules in both lungs.  Nodular ground-glass density in a focal area posterior to the upper lobe of the right lung; It is highly suspicious for the onset of Covid pneumonia. Clinical, LAB correlation and, if necessary, control examination are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_780/valid_780_a/valid_780_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1838",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland and isthmus increased. Hypodense nodules with a diameter of 17 mm were observed in the lower pole of the larger right lobe. Verification by USG is recommended. No occlusive pathology was observed in the lumen of the trachea and both main bronchi. Wall calcifications consistent with tracheobronchopathy osteochondroplastica were observed in the walls of both main bronchi and segmental bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the main mediastinal vascular structures are natural. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. The thoracic aorta is elongated and tortuous. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the lower end of the esophagus, it was observed that the intraperitoneal adipose tissue was displaced towards the thorax. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroateletatic sequelae changes were observed in the apex of both lungs, the middle lobe of the right lung, the upper lobe of the left lung, the inferior lingular segment, and the mediaobasal and posterobasal segments of the lower lobe of the right lung. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Tubular bronchiectatic changes, peribronchial thickening, diffuse centrilobular nodular infiltrates and budding tree appearance are present in the anterior segment of the right lung upper lobe. The described findings are compatible with bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Nonspecific hypodense lesion areas with a diameter of 1 cm were observed at the junction of segment 8-4A, the largest of which was at the level of the dome, in both lobes of the liver that entered the cross-sectional area. It could not be characterized in the non-contrast examination (cyst?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There is rotoscoliosis at the thoracic level. Vertebral corpus heights are preserved. Impression:  Increase in thyroid gland size, hypodense nodules; verification with USG is recommended.  Cardiomegaly, tortuous and elongated appearance in the thoracic aorta, atherosclerotic wall calcifications in the thoracic, supraaortic branches and coronary arteries.  Hiatal hernia.  Bronchopneumonia in the anterior segment of the upper lobe of the right lung.  Fibroatelectasis sequelae in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Thoracic level rotoscoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_781/valid_781_a/valid_781_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1839",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The size of the thyroid gland and isthmus increased. Hypodense nodules with a diameter of 17 mm were observed in the lower pole of the larger right lobe. Verification by USG is recommended. No occlusive pathology was observed in the lumen of the trachea and both main bronchi. Wall calcifications consistent with tracheobronchopathy osteochondroplastica were observed in the walls of both main bronchi and segmental bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the main mediastinal vascular structures are natural. Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. The thoracic aorta is elongated and tortuous. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the lower end of the esophagus, it was observed that the intraperitoneal adipose tissue was displaced towards the thorax. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroateletatic sequelae changes were observed in the apex of both lungs, the middle lobe of the right lung, the upper lobe of the left lung, the inferior lingular segment, and the mediaobasal and posterobasal segments of the lower lobe of the right lung. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Tubular bronchiectatic changes, peribronchial thickening, diffuse centrilobular nodular infiltrates and budding tree appearance are present in the anterior segment of the right lung upper lobe. The described findings are compatible with bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Nonspecific hypodense lesion areas with a diameter of 1 cm were observed at the junction of segment 8-4A, the largest of which was at the level of the dome, in both lobes of the liver that entered the cross-sectional area. It could not be characterized in the non-contrast examination (cyst?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. There is rotoscoliosis at the thoracic level. Vertebral corpus heights are preserved. Impression:  Increase in thyroid gland size, hypodense nodules; verification with USG is recommended.  Cardiomegaly, tortuous and elongated appearance in the thoracic aorta, atherosclerotic wall calcifications in the thoracic, supraaortic branches and coronary arteries.  Hiatal hernia.  Bronchopneumonia in the anterior segment of the upper lobe of the right lung.  Fibroatelectasis sequelae in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Thoracic level rotoscoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_781/valid_781_a/valid_781_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla and mediastinum. Heart dimensions and compartments appear natural. In the lung parenchyma, parenchyma areas are observed in the pleura and subpleural located ground glass opacity in the right lung. In the case with covid contact, it is in favor of early parenchymal infiltration. A few nonspecific nodules less than 5 mm in diameter were observed in both lungs. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: There are parenchymal infiltration areas in the form of ground glass opacity in the right lung, and in the case with Covid contact, radiological findings were evaluated in favor of early parenchymal involvement of Covid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_782/valid_782_a/valid_782_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1841",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla and mediastinum. Heart dimensions and compartments appear natural. In the lung parenchyma, parenchyma areas are observed in the pleura and subpleural located ground glass opacity in the right lung. In the case with covid contact, it is in favor of early parenchymal infiltration. A few nonspecific nodules less than 5 mm in diameter were observed in both lungs. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: There are parenchymal infiltration areas in the form of ground glass opacity in the right lung, and in the case with Covid contact, radiological findings were evaluated in favor of early parenchymal involvement of Covid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_782/valid_782_a/valid_782_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). Atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. A nodular lesion with a longest diameter of 17 mm and a thickness of 3 mm is observed in the peripheral subpleural area (series 2 section 225) in the lateral segment of the right lung middle lobe. The described appearance may belong to a subpleural nodule or focal pelvic thickening. It is recommended to evaluate and follow up with negative tests, if any. There is a millimetric calcific nodule in the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures are not evaluated optimally because no contrast material is given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. There is a stent in the left anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Sliding type hiatal hernia is observed at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No pathologically enlarged lymph nodes were observed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Impression: Focal pleural thickening-subpleural nodule in the middle lobe of the right lung (recommended to be evaluated and followed up with previous examinations). Mosaic attenuation pattern in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_783/valid_783_a/valid_783_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1843",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). Atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. A nodular lesion with a longest diameter of 17 mm and a thickness of 3 mm is observed in the peripheral subpleural area (series 2 section 225) in the lateral segment of the right lung middle lobe. The described appearance may belong to a subpleural nodule or focal pelvic thickening. It is recommended to evaluate and follow up with negative tests, if any. There is a millimetric calcific nodule in the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures are not evaluated optimally because no contrast material is given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. There is a stent in the left anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Sliding type hiatal hernia is observed at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No pathologically enlarged lymph nodes were observed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Impression: Focal pleural thickening-subpleural nodule in the middle lobe of the right lung (recommended to be evaluated and followed up with previous examinations). Mosaic attenuation pattern in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_783/valid_783_a/valid_783_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1844",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Air images are observed in the heart-sternum in the anterior mediastinum. There are air images in the anterior sternum in subcutaneous fatty tissues. Trachea, both main bronchi are open. There are calcific atheromatous plaques in the aorta and coronary arteries. Minimal pericardial effusion is observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion is observed in both lungs, reaching a thickness of approximately 3 cm on the right and approximately 2.5 cm on the left. There is atelectasis in the accompanying lung parenchyma. Atelectasis areas are observed in the right lung lower lobe superior segment in the lingular segment. There is a mosaic attenuation pattern in the apicoposterior segment of the left lung upper lobe. The upper abdominal organs included in the examination have a natural appearance. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the examination. Impression:  Heart sizes have increased.  Air images in the precardiac area and anterior to the sternum (may be compatible with post-op change).  Pleural effusion and accompanying parenchyma atelectasis and pericardial effusion are observed in both lungs.  Linear atelectasis in both lungs and mosaic attenuation pattern in the apicoposterior segment of the left lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_784/valid_784_a/valid_784_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1845",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Air images are observed in the heart-sternum in the anterior mediastinum. There are air images in the anterior sternum in subcutaneous fatty tissues. Trachea, both main bronchi are open. There are calcific atheromatous plaques in the aorta and coronary arteries. Minimal pericardial effusion is observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion is observed in both lungs, reaching a thickness of approximately 3 cm on the right and approximately 2.5 cm on the left. There is atelectasis in the accompanying lung parenchyma. Atelectasis areas are observed in the right lung lower lobe superior segment in the lingular segment. There is a mosaic attenuation pattern in the apicoposterior segment of the left lung upper lobe. The upper abdominal organs included in the examination have a natural appearance. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the examination. Impression:  Heart sizes have increased.  Air images in the precardiac area and anterior to the sternum (may be compatible with post-op change).  Pleural effusion and accompanying parenchyma atelectasis and pericardial effusion are observed in both lungs.  Linear atelectasis in both lungs and mosaic attenuation pattern in the apicoposterior segment of the left lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_784/valid_784_a/valid_784_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1846",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour and size are natural. Pericardial, pleural effusion is not detected. No pathological increase in thoracic esophagus wall thickness is observed. Trachea, both main bronchi are open and no occlusive pathology is detected. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. Ventilation of both lungs is natural. Pleuroparenchymal sequelae fibrotic bands are observed in bilateral apex. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. Hyperdense stones of 5.5x4 mm in size in the middle zone of the right kidney and 3.2 mm in diameter in the lower pole of the left kidney are observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Pneumonic infiltration is not observed in both lungs, and pleuroparenchymal sequela fibrotic bands and bilateral nephrolithiasis are observed in bilateral apexes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_785/valid_785_a/valid_785_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1847",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour and size are natural. Pericardial, pleural effusion is not detected. No pathological increase in thoracic esophagus wall thickness is observed. Trachea, both main bronchi are open and no occlusive pathology is detected. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. Ventilation of both lungs is natural. Pleuroparenchymal sequelae fibrotic bands are observed in bilateral apex. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. Hyperdense stones of 5.5x4 mm in size in the middle zone of the right kidney and 3.2 mm in diameter in the lower pole of the left kidney are observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Pneumonic infiltration is not observed in both lungs, and pleuroparenchymal sequela fibrotic bands and bilateral nephrolithiasis are observed in bilateral apexes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_785/valid_785_a/valid_785_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Widespread ground-glass appearances and consolidation and interlobular septal thickenings accompanying ground-glass appearances were observed in both lungs. The described findings involve almost all of both lungs. During the pandemic process, the findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 8 mm in short diameter. No pathologically enlarged lymph node was detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_786/valid_786_a/valid_786_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1849",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Widespread ground-glass appearances and consolidation and interlobular septal thickenings accompanying ground-glass appearances were observed in both lungs. The described findings involve almost all of both lungs. During the pandemic process, the findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 8 mm in short diameter. No pathologically enlarged lymph node was detected. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_786/valid_786_a/valid_786_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1850",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Calcified atherosclerotic plaques are observed in the coronary arteries. No space-occupying lesion was detected in the mediastinal fat pad. The air passages of the trachea and the main two main bronchi, lobar and segmental bronchi are open. In lung parenchyma evaluation; No area of pneumonic infiltration or consolidation was detected. No pleural effusion was observed. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There is splenomegaly in the upper abdominal sections. Liver right lobe transplantation was performed. No loculated or free fluid was detected in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  Liver transplantation  Calcified atherosclerotic plaques in coronary arteries  No mass lesions in thorax sections or pneumonic infiltration in lung parenchyma were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_787/valid_787_a/valid_787_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1851",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Calcified atherosclerotic plaques are observed in the coronary arteries. No space-occupying lesion was detected in the mediastinal fat pad. The air passages of the trachea and the main two main bronchi, lobar and segmental bronchi are open. In lung parenchyma evaluation; No area of pneumonic infiltration or consolidation was detected. No pleural effusion was observed. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There is splenomegaly in the upper abdominal sections. Liver right lobe transplantation was performed. No loculated or free fluid was detected in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  Liver transplantation  Calcified atherosclerotic plaques in coronary arteries  No mass lesions in thorax sections or pneumonic infiltration in lung parenchyma were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_787/valid_787_a/valid_787_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1852",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_787/valid_787_b/valid_787_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_787/valid_787_b/valid_787_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Millimetric calcific atheroma plaques are observed in the aortic arch and left coronary artery. A small tracheal diverticulum is observed on the right posterolateral aspect of the thoracic entry. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is mild gynecomastia appearance on both sides. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Mild sequelae changes are observed at the apical level. Two subpleural nodules with 2-3 mm diameter are observed at the posterobasal level in the right lung and they are stable. There is a stable nodule with a diameter of 2 mm at the laterobasal level. In the left lung, a focal bud branch view is observed at the upper lobe central level. It was not detected in the previous review. Focal consolidation is observed in the lingular segment of the left lung and was not detected in the previous examination. There are frosted glass style density increments around it. It was not detected in the previous review. Focal bud branch views are observed in the lower lobe superior segment, and it was not detected in his previous examination. Bilateral pleural effusion or pneumothorax is not observed. In the sections passing through the upper abdomen, the right lobe of the transplanted liver is observed in the Tx recipient case. There is a hypodense lesion in the middle part of the right kidney, which is considered to be compatible with a cortical cyst of approximately 11 mm in diameter. The spleen is larger than normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression: The review was evaluated together with the old CT dated 7.12.2021.  1-2 millimetric and stable nodule formations in the right lung.  Scattered focal bud branch views in the left lung. It was not detected in the previous examination of the case, and it is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_787/valid_787_c/valid_787_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1855",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Millimetric calcific atheroma plaques are observed in the aortic arch and left coronary artery. A small tracheal diverticulum is observed on the right posterolateral aspect of the thoracic entry. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is mild gynecomastia appearance on both sides. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Mild sequelae changes are observed at the apical level. Two subpleural nodules with 2-3 mm diameter are observed at the posterobasal level in the right lung and they are stable. There is a stable nodule with a diameter of 2 mm at the laterobasal level. In the left lung, a focal bud branch view is observed at the upper lobe central level. It was not detected in the previous review. Focal consolidation is observed in the lingular segment of the left lung and was not detected in the previous examination. There are frosted glass style density increments around it. It was not detected in the previous review. Focal bud branch views are observed in the lower lobe superior segment, and it was not detected in his previous examination. Bilateral pleural effusion or pneumothorax is not observed. In the sections passing through the upper abdomen, the right lobe of the transplanted liver is observed in the Tx recipient case. There is a hypodense lesion in the middle part of the right kidney, which is considered to be compatible with a cortical cyst of approximately 11 mm in diameter. The spleen is larger than normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression: The review was evaluated together with the old CT dated 7.12.2021.  1-2 millimetric and stable nodule formations in the right lung.  Scattered focal bud branch views in the left lung. It was not detected in the previous examination of the case, and it is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_787/valid_787_c/valid_787_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The evaluation of solid organs, vascular structures, and mediastinum is suboptimal because the examination is unenhanced. Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. No pathological lymphadenopathy was observed in the supraclavicular region. No pathological lymphadenopathy was observed in both axillae and retropectoral areas. When examined in the lung parenchyma window; aeration of both lungs parenchyma is normal and no mass is detected in both lungs. A millimetric nonspecific pulmonary nodule is observed in the left lung. Active infiltration and consolidation were not detected in both lungs. It was understood that the patient had undergone liver right lobe transplantation. Spleen size increased. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific plaques, millimetric nonspecific pulmonary nodules in the aorta and coronary arteries in a patient undergoing liver transplantation.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_787/valid_787_d/valid_787_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1857",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The evaluation of solid organs, vascular structures, and mediastinum is suboptimal because the examination is unenhanced. Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. No pathological lymphadenopathy was observed in the supraclavicular region. No pathological lymphadenopathy was observed in both axillae and retropectoral areas. When examined in the lung parenchyma window; aeration of both lungs parenchyma is normal and no mass is detected in both lungs. A millimetric nonspecific pulmonary nodule is observed in the left lung. Active infiltration and consolidation were not detected in both lungs. It was understood that the patient had undergone liver right lobe transplantation. Spleen size increased. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific plaques, millimetric nonspecific pulmonary nodules in the aorta and coronary arteries in a patient undergoing liver transplantation.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_787/valid_787_d/valid_787_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1858",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_788/valid_788_a/valid_788_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1859",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_788/valid_788_a/valid_788_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are normal. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi were open and no obstructive pathology was detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; aeration of both lungs is normal and no active infiltrative or mass lesion is detected in both lungs. In the middle lobe of the right lung, there is a nodular appearance evaluated in favor of 9x6 mm subpelvral lymph nodes superposed to the fissure. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid or loculated collection is observed. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Millimetric-sized nodule superposed to the fissure in the middle lobe of the right lung; it was primarily evaluated in favor of the subpleural lymph node. There was no finding in favor of pneumonic infiltration in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_789/valid_789_a/valid_789_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1861",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are normal. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi were open and no obstructive pathology was detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; aeration of both lungs is normal and no active infiltrative or mass lesion is detected in both lungs. In the middle lobe of the right lung, there is a nodular appearance evaluated in favor of 9x6 mm subpelvral lymph nodes superposed to the fissure. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid or loculated collection is observed. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Millimetric-sized nodule superposed to the fissure in the middle lobe of the right lung; it was primarily evaluated in favor of the subpleural lymph node. There was no finding in favor of pneumonic infiltration in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_789/valid_789_a/valid_789_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1862",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, stable millimetric lymph nodes were observed in mediastinal and bilateral hilar localization. Emphysematous changes were observed in both lungs. There are atelectatic changes in both lungs. Peribronchial thickenings are present in the lower lobes of both lungs. A low-density semisolid nodule of 9x8.3 mm was observed in the superior segment of the lower lobe of the right lung, which was found to be newly emerged in the current examination. In addition, there are areas of ground glass acinar infiltration in the peripheral subpleural area in the upper lobe of the right lung and in the peripheral subpleural localization in the superior lower lobe of the left lung (infectious process?). In both lungs, multiple nonspecific parenchymal nodules of millimetric size were observed, some of which were stable according to previous examinations, some of which were calcified. In the upper abdominal sections that entered the examination area, the millimeter-sized hypodense lesion observed in the previous examination at the level of liver segment 4A could not be visualized in this examination. Diffuse degenerative changes were observed in bone structures. Impression:  Low-density semisolid nodule in the right lung newly revealed on current examination.  Ground-glass nodular acinar infiltrates in both lungs and areas of consolidation-atelectasis (infectious process?) in the lower lobes of both lungs and middle lobe of the right lung, clinical and laboratory correlation is recommended.  Emphysematous changes in both lungs.  Nonspecific parenchymal nodules in both lungs, some of which are calcified"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_790/valid_790_a/valid_790_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1863",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, stable millimetric lymph nodes were observed in mediastinal and bilateral hilar localization. Emphysematous changes were observed in both lungs. There are atelectatic changes in both lungs. Peribronchial thickenings are present in the lower lobes of both lungs. A low-density semisolid nodule of 9x8.3 mm was observed in the superior segment of the lower lobe of the right lung, which was found to be newly emerged in the current examination. In addition, there are areas of ground glass acinar infiltration in the peripheral subpleural area in the upper lobe of the right lung and in the peripheral subpleural localization in the superior lower lobe of the left lung (infectious process?). In both lungs, multiple nonspecific parenchymal nodules of millimetric size were observed, some of which were stable according to previous examinations, some of which were calcified. In the upper abdominal sections that entered the examination area, the millimeter-sized hypodense lesion observed in the previous examination at the level of liver segment 4A could not be visualized in this examination. Diffuse degenerative changes were observed in bone structures. Impression:  Low-density semisolid nodule in the right lung newly revealed on current examination.  Ground-glass nodular acinar infiltrates in both lungs and areas of consolidation-atelectasis (infectious process?) in the lower lobes of both lungs and middle lobe of the right lung, clinical and laboratory correlation is recommended.  Emphysematous changes in both lungs.  Nonspecific parenchymal nodules in both lungs, some of which are calcified"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_790/valid_790_a/valid_790_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1864",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of mediastinal vascular structures, heart contour size is natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. Sliding type mild hiatal hernia is observed at the lower end of the esophagus. No lymph nodes in pathological size and appearance were detected in both axillary regions and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Ventilation of both lungs is natural. There is a hypodense nodular lesion with a diameter of 7 mm that cannot be characterized within the borders of non-contrast CT in the left lobe lateral segment of the liver (at the level of segment 2), as far as it can be observed within the borders of unenhanced CT in the upper abdominal sections within the image. Intraabdominal free or loculated fluid is not observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Active infiltration or mass is not detected in both lung parenchyma. There is a hypodense nodular lesion in millimeter sizes that cannot be characterized within the borders of non-contrast CT at the level of liver segment 2 in the upper abdominal sections within the image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_791/valid_791_a/valid_791_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1865",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Calibration of mediastinal vascular structures, heart contour size is natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. Sliding type mild hiatal hernia is observed at the lower end of the esophagus. No lymph nodes in pathological size and appearance were detected in both axillary regions and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Ventilation of both lungs is natural. There is a hypodense nodular lesion with a diameter of 7 mm that cannot be characterized within the borders of non-contrast CT in the left lobe lateral segment of the liver (at the level of segment 2), as far as it can be observed within the borders of unenhanced CT in the upper abdominal sections within the image. Intraabdominal free or loculated fluid is not observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Active infiltration or mass is not detected in both lung parenchyma. There is a hypodense nodular lesion in millimeter sizes that cannot be characterized within the borders of non-contrast CT at the level of liver segment 2 in the upper abdominal sections within the image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_791/valid_791_a/valid_791_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1866",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the mediastinal prevascular area, oval-shaped lymph nodes with a short diameter of up to 4 mm were observed in the aortopulmonary window and in the paratracheal area. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_792/valid_792_a/valid_792_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the mediastinal prevascular area, oval-shaped lymph nodes with a short diameter of up to 4 mm were observed in the aortopulmonary window and in the paratracheal area. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_792/valid_792_a/valid_792_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1868",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_793/valid_793_a/valid_793_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1869",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are nodules in the right lung, the largest of which is 10 millimeters in the lower lobe posterobasal segment on the right, and 8.5 millimeters in the inferior lingular segment on the left; follow-up is recommended. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: There are nodules in the right lung, the largest of which is 10 millimeters in the lower lobe posterobasal segment on the right, and 8.5 millimeters in the inferior lingular segment on the left; follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_794/valid_794_a/valid_794_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are nodules in the right lung, the largest of which is 10 millimeters in the lower lobe posterobasal segment on the right, and 8.5 millimeters in the inferior lingular segment on the left; follow-up is recommended. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: There are nodules in the right lung, the largest of which is 10 millimeters in the lower lobe posterobasal segment on the right, and 8.5 millimeters in the inferior lingular segment on the left; follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_794/valid_794_a/valid_794_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1871",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. An AP diameter of approximately 36 mm is observed in the right lobe of the thyroid gland, which contains coarse calcification and extends towards the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 39 mm and slightly ectatic. Calcific plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is an emphysematous appearance, which is more prominent in the upper lobes of both lungs. The bronchial walls are thickened, predominantly in the central part. In both lungs, cylindrical and occasionally cystic bronchiectasis, mainly central, are seen at all levels. In the peribronchial area, budding tree views are present in all lobes. Bilateral large nodules reaching 4.5 mm in diameter are observed in the right middle lobe lateral. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nodule extending to the mediastinum in the right lobe of the thyroid gland.  Mild ectasia in the ascending aorta.  Coronary atherosclerosis.  Emphysema in both lungs, bronchial wall thickening, bilateral bronchiectasis, bilateral peribronchial budding tree landscapes (Active bronchitis or bronchiolitis?).  Millimetric nonspecific nodules in bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_795/valid_795_a/valid_795_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1872",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. An AP diameter of approximately 36 mm is observed in the right lobe of the thyroid gland, which contains coarse calcification and extends towards the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 39 mm and slightly ectatic. Calcific plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is an emphysematous appearance, which is more prominent in the upper lobes of both lungs. The bronchial walls are thickened, predominantly in the central part. In both lungs, cylindrical and occasionally cystic bronchiectasis, mainly central, are seen at all levels. In the peribronchial area, budding tree views are present in all lobes. Bilateral large nodules reaching 4.5 mm in diameter are observed in the right middle lobe lateral. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nodule extending to the mediastinum in the right lobe of the thyroid gland.  Mild ectasia in the ascending aorta.  Coronary atherosclerosis.  Emphysema in both lungs, bronchial wall thickening, bilateral bronchiectasis, bilateral peribronchial budding tree landscapes (Active bronchitis or bronchiolitis?).  Millimetric nonspecific nodules in bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_795/valid_795_a/valid_795_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1873",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Millimetric bone islets are observed in the bone structure on the right 6th rib lateral. No lytic-destructive lesion was detected in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_796/valid_796_a/valid_796_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1874",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Millimetric bone islets are observed in the bone structure on the right 6th rib lateral. No lytic-destructive lesion was detected in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_796/valid_796_a/valid_796_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1875",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The aortic arch calibration is 30 mm, slightly above normal. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, scattered and peripherally located, generally round-like, ground-glass-like density increases are observed. There are sequelae changes at the apical level. There is a 2 mm diameter subpleural nodule at the level of the interlobar fissure in the right lung. A 5x3 mm nodule is observed on the minor fissure. A 7x3 mm subpleural nodule is observed in the left lung lower lobe laterobasal segment. No pleural effusion or pneumothorax was detected. Multiple nodular lesions (lymph node?) are observed in the dorsal of both lungs at the extrapleural level, the largest one on the right and measuring approximately 19x9 mm. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings consistent with Covid-19 pneumonia. Since other viral pneumonias are included in the differential diagnosis, clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_797/valid_797_a/valid_797_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1876",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: The aortic arch calibration is 30 mm, slightly above normal. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, scattered and peripherally located, generally round-like, ground-glass-like density increases are observed. There are sequelae changes at the apical level. There is a 2 mm diameter subpleural nodule at the level of the interlobar fissure in the right lung. A 5x3 mm nodule is observed on the minor fissure. A 7x3 mm subpleural nodule is observed in the left lung lower lobe laterobasal segment. No pleural effusion or pneumothorax was detected. Multiple nodular lesions (lymph node?) are observed in the dorsal of both lungs at the extrapleural level, the largest one on the right and measuring approximately 19x9 mm. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings consistent with Covid-19 pneumonia. Since other viral pneumonias are included in the differential diagnosis, clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_797/valid_797_a/valid_797_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1877",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_798/valid_798_a/valid_798_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_798/valid_798_a/valid_798_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1879",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Branches with buds and peribronchial thickenings were observed in the laterobasal segment of the lower lobe of the right lung (dilated bronchioles filled with infected materials?). Clinical and laboratory correlation is recommended. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Mild emphysematous changes were observed in both lungs. Pleuroparenchymal sequelae density increases were observed in both lungs apical. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Branches with buds and peribronchial thickenings (dilated bronchioles compatible with infected material?) in the laterobasal segment in the lower lobe of the right lung, clinical and laboratory correlation is recommended.  Mild emphysematous changes in both lungs.  Sequelae changes in both lungs.  Mild bronchiectasis in both lungs.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_799/valid_799_a/valid_799_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1880",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Branches with buds and peribronchial thickenings were observed in the laterobasal segment of the lower lobe of the right lung (dilated bronchioles filled with infected materials?). Clinical and laboratory correlation is recommended. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Mild emphysematous changes were observed in both lungs. Pleuroparenchymal sequelae density increases were observed in both lungs apical. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Branches with buds and peribronchial thickenings (dilated bronchioles compatible with infected material?) in the laterobasal segment in the lower lobe of the right lung, clinical and laboratory correlation is recommended.  Mild emphysematous changes in both lungs.  Sequelae changes in both lungs.  Mild bronchiectasis in both lungs.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_799/valid_799_a/valid_799_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1881",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_800/valid_800_a/valid_800_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Minimal pleuroparenchymal sequelae density increases were observed in the right lung apical. No mass nodule-infiltration was detected in the parenchyma of both lungs. Pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild sequelae changes in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_801/valid_801_a/valid_801_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1883",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Minimal pleuroparenchymal sequelae density increases were observed in the right lung apical. No mass nodule-infiltration was detected in the parenchyma of both lungs. Pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild sequelae changes in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_801/valid_801_a/valid_801_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Density increases of reticulonodular fibrotic sequelae were observed in both lung apexes. Subpleural streaks, atelectasis changes and density increases were observed in the peripheral subpleural areas in the superior and basal segments of both lung lower lobes. There are also accompanying nodular ground glass opacities with very faint borders. The findings described in the case, which was learned to have Covid-19 pneumonia, were thought to belong to the resolution period. No mass lesion with distinguishable borders was detected in both lungs. The upper abdominal organs that can be seen in sections are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild scoliosis with left thoracic opening was observed. A hemangioma extending on the peduncle was observed in the right half of the T10 vertebra corpus. Impression: Findings consistent with the resolution period in the lung parenchyma learned to have Covid-19 pneumonia.  Reticulonodular sequela fibrotic density increases in the apices of both lungs . Hemangioma extending to the peduncle in the right half of the T10 vertebra corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_802/valid_802_a/valid_802_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1885",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Density increases of reticulonodular fibrotic sequelae were observed in both lung apexes. Subpleural streaks, atelectasis changes and density increases were observed in the peripheral subpleural areas in the superior and basal segments of both lung lower lobes. There are also accompanying nodular ground glass opacities with very faint borders. The findings described in the case, which was learned to have Covid-19 pneumonia, were thought to belong to the resolution period. No mass lesion with distinguishable borders was detected in both lungs. The upper abdominal organs that can be seen in sections are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild scoliosis with left thoracic opening was observed. A hemangioma extending on the peduncle was observed in the right half of the T10 vertebra corpus. Impression: Findings consistent with the resolution period in the lung parenchyma learned to have Covid-19 pneumonia.  Reticulonodular sequela fibrotic density increases in the apices of both lungs . Hemangioma extending to the peduncle in the right half of the T10 vertebra corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_802/valid_802_a/valid_802_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of mediastinal major vascular structures is natural. There are several lymph nodes in the mediastinum, the largest of which is 8x6 mm. There were no pathologically sized and configured lymph nodes at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Trachea, calibration of both main bronchi is normal. Lumens are clear. Density increases consistent with pleuroparenchymal sequelae are observed at the apical level in both lung windows. A ground-glass nodule with a diameter of 4mm is observed in the anterior segment of the right lung upper lobe. In the anterior segment of the left lung lower lobe superior segment, a faint bud branch view is observed. It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonic infiltration. The identified changes were not detected in his previous review. A subpleural 5x3mm nodule is observed in the posterobasal segment of the lower lobe of the left lung, and it is also present in the previous examination. A 3mm diameter nodule with calcific appearance is observed in the upper lobe apicoposterior segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Although the appearance of diverticulum is observed at the level of the ascending colon, no diverticulitis was detected. Minimal degenerative changes are observed in the bone structure. Impression: A faint bud branch view is observed in the anterior segment of the left lung lower lobe superior segment. It is recommended to evaluate it together with clinical and laboratory findings in terms of pneumonic infiltration. Sequelae changes at the apical level in both lungs. A subpleural 5x3 mm subpleural nodule is observed in the posterobasal segment of the lower lobe of the left lung, and it was also present in the previous examination. A 3mm diameter nodule with calcific appearance is observed in the upper lobe apicoposterior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_803/valid_803_a/valid_803_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1887",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of mediastinal major vascular structures is natural. There are several lymph nodes in the mediastinum, the largest of which is 8x6 mm. There were no pathologically sized and configured lymph nodes at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Trachea, calibration of both main bronchi is normal. Lumens are clear. Density increases consistent with pleuroparenchymal sequelae are observed at the apical level in both lung windows. A ground-glass nodule with a diameter of 4mm is observed in the anterior segment of the right lung upper lobe. In the anterior segment of the left lung lower lobe superior segment, a faint bud branch view is observed. It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonic infiltration. The identified changes were not detected in his previous review. A subpleural 5x3mm nodule is observed in the posterobasal segment of the lower lobe of the left lung, and it is also present in the previous examination. A 3mm diameter nodule with calcific appearance is observed in the upper lobe apicoposterior segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Although the appearance of diverticulum is observed at the level of the ascending colon, no diverticulitis was detected. Minimal degenerative changes are observed in the bone structure. Impression: A faint bud branch view is observed in the anterior segment of the left lung lower lobe superior segment. It is recommended to evaluate it together with clinical and laboratory findings in terms of pneumonic infiltration. Sequelae changes at the apical level in both lungs. A subpleural 5x3 mm subpleural nodule is observed in the posterobasal segment of the lower lobe of the left lung, and it was also present in the previous examination. A 3mm diameter nodule with calcific appearance is observed in the upper lobe apicoposterior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_803/valid_803_a/valid_803_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1888",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral pleural effusion is observed. The pleural effusion measured 30 mm at its thickest point. There is no pleural thickening. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is atelectasis adjacent to pleural effusion in both lung lower lobes. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). In addition, ground glass areas and consolidations are observed in both lungs, more prominently in the upper lobes. The described findings are mostly centrally located. The findings are not typical for Covid-19 pneumonia. When evaluated together with other findings, it was thought to belong to cardiac pathology. However, during the pandemic process, Covid-19 pneumonia could not be completely excluded. It is recommended to be evaluated together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. There are atheromatous plaques in the aorta and coronary arteries. Stents were observed in the coronary arteries. The widths of the mediastinal main vascular structures are normal. There is a stent appearance in the localization of the ascending aorta. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Atherosclerotic changes in the aorta and coronary arteries, stent appearance in the ascending aorta, bilateral pleural effusion.  Ground glass areas in both lungs and occasional consolidations in both lungs (due to cardiac pathology? Covid-19 pneumonia??)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_804/valid_804_a/valid_804_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1889",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral pleural effusion is observed. The pleural effusion measured 30 mm at its thickest point. There is no pleural thickening. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is atelectasis adjacent to pleural effusion in both lung lower lobes. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). In addition, ground glass areas and consolidations are observed in both lungs, more prominently in the upper lobes. The described findings are mostly centrally located. The findings are not typical for Covid-19 pneumonia. When evaluated together with other findings, it was thought to belong to cardiac pathology. However, during the pandemic process, Covid-19 pneumonia could not be completely excluded. It is recommended to be evaluated together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. There are atheromatous plaques in the aorta and coronary arteries. Stents were observed in the coronary arteries. The widths of the mediastinal main vascular structures are normal. There is a stent appearance in the localization of the ascending aorta. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Atherosclerotic changes in the aorta and coronary arteries, stent appearance in the ascending aorta, bilateral pleural effusion.  Ground glass areas in both lungs and occasional consolidations in both lungs (due to cardiac pathology? Covid-19 pneumonia??)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_804/valid_804_a/valid_804_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1890",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the aorta and coronary arteries. Calibration of mediastinal major vascular structures is natural. There is a view of the stent line in the ascending aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. No significant pathological wall thickness increase was detected in the esophagus in the non-contrast examination limits. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). In both lungs, prominent areas of consolidation in the upper lobes observed in the previous examination showed regression in the current examination, but there are newly developed areas of consolidation in the left lung lower lobe and upper lobe lingular segment (secondary to cardiac pathology?). During the pandemic process, Covid-19 pneumonia cannot be completely excluded. Clinical and laboratory correlation is recommended. No significant pathology was detected in the upper abdominal sections that entered the examination area. No lytic-destructive lesion was detected in bone structures. Impression:  Atherosclerotic changes in the aorta and coronary arteries, stent appearance in the ascending aorta.  Bilateral pleural effusion, the amount of effusion observed on the left has decreased significantly.  Ground glass areas and consolidations in both lungs; shows marked regression from previous examination (secondary to cardiac pathology?). Covid-19 pneumonia cannot be completely ruled out. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_804/valid_804_b/valid_804_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1891",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the aorta and coronary arteries. Calibration of mediastinal major vascular structures is natural. There is a view of the stent line in the ascending aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. No significant pathological wall thickness increase was detected in the esophagus in the non-contrast examination limits. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). In both lungs, prominent areas of consolidation in the upper lobes observed in the previous examination showed regression in the current examination, but there are newly developed areas of consolidation in the left lung lower lobe and upper lobe lingular segment (secondary to cardiac pathology?). During the pandemic process, Covid-19 pneumonia cannot be completely excluded. Clinical and laboratory correlation is recommended. No significant pathology was detected in the upper abdominal sections that entered the examination area. No lytic-destructive lesion was detected in bone structures. Impression:  Atherosclerotic changes in the aorta and coronary arteries, stent appearance in the ascending aorta.  Bilateral pleural effusion, the amount of effusion observed on the left has decreased significantly.  Ground glass areas and consolidations in both lungs; shows marked regression from previous examination (secondary to cardiac pathology?). Covid-19 pneumonia cannot be completely ruled out. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_804/valid_804_b/valid_804_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung lower lobe superior, laterobasal-posterobasal and left lung lower lobe mediobasal segment, slightly more diffuse nonspecific ground glass densities were observed on the right. Ground glass densities are accompanied by linear subsegmentary atelectatic changes. The findings were evaluated in favor of sequelae in the case that was learned to have had Covid-19 pneumonia. A few millimetric nonspecific pulmonary nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is partial fusion defect in C7-T1 vertebral corpuscles Impression:  Sequelae of ground glass densities-linear atelectatic changes in both lung lower lobe basal segments; evaluated in favor of post covid sequelae.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  C7-T1 partial fusion defect."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_805/valid_805_a/valid_805_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1893",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung lower lobe superior, laterobasal-posterobasal and left lung lower lobe mediobasal segment, slightly more diffuse nonspecific ground glass densities were observed on the right. Ground glass densities are accompanied by linear subsegmentary atelectatic changes. The findings were evaluated in favor of sequelae in the case that was learned to have had Covid-19 pneumonia. A few millimetric nonspecific pulmonary nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is partial fusion defect in C7-T1 vertebral corpuscles Impression:  Sequelae of ground glass densities-linear atelectatic changes in both lung lower lobe basal segments; evaluated in favor of post covid sequelae.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  C7-T1 partial fusion defect."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_805/valid_805_a/valid_805_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1894",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the arcus-descending aorta and coronary arteries. There is a stent placed in the LAD and Cx. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Liver parenchyma density in the cross-sectional area decreased in line with hepatosteatosis. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the right anterolateral corner of the thoracic vertebra, bridging spur formations were observed. Impression: Diffuse calcific atheroma plaques in the arch-descending aorta and coronary arteries, stents placed in the LAD and Cx. \u00b7 Several millimetric nonspecific parenchymal nodules in both lungs. \u00b7 Hepatosteatosis. \u00b7 Bridging spur formations in the right anterolateral corner of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_806/valid_806_a/valid_806_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1895",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the arcus-descending aorta and coronary arteries. There is a stent placed in the LAD and Cx. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Liver parenchyma density in the cross-sectional area decreased in line with hepatosteatosis. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the right anterolateral corner of the thoracic vertebra, bridging spur formations were observed. Impression: Diffuse calcific atheroma plaques in the arch-descending aorta and coronary arteries, stents placed in the LAD and Cx. \u00b7 Several millimetric nonspecific parenchymal nodules in both lungs. \u00b7 Hepatosteatosis. \u00b7 Bridging spur formations in the right anterolateral corner of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_806/valid_806_a/valid_806_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_807/valid_807_a/valid_807_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1897",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_807/valid_807_a/valid_807_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1898",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung lower lobe laterobasal segment, a subpleural focal ground-glass area is observed. However, the appearance is common in the lower lobes and basal segments of both lungs. First of all, it was interpreted in favor of the mosaic attenuation pattern. It is appropriate to evaluate it together with the clinic and laboratory in terms of Covid-19 pneumonia. No nodular lesions were detected in the lung parenchyma of both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There is a focal ground glass area located subpleural in the right lung lower lobe laterobasal segment. However, the appearance is widely present in the lower lobes and basal segments of both lungs. First of all, it was interpreted in favor of mosaic attenuation pattern. It is appropriate to evaluate it together with the clinic and laboratory in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_808/valid_808_a/valid_808_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung lower lobe laterobasal segment, a subpleural focal ground-glass area is observed. However, the appearance is common in the lower lobes and basal segments of both lungs. First of all, it was interpreted in favor of the mosaic attenuation pattern. It is appropriate to evaluate it together with the clinic and laboratory in terms of Covid-19 pneumonia. No nodular lesions were detected in the lung parenchyma of both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There is a focal ground glass area located subpleural in the right lung lower lobe laterobasal segment. However, the appearance is widely present in the lower lobes and basal segments of both lungs. First of all, it was interpreted in favor of mosaic attenuation pattern. It is appropriate to evaluate it together with the clinic and laboratory in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_808/valid_808_a/valid_808_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1900",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the examination area, there are calcules measuring 15 mm in diameter in the gallbladder lumen. A hypodense lesion with a diameter of 10 mm containing an area of fat density was observed in the upper pole of the left kidney (angiomyolipoma?). No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia detected. Cholelithiasis.  Left renal angiomyoplipoma?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_809/valid_809_a/valid_809_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the examination area, there are calcules measuring 15 mm in diameter in the gallbladder lumen. A hypodense lesion with a diameter of 10 mm containing an area of fat density was observed in the upper pole of the left kidney (angiomyolipoma?). No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia detected. Cholelithiasis.  Left renal angiomyoplipoma?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_809/valid_809_a/valid_809_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1902",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Millimetric calcific atheroma plaques are observed in the aortic walls. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Significant hiatal hernia is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal bronchiectatic changes and sequela fibrotic densities are observed at the level of the left lung hilum. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Active infiltration and consolidation were not detected in both lungs.  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_810/valid_810_a/valid_810_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1903",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Millimetric calcific atheroma plaques are observed in the aortic walls. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Significant hiatal hernia is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal bronchiectatic changes and sequela fibrotic densities are observed at the level of the left lung hilum. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Active infiltration and consolidation were not detected in both lungs.  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_810/valid_810_a/valid_810_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1904",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. The proximal stomach is herniated into the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_810/valid_810_b/valid_810_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1905",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. The proximal stomach is herniated into the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_810/valid_810_b/valid_810_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A pleuroparenchymal fibroatelectasis sequelae change was observed in the left lung upper lobe inferior lingular segment. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Pleuroparenchymal fibroatelectasis sequelae change in left lung upper lobe inferior lingular segment. No finding in favor of pneumonia-mass was detected in lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_811/valid_811_a/valid_811_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1907",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A pleuroparenchymal fibroatelectasis sequelae change was observed in the left lung upper lobe inferior lingular segment. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Pleuroparenchymal fibroatelectasis sequelae change in left lung upper lobe inferior lingular segment. No finding in favor of pneumonia-mass was detected in lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_811/valid_811_a/valid_811_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Millimetric nonspecific pulmonary nodules are observed in both lungs. Irregular nodular consolidations with multilobar, peripherally located crazy paving and vascular enlargement were observed in both lungs and are consistent with Covid-19 pneumonia. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric calcific focus was observed in the lateral wall of the gallbladder corpus (calcified polyp?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild osteodegenerative changes were observed in the thoracic vertebrae. Impression:  Atherosclerotic wall calcifications in the aortic arch and coronary arteries.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Pleuroparenchymal fibroatelectasis sequelae changes in right lung middle lobe medial, left lung upper lobe inferior lingular segment.  Millimetric nonspecific pulmonary nodules in both lungs.  Millimetric calcific focus (calcified polyp?) in the lateral wall of the gallbladder corpus.  Minimal osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_812/valid_812_a/valid_812_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1909",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Millimetric nonspecific pulmonary nodules are observed in both lungs. Irregular nodular consolidations with multilobar, peripherally located crazy paving and vascular enlargement were observed in both lungs and are consistent with Covid-19 pneumonia. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric calcific focus was observed in the lateral wall of the gallbladder corpus (calcified polyp?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild osteodegenerative changes were observed in the thoracic vertebrae. Impression:  Atherosclerotic wall calcifications in the aortic arch and coronary arteries.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Pleuroparenchymal fibroatelectasis sequelae changes in right lung middle lobe medial, left lung upper lobe inferior lingular segment.  Millimetric nonspecific pulmonary nodules in both lungs.  Millimetric calcific focus (calcified polyp?) in the lateral wall of the gallbladder corpus.  Minimal osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_812/valid_812_a/valid_812_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lung parenchyma, there are ground glass density increases with septal thickenings in the lower lobes, which tend to merge from place to place in different localizations. It was evaluated in agreement with the frequently reported imaging features of Covid-19 pneumonia. Clinical-laboratory correlation is recommended. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Pleuroparenchymal sequelae density increases were observed in both lungs apical. In the upper abdominal sections in the study area; A 48 mm diameter cortical cyst was observed in the upper pole of the left kidney. No lytic-destructive lesion was detected in bone structures. Impression:  Frequently reported imaging features of Covid-19 pneumonia in both lungs, other viral pneumonias can be considered in the differential diagnosis; Clinical-laboratory correlation is recommended.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_813/valid_813_a/valid_813_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1911",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lung parenchyma, there are ground glass density increases with septal thickenings in the lower lobes, which tend to merge from place to place in different localizations. It was evaluated in agreement with the frequently reported imaging features of Covid-19 pneumonia. Clinical-laboratory correlation is recommended. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Pleuroparenchymal sequelae density increases were observed in both lungs apical. In the upper abdominal sections in the study area; A 48 mm diameter cortical cyst was observed in the upper pole of the left kidney. No lytic-destructive lesion was detected in bone structures. Impression:  Frequently reported imaging features of Covid-19 pneumonia in both lungs, other viral pneumonias can be considered in the differential diagnosis; Clinical-laboratory correlation is recommended.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_813/valid_813_a/valid_813_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When both lungs are evaluated in the parenchyma window: Focal ground-glass density increase in which vascular structure is observed in the left lung lat lobe anterobasal segment is observed. The outlook may be seen in early Covid-19 pneumonia but not specific. Clinical and laboratory correlation is recommended. Calcules were observed in both kidneys in the upper abdominal sections that entered the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Focal ground-glass density increase in the lower lobe of the left lung; appearance may be seen in early Covid-19 pneumonia, but not specific. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_814/valid_814_a/valid_814_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1913",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When both lungs are evaluated in the parenchyma window: Focal ground-glass density increase in which vascular structure is observed in the left lung lat lobe anterobasal segment is observed. The outlook may be seen in early Covid-19 pneumonia but not specific. Clinical and laboratory correlation is recommended. Calcules were observed in both kidneys in the upper abdominal sections that entered the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Focal ground-glass density increase in the lower lobe of the left lung; appearance may be seen in early Covid-19 pneumonia, but not specific. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_814/valid_814_a/valid_814_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A port catheter is observed on the right anterior wall of the chest, and a catheter extending into the right atrium is observed. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few fusiform lymph nodes are observed, the largest of which is at the level of the carina, in the pretracheal area, with a short axis of 8 mm in diameter. When examined in the lung parenchyma window; Peribronchial wall thickness increases in both lungs and linear subsegmental atelectasis areas extending to the lung hilum are observed. Apart from this, consolidation areas involving the lower lobes of both lungs and especially the posterobasal segments and evaluated in favor of atelectasis are observed. Pleural effusion reaching approximately 2 cm in the thickest part of the left lung is observed. There is an effusion appearance in the left lung fissure. Consolidation areas in the lower lobes of both lungs were primarily evaluated in favor of atelectasis. The differential diagnosis includes pneumonic infiltration with a low probability. Apart from this, there are calcific atheroma plaques in the coronary arteries. Upper abdominal organs included in the sections are normal. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the study area. Impression:  Pleural effusion in both lungs, more prominent on the left, reaches 2 cm in thickness on the left, and approximately 7 mm on the right, and there are areas of consolidation in the lower lobes of both lungs that are primarily evaluated in favor of atelectasis. Pneumonic infiltrates are also included in the differential diagnosis with a low probability. Apart from this, no mass or pulmonary nodule was observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_815/valid_815_a/valid_815_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1915",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: A port catheter is observed on the right anterior wall of the chest, and a catheter extending into the right atrium is observed. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few fusiform lymph nodes are observed, the largest of which is at the level of the carina, in the pretracheal area, with a short axis of 8 mm in diameter. When examined in the lung parenchyma window; Peribronchial wall thickness increases in both lungs and linear subsegmental atelectasis areas extending to the lung hilum are observed. Apart from this, consolidation areas involving the lower lobes of both lungs and especially the posterobasal segments and evaluated in favor of atelectasis are observed. Pleural effusion reaching approximately 2 cm in the thickest part of the left lung is observed. There is an effusion appearance in the left lung fissure. Consolidation areas in the lower lobes of both lungs were primarily evaluated in favor of atelectasis. The differential diagnosis includes pneumonic infiltration with a low probability. Apart from this, there are calcific atheroma plaques in the coronary arteries. Upper abdominal organs included in the sections are normal. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the study area. Impression:  Pleural effusion in both lungs, more prominent on the left, reaches 2 cm in thickness on the left, and approximately 7 mm on the right, and there are areas of consolidation in the lower lobes of both lungs that are primarily evaluated in favor of atelectasis. Pneumonic infiltrates are also included in the differential diagnosis with a low probability. Apart from this, no mass or pulmonary nodule was observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_815/valid_815_a/valid_815_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1916",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A port catheter extending from the right anterior chest wall to the right atrium is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion is observed in both lungs. Pleural effusion with a thickness of about 3 cm in the widest part of the left lung and compression atelectasis in the accompanying lung parenchyma are observed. Pleural effusion reaching approximately 8 mm in the thickest part of the right lung and consolidation compatible with atelectasis in the adjacent parenchyma are observed. A prominent fissure is observed in the left lung. Again, in the superior and middle parts of the lower lobe of the left lung, a consolidation area, which is primarily evaluated in favor of pneumonic infiltration and contains air bronchograms, is observed. Ground glass densities and linear subsegmental atelectasis are observed in the lower lobes of both lungs. There are fibroatelectatic changes in the upper lobes of both lungs, more pronounced on the right. Minimal contamination is observed in the mesenteric fatty planes included in the examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pleural effusion in both lungs  Atelectasis in the areas adjacent to the effusion in both lungs  Pneumonic consolidation areas in the lower lobe superior section and upper lobe inferior lingular section of the left lung  Ground-glass densities evaluated in favor of pneumonia are observed in the lower lobe superior segment of the right lung. When evaluated together with the previous examination of the patient, no significant difference was found in the findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_815/valid_815_b/valid_815_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: A port catheter extending from the right anterior chest wall to the right atrium is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion is observed in both lungs. Pleural effusion with a thickness of about 3 cm in the widest part of the left lung and compression atelectasis in the accompanying lung parenchyma are observed. Pleural effusion reaching approximately 8 mm in the thickest part of the right lung and consolidation compatible with atelectasis in the adjacent parenchyma are observed. A prominent fissure is observed in the left lung. Again, in the superior and middle parts of the lower lobe of the left lung, a consolidation area, which is primarily evaluated in favor of pneumonic infiltration and contains air bronchograms, is observed. Ground glass densities and linear subsegmental atelectasis are observed in the lower lobes of both lungs. There are fibroatelectatic changes in the upper lobes of both lungs, more pronounced on the right. Minimal contamination is observed in the mesenteric fatty planes included in the examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pleural effusion in both lungs  Atelectasis in the areas adjacent to the effusion in both lungs  Pneumonic consolidation areas in the lower lobe superior section and upper lobe inferior lingular section of the left lung  Ground-glass densities evaluated in favor of pneumonia are observed in the lower lobe superior segment of the right lung. When evaluated together with the previous examination of the patient, no significant difference was found in the findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_815/valid_815_b/valid_815_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1918",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  As far as can be seen; A catheter image extending to the superior vena cava was observed. Calcific atherosclerotic changes were observed in the wall of the coronary artery. No lymph node was detected in mediastinal pathological size and appearance. In the current examination, total regression was observed in the extensive consolidation areas observed in the lower lobes of both lungs in the previous examination. Bilateral pleural effusion observed in the previous examination is not detected in the current examination. The newly emerged infiltration area was not observed in the current examination. There are band-like sequela fibrotic density increases in the middle lobe of the right lung. Bilateral pleural thickening was not detected. According to the previous examination, stable millimetric nonspecific parenchymal nodules were observed in both lung parenchyma. There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_815/valid_815_c/valid_815_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1919",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  As far as can be seen; A catheter image extending to the superior vena cava was observed. Calcific atherosclerotic changes were observed in the wall of the coronary artery. No lymph node was detected in mediastinal pathological size and appearance. In the current examination, total regression was observed in the extensive consolidation areas observed in the lower lobes of both lungs in the previous examination. Bilateral pleural effusion observed in the previous examination is not detected in the current examination. The newly emerged infiltration area was not observed in the current examination. There are band-like sequela fibrotic density increases in the middle lobe of the right lung. Bilateral pleural thickening was not detected. According to the previous examination, stable millimetric nonspecific parenchymal nodules were observed in both lung parenchyma. There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_815/valid_815_c/valid_815_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1920",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. No lymph node was observed in the mediastinum in pathological size and appearance. Pericardial effusion was not observed. When examined in the lung parenchyma window; There is an air cyst in the apical segment of the left lung upper lobe. Bilateral asymmetrical peripheral patchy ground glass opacity areas and septal thickenings are observed in both lungs. The findings are in favor of atypical pneumonia and were evaluated radiologically compatible with Covid pneumonia. In the upper abdomen sections, a 4 cm diameter cyst was observed in the left kidney. It could not be characterized as no contrast agent was given. No lytic-destructive lesions were detected in bone structures. Impression: Bilateral asymmetrical peripheral atypical pneumonic infiltration is present in both lungs and has been evaluated as compatible with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_816/valid_816_a/valid_816_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1921",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. No lymph node was observed in the mediastinum in pathological size and appearance. Pericardial effusion was not observed. When examined in the lung parenchyma window; There is an air cyst in the apical segment of the left lung upper lobe. Bilateral asymmetrical peripheral patchy ground glass opacity areas and septal thickenings are observed in both lungs. The findings are in favor of atypical pneumonia and were evaluated radiologically compatible with Covid pneumonia. In the upper abdomen sections, a 4 cm diameter cyst was observed in the left kidney. It could not be characterized as no contrast agent was given. No lytic-destructive lesions were detected in bone structures. Impression: Bilateral asymmetrical peripheral atypical pneumonic infiltration is present in both lungs and has been evaluated as compatible with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_816/valid_816_a/valid_816_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1922",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified hypodense nodules observed on the left in both thyroid lobes. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta is 42 mm and shows dilatation. The main pulmonary artery measures 35 mm and shows dilatation. Densities of the stent material were observed in the coronary artery. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Nonspecific ground-glass nodular density increases were observed in the lower lobe of the right lung, the inferior lingular segment of the left lung, and the peripheral subpleural area (viral pneumonia?). It is recommended to be evaluated together with clinical and laboratory data. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. The left kidney could not be visualized (operated?) in the upper abdominal sections in the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There is metallic suture material belonging to sternotomy in the sternum. Impression: Cardiomegaly . Dilatation of the thoracic aorta and pulmonary artery, common operation materials in the coronary arteries . Sequelae changes in both lungs, emphysematous changes . Millimetric-sized nonspecific nodules in both lungs . Nonspecific ground-glass density increases in the peripheral subpleural area of both lungs (viral pneumonia?), clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_817/valid_817_a/valid_817_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1923",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified hypodense nodules observed on the left in both thyroid lobes. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta is 42 mm and shows dilatation. The main pulmonary artery measures 35 mm and shows dilatation. Densities of the stent material were observed in the coronary artery. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Nonspecific ground-glass nodular density increases were observed in the lower lobe of the right lung, the inferior lingular segment of the left lung, and the peripheral subpleural area (viral pneumonia?). It is recommended to be evaluated together with clinical and laboratory data. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. The left kidney could not be visualized (operated?) in the upper abdominal sections in the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There is metallic suture material belonging to sternotomy in the sternum. Impression: Cardiomegaly . Dilatation of the thoracic aorta and pulmonary artery, common operation materials in the coronary arteries . Sequelae changes in both lungs, emphysematous changes . Millimetric-sized nonspecific nodules in both lungs . Nonspecific ground-glass density increases in the peripheral subpleural area of both lungs (viral pneumonia?), clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_817/valid_817_a/valid_817_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1924",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia detected. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_818/valid_818_a/valid_818_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1925",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia detected. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_818/valid_818_a/valid_818_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1926",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse peripherally located patchy ground glass densities are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia. Correlation with clinical and laboratory is recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_819/valid_819_a/valid_819_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1927",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse peripherally located patchy ground glass densities are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia. Correlation with clinical and laboratory is recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_819/valid_819_a/valid_819_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1928",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinum and heart; The left hemithorax was retracted anterolaterally. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Millimetric atheroma plaques were observed in the coronary arteries and thoracic aorta. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A sliding type hiatal hernia was observed in the distal esophagus. In the right upper paratracheal, prevascular, bilateral lower paratracheal, subcarinal short axis, lymph nodes less than 1 cm in pathological size and appearance, containing calcific foci, were detected. When examined in the lung parenchyma window; The upper lobe of the left lung has a total atelectasis appearance and diffuse air bronchograms are observed in it. Widespread calcific pleural thickening was observed in the pleura in the apical part of the left hemithorax. In addition, millimetric calcific nodules of 17x10 mm were observed in the left lung, the largest of which was in the upper zone posterior. Sequela fibroatelectatic changes were observed in the right lung upper lobe anterior segment and middle lobe medial segment. In the evaluation of upper abdominal organs including sections; Sequelae nodular calcifications were observed in the right lobe of the liver. The spleen is natural. No calculus was detected in both kidneys within the sections. A 19x14 mm nodular hypodense lesion area was observed in the middle zone posterior of the left kidney (cyst?). The right adrenal gland locus is normal, and no space-occupying lesion was detected. Diffuse thickening was observed in the left adrenal gland. Height loss consistent with compression fracture was observed in the T8 vertebral body. Impression: Total atelectasis in the upper lobe of the left lung, multiple calcified nodules in the upper zone of the left lung, the largest in the upper zone (TBC sequelae changes) . Fibroatelectatic sequelae changes in the anterior segment of the left lung upper lobe and medial segment of the middle lobe . Diffuse thickening of the left adrenal gland was observed. Compression fracture in T8 vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_820/valid_820_a/valid_820_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1929",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Mediastinum and heart; The left hemithorax was retracted anterolaterally. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Millimetric atheroma plaques were observed in the coronary arteries and thoracic aorta. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A sliding type hiatal hernia was observed in the distal esophagus. In the right upper paratracheal, prevascular, bilateral lower paratracheal, subcarinal short axis, lymph nodes less than 1 cm in pathological size and appearance, containing calcific foci, were detected. When examined in the lung parenchyma window; The upper lobe of the left lung has a total atelectasis appearance and diffuse air bronchograms are observed in it. Widespread calcific pleural thickening was observed in the pleura in the apical part of the left hemithorax. In addition, millimetric calcific nodules of 17x10 mm were observed in the left lung, the largest of which was in the upper zone posterior. Sequela fibroatelectatic changes were observed in the right lung upper lobe anterior segment and middle lobe medial segment. In the evaluation of upper abdominal organs including sections; Sequelae nodular calcifications were observed in the right lobe of the liver. The spleen is natural. No calculus was detected in both kidneys within the sections. A 19x14 mm nodular hypodense lesion area was observed in the middle zone posterior of the left kidney (cyst?). The right adrenal gland locus is normal, and no space-occupying lesion was detected. Diffuse thickening was observed in the left adrenal gland. Height loss consistent with compression fracture was observed in the T8 vertebral body. Impression: Total atelectasis in the upper lobe of the left lung, multiple calcified nodules in the upper zone of the left lung, the largest in the upper zone (TBC sequelae changes) . Fibroatelectatic sequelae changes in the anterior segment of the left lung upper lobe and medial segment of the middle lobe . Diffuse thickening of the left adrenal gland was observed. Compression fracture in T8 vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_820/valid_820_a/valid_820_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1930",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is seen in a slightly deviated view to the right. At the lower end of the trachea, at the level of the carina, a polypoid appearance on the posterior wall is observed protruding towards the lumen and may be compatible with soft tissue or mucus occlusion. Heart sizes increased in favor of the heart. Its contours are regular. When the mediastinal main vascular structures are evaluated, calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending middle was measured 40 mm and is within normal limits. Minimal effusion is observed between mediastinal vascular structures. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathologically enlarged lymph nodes were observed in pre-tracheal, paravascular, and subcarinal areas. Soft tissue appearances are observed at both hilus levels, the borders of which cannot be distinguished from the surrounding vascular structures due to non-contrast examination, and causes narrowing of the bronchi from time to time. It may be compatible with lymphadenomegaly. In case of clinical necessity, contrast-enhanced examination of the patient is appropriate. When examined in the lung parenchyma window; aeration of both lung parenchyma is natural. In both lungs, emphysematous changes, sequelae linear densities, and a few millimetric subpleural nodules with coarse calcification are observed. No active infiltration, consolidation or space-occupying lesion was observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Changes consistent with age are observed. Calcific atheroma plaques are observed in the walls of the thoracic and abdominal aorta included in the study area. Degenerative changes were noted in the bone structures included in the study area. Impression: Cardiomegaly . Minimal effusion between mediastinal vascular structures . Slight deviation to the right in the trachea and polypoid protrusion on the posterior wall that narrows the lumen slightly at the carinal level in the trachea . Appearances interpreted in favor of lymphadenomegaly, which cannot be distinguished from the pulmonary vascular structures at both hilus levels due to the lack of contrast in the examination . Sequelae in both lungs changes. Contrast-enhanced examination of the patient is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_821/valid_821_a/valid_821_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1931",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is seen in a slightly deviated view to the right. At the lower end of the trachea, at the level of the carina, a polypoid appearance on the posterior wall is observed protruding towards the lumen and may be compatible with soft tissue or mucus occlusion. Heart sizes increased in favor of the heart. Its contours are regular. When the mediastinal main vascular structures are evaluated, calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending middle was measured 40 mm and is within normal limits. Minimal effusion is observed between mediastinal vascular structures. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathologically enlarged lymph nodes were observed in pre-tracheal, paravascular, and subcarinal areas. Soft tissue appearances are observed at both hilus levels, the borders of which cannot be distinguished from the surrounding vascular structures due to non-contrast examination, and causes narrowing of the bronchi from time to time. It may be compatible with lymphadenomegaly. In case of clinical necessity, contrast-enhanced examination of the patient is appropriate. When examined in the lung parenchyma window; aeration of both lung parenchyma is natural. In both lungs, emphysematous changes, sequelae linear densities, and a few millimetric subpleural nodules with coarse calcification are observed. No active infiltration, consolidation or space-occupying lesion was observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Changes consistent with age are observed. Calcific atheroma plaques are observed in the walls of the thoracic and abdominal aorta included in the study area. Degenerative changes were noted in the bone structures included in the study area. Impression: Cardiomegaly . Minimal effusion between mediastinal vascular structures . Slight deviation to the right in the trachea and polypoid protrusion on the posterior wall that narrows the lumen slightly at the carinal level in the trachea . Appearances interpreted in favor of lymphadenomegaly, which cannot be distinguished from the pulmonary vascular structures at both hilus levels due to the lack of contrast in the examination . Sequelae in both lungs changes. Contrast-enhanced examination of the patient is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_821/valid_821_a/valid_821_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of mediastinal structures is suboptimal since no contrast material is given. No lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance. Thyroid gland sizes are below normal. Heart dimensions and compartments are of normal width. The diameters of the main mediastinal vascular structures are within normal limits. Pericardial effusion was not detected. There are nonspecific lymph nodes less than 1 cm in diameter located bilaterally in the lower paratracheal mediastinum. No space-occupying lesion was detected in the mediastinal fat pad. No dilatation or increase in diameter was observed in the esophagus. Sliding type hiatal hernia is present. Trachea, both main bronchi, lobar and segmental bronchi, air passage open. When the lung parenchyma window is examined; Subsegmentary atelectasis in the medial segment of the right lung middle lobe and mild tubular bronchiectasis foci in this localization are observed. Dependent atelectasis areas are observed in the subpleural areas of both lungs. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdomen sections, there is slight contamination in the periduodenal adipose tissue at the level of the second continent of the duodenum, which is partially included in the section. It is not possible to make a clear interpretation due to the partial cross-section. No lytic-destructive lesions were detected in bone structures. Impression:  Reduction in the size of the thyroid gland.  Nonspecific mediastinal lymph nodes.  Sliding type hiatal hernia.  Contamination in the perigastric adipose tissue at the level of the 2nd continent of the duodenum.  Slight tubular collapse of ectatic bronchi with subsegmental atelectasis in the medial segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_822/valid_822_a/valid_822_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1933",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of mediastinal structures is suboptimal since no contrast material is given. No lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance. Thyroid gland sizes are below normal. Heart dimensions and compartments are of normal width. The diameters of the main mediastinal vascular structures are within normal limits. Pericardial effusion was not detected. There are nonspecific lymph nodes less than 1 cm in diameter located bilaterally in the lower paratracheal mediastinum. No space-occupying lesion was detected in the mediastinal fat pad. No dilatation or increase in diameter was observed in the esophagus. Sliding type hiatal hernia is present. Trachea, both main bronchi, lobar and segmental bronchi, air passage open. When the lung parenchyma window is examined; Subsegmentary atelectasis in the medial segment of the right lung middle lobe and mild tubular bronchiectasis foci in this localization are observed. Dependent atelectasis areas are observed in the subpleural areas of both lungs. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was observed. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdomen sections, there is slight contamination in the periduodenal adipose tissue at the level of the second continent of the duodenum, which is partially included in the section. It is not possible to make a clear interpretation due to the partial cross-section. No lytic-destructive lesions were detected in bone structures. Impression:  Reduction in the size of the thyroid gland.  Nonspecific mediastinal lymph nodes.  Sliding type hiatal hernia.  Contamination in the perigastric adipose tissue at the level of the 2nd continent of the duodenum.  Slight tubular collapse of ectatic bronchi with subsegmental atelectasis in the medial segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_822/valid_822_a/valid_822_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1934",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse, mostly peripheral, patchy ground glass densities are observed in both lungs. The findings were primarily evaluated in favor of Covid-19 viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: The described findings were primarily evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_823/valid_823_a/valid_823_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1935",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse, mostly peripheral, patchy ground glass densities are observed in both lungs. The findings were primarily evaluated in favor of Covid-19 viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: The described findings were primarily evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_823/valid_823_a/valid_823_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1936",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. There is a millimetric calcific nodule in the middle lobe of the right lung. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. Lymph nodes, some of which are calcific, were observed in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. There is a minimal hiatal hernia of the sliding type at the lower end of the esophagus. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No discernible mass was observed in the upper abdominal organs within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances were minimally narrowed. The neural foramina are open. Impression:  Bladder ca.  Atelectasis in both lungs.  Emphysematous changes in both lungs.  Millimetric calcific nodule in the right lung.  Atheroma plaques in the aorta and coronary arteries.  Mediasynal and hilar lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_824/valid_824_a/valid_824_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. There is a millimetric calcific nodule in the middle lobe of the right lung. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. Lymph nodes, some of which are calcific, were observed in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. There is a minimal hiatal hernia of the sliding type at the lower end of the esophagus. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No discernible mass was observed in the upper abdominal organs within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances were minimally narrowed. The neural foramina are open. Impression:  Bladder ca.  Atelectasis in both lungs.  Emphysematous changes in both lungs.  Millimetric calcific nodule in the right lung.  Atheroma plaques in the aorta and coronary arteries.  Mediasynal and hilar lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_824/valid_824_a/valid_824_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1938",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Linear atelectasis was observed in the middle lobe of the right lung. There is a millimetric calcific nodule in the right lung. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No factorial or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Atheroscleortic changes in the aorta and coronary arteries.  Mediastinal and hilar lymph nodes.  Hiatal hernia.  Minimal emphysematous changes in both lungs.  Millimetric calcific nodule in the right lung.  Linear atelectasis in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_824/valid_824_b/valid_824_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1939",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Linear atelectasis was observed in the middle lobe of the right lung. There is a millimetric calcific nodule in the right lung. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No factorial or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Atheroscleortic changes in the aorta and coronary arteries.  Mediastinal and hilar lymph nodes.  Hiatal hernia.  Minimal emphysematous changes in both lungs.  Millimetric calcific nodule in the right lung.  Linear atelectasis in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_824/valid_824_b/valid_824_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the lumen of the trachea and both main bronchi in the midline. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. A millimetric calcific plaque was observed on the wall of the aortic arch. Thoracic esophagus calibration was normal. No significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Both lungs are emphysematous. Linear pleuroparenchymal fibrotic density increases were observed in the right lung middle lobe, left lung upper lobe lingular and left lung lower lobe basal segments. A millimetric nonspecific parenchymal nodule was observed in the anterior segment of the right lung upper lobe. Nodules of 8.8x3.2 mm in size were observed on the fissure on the left (intrapulmonary lymph node?). No mass lesion with defined borders-active infiltration was detected in both lungs. As far as can be seen in the sections, faintly circumscribed, milimetric nonspecific hypodense lesions were observed in the peripheral subcapsular area in segment 4A and segment 8 of the liver left lobe. In case of clinical necessity, further examination with MRI is recommended. The spleen, both kidneys, both adrenal glands and pancreas are normal and no space-occupying lesion was detected. No intra-abdominal free fluid or pathological lymph node was observed. Degenerative changes were observed in bone structures. Impression: Hiatal hernia. Emphysematous appearance in both lungs. Linear pleuroparenchymal fibroatelectatic changes in both lungs. Millimetric subpleural nodule in the anterior segment of the right lung upper lobe.  Nodules on the fissure on the left ( intrapulmonary lymph node? In case of clinical necessity, further examination with MRI is recommended. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_825/valid_825_a/valid_825_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the lumen of the trachea and both main bronchi in the midline. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. A millimetric calcific plaque was observed on the wall of the aortic arch. Thoracic esophagus calibration was normal. No significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Both lungs are emphysematous. Linear pleuroparenchymal fibrotic density increases were observed in the right lung middle lobe, left lung upper lobe lingular and left lung lower lobe basal segments. A millimetric nonspecific parenchymal nodule was observed in the anterior segment of the right lung upper lobe. Nodules of 8.8x3.2 mm in size were observed on the fissure on the left (intrapulmonary lymph node?). No mass lesion with defined borders-active infiltration was detected in both lungs. As far as can be seen in the sections, faintly circumscribed, milimetric nonspecific hypodense lesions were observed in the peripheral subcapsular area in segment 4A and segment 8 of the liver left lobe. In case of clinical necessity, further examination with MRI is recommended. The spleen, both kidneys, both adrenal glands and pancreas are normal and no space-occupying lesion was detected. No intra-abdominal free fluid or pathological lymph node was observed. Degenerative changes were observed in bone structures. Impression: Hiatal hernia. Emphysematous appearance in both lungs. Linear pleuroparenchymal fibroatelectatic changes in both lungs. Millimetric subpleural nodule in the anterior segment of the right lung upper lobe.  Nodules on the fissure on the left ( intrapulmonary lymph node? In case of clinical necessity, further examination with MRI is recommended. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_825/valid_825_a/valid_825_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1942",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Both lungs are emphysematous. Linear pleuroparenchymal fibrotic sequelae density increases were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. A millimetric nonspecific parenchymal nodule was observed in the anterior segment of the right lung upper lobe. Nodules of 8.8x3.2 mm in size were observed on the fissure on the left (intrapulmonary lymph node?). No mass lesion-active infiltration with distinguishable borders was observed in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. Hemangiomas identified in the liver in previous MRI examinations could not be distinguished in the non-contrast examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are height losses in T7 and T8 superior endplates. Degenerative changes are observed in bone structures. Impression:  Hiatal hernia.  Emphysematous appearance in both lungs, linear pleuroparenchymal fibroatelectasis changes.  Stable nodule in the anterior segment of the upper lobe of the right lung.  Stable nodules over the fissure on the left (intrapulmonary lymph node?).  Degenerative changes in bone structure.  Height losses in T7 and T8 superior endplates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_825/valid_825_b/valid_825_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1943",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Both lungs are emphysematous. Linear pleuroparenchymal fibrotic sequelae density increases were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. A millimetric nonspecific parenchymal nodule was observed in the anterior segment of the right lung upper lobe. Nodules of 8.8x3.2 mm in size were observed on the fissure on the left (intrapulmonary lymph node?). No mass lesion-active infiltration with distinguishable borders was observed in both lungs. As far as can be seen within the sections; upper abdominal organs are normal. Hemangiomas identified in the liver in previous MRI examinations could not be distinguished in the non-contrast examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are height losses in T7 and T8 superior endplates. Degenerative changes are observed in bone structures. Impression:  Hiatal hernia.  Emphysematous appearance in both lungs, linear pleuroparenchymal fibroatelectasis changes.  Stable nodule in the anterior segment of the upper lobe of the right lung.  Stable nodules over the fissure on the left (intrapulmonary lymph node?).  Degenerative changes in bone structure.  Height losses in T7 and T8 superior endplates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_825/valid_825_b/valid_825_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1944",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; subpleural linear density is observed at the level of the lateral lingular segment in the upper lobe of the left lung (subsegmental atelectasis?pleuroparenchymal band?). In the left lung, in the upper lobe anterior segment, lateral localized ground-glass density, which is difficult to distinguish, is observed. In the anterior segment of the lower lobe of the right lung, subsegmental atelectasis and pleuroparenchymal band formations as well as band formations traction bronchiectasis are observed. Although the appearance is primarily evaluated in favor of sequela findings, Covid-19 pneumonia is included in the differential diagnosis due to the subpleural ground glass area located in the anterior segment of the left lung upper lobe. Apart from these, there are a few millimetric nonspecific sequela nodules in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequela millimetric nodules in both lungs, sequelae fibrotic densities . Subpleural ground-glass area in the anterior segment of the left lung upper lobe. Although sequelae are considered primarily, Covid-19 pneumonia is also included in the differential diagnosis. It is appropriate to evaluate the patient together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_826/valid_826_a/valid_826_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1945",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; subpleural linear density is observed at the level of the lateral lingular segment in the upper lobe of the left lung (subsegmental atelectasis?pleuroparenchymal band?). In the left lung, in the upper lobe anterior segment, lateral localized ground-glass density, which is difficult to distinguish, is observed. In the anterior segment of the lower lobe of the right lung, subsegmental atelectasis and pleuroparenchymal band formations as well as band formations traction bronchiectasis are observed. Although the appearance is primarily evaluated in favor of sequela findings, Covid-19 pneumonia is included in the differential diagnosis due to the subpleural ground glass area located in the anterior segment of the left lung upper lobe. Apart from these, there are a few millimetric nonspecific sequela nodules in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequela millimetric nodules in both lungs, sequelae fibrotic densities . Subpleural ground-glass area in the anterior segment of the left lung upper lobe. Although sequelae are considered primarily, Covid-19 pneumonia is also included in the differential diagnosis. It is appropriate to evaluate the patient together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_826/valid_826_a/valid_826_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1946",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion is detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_827/valid_827_a/valid_827_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1947",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion is detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_827/valid_827_a/valid_827_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1948",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation is suboptimal because of respiratory artifacts. The patient has situs inversus appearance. It is recommended to evaluate the patient together with the clinic and to question the patient in terms of organ location. The heart is located in the right hemithorax and has an enlarged appearance. Cardiomegaly is observed. Pleural effusion reaching 2 cm in thickness and accompanying compression atelectasis are observed in the left hemithorax. Trachea, both main bronchi are open. Mediastinal main vascular structures are natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; diffusely localized, interlobular septal thickness increases and minimal prominence in fissures are observed in both lungs. Findings may be compatible with pulmonary edema secondary to cardiac causes. No typical findings suggestive of Covid-19 pneumonia were detected in the patient. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Cardiomegaly, effusion in the left hemithorax. Thickening of the interlobular septa (pulmonary edema?). It is appropriate to evaluate it together with clinical and laboratory.  It is recommended to question the patient's clinic in terms of situs inversus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_828/valid_828_a/valid_828_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation is suboptimal because of respiratory artifacts. The patient has situs inversus appearance. It is recommended to evaluate the patient together with the clinic and to question the patient in terms of organ location. The heart is located in the right hemithorax and has an enlarged appearance. Cardiomegaly is observed. Pleural effusion reaching 2 cm in thickness and accompanying compression atelectasis are observed in the left hemithorax. Trachea, both main bronchi are open. Mediastinal main vascular structures are natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; diffusely localized, interlobular septal thickness increases and minimal prominence in fissures are observed in both lungs. Findings may be compatible with pulmonary edema secondary to cardiac causes. No typical findings suggestive of Covid-19 pneumonia were detected in the patient. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Cardiomegaly, effusion in the left hemithorax. Thickening of the interlobular septa (pulmonary edema?). It is appropriate to evaluate it together with clinical and laboratory.  It is recommended to question the patient's clinic in terms of situs inversus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_828/valid_828_a/valid_828_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1950",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; lower lobe of the left lung is operated. Effusion is observed in the retrosternal area. There is a pleural effusion reaching 9 cm at its widest point in the left lung. Minimal effusion is observed in the pericardial area. Areas of atelectasis and interlobar and interlobular septal thickness increases are observed in the posterior parenchyma of the left lung. Centrally located ground glass density is observed in the superior segment of the lower lobe of the right lung (pneumonia?). Diffuse emphysematous changes, mosaic attenuation pattern and linear sequelae are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pleural effusion in the left lung.  Surgery on the lower lobe of the left lung.  Minimal pericardial effusion.  Effusion in the retrosternal area.  Centrally located ground glass densities in the right lung lower lobe superior segment (viral pneumonia? Covid-19 pneumonia?).  Diffuse emphysema and mosaic attenuation pattern in both lungs.  Sequelae changes in both lungs.  Calcific plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_829/valid_829_a/valid_829_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1951",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; lower lobe of the left lung is operated. Effusion is observed in the retrosternal area. There is a pleural effusion reaching 9 cm at its widest point in the left lung. Minimal effusion is observed in the pericardial area. Areas of atelectasis and interlobar and interlobular septal thickness increases are observed in the posterior parenchyma of the left lung. Centrally located ground glass density is observed in the superior segment of the lower lobe of the right lung (pneumonia?). Diffuse emphysematous changes, mosaic attenuation pattern and linear sequelae are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pleural effusion in the left lung.  Surgery on the lower lobe of the left lung.  Minimal pericardial effusion.  Effusion in the retrosternal area.  Centrally located ground glass densities in the right lung lower lobe superior segment (viral pneumonia? Covid-19 pneumonia?).  Diffuse emphysema and mosaic attenuation pattern in both lungs.  Sequelae changes in both lungs.  Calcific plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_829/valid_829_a/valid_829_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1952",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, heart and mediastinum are deviated to the left. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 39 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, larger than normal. Right and left pulmonary artery diameters increased. Heart size increased. Pericardial effusion measuring 7.5 mm in its thickest part was observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. It was learned that the patient had undergone left lower lobectomy for lung cancer. The left lower lobe bronchus ends in a stump. An effusion was observed in the left hemithorax, measuring 75 mm in its thickest part, with a thick wall and free air images in it. In the previous examination, it was measured 121 mm at its thickest point and decreased. No pleural effusion was observed on the right. Minimal sequela thickening was observed in the posterior costal pleura in the right hemithorax. Interlobular-intralobar septal thickenings are observed in the upper lobe of the left lung, especially in the lingular segment. The described appearance was also present in the previous examination of the patient and decreased. Emphysematous changes were observed in both lungs. Diffuse linear atelectasis is observed in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen in non-contrast sections; The left lobe of the liver is minimally hypertrophic. There is lobulation in the liver contours. It is recommended that the patient be evaluated for liver parenchymal disease. Spleen size increased. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are open. Impression:  Operated lung ca, left lower lobectomized in follow-up;  Regressed anxic effusion (empyema?) in the left hemithorax.  Linear atelectasis in both lungs, emphysematous appearance, a few millimetric nonspecific parenchymal nodules.  Findings consistent with chronic liver parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_829/valid_829_b/valid_829_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1953",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, heart and mediastinum are deviated to the left. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 39 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, larger than normal. Right and left pulmonary artery diameters increased. Heart size increased. Pericardial effusion measuring 7.5 mm in its thickest part was observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. It was learned that the patient had undergone left lower lobectomy for lung cancer. The left lower lobe bronchus ends in a stump. An effusion was observed in the left hemithorax, measuring 75 mm in its thickest part, with a thick wall and free air images in it. In the previous examination, it was measured 121 mm at its thickest point and decreased. No pleural effusion was observed on the right. Minimal sequela thickening was observed in the posterior costal pleura in the right hemithorax. Interlobular-intralobar septal thickenings are observed in the upper lobe of the left lung, especially in the lingular segment. The described appearance was also present in the previous examination of the patient and decreased. Emphysematous changes were observed in both lungs. Diffuse linear atelectasis is observed in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen in non-contrast sections; The left lobe of the liver is minimally hypertrophic. There is lobulation in the liver contours. It is recommended that the patient be evaluated for liver parenchymal disease. Spleen size increased. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are open. Impression:  Operated lung ca, left lower lobectomized in follow-up;  Regressed anxic effusion (empyema?) in the left hemithorax.  Linear atelectasis in both lungs, emphysematous appearance, a few millimetric nonspecific parenchymal nodules.  Findings consistent with chronic liver parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_829/valid_829_b/valid_829_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1954",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases were observed in the lower lobes of both lungs, which tended to coalesce from place to place. The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical laboratory correlation is recommended. A subsegmental atelectasis area was observed in the middle lobe of the right lung. No mass nodule was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. The soft tissue density surrounding the aorta was observed in the midline of the abdomen partially entering the examination area. It is recommended to be evaluated together with abdominal MRI examination. In the paraaortic area, the hypodense area partially entering the examination area was observed. It was thought to belong to cystic lesion-collections. Degenerative changes are observed in bone structures. No lytic-sclerotic lesion was detected. Minimal height loss and compression was observed in the L1 vertebra upper end plate. No significant retropulsion was detected. Impression: Over Ca at follow-up. Focal ground-glass density increases in both lungs newly revealed on current examination. The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Atelectatic changes in the right lung. Paraaortic hypodense lesion (cystic lesion-collection?).  Compression and loss of height in the L1 vertebra upper end plate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_830/valid_830_a/valid_830_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1955",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases were observed in the lower lobes of both lungs, which tended to coalesce from place to place. The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical laboratory correlation is recommended. A subsegmental atelectasis area was observed in the middle lobe of the right lung. No mass nodule was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. The soft tissue density surrounding the aorta was observed in the midline of the abdomen partially entering the examination area. It is recommended to be evaluated together with abdominal MRI examination. In the paraaortic area, the hypodense area partially entering the examination area was observed. It was thought to belong to cystic lesion-collections. Degenerative changes are observed in bone structures. No lytic-sclerotic lesion was detected. Minimal height loss and compression was observed in the L1 vertebra upper end plate. No significant retropulsion was detected. Impression: Over Ca at follow-up. Focal ground-glass density increases in both lungs newly revealed on current examination. The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Atelectatic changes in the right lung. Paraaortic hypodense lesion (cystic lesion-collection?).  Compression and loss of height in the L1 vertebra upper end plate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_830/valid_830_a/valid_830_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1956",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the LAD. At the level of the pericardial recesses, on the right and left of the midline, mass lesions of soft tissue density were observed in the paraaortic area, the largest of which was 15x10.6 mm in size, which gained a nodular form. In the previous examination, it is difficult to distinguish and there is a significant increase in size. It was evaluated in favor of lymph node metastasis. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph nodes in pathological size and appearance were observed in the supraclavicular and axillary fossa. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectasis was observed in the middle and lower lobes of the right lung. Mass lesion with distinguishable borders in both lungs-active infiltration-no newly emerged nodule was observed in the current examination. Intra-abdominal solid organs were evaluated in detail in MR examination. Loss of height and compression are observed in the L1 vertebra superior end plate. Vertebral anteroposterior diameter is normal. Although the distinction between benign and malignant cannot be made clearly, it was primarily evaluated in favor of benign compression. Impression:  Ovarian Ca in follow-up  Bilateral paracardiac recess and lymph nodes in the paraesophageal area with a marked increase in size in the current examination (metastatic?)  Linear atelectasis in the middle and lower lobes of the right lung  Compression and loss of height in the L1 vertebra superior end plate"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_830/valid_830_b/valid_830_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1957",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the LAD. At the level of the pericardial recesses, on the right and left of the midline, mass lesions of soft tissue density were observed in the paraaortic area, the largest of which was 15x10.6 mm in size, which gained a nodular form. In the previous examination, it is difficult to distinguish and there is a significant increase in size. It was evaluated in favor of lymph node metastasis. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph nodes in pathological size and appearance were observed in the supraclavicular and axillary fossa. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectasis was observed in the middle and lower lobes of the right lung. Mass lesion with distinguishable borders in both lungs-active infiltration-no newly emerged nodule was observed in the current examination. Intra-abdominal solid organs were evaluated in detail in MR examination. Loss of height and compression are observed in the L1 vertebra superior end plate. Vertebral anteroposterior diameter is normal. Although the distinction between benign and malignant cannot be made clearly, it was primarily evaluated in favor of benign compression. Impression:  Ovarian Ca in follow-up  Bilateral paracardiac recess and lymph nodes in the paraesophageal area with a marked increase in size in the current examination (metastatic?)  Linear atelectasis in the middle and lower lobes of the right lung  Compression and loss of height in the L1 vertebra superior end plate"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_830/valid_830_b/valid_830_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1958",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No significant dimensional and numerical differences were detected in millimetric lymph nodes in the aorticopulmonary window and pericardial fat pad levels. When examined in the lung parenchyma window; Atelectasis in the form of thick bands are observed in the right lung middle lobe medial segment and right lung lower lobe. It does not differ significantly. A millimetric nonspecific nodule is observed in the right lung and there is no significant difference. No significant difference was found in the height loss observed in the L1 vertebral body. Impression:  Follow-up over ca.  Stable millimetric lymph node in the right lung.  There was no significant difference in the size of millimetric lymph nodes in the pericardial fat pad and mediastinum, and in the aorticopulmonary window.  There was no significant difference in millimetric implant sizes adjacent to the posterior segment of the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_830/valid_830_c/valid_830_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No significant dimensional and numerical differences were detected in millimetric lymph nodes in the aorticopulmonary window and pericardial fat pad levels. When examined in the lung parenchyma window; Atelectasis in the form of thick bands are observed in the right lung middle lobe medial segment and right lung lower lobe. It does not differ significantly. A millimetric nonspecific nodule is observed in the right lung and there is no significant difference. No significant difference was found in the height loss observed in the L1 vertebral body. Impression:  Follow-up over ca.  Stable millimetric lymph node in the right lung.  There was no significant difference in the size of millimetric lymph nodes in the pericardial fat pad and mediastinum, and in the aorticopulmonary window.  There was no significant difference in millimetric implant sizes adjacent to the posterior segment of the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_830/valid_830_c/valid_830_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1960",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance. When examined in the lung parenchyma window; Sequelae of pleuroparenchymal fibrotic bands were observed in both lung lower lobe posterobasal segment and left lung upper lobe inferior lingular segment. In addition, there are sequela parenchymal changes in the apex of both lungs. A few millimeter-sized non-specific nodules were observed in both lungs. Ventilation of both lungs is natural. No active infiltrative or mass lesion was detected in both lungs. No pathology was detected in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  There is no finding in favor of pneumonic infiltration in both lungs, and there are occasional sequela parenchymal changes and a few millimeter-sized non-specific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_831/valid_831_a/valid_831_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1961",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance. When examined in the lung parenchyma window; Sequelae of pleuroparenchymal fibrotic bands were observed in both lung lower lobe posterobasal segment and left lung upper lobe inferior lingular segment. In addition, there are sequela parenchymal changes in the apex of both lungs. A few millimeter-sized non-specific nodules were observed in both lungs. Ventilation of both lungs is natural. No active infiltrative or mass lesion was detected in both lungs. No pathology was detected in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  There is no finding in favor of pneumonic infiltration in both lungs, and there are occasional sequela parenchymal changes and a few millimeter-sized non-specific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_831/valid_831_a/valid_831_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1962",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in both lungs. There are consolidations in the lower lobe of the left lung, especially in the basal segments, and centriacinar nodules, some of which have the appearance of budding trees, in the lower lobe of the left lung. In other lung sections, budding tree appearances are also observed in the peripheral areas. The regression is more prominent especially in the right lung. Minimal pleural effusion is observed on the left. No pleural effusion was detected on the right. Minimal pericardial effusion was observed. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_832/valid_832_a/valid_832_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1963",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in both lungs. There are consolidations in the lower lobe of the left lung, especially in the basal segments, and centriacinar nodules, some of which have the appearance of budding trees, in the lower lobe of the left lung. In other lung sections, budding tree appearances are also observed in the peripheral areas. The regression is more prominent especially in the right lung. Minimal pleural effusion is observed on the left. No pleural effusion was detected on the right. Minimal pericardial effusion was observed. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_832/valid_832_a/valid_832_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1964",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. Ectasia is observed in bronchial structures in both lungs. Consolidations are observed in the left lung lower lobe, especially in the lower lobe anteromedial, posterior and lateral segments, and there are centracinar nodular ground glass densities in the left lung lower lobe, upper lobe inferior lingular segment, upper lobe posterior and right lung lower lobe in the form of a budding tree. It was measured as 10 mm in the previous CT examination. Pleural effusion is not observed on the right. There is minimal pericardial effusion. No significant changes were detected in other findings. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_832/valid_832_b/valid_832_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. Ectasia is observed in bronchial structures in both lungs. Consolidations are observed in the left lung lower lobe, especially in the lower lobe anteromedial, posterior and lateral segments, and there are centracinar nodular ground glass densities in the left lung lower lobe, upper lobe inferior lingular segment, upper lobe posterior and right lung lower lobe in the form of a budding tree. It was measured as 10 mm in the previous CT examination. Pleural effusion is not observed on the right. There is minimal pericardial effusion. No significant changes were detected in other findings. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_832/valid_832_b/valid_832_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is an azygos fissure variation in the upper lobe of the right lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density was slightly decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bilateral gynecomastia. Variation of the azygos fissure in the upper lobe of the right lung.  There was no finding in favor of pneumonia in the lung parenchyma.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_833/valid_833_a/valid_833_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1967",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is an azygos fissure variation in the upper lobe of the right lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density was slightly decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bilateral gynecomastia. Variation of the azygos fissure in the upper lobe of the right lung.  There was no finding in favor of pneumonia in the lung parenchyma.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_833/valid_833_a/valid_833_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1968",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits except bilateral gynecomastia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_834/valid_834_a/valid_834_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1969",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits except bilateral gynecomastia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_834/valid_834_a/valid_834_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1970",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the right lung middle lobe and medial upper lobe anterior segment, and left lung upper lobe lingular segment. Minimal emphysematous changes were observed in both lungs. There is a millimetric nodule in the upper lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Minimal emphysematous changes in both lungs. Linear atelectasis in both lungs.  Millimetric nodule in the upper lobe of the right lung. Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_835/valid_835_a/valid_835_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the right lung middle lobe and medial upper lobe anterior segment, and left lung upper lobe lingular segment. Minimal emphysematous changes were observed in both lungs. There is a millimetric nodule in the upper lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Minimal emphysematous changes in both lungs. Linear atelectasis in both lungs.  Millimetric nodule in the upper lobe of the right lung. Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_835/valid_835_a/valid_835_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1972",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are many scattered nodules in both lungs. The largest of these nodules measured approximately 7x6 mm. When evaluated together with the patient's mediastinal findings and clinical knowledge, these findings were thought to be lung involvement of sarcoidosis. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There are lymphadenopathies in the superior mediastinum, prevascular, paratracheal, subcarinal, and both hilar regions. The largest of these lymphadenopathies are observed in the subcarinal region to the right of the midline and their short diameter is 15 mm. No pathological increase in wall thickness was detected in the esophagus within the sections. There is a lipomatous lesion measuring approximately 24x45 mm, with exophytic extension in the posterior pole of the right kidney, and it was evaluated in favor of angiomyolipoma. Apart from this, no masses with distinguishable borders were detected in the upper abdominal organs within the sections. No fracture or lytic-destructive lesion was detected in the bone structures within the sections. Impression:  Sarcoidosis, mediastinal and hilar lymphadenopathies on follow-up, scattered nodules in both lungs.  Angiomyolipoma in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_836/valid_836_a/valid_836_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are many scattered nodules in both lungs. The largest of these nodules measured approximately 7x6 mm. When evaluated together with the patient's mediastinal findings and clinical knowledge, these findings were thought to be lung involvement of sarcoidosis. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There are lymphadenopathies in the superior mediastinum, prevascular, paratracheal, subcarinal, and both hilar regions. The largest of these lymphadenopathies are observed in the subcarinal region to the right of the midline and their short diameter is 15 mm. No pathological increase in wall thickness was detected in the esophagus within the sections. There is a lipomatous lesion measuring approximately 24x45 mm, with exophytic extension in the posterior pole of the right kidney, and it was evaluated in favor of angiomyolipoma. Apart from this, no masses with distinguishable borders were detected in the upper abdominal organs within the sections. No fracture or lytic-destructive lesion was detected in the bone structures within the sections. Impression:  Sarcoidosis, mediastinal and hilar lymphadenopathies on follow-up, scattered nodules in both lungs.  Angiomyolipoma in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_836/valid_836_a/valid_836_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal lymph node with significant hilar fat content and 8 mm in diameter is observed. In addition, left lower paratracheal and aortopulmoener millimetric lymph nodes are observed. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the middle lobe of the right lung, a fissure-based nodule with a diameter of 5 mm, which also gives the impression of sequelae, is observed. No infiltration was detected in both lung parenchyma. No significant pathology was observed in the bilateral adrenal glands in the sections passing through the upper part of the abdomen. The gallbladder is operated. There are metallic clips in the lodge. No lytic-destructive lesion was detected in bone structures. Impression: Cardiomegaly. No infiltrative lesion was detected in both lungs.  Nodule appearance that may belong to sequelae with nodular configuration in the fissure localization in the right lung middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_837/valid_837_a/valid_837_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal lymph node with significant hilar fat content and 8 mm in diameter is observed. In addition, left lower paratracheal and aortopulmoener millimetric lymph nodes are observed. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the middle lobe of the right lung, a fissure-based nodule with a diameter of 5 mm, which also gives the impression of sequelae, is observed. No infiltration was detected in both lung parenchyma. No significant pathology was observed in the bilateral adrenal glands in the sections passing through the upper part of the abdomen. The gallbladder is operated. There are metallic clips in the lodge. No lytic-destructive lesion was detected in bone structures. Impression: Cardiomegaly. No infiltrative lesion was detected in both lungs.  Nodule appearance that may belong to sequelae with nodular configuration in the fissure localization in the right lung middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_837/valid_837_a/valid_837_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1976",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The ascending aorta measures 45 mm in diameter and shows fusiform dilatation. Calibration of other mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial effusion is present. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal and subcarinal areas. Findings compatible with bilateral gynecomastia were observed. When examined in the lung parenchyma window; There are emphysematous changes in both lungs. Peripheral subpleural lines, contour irregularities in the pleura and thickening of the interlobular septa were observed in both lungs. Honeycomb appearances were observed in the lower lobes of both lungs. It is recommended to be evaluated for interstitial lung disease. There is minimal pleural effusion measuring 1 cm in thickness on the left. No mass-infiltration was detected in both lungs. In the upper abdominal sections that entered the examination area, millimetric calculus was observed in the upper pole of the right kidney. A hypodense lesion with a diameter of 3 cm was observed in the lower pole (cyst?). Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: It is recommended to be evaluated in terms of pleural contour irregularities, subpleural striations, honeycomb appearance in the lower lobes, interstitial lung disease in both lungs. Fusiform aneurysmatic dilatation in the thoracic aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Pericardial effusion. Bilateral gynecomastia. Right nephrolithiasis. Right renal hypodense lesion (cyst?).  Left minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_838/valid_838_a/valid_838_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1977",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The ascending aorta measures 45 mm in diameter and shows fusiform dilatation. Calibration of other mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial effusion is present. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal and subcarinal areas. Findings compatible with bilateral gynecomastia were observed. When examined in the lung parenchyma window; There are emphysematous changes in both lungs. Peripheral subpleural lines, contour irregularities in the pleura and thickening of the interlobular septa were observed in both lungs. Honeycomb appearances were observed in the lower lobes of both lungs. It is recommended to be evaluated for interstitial lung disease. There is minimal pleural effusion measuring 1 cm in thickness on the left. No mass-infiltration was detected in both lungs. In the upper abdominal sections that entered the examination area, millimetric calculus was observed in the upper pole of the right kidney. A hypodense lesion with a diameter of 3 cm was observed in the lower pole (cyst?). Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: It is recommended to be evaluated in terms of pleural contour irregularities, subpleural striations, honeycomb appearance in the lower lobes, interstitial lung disease in both lungs. Fusiform aneurysmatic dilatation in the thoracic aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Pericardial effusion. Bilateral gynecomastia. Right nephrolithiasis. Right renal hypodense lesion (cyst?).  Left minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_838/valid_838_a/valid_838_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Indeterminate density increases were observed in the basal sections of both lungs. It is recommended to check for frosted glass density. A 1 cm diameter nodule was observed in the right lung middle lobe medial segment, adjacent to the mediastinal pleura. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Indeterminate density increases were observed in the basal sections of both lungs. Control CT is recommended for ground glass density. Nodule in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_839/valid_839_a/valid_839_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1979",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Indeterminate density increases were observed in the basal sections of both lungs. It is recommended to check for frosted glass density. A 1 cm diameter nodule was observed in the right lung middle lobe medial segment, adjacent to the mediastinal pleura. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Indeterminate density increases were observed in the basal sections of both lungs. Control CT is recommended for ground glass density. Nodule in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_839/valid_839_a/valid_839_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma. There is a 4 mm nodule in the apicoposterior segment of the left lung with a ground-glass halo in its periphery. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No lytic or destructive lesions were detected in the bone structures in the study area. Impression: A 4 mm-sized nodule with a ground-glass halo is observed in the apicoposterior segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_840/valid_840_a/valid_840_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma. There is a 4 mm nodule in the apicoposterior segment of the left lung with a ground-glass halo in its periphery. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No lytic or destructive lesions were detected in the bone structures in the study area. Impression: A 4 mm-sized nodule with a ground-glass halo is observed in the apicoposterior segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_840/valid_840_a/valid_840_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. On the right, a catheter image extending to the port chamber and superior-right atrium junction of the vena cava and anterior chest wall is observed. In the non-contrast examination, the mediastinum and heart could not be evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening is not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Type 1 hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. An asymmetrical density increase was observed in the lower outer quadrant of the left breast, a mass lesion with irregular contours, measuring 17x14 mm, which did not differ significantly from the previous examination. No effusion was observed in the right pleural space. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. It is recommended to be evaluated together with clinical and laboratory in terms of small airway-vascular diseases. Liver craniocaudal length increased by 181 mm. Liver parenchyma has a heterogeneous appearance. Widespread hypodense areas were observed in the parenchyma. In the current examination, hypodense areas in the liver have increased (diffuse metastatic disease?). Pancreas, both kidneys are natural. A stone is observed in the gallbladder lumen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread sclerotic foci were observed in the bone structures in the study area. Impression: Stable solid lesion with irregular borders in the lower outer quadrant of the left breast . Mosaic attenuation pattern in both lungs is recommended to be evaluated together with clinical and laboratory in terms of small air-vascular tract diseases.  Decreased pleural effusion in the left pleural space . Increased intra-abdominal free fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_841/valid_841_a/valid_841_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. On the right, a catheter image extending to the port chamber and superior-right atrium junction of the vena cava and anterior chest wall is observed. In the non-contrast examination, the mediastinum and heart could not be evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening is not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Type 1 hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. An asymmetrical density increase was observed in the lower outer quadrant of the left breast, a mass lesion with irregular contours, measuring 17x14 mm, which did not differ significantly from the previous examination. No effusion was observed in the right pleural space. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. It is recommended to be evaluated together with clinical and laboratory in terms of small airway-vascular diseases. Liver craniocaudal length increased by 181 mm. Liver parenchyma has a heterogeneous appearance. Widespread hypodense areas were observed in the parenchyma. In the current examination, hypodense areas in the liver have increased (diffuse metastatic disease?). Pancreas, both kidneys are natural. A stone is observed in the gallbladder lumen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread sclerotic foci were observed in the bone structures in the study area. Impression: Stable solid lesion with irregular borders in the lower outer quadrant of the left breast . Mosaic attenuation pattern in both lungs is recommended to be evaluated together with clinical and laboratory in terms of small air-vascular tract diseases.  Decreased pleural effusion in the left pleural space . Increased intra-abdominal free fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_841/valid_841_a/valid_841_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Suture materials of sterntomies are observed on the anterior chest wall. The mass described in the previous examination of the patient in the anterior mediastinal localization is not present in the current examination. In the localization of the mass, an appearance that may be compatible with residual-recurrence was not detected. Heart size and contours are normal. Minimal pericardial effusion is observed. Evaluation of vascular structures and solid organs is suboptimal because the examination is non-contrast. Calcific millimetric plaques are observed in the coronary arteries. Lymph nodes with short axes not reaching 1 cm are observed in the mediastinal area. In the midline of the trachea, both main bronchi are open. Calibrations of mediastinal major vascular structures appear natural. When examined in the lung parenchyma window; Sequelae pleuroparenchymal bands are observed in the upper lobes of both lungs. Subpleural nodular ground glass density is observed in the apical segment of the left lung upper lobe. Consolidation areas containing air bronchograms are observed in the medial segment of the right lung middle lobe. These appearances were evaluated primarily in favor of post-op change, and linear atelectasis is observed in this area. In the left hemithorax, there is a pleural effusion reaching approximately 4.5 cm in thickness at its thickest point. There are minimal emphysematous changes in both lung parenchyma. When the upper abdominal organs included in the examination are evaluated, a stable increase in thickness is observed in both adrenal glands, more prominently on the left. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  The mass observed in the anterior mediastinum in the previous examination in the patient who was operated for thymoma is not present in the current examination. Post-op changes are observed in this area and sternum.  Consolidation areas containing air bronchograms were observed in the medial segment of the right lung middle lobe, and these were thought to be areas of post-op atelectasis.  Ground glass opacities are observed in several areas in the upper lobe of the left lung. It was evaluated in favor of the infective process. It is appropriate to evaluate it together with clinical and examination findings.  Pleural effusion in left hemithorax  Minimal pericardial effusion  Stable increase in thickness in both adrenal glands"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_842/valid_842_a/valid_842_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Suture materials of sterntomies are observed on the anterior chest wall. The mass described in the previous examination of the patient in the anterior mediastinal localization is not present in the current examination. In the localization of the mass, an appearance that may be compatible with residual-recurrence was not detected. Heart size and contours are normal. Minimal pericardial effusion is observed. Evaluation of vascular structures and solid organs is suboptimal because the examination is non-contrast. Calcific millimetric plaques are observed in the coronary arteries. Lymph nodes with short axes not reaching 1 cm are observed in the mediastinal area. In the midline of the trachea, both main bronchi are open. Calibrations of mediastinal major vascular structures appear natural. When examined in the lung parenchyma window; Sequelae pleuroparenchymal bands are observed in the upper lobes of both lungs. Subpleural nodular ground glass density is observed in the apical segment of the left lung upper lobe. Consolidation areas containing air bronchograms are observed in the medial segment of the right lung middle lobe. These appearances were evaluated primarily in favor of post-op change, and linear atelectasis is observed in this area. In the left hemithorax, there is a pleural effusion reaching approximately 4.5 cm in thickness at its thickest point. There are minimal emphysematous changes in both lung parenchyma. When the upper abdominal organs included in the examination are evaluated, a stable increase in thickness is observed in both adrenal glands, more prominently on the left. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  The mass observed in the anterior mediastinum in the previous examination in the patient who was operated for thymoma is not present in the current examination. Post-op changes are observed in this area and sternum.  Consolidation areas containing air bronchograms were observed in the medial segment of the right lung middle lobe, and these were thought to be areas of post-op atelectasis.  Ground glass opacities are observed in several areas in the upper lobe of the left lung. It was evaluated in favor of the infective process. It is appropriate to evaluate it together with clinical and examination findings.  Pleural effusion in left hemithorax  Minimal pericardial effusion  Stable increase in thickness in both adrenal glands"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_842/valid_842_a/valid_842_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1986",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. The mediastinum is deviated to the right from the midline. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with a short axis in the mediastinum, especially in the carina measuring up to 16 mm. When examined in the lung parenchyma window; In the right lung, there are large areas of consolidation in a patchy manner in which air bronchogram signs are observed in the areas extending to the inferior, being more prominent in the lower lobe. There is calcification in the parenchyma in the basal segment of the lower lobe of the right lung. Thickening is observed in the interlobular septa. There is a small amount of effusion in the right hemithorax. The findings were primarily evaluated in favor of the infectious process, and in terms of clinical laboratory correlation, differential diagnosis of a space-occupying lesion within the described consolidations, exclusion of infection and follow-up after treatment are recommended. No nodular lesions were detected in both lung parenchyma. Upper abdominal organs included in the sections are partially included in the images and were evaluated as suboptimal. There is a small cortical cyst in the left kidney that is partially visible. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density reduction and osteopenic appearance are present in the bone structures in the examination area. Impression: Wide areas of consolidation in the right lung, more prominent in the lower lobe, and extending to the inferior, in a patchy manner with air bronchogram signs in it.  A small amount of effusion in the right hemithorax. The findings were primarily evaluated in favor of the infectious process and clinical laboratory correlation is recommended.  The findings were primarily evaluated in favor of the infectious process, and clinical laboratory correlation, infection exclusion and post-treatment follow-up in terms of differential diagnosis of a space-occupying lesion within the described consolidations recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_843/valid_843_a/valid_843_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1987",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. The mediastinum is deviated to the right from the midline. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with a short axis in the mediastinum, especially in the carina measuring up to 16 mm. When examined in the lung parenchyma window; In the right lung, there are large areas of consolidation in a patchy manner in which air bronchogram signs are observed in the areas extending to the inferior, being more prominent in the lower lobe. There is calcification in the parenchyma in the basal segment of the lower lobe of the right lung. Thickening is observed in the interlobular septa. There is a small amount of effusion in the right hemithorax. The findings were primarily evaluated in favor of the infectious process, and in terms of clinical laboratory correlation, differential diagnosis of a space-occupying lesion within the described consolidations, exclusion of infection and follow-up after treatment are recommended. No nodular lesions were detected in both lung parenchyma. Upper abdominal organs included in the sections are partially included in the images and were evaluated as suboptimal. There is a small cortical cyst in the left kidney that is partially visible. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density reduction and osteopenic appearance are present in the bone structures in the examination area. Impression: Wide areas of consolidation in the right lung, more prominent in the lower lobe, and extending to the inferior, in a patchy manner with air bronchogram signs in it.  A small amount of effusion in the right hemithorax. The findings were primarily evaluated in favor of the infectious process and clinical laboratory correlation is recommended.  The findings were primarily evaluated in favor of the infectious process, and clinical laboratory correlation, infection exclusion and post-treatment follow-up in terms of differential diagnosis of a space-occupying lesion within the described consolidations recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_843/valid_843_a/valid_843_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1988",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophagus is in normal calibration. No pathological wall thickening was detected. No lymph node reaching mediastinal pathological dimension was detected. No lymph nodes reaching pathological dimensions were detected in the bilateral supraclavicular and axillary regions. When examined in the lung parenchyma window; Minimal bronchiectatic changes and peribronchial thickening are noted in the perihilar areas of both lungs. Fibroatelectatic changes were observed in the basals. In the lingula inferior segment of the left lung, a slightly ground-glass appearance is striking on the atelectatic background. Pleural effusion-thickening was not detected. There are stones in the gallbladder in the evaluation of the upper abdominal organs that enter the imaging field. Mild degenerative changes were observed in the bone structures in the study area. Impression: Minimal bronchiectatic changes starting from the peribronchial area in both lungs and fibroatelectatic changes in the basals of both lungs with peribronchial thickening.  Minimal ground-glass appearance (infective?) on atelectatic background in the lingula inferior segment of the left lung. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_844/valid_844_a/valid_844_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. Pericardial effusion-thickening was not observed. Thoracic esophagus is in normal calibration. No pathological wall thickening was detected. No lymph node reaching mediastinal pathological dimension was detected. No lymph nodes reaching pathological dimensions were detected in the bilateral supraclavicular and axillary regions. When examined in the lung parenchyma window; Minimal bronchiectatic changes and peribronchial thickening are noted in the perihilar areas of both lungs. Fibroatelectatic changes were observed in the basals. In the lingula inferior segment of the left lung, a slightly ground-glass appearance is striking on the atelectatic background. Pleural effusion-thickening was not detected. There are stones in the gallbladder in the evaluation of the upper abdominal organs that enter the imaging field. Mild degenerative changes were observed in the bone structures in the study area. Impression: Minimal bronchiectatic changes starting from the peribronchial area in both lungs and fibroatelectatic changes in the basals of both lungs with peribronchial thickening.  Minimal ground-glass appearance (infective?) on atelectatic background in the lingula inferior segment of the left lung. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_844/valid_844_a/valid_844_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary, subcarinal lymph node in millimetric size is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Focal ground glass areas and budding tree view observed in the previous examination, especially in the basal segment of the left lung lower lobe, are markedly regressed in the current examination. In the sections passing through the upper part of the abdomen, the gallbladder has a contracted appearance. Calculus are observed in the sac. Bilateral adrenal glands appear natural. No obvious pathology was observed in the abdominal sections. There is no lytic-destructive lesion in bone structures. Impression: Focal ground glass areas and budding tree view observed in the previous examination, especially in the basal segment of the left lung lower lobe, are significantly regressed in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_844/valid_844_b/valid_844_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1991",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary, subcarinal lymph node in millimetric size is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Focal ground glass areas and budding tree view observed in the previous examination, especially in the basal segment of the left lung lower lobe, are markedly regressed in the current examination. In the sections passing through the upper part of the abdomen, the gallbladder has a contracted appearance. Calculus are observed in the sac. Bilateral adrenal glands appear natural. No obvious pathology was observed in the abdominal sections. There is no lytic-destructive lesion in bone structures. Impression: Focal ground glass areas and budding tree view observed in the previous examination, especially in the basal segment of the left lung lower lobe, are significantly regressed in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_844/valid_844_b/valid_844_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1992",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Millimetric nodules are observed in the thyroid gland. It does not differ significantly. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse patchy ground glass densities, consolidated nodular ground glass densities, thickening of interlobular septa, mosaic attenuation patterns are observed in both lungs. The findings were initially evaluated in favor of infectious processes due to the current pandemic. The differential diagnosis of space-occupying lesion at the described nodular consolidated levels cannot be made. Close follow-up is recommended after exclusion of infectious processes. Upper abdominal organs are included in the examination partially, and there are partial focal dilatations in the left kidney. There is diffuse density reduction in bone structures. There are slight tapering in the end plates. Impression:  Millimetric nodules in the thyroid gland; does not differ significantly.  Consolidated nodular ground glass densities, thickening of interlobular septa, mosaic attenuation patterns are observed in both lungs. Findings were initially evaluated in favor of infectious processes. The differential diagnosis of space-occupying lesion at the described nodular consolidated levels cannot be made. Close follow-up is recommended after exclusion of infectious processes.  Partial focal dilatations in the left kidney.  Liver sizes increased.  Diffuse density reduction in bone structures, slight tapering in end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_845/valid_845_a/valid_845_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1993",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Millimetric nodules are observed in the thyroid gland. It does not differ significantly. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse patchy ground glass densities, consolidated nodular ground glass densities, thickening of interlobular septa, mosaic attenuation patterns are observed in both lungs. The findings were initially evaluated in favor of infectious processes due to the current pandemic. The differential diagnosis of space-occupying lesion at the described nodular consolidated levels cannot be made. Close follow-up is recommended after exclusion of infectious processes. Upper abdominal organs are included in the examination partially, and there are partial focal dilatations in the left kidney. There is diffuse density reduction in bone structures. There are slight tapering in the end plates. Impression:  Millimetric nodules in the thyroid gland; does not differ significantly.  Consolidated nodular ground glass densities, thickening of interlobular septa, mosaic attenuation patterns are observed in both lungs. Findings were initially evaluated in favor of infectious processes. The differential diagnosis of space-occupying lesion at the described nodular consolidated levels cannot be made. Close follow-up is recommended after exclusion of infectious processes.  Partial focal dilatations in the left kidney.  Liver sizes increased.  Diffuse density reduction in bone structures, slight tapering in end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_845/valid_845_a/valid_845_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1994",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Respiratory artifacts are observed in the images. An appearance compatible with gynecomastia is observed in the bilateral retroareolar area. Both thyroid lobes parenchyma are heterogeneous, and a few calcific nodules, some of which are 1.5 cm in diameter, are observed on the left. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The diameter of the ascending aorta was 40 mm and increased. Changes are observed in the coronary arteries secondary to bypass surgery. There are calcific atheroma plaques in the aorta. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral tubular bronchiectasis is observed, and peribronchial thickness increase and subsegmental atelectasis are observed in the right lung middle lobe medial segment. In the right lung upper lobe posterior segment, left lung upper lobe anterior segment, lingular segment, right lung lower lobe superior segment and both lung lower lobe lateral segments, there are nodular ground glass areas predominantly located peripherally and occasionally consolidated. Findings are consistent with viral pneumonia (COVID-19 pneumonia). There are linear atelectasis areas in the left lung upper lobe lingular segment and lower lobe medial segment. A few millimetric nonspecific nodules are observed in both lungs. Sliding type hiatal hernia was observed at the esophagogastric junction. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There are osteophytes bridging anteriorly at the corners of the thoracic vertebral corpus within the sections. Cerclage is observed in the sternum and there is no finding in favor of displacement. No lytic-destructive lesions were detected in bone structures. Impression:  Peripheral predominantly localized, locally consolidated ground glass areas in both lungs; compatible with viral pneumonia.  Bilateral tubular bronchiectasis, accompanying peribronchial thickening and subsegmental atelectasis in the middle lobe of the right lung  A few millimetric nonspecific nodules in both lungs  Dilatation in the ascending aorta  A few nodules, some of them calcific, in the thyroid gland  Hiatal hernia  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_846/valid_846_a/valid_846_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1995",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Respiratory artifacts are observed in the images. An appearance compatible with gynecomastia is observed in the bilateral retroareolar area. Both thyroid lobes parenchyma are heterogeneous, and a few calcific nodules, some of which are 1.5 cm in diameter, are observed on the left. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The diameter of the ascending aorta was 40 mm and increased. Changes are observed in the coronary arteries secondary to bypass surgery. There are calcific atheroma plaques in the aorta. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral tubular bronchiectasis is observed, and peribronchial thickness increase and subsegmental atelectasis are observed in the right lung middle lobe medial segment. In the right lung upper lobe posterior segment, left lung upper lobe anterior segment, lingular segment, right lung lower lobe superior segment and both lung lower lobe lateral segments, there are nodular ground glass areas predominantly located peripherally and occasionally consolidated. Findings are consistent with viral pneumonia (COVID-19 pneumonia). There are linear atelectasis areas in the left lung upper lobe lingular segment and lower lobe medial segment. A few millimetric nonspecific nodules are observed in both lungs. Sliding type hiatal hernia was observed at the esophagogastric junction. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There are osteophytes bridging anteriorly at the corners of the thoracic vertebral corpus within the sections. Cerclage is observed in the sternum and there is no finding in favor of displacement. No lytic-destructive lesions were detected in bone structures. Impression:  Peripheral predominantly localized, locally consolidated ground glass areas in both lungs; compatible with viral pneumonia.  Bilateral tubular bronchiectasis, accompanying peribronchial thickening and subsegmental atelectasis in the middle lobe of the right lung  A few millimetric nonspecific nodules in both lungs  Dilatation in the ascending aorta  A few nodules, some of them calcific, in the thyroid gland  Hiatal hernia  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_846/valid_846_a/valid_846_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1996",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The aortic arch was calibrated at 30 mm and was wider than normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries. Probable mucus secretion is observed in the posterior part of the trachea just superior to the level of the aortic arch. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A prominent hiatal hernia is observed in the case. Millimetric sized lymph nodes are observed in the mediastinum. The largest dimension was measured in the subcarinal area and approximately 16x9 mm. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Calibration of the trachea and main bronchi is normal. Lumens are clear. Fractures are observed in the 2nd, 3rd and 4th ribs in the left hemithorax. There are pleuroparenchymal sequelae changes at the apical level. Density reduction consistent with emphysema is observed in both lungs. There is a subpleural 3 mm diameter nodule in the right lung upper lobe anterior segment paramediastinal area. Again, pleuroparenchymal sequela changes are observed in the right lung in the middle lobe. This floor has a nodular appearance with a diameter of about 5 mm. There is also a subpleural 6x4 mm nodule in the middle lobe of the right lung. There are several nodules, the largest of which is 5 mm in diameter, in the paramediastinal area in the lower lobe superior segment of the left lung. There is a 3 mm diameter nodule at the laterobasal level. There is also a subpleural 3 mm diameter nodule in the paramediastinal area in the inferior lingular segment. In the lingular segment, pleuroparenchymal sequelae changes are observed at the lower lobe basal level. There is a 3 mm diameter nodule at the posterobasal level of the lower lobe. There was no finding compatible with bilateral pleural effusion, pneumothorax or active infiltration. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Sequelae changes in parenchyma, more prominently at the apical level of both lungs.  Nonspecific millimetric nodule formations in both lungs.  Emphysematous changes.  Fractures in the 2nd, 3rd, 4th ribs of the left hemithorax.  Mild degenerative changes in bone structure.  Significant hiatal hernia in the case."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_847/valid_847_a/valid_847_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1997",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The aortic arch was calibrated at 30 mm and was wider than normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries. Probable mucus secretion is observed in the posterior part of the trachea just superior to the level of the aortic arch. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A prominent hiatal hernia is observed in the case. Millimetric sized lymph nodes are observed in the mediastinum. The largest dimension was measured in the subcarinal area and approximately 16x9 mm. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Calibration of the trachea and main bronchi is normal. Lumens are clear. Fractures are observed in the 2nd, 3rd and 4th ribs in the left hemithorax. There are pleuroparenchymal sequelae changes at the apical level. Density reduction consistent with emphysema is observed in both lungs. There is a subpleural 3 mm diameter nodule in the right lung upper lobe anterior segment paramediastinal area. Again, pleuroparenchymal sequela changes are observed in the right lung in the middle lobe. This floor has a nodular appearance with a diameter of about 5 mm. There is also a subpleural 6x4 mm nodule in the middle lobe of the right lung. There are several nodules, the largest of which is 5 mm in diameter, in the paramediastinal area in the lower lobe superior segment of the left lung. There is a 3 mm diameter nodule at the laterobasal level. There is also a subpleural 3 mm diameter nodule in the paramediastinal area in the inferior lingular segment. In the lingular segment, pleuroparenchymal sequelae changes are observed at the lower lobe basal level. There is a 3 mm diameter nodule at the posterobasal level of the lower lobe. There was no finding compatible with bilateral pleural effusion, pneumothorax or active infiltration. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Sequelae changes in parenchyma, more prominently at the apical level of both lungs.  Nonspecific millimetric nodule formations in both lungs.  Emphysematous changes.  Fractures in the 2nd, 3rd, 4th ribs of the left hemithorax.  Mild degenerative changes in bone structure.  Significant hiatal hernia in the case."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_847/valid_847_a/valid_847_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_1998",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Bilateral minimal peribronchial thickenings were observed. Upper abdominal structures were evaluated in detail in MR examination. No lytic-destructive lesion was detected in bone structures. Impression:  Over Ca.  Bilateral minimal peribronchial thickenings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_848/valid_848_a/valid_848_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_1999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Bilateral minimal peribronchial thickenings were observed. Upper abdominal structures were evaluated in detail in MR examination. No lytic-destructive lesion was detected in bone structures. Impression:  Over Ca.  Bilateral minimal peribronchial thickenings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_848/valid_848_a/valid_848_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Focal consolidations are observed in the upper lobe anterior segment of the right lung, the largest of which is 12 mm in diameter. Pleuroparenchymal sequelae density is observed in the middle lobe of the right lung. In addition, pleuroparenchymal sequelae densities and accompanying minimal ground glass appearance are observed in the lower lobes of both lungs. First of all, it was evaluated in favor of the infective process. An 8x6 mm subpleural nodule is observed in the left lung apex. In the sections passing through the upper part of the abdomen, there is slight hyperdensity, which may be compatible with the leveling sludge in the gallbladder. Bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was detected in the bones. Impression:  Nonspecific areas of focal consolidation in the anterior segment of the right lung upper lobe are not typical for Covid-19 pneumonia in the presence of a pandemic. However, it was evaluated as an infective process.  Subsegmental atelectasis in the lower lobes of both lungs  8 mm diameter subpleural nodule in the left lung with nonspecific appearance"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_849/valid_849_a/valid_849_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2001",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Focal consolidations are observed in the upper lobe anterior segment of the right lung, the largest of which is 12 mm in diameter. Pleuroparenchymal sequelae density is observed in the middle lobe of the right lung. In addition, pleuroparenchymal sequelae densities and accompanying minimal ground glass appearance are observed in the lower lobes of both lungs. First of all, it was evaluated in favor of the infective process. An 8x6 mm subpleural nodule is observed in the left lung apex. In the sections passing through the upper part of the abdomen, there is slight hyperdensity, which may be compatible with the leveling sludge in the gallbladder. Bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was detected in the bones. Impression:  Nonspecific areas of focal consolidation in the anterior segment of the right lung upper lobe are not typical for Covid-19 pneumonia in the presence of a pandemic. However, it was evaluated as an infective process.  Subsegmental atelectasis in the lower lobes of both lungs  8 mm diameter subpleural nodule in the left lung with nonspecific appearance"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_849/valid_849_a/valid_849_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and both main bronchi. Bronchiectasis and peribronchial thickening are observed in the right lung. Bronchiectasis is sometimes accompanied by structural distortion and loss of volume. The findings described in the upper and middle lobes of the right lung are most prominently observed. Widespread budding tree appearances are observed in the right lung. There was no mass in both lungs and no infiltrative lesion in the left lung. There was no significant difference in the findings in the right lung. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pleural or pericardial effusion was detected. There is no upper abdominal free fluid-collection within the sections. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_a/valid_850_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2003",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and both main bronchi. Bronchiectasis and peribronchial thickening are observed in the right lung. Bronchiectasis is sometimes accompanied by structural distortion and loss of volume. The findings described in the upper and middle lobes of the right lung are most prominently observed. Widespread budding tree appearances are observed in the right lung. There was no mass in both lungs and no infiltrative lesion in the left lung. There was no significant difference in the findings in the right lung. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pleural or pericardial effusion was detected. There is no upper abdominal free fluid-collection within the sections. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_a/valid_850_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2004",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Bronchiectasis, peribronchial thickening, volume loss and structural distortion are observed in the upper lobe of the right lung. There are similar appearances in the right lung middle lobe, especially in the medial segment. There is also minimal bronchiectasis in the lower lobe of the right lung. There are budding tree appearances in the right lung, most prominently in the upper lobe of the right lung. In the lower lobe of the left lung, budding tree appearances are observed in a small area. The described appearances were evaluated in favor of infective pathology. There are emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the coronary arteries. The ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal. The diameters of the descending aorta of the aortic arch are normal. The heart and mediastinal structures are observed to be displaced to the right. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed in this examination. No lytic-destructive lesions were observed in the bone structures within the sections. Impression: Bronchiectasis and peribronchial thickening in the right lung and bronchiectasis in the upper lobe and middle lobe medial segment and accompanying structural distortion and volume loss, more prominent on the right, budding tree appearances evaluated in favor of infective pathology in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_b/valid_850_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Bronchiectasis, peribronchial thickening, volume loss and structural distortion are observed in the upper lobe of the right lung. There are similar appearances in the right lung middle lobe, especially in the medial segment. There is also minimal bronchiectasis in the lower lobe of the right lung. There are budding tree appearances in the right lung, most prominently in the upper lobe of the right lung. In the lower lobe of the left lung, budding tree appearances are observed in a small area. The described appearances were evaluated in favor of infective pathology. There are emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the coronary arteries. The ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal. The diameters of the descending aorta of the aortic arch are normal. The heart and mediastinal structures are observed to be displaced to the right. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed in this examination. No lytic-destructive lesions were observed in the bone structures within the sections. Impression: Bronchiectasis and peribronchial thickening in the right lung and bronchiectasis in the upper lobe and middle lobe medial segment and accompanying structural distortion and volume loss, more prominent on the right, budding tree appearances evaluated in favor of infective pathology in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_b/valid_850_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen, the mediastinal structures and the heart deviate slightly to the right. Heart contour and size are natural. Pericardial thickening- effusion was not detected. The ascending aorta measures 44 mm in diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. No pathological lymph nodes were detected in the mediastinum and hilar region. No significant pathological wall thickening was detected in the esophageal lumen within the sections. When both lung parenchyma windows are evaluated; Bronchiectasis, peribronchial thickening, volume loss and structural distortion area are observed in the upper lobe of the right lung. There is a similar appearance in the medial segment of the right lung middle lobe. Mild bronchiectatic changes and peribronchial thickening were also observed in the lower lobes of the right lung. In the current examination, large areas of consolidation were observed on the basis of bronchiectasis in the upper lobe of the right lung. It is recommended to be evaluated together with clinical and laboratory data. Emphysematous changes were observed in both lungs. No mass was detected in both lungs. Tree appearances with buds were observed in the right lung, especially in the upper lobe of the right lung. Branches with buds were observed in a small area in the lower lobes of the left lung. Gall bladder was not observed in the upper abdominal organs included in the examination area. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis is increased. Partial compression causing height loss was observed in the L4 vertebra, which partially entered the examination area. No significant retropulsion was detected. Diffuse density reduction compatible with osteopenia in bone structures and biconcave appearance in thoracic vertebrae were observed. Impression: Bronchiectasis in the right lung, peribronchial thickening and bronchiectasis in the medial segment of the middle lobe, loss of volume. In the current examination, concomitant consolidation area in the upper lobe was observed and it has just emerged. Clinical and laboratory correlation is recommended.  Branches with buds in both lungs. Bronchiolitis?, There is a slight increase in the appearance of the right lung, according to the previous examination.  Porotic appearance in the bone structure and partial compression in the L4 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_c/valid_850_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen, the mediastinal structures and the heart deviate slightly to the right. Heart contour and size are natural. Pericardial thickening- effusion was not detected. The ascending aorta measures 44 mm in diameter and is wider than normal. The diameters of the aortic arch and descending aorta are normal. No pathological lymph nodes were detected in the mediastinum and hilar region. No significant pathological wall thickening was detected in the esophageal lumen within the sections. When both lung parenchyma windows are evaluated; Bronchiectasis, peribronchial thickening, volume loss and structural distortion area are observed in the upper lobe of the right lung. There is a similar appearance in the medial segment of the right lung middle lobe. Mild bronchiectatic changes and peribronchial thickening were also observed in the lower lobes of the right lung. In the current examination, large areas of consolidation were observed on the basis of bronchiectasis in the upper lobe of the right lung. It is recommended to be evaluated together with clinical and laboratory data. Emphysematous changes were observed in both lungs. No mass was detected in both lungs. Tree appearances with buds were observed in the right lung, especially in the upper lobe of the right lung. Branches with buds were observed in a small area in the lower lobes of the left lung. Gall bladder was not observed in the upper abdominal organs included in the examination area. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis is increased. Partial compression causing height loss was observed in the L4 vertebra, which partially entered the examination area. No significant retropulsion was detected. Diffuse density reduction compatible with osteopenia in bone structures and biconcave appearance in thoracic vertebrae were observed. Impression: Bronchiectasis in the right lung, peribronchial thickening and bronchiectasis in the medial segment of the middle lobe, loss of volume. In the current examination, concomitant consolidation area in the upper lobe was observed and it has just emerged. Clinical and laboratory correlation is recommended.  Branches with buds in both lungs. Bronchiolitis?, There is a slight increase in the appearance of the right lung, according to the previous examination.  Porotic appearance in the bone structure and partial compression in the L4 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_c/valid_850_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2008",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea is deviated to the right and the trachea and both main bronchial lumens are open. Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica are observed in the distal trachea and in both main bronchial walls. In the non-contrast examination, the mediastinum and heart could not be evaluated optimally; As far as can be observed, the mediastinum and heart deviate slightly to the right. Heart contour and size are normal. Pericardial thickening- effusion was not detected. The ascending aorta was observed to be wider than normal with an anterior-posterior diameter of 45 mm. Calibration of the descending aorta and pulmonary arteries is natural. Calcified atheroma plaques were observed in LAD. No pathological lymph nodes were detected in the mediastinum and hilar region. No significant pathological wall thickening was detected in the esophageal lumen within the sections. Tubular bronchiectasis, peribronchial thickening, volume loss and structural distortion area are observed in the upper lobe of the right lung. A similar appearance is also present in the medial segment of the right lung middle lobe. In the current examination, large areas of consolidation were observed on the basis of bronchiectasis in the upper lobe of the right lung. Mild bronchiectatic changes and peribronchial thickenings were observed in the lower lobes of the right lung. Budding tree view is observed in the basal segments of the right lung and left lung lower lobe, prominent in the upper lobe of the right lung, and more prominent intraluminal mucus plugs on the right. The outlook is compatible with bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. Emphysematous changes were observed in both lungs. No mass lesion with delineated borders was detected in both lungs. Other findings are stable. Impression: Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_d/valid_850_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea is deviated to the right and the trachea and both main bronchial lumens are open. Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica are observed in the distal trachea and in both main bronchial walls. In the non-contrast examination, the mediastinum and heart could not be evaluated optimally; As far as can be observed, the mediastinum and heart deviate slightly to the right. Heart contour and size are normal. Pericardial thickening- effusion was not detected. The ascending aorta was observed to be wider than normal with an anterior-posterior diameter of 45 mm. Calibration of the descending aorta and pulmonary arteries is natural. Calcified atheroma plaques were observed in LAD. No pathological lymph nodes were detected in the mediastinum and hilar region. No significant pathological wall thickening was detected in the esophageal lumen within the sections. Tubular bronchiectasis, peribronchial thickening, volume loss and structural distortion area are observed in the upper lobe of the right lung. A similar appearance is also present in the medial segment of the right lung middle lobe. In the current examination, large areas of consolidation were observed on the basis of bronchiectasis in the upper lobe of the right lung. Mild bronchiectatic changes and peribronchial thickenings were observed in the lower lobes of the right lung. Budding tree view is observed in the basal segments of the right lung and left lung lower lobe, prominent in the upper lobe of the right lung, and more prominent intraluminal mucus plugs on the right. The outlook is compatible with bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. Emphysematous changes were observed in both lungs. No mass lesion with delineated borders was detected in both lungs. Other findings are stable. Impression: Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_d/valid_850_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2010",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The ascending aorta diameter increased by 40 mm. The heart and other mediastinal structures are deviated to the right secondary to fibrosis in the right lung. Trachea and midline structures are also deviated to the right. No lymph node was detected in the mediastinal area in pathological size and appearance. When examined in the lung parenchyma window; Tubular bronchiectasis, peribronchial thickness increases, loss of lung volume and structural distortion areas compatible with fibrosis are observed, which completely affects the right lung upper lobe and also affects the right lung lower lobe medial segment. In addition, although less frequently, diffuse bronchiectasis areas and sequela fibrotic densities are observed in the right lung middle lobe lateral segment and the right lung lower lobe bronchi, sometimes focally. In addition, there are occasional emphysematous changes in both lungs. There are linear fibrotic densities and non-specific ground glass densities involving all segments in the left lung upper lobe lingular segment and left lung lower lobe. Again, pulmonary fibrosis areas, which are more prominent in the lower lobes and basal sections of the left lung, are observed. When evaluated together with the previous examination of the patient, the appearances observed in both lungs were evaluated in favor of sequelae changes and pulmonary fibrosis. No area of active infiltration or consolidation was detected. Upper abdominal organs included in the sections are normal. Impression:  Areas of bronchiectasis, structural distortion and pulmonary fibrosis in the right lung that almost completely involve the upper lobe and medial segment of the middle lobe and are observed in scattered areas in both lungs; There was no finding in favor of active infiltration or consolidation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_e/valid_850_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2011",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The ascending aorta diameter increased by 40 mm. The heart and other mediastinal structures are deviated to the right secondary to fibrosis in the right lung. Trachea and midline structures are also deviated to the right. No lymph node was detected in the mediastinal area in pathological size and appearance. When examined in the lung parenchyma window; Tubular bronchiectasis, peribronchial thickness increases, loss of lung volume and structural distortion areas compatible with fibrosis are observed, which completely affects the right lung upper lobe and also affects the right lung lower lobe medial segment. In addition, although less frequently, diffuse bronchiectasis areas and sequela fibrotic densities are observed in the right lung middle lobe lateral segment and the right lung lower lobe bronchi, sometimes focally. In addition, there are occasional emphysematous changes in both lungs. There are linear fibrotic densities and non-specific ground glass densities involving all segments in the left lung upper lobe lingular segment and left lung lower lobe. Again, pulmonary fibrosis areas, which are more prominent in the lower lobes and basal sections of the left lung, are observed. When evaluated together with the previous examination of the patient, the appearances observed in both lungs were evaluated in favor of sequelae changes and pulmonary fibrosis. No area of active infiltration or consolidation was detected. Upper abdominal organs included in the sections are normal. Impression:  Areas of bronchiectasis, structural distortion and pulmonary fibrosis in the right lung that almost completely involve the upper lobe and medial segment of the middle lobe and are observed in scattered areas in both lungs; There was no finding in favor of active infiltration or consolidation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_e/valid_850_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2012",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  The ascending aorta diameter increased by 40 mm. The heart and other mediastinal structures are deviated to the right secondary to fibrosis in the right lung. Trachea and midline structures are also deviated to the right. No lymph node was detected in the mediastinal area in pathological size and appearance. When examined in the lung parenchyma window; Tubular bronchiectasis, peribronchial thickness increases, loss of lung volume and structural distortion areas compatible with fibrosis are observed, which completely affects the right lung upper lobe and also affects the right lung lower lobe medial segment. In addition, although less frequently, diffuse bronchiectasis areas and sequela fibrotic densities are observed in the right lung middle lobe lateral segment and the right lung lower lobe bronchi, sometimes focally. In addition, there are occasional emphysematous changes in both lungs. There are linear fibrotic densities and non-specific ground glass densities involving all segments in the left lung upper lobe lingular segment and left lung lower lobe. Again, pulmonary fibrosis areas, which are more prominent in the lower lobes and basal sections of the left lung, are observed. When evaluated together with the previous examination of the patient, the appearances observed in both lungs were evaluated in favor of sequelae changes and pulmonary fibrosis. No area of active infiltration or consolidation was detected. Upper abdominal organs included in the sections are normal. Impression:  Areas of bronchiectasis, structural distortion and pulmonary fibrosis in the right lung that almost completely involve the upper lobe and medial segment of the middle lobe and are observed in scattered areas in both lungs; There was no finding in favor of active infiltration or consolidation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_f/valid_850_f_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2013",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The ascending aorta diameter increased by 40 mm. The heart and other mediastinal structures are deviated to the right secondary to fibrosis in the right lung. Trachea and midline structures are also deviated to the right. No lymph node was detected in the mediastinal area in pathological size and appearance. When examined in the lung parenchyma window; Tubular bronchiectasis, peribronchial thickness increases, loss of lung volume and structural distortion areas compatible with fibrosis are observed, which completely affects the right lung upper lobe and also affects the right lung lower lobe medial segment. In addition, although less frequently, diffuse bronchiectasis areas and sequela fibrotic densities are observed in the right lung middle lobe lateral segment and the right lung lower lobe bronchi, sometimes focally. In addition, there are occasional emphysematous changes in both lungs. There are linear fibrotic densities and non-specific ground glass densities involving all segments in the left lung upper lobe lingular segment and left lung lower lobe. Again, pulmonary fibrosis areas, which are more prominent in the lower lobes and basal sections of the left lung, are observed. When evaluated together with the previous examination of the patient, the appearances observed in both lungs were evaluated in favor of sequelae changes and pulmonary fibrosis. No area of active infiltration or consolidation was detected. Upper abdominal organs included in the sections are normal. Impression:  Areas of bronchiectasis, structural distortion and pulmonary fibrosis in the right lung that almost completely involve the upper lobe and medial segment of the middle lobe and are observed in scattered areas in both lungs; There was no finding in favor of active infiltration or consolidation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_850/valid_850_f/valid_850_f_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2014",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the axilla in pathological size and appearance. Trachea, both main bronchi are open. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. no lymph node was observed in the mediastinum in pathological size and appearance. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. In the non-contrast examination, pathology related to the upper organs included in the sections was not noticed. When examined in the lung parenchyma window; Pleural nodular thickness increase is observed in the right lower lobe superior segment. The sequela may belong to the change, it is stable, no difference was detected. Two pure calcified nodules are observed in the lower lobe of the right lung. It does not carry the risk of malignancy. There is a focal increase in fissure thickness in the major fissure in the left lung. It is in the form of a linear increase in thickness and is stable. No difference was detected. No suspicious nodular or mass-occupying lesion, infiltrative involvement or consolidation area was observed in the lung parenchyma. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Pure calcified millimetric nodules in the right lung are stable.  Stable focal fissure increase in the left lung major fissure . No suspicious nodular or mass lesion in favor of malignancy is observed in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_851/valid_851_a/valid_851_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2015",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the axilla in pathological size and appearance. Trachea, both main bronchi are open. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. no lymph node was observed in the mediastinum in pathological size and appearance. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. In the non-contrast examination, pathology related to the upper organs included in the sections was not noticed. When examined in the lung parenchyma window; Pleural nodular thickness increase is observed in the right lower lobe superior segment. The sequela may belong to the change, it is stable, no difference was detected. Two pure calcified nodules are observed in the lower lobe of the right lung. It does not carry the risk of malignancy. There is a focal increase in fissure thickness in the major fissure in the left lung. It is in the form of a linear increase in thickness and is stable. No difference was detected. No suspicious nodular or mass-occupying lesion, infiltrative involvement or consolidation area was observed in the lung parenchyma. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Pure calcified millimetric nodules in the right lung are stable.  Stable focal fissure increase in the left lung major fissure . No suspicious nodular or mass lesion in favor of malignancy is observed in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_851/valid_851_a/valid_851_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse ground glass densities are observed in all lobes of both lungs, and the appearance was primarily evaluated as secondary to viral pneumonia, clinical and laboratory evaluation is recommended in terms of covid-19 pneumonia. Minimal effusion is observed in the bilateral pleural area. Upper abdominal organs included in the sections are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ground-glass densities and bilateral minimal pleural effusion evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_852/valid_852_a/valid_852_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2017",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse ground glass densities are observed in all lobes of both lungs, and the appearance was primarily evaluated as secondary to viral pneumonia, clinical and laboratory evaluation is recommended in terms of covid-19 pneumonia. Minimal effusion is observed in the bilateral pleural area. Upper abdominal organs included in the sections are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ground-glass densities and bilateral minimal pleural effusion evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_852/valid_852_a/valid_852_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_853/valid_853_a/valid_853_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2019",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_853/valid_853_a/valid_853_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_854/valid_854_a/valid_854_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2021",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_854/valid_854_a/valid_854_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Due to the lack of contrast in the examination, mediastinal vascular structures and heart, upper parenchymal organs in the abdomen could not be evaluated optimally and as far as can be observed; Calibration of mediastinal vascular structures, heart contour, size are natural. Pericardial, pleural effusion or thickness increase is not observed. There are no pathological lymph nodes in the mediastinum, bilateral axillary region and supraclavicular level. There are lymph nodes with a short fusiform configuration, less than 1 cm in diameter. Trachea and both main bronchi are open and no obstructive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the evaluation made in the lung parenchyma window; Multisegmental ground glass densities are observed in both lung parenchyma, and enlargement in the vascular structures was noted within the described ground glass densities. The findings were evaluated as compatible with Covid 19 pneumonia. Evaluation with clinical and laboratory findings is recommended. Within the image, there is a diffuse hypodense appearance secondary to hepatosteatosis in liver parenchyma density in upper abdominal sections. No intra-abdominal free-loculated fluid, no lymph nodes in intra-abdominal pathological size and appearance were detected. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. There are osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral. Impression: Ground glass densities evaluated in favor of Covid 19 pneumonia in both lung parenchyma; Evaluation with clinical and laboratory findings is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_855/valid_855_a/valid_855_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2023",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Due to the lack of contrast in the examination, mediastinal vascular structures and heart, upper parenchymal organs in the abdomen could not be evaluated optimally and as far as can be observed; Calibration of mediastinal vascular structures, heart contour, size are natural. Pericardial, pleural effusion or thickness increase is not observed. There are no pathological lymph nodes in the mediastinum, bilateral axillary region and supraclavicular level. There are lymph nodes with a short fusiform configuration, less than 1 cm in diameter. Trachea and both main bronchi are open and no obstructive pathology is detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the evaluation made in the lung parenchyma window; Multisegmental ground glass densities are observed in both lung parenchyma, and enlargement in the vascular structures was noted within the described ground glass densities. The findings were evaluated as compatible with Covid 19 pneumonia. Evaluation with clinical and laboratory findings is recommended. Within the image, there is a diffuse hypodense appearance secondary to hepatosteatosis in liver parenchyma density in upper abdominal sections. No intra-abdominal free-loculated fluid, no lymph nodes in intra-abdominal pathological size and appearance were detected. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. There are osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral. Impression: Ground glass densities evaluated in favor of Covid 19 pneumonia in both lung parenchyma; Evaluation with clinical and laboratory findings is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_855/valid_855_a/valid_855_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2024",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the lower lobe of the right lung, peripheral-subpleural, crazy paving appearances and consolidations are observed. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Subpleural bands and structural distortions began to develop. CT involvement score was evaluated as mild. Ground glass nodules were observed in the left apex. There are fibrotic changes in the bilateral apex. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There are degenerative changes in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_856/valid_856_a/valid_856_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. Occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was contrast-enhanced. Calcified atheroma plaques were observed in the mediastinal main vascular structures. Tubular atherosclerotic plaques were observed from the segment. There is cardiomegaly. Pericardial effusion or thickening was detected. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. The thoracic esophagus is in normal calibration. No pathological wall thickening was detected. Oval configuration lymph nodes with a short diameter of 5 mm were observed in the mediastinal, prevascular area, and paratracheal area. In the lung parenchyma examination, there are fibroatelectatic changes in the basals of both lungs, more prominent on the left, and pleuroparenchymal band formation was observed in the posterobasal segment of the left lung lower lobe. There is an air cyst of approximately 11 mm in diameter in the anterior segment of the left upper lobe of the lung. Minimal peribronchial thickening was observed in L2 lung basals. There was no sign of active infiltration in both lungs. No nodular lesions were detected in both lungs. Bilateral pleural effusion was not detected. Minimal pleural thickening was observed in the left lung basal. In the evaluation of the upper abdominal organs that enter the imaging area, a mesenteric capsule with a dirty mesenteric appearance draws attention to the right of each central mesenteric. A hypodense appearance consistent with a cortical cyst was observed in the anterior part of the left kidney. In the evaluation of bone structures, minimal degenerative changes were observed in the bones. There is hyperostosis in the lower thoracic region. No lytic lesions were detected in the vertebrae either. Impression: Fibroatelectatic changes in the basals of both lungs . Both mediastinal lymph nodes that do not reach pathological size . Cardiomegaly . Calcified atheroma plaques in the coronary arteries . Dirty mesentery appearance in the central mesenteric right . Left renal cortical cyst?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_857/valid_857_a/valid_857_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. Occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was contrast-enhanced. Calcified atheroma plaques were observed in the mediastinal main vascular structures. Tubular atherosclerotic plaques were observed from the segment. There is cardiomegaly. Pericardial effusion or thickening was detected. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. The thoracic esophagus is in normal calibration. No pathological wall thickening was detected. Oval configuration lymph nodes with a short diameter of 5 mm were observed in the mediastinal, prevascular area, and paratracheal area. In the lung parenchyma examination, there are fibroatelectatic changes in the basals of both lungs, more prominent on the left, and pleuroparenchymal band formation was observed in the posterobasal segment of the left lung lower lobe. There is an air cyst of approximately 11 mm in diameter in the anterior segment of the left upper lobe of the lung. Minimal peribronchial thickening was observed in L2 lung basals. There was no sign of active infiltration in both lungs. No nodular lesions were detected in both lungs. Bilateral pleural effusion was not detected. Minimal pleural thickening was observed in the left lung basal. In the evaluation of the upper abdominal organs that enter the imaging area, a mesenteric capsule with a dirty mesenteric appearance draws attention to the right of each central mesenteric. A hypodense appearance consistent with a cortical cyst was observed in the anterior part of the left kidney. In the evaluation of bone structures, minimal degenerative changes were observed in the bones. There is hyperostosis in the lower thoracic region. No lytic lesions were detected in the vertebrae either. Impression: Fibroatelectatic changes in the basals of both lungs . Both mediastinal lymph nodes that do not reach pathological size . Cardiomegaly . Calcified atheroma plaques in the coronary arteries . Dirty mesentery appearance in the central mesenteric right . Left renal cortical cyst?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_857/valid_857_a/valid_857_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2027",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_858/valid_858_a/valid_858_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2028",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_858/valid_858_a/valid_858_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was detected in the mediastinum in pathological size and appearance. Heart sizes and compensatons are natural. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node was observed in pathological size and appearance in both alcila. The dimensions and contours of the thyroid gland appear natural. Calibrations of mediastinal main vascular structures were followed naturally. There is a focal calcification focus in the proximal LAD. When examined in the lung parenchyma window; There is a focal increase in fissure thickness in the major fissure adjacent to the anterior segment of the left lung lower lobe. Within the section, several lymph nodes measuring 9 mm in the short axis of the millimetric-sized large one were observed in the posterior part of the thoracic aorta in the prevertebral space. In the evaluation of the upper abdominal sections included in the sections, there is lobulation in the contours of the left kidney. It is recommended to evaluate with USG. In both kidneys, there are a few milimetric lesions of cystic density located cortical. At the thoracic level, kyphosis is increased. There are osteophyte formations leading to bridging in the anterolateral corners of the vertebra corpus. Schmorl nodules are occasionally observed in the vertebral corpuscles. There is a local decrease in the density of the bone structures and a prominence in the trabecular structures. It is recommended to investigate in terms of osteopenia. Impression: It is recommended to examine the contours of the left kidney with lobulation USG.  Lesions of cortical cystic density in both kidneys.  Lymph nodes measuring 9 mm in the short axis of a few large ones in the posterior part of the thoracic aorta within the prevertebral adipose tissue. It was thought that focal fissural thickness increase in the major fissure, scar tissue or lymphoid hyperplasia adjacent to the left lung lower lobe anterobasal segment. It was evaluated in favor of a benign lesion.  Increased kyphosis at the thoracic level. Decreased densities of bone structures and prominence in trabecular structures are recommended to be evaluated in terms of osteopenia. Osteophyte formations leading to bridging in the anterolateral corners of the vertebra corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_859/valid_859_a/valid_859_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was detected in the mediastinum in pathological size and appearance. Heart sizes and compensatons are natural. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node was observed in pathological size and appearance in both alcila. The dimensions and contours of the thyroid gland appear natural. Calibrations of mediastinal main vascular structures were followed naturally. There is a focal calcification focus in the proximal LAD. When examined in the lung parenchyma window; There is a focal increase in fissure thickness in the major fissure adjacent to the anterior segment of the left lung lower lobe. Within the section, several lymph nodes measuring 9 mm in the short axis of the millimetric-sized large one were observed in the posterior part of the thoracic aorta in the prevertebral space. In the evaluation of the upper abdominal sections included in the sections, there is lobulation in the contours of the left kidney. It is recommended to evaluate with USG. In both kidneys, there are a few milimetric lesions of cystic density located cortical. At the thoracic level, kyphosis is increased. There are osteophyte formations leading to bridging in the anterolateral corners of the vertebra corpus. Schmorl nodules are occasionally observed in the vertebral corpuscles. There is a local decrease in the density of the bone structures and a prominence in the trabecular structures. It is recommended to investigate in terms of osteopenia. Impression: It is recommended to examine the contours of the left kidney with lobulation USG.  Lesions of cortical cystic density in both kidneys.  Lymph nodes measuring 9 mm in the short axis of a few large ones in the posterior part of the thoracic aorta within the prevertebral adipose tissue. It was thought that focal fissural thickness increase in the major fissure, scar tissue or lymphoid hyperplasia adjacent to the left lung lower lobe anterobasal segment. It was evaluated in favor of a benign lesion.  Increased kyphosis at the thoracic level. Decreased densities of bone structures and prominence in trabecular structures are recommended to be evaluated in terms of osteopenia. Osteophyte formations leading to bridging in the anterolateral corners of the vertebra corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_859/valid_859_a/valid_859_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. Minimal bronchiectasis is observed in the anterior segment of the upper lobe of the right lung, and structural distortion and volume loss are observed in this localization. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the liver parenchyma density, a decrease in density is observed, which is compatible with advanced adiposity. Vertebral corpus heights, alignments and densities within the sections are normal. There are millimetric osteophytes in the vertebral corpus corners. The neural foramina are open. . Impression: Minimal emphysematous changes in both lungs . Minimal bronchiectasis, structural distortion and volume loss in the right upper lobe of the lung . Millimetric nodules in both lungs . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_860/valid_860_a/valid_860_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; lymph nodes measuring 7 mm in the short axis of the largest are observed in the mediastinal upper-lower paratracheal, prevascular subcarinal area. No lymph node was detected in pathological size and appearance. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Minimal calcifications are observed in the aortic valve. Heart contour size is natural. Pericardial thickening-effusion was not detected. There is minimal effusion in the anterior pericardial area. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Ground-glass density increases were observed in the upper lobes of both lungs, in the middle lobe of the right lung, and in the peribronchial and peripheral subpleural areas of the lower lobes of both lungs. Outlook There are frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Minimal calcified atherosclerotic changes are observed in the wall of the abdominal aorta in the upper abdominal sections entering the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Hemangioma was observed in T8 and T11 vertebrae. Impression: There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended. Pericardial minimal effusion.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_861/valid_861_a/valid_861_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2033",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; lymph nodes measuring 7 mm in the short axis of the largest are observed in the mediastinal upper-lower paratracheal, prevascular subcarinal area. No lymph node was detected in pathological size and appearance. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Minimal calcifications are observed in the aortic valve. Heart contour size is natural. Pericardial thickening-effusion was not detected. There is minimal effusion in the anterior pericardial area. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Ground-glass density increases were observed in the upper lobes of both lungs, in the middle lobe of the right lung, and in the peribronchial and peripheral subpleural areas of the lower lobes of both lungs. Outlook There are frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Minimal calcified atherosclerotic changes are observed in the wall of the abdominal aorta in the upper abdominal sections entering the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Hemangioma was observed in T8 and T11 vertebrae. Impression: There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended. Pericardial minimal effusion.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_861/valid_861_a/valid_861_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Mediastinal main vascular structures are normal. Thoracic esophageal calibration is natural. When examined in the lung parenchyma window; no mass or nodular space-occupying lesion with pneumonic infiltrative involvement-consolidation area was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_862/valid_862_a/valid_862_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Mediastinal main vascular structures are normal. Thoracic esophageal calibration is natural. When examined in the lung parenchyma window; no mass or nodular space-occupying lesion with pneumonic infiltrative involvement-consolidation area was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_862/valid_862_a/valid_862_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a stone of approximately 4 mm in diameter in the middle part of the right kidney. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs.  Millimetric nodules in both lungs . Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_863/valid_863_a/valid_863_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2037",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a stone of approximately 4 mm in diameter in the middle part of the right kidney. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs.  Millimetric nodules in both lungs . Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_863/valid_863_a/valid_863_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2038",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a stone of approximately 4 mm in diameter in the middle part of the right kidney. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs.  Millimetric nodules in both lungs . Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_863/valid_863_a/valid_863_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_2039",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are sequelae fibrotic changes in the upper lobes of both lungs. Minimal emphysema is observed in the upper lobes of both lungs. No nodular or infiltrative lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Sequela fibrotic changes and minimal emphysema in both upper lobes of the lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_864/valid_864_a/valid_864_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2040",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are sequelae fibrotic changes in the upper lobes of both lungs. Minimal emphysema is observed in the upper lobes of both lungs. No nodular or infiltrative lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Sequela fibrotic changes and minimal emphysema in both upper lobes of the lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_864/valid_864_a/valid_864_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2041",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is observed in normal width. In the lung parenchyma, a nodular ground glass density area is observed in the upper lobe of the right lung. It is in one focus. However, when evaluated together with its clinic, radiological findings were considered primarily in favor of infectious infiltration and were considered compatible with early parenchymal findings of Covid infection. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: The area of nodular ground glass density in the upper lobe of the right lung is in a single focus, and the radiological findings were primarily evaluated in accordance with the lung parenchyma attitude of the Covid infection in the patient who was examined with the clinical prediagnosis of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_865/valid_865_a/valid_865_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2042",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. In the anterior mediastinum, thymic tissue with trigonal configuration and millimeter size without mass effect is observed. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Both hemithorax are symmetrical. When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. There are scattered and focal ground-glass-style density increments in both lungs. In terms of Covid pneumonia, evaluation together with clinical and laboratory findings is recommended. A slight decrease in density and sequelae at the apical level are observed in both lungs, consistent with emphysema. However, in the case, there is a view of branches with buds from place to place. It is recommended to be evaluated together with clinical and laboratory findings in terms of bacterial pneumonia that may accompany. When the upper abdominal organs included in the sections were evaluated; the spleen is full. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression: It is recommended that the case be evaluated together with clinical and laboratory findings in terms of Covid pneumonia and bacterial pneumonia that may accompany diffuse focal ground-glass-like density increments and partly budded branch appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_866/valid_866_a/valid_866_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2043",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. In the anterior mediastinum, thymic tissue with trigonal configuration and millimeter size without mass effect is observed. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Both hemithorax are symmetrical. When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear. There are scattered and focal ground-glass-style density increments in both lungs. In terms of Covid pneumonia, evaluation together with clinical and laboratory findings is recommended. A slight decrease in density and sequelae at the apical level are observed in both lungs, consistent with emphysema. However, in the case, there is a view of branches with buds from place to place. It is recommended to be evaluated together with clinical and laboratory findings in terms of bacterial pneumonia that may accompany. When the upper abdominal organs included in the sections were evaluated; the spleen is full. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression: It is recommended that the case be evaluated together with clinical and laboratory findings in terms of Covid pneumonia and bacterial pneumonia that may accompany diffuse focal ground-glass-like density increments and partly budded branch appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_866/valid_866_a/valid_866_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2044",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A hypodense nodule with a diameter of 13 mm was observed in the posterior of the left thyroid gland. It is recommended to be evaluated together with US. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Heart size increased. The left ventricle and atrium are dilated. The mitral valve is calcified. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. Interlobular-intralobar septal thickenings were observed in the right lung middle lobe and both lung lower lobe basal segments (signs of loading secondary to heart failure). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: \u00b7 Hypodense nodule in the left thyroid lobe; It is recommended to be evaluated together with US. \u00b7 Atherosclerotic wall calcification, cardiomegaly, mitral valve calcification in the thoracic aorta and coronary arteries. \u00b7 Loading findings in the lung parenchyma. \u00b7 Centrally manifested tubular bronchiectasis in both lungs, minimal peribronchial thickening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_867/valid_867_a/valid_867_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: A hypodense nodule with a diameter of 13 mm was observed in the posterior of the left thyroid gland. It is recommended to be evaluated together with US. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Heart size increased. The left ventricle and atrium are dilated. The mitral valve is calcified. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs. Interlobular-intralobar septal thickenings were observed in the right lung middle lobe and both lung lower lobe basal segments (signs of loading secondary to heart failure). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: \u00b7 Hypodense nodule in the left thyroid lobe; It is recommended to be evaluated together with US. \u00b7 Atherosclerotic wall calcification, cardiomegaly, mitral valve calcification in the thoracic aorta and coronary arteries. \u00b7 Loading findings in the lung parenchyma. \u00b7 Centrally manifested tubular bronchiectasis in both lungs, minimal peribronchial thickening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_867/valid_867_a/valid_867_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2046",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea is in the midline and both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries and aorta. No pretracheal, paravascular, subcarinal, hilar or axillary pathologically enlarged lymph nodes were observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Both lung ventilation is normal. Millimetric emphysema in centriacinar style is observed in both lungs. A subpleural ground-glass opacity is observed in a focal area at the level of the inferior lingular segment of the left lung upper lobe. Firstly, it was thought that it might be a sequela because it was observed in linear fibrotic band extensions from this area. If available, it is recommended to check the patient with previous examinations. Differential diagnosis includes Covid 19 pneumonia. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Minimal contamination is observed in the perinephric fatty planes in both kidneys entering the examination area. Other upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Impression: Emphysematous and sequelae changes in both lungs. Focal ground-glass opacity (sequela? Covid 19 pneumonia?) in left lung upper lobe inferior lingular segment.  Aorta and coronary . Calcific atheroma plaques in the aorta and coronary arteries.  Slight soiling on bilateral perinephric oily planes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_868/valid_868_a/valid_868_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea is in the midline and both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries and aorta. No pretracheal, paravascular, subcarinal, hilar or axillary pathologically enlarged lymph nodes were observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Both lung ventilation is normal. Millimetric emphysema in centriacinar style is observed in both lungs. A subpleural ground-glass opacity is observed in a focal area at the level of the inferior lingular segment of the left lung upper lobe. Firstly, it was thought that it might be a sequela because it was observed in linear fibrotic band extensions from this area. If available, it is recommended to check the patient with previous examinations. Differential diagnosis includes Covid 19 pneumonia. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Minimal contamination is observed in the perinephric fatty planes in both kidneys entering the examination area. Other upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Impression: Emphysematous and sequelae changes in both lungs. Focal ground-glass opacity (sequela? Covid 19 pneumonia?) in left lung upper lobe inferior lingular segment.  Aorta and coronary . Calcific atheroma plaques in the aorta and coronary arteries.  Slight soiling on bilateral perinephric oily planes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_868/valid_868_a/valid_868_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2048",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The left hemidiaphragm is elevated. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen in non-contrast sections; Minimal degenerative changes were observed in the bone structure. Impression:  There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma.  Minimal degenerative changes in thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_869/valid_869_a/valid_869_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2049",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The left hemidiaphragm is elevated. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen in non-contrast sections; Minimal degenerative changes were observed in the bone structure. Impression:  There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma.  Minimal degenerative changes in thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_869/valid_869_a/valid_869_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2050",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was observed in the bones. Impression: No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_869/valid_869_b/valid_869_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2051",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was observed in the bones. Impression: No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_869/valid_869_b/valid_869_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2052",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. Minimal pericardial effusion is observed. The widths of the mediastinal main vascular structures are normal. Millimetric calcific atheroma plaques are observed in the aorta. Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are consolidations with air bronchograms in the posterior segment of the right lung and left lung lower lobe, more prominently in the right lung lower lobe, accompanying ground glass areas and interlobular septal thickness increases, and subsegmental atelectasis in places. In the left lung lower lobe superior segment, upper lobe apicoposterior segment, and right lung upper lobe posterior segment, peripheral ground glass areas followed by faintly circumscribed centracinar nodular density increases are present. No pathological increase in wall thickness was observed in the esophagus. As far as it can be observed, there is no mass with distinguishable borders in the upper abdominal organs. Liver AP diameter was measured 190 mm and increased. The transverse diameter of the gallbladder was 40 mm, and the gallbladder has a hydropic appearance. Linear calcification is observed in the posterior of the spleen. An expansile, mixed type malignant bone lesion at the level of the left first costochondral joint is consistent with the involvement of the patient's primary malignancy. Millimetric sclerotic focus is observed in the posterior part of the right 4th rib. Impression:  Multiple myeloma at follow-up.  Consolidation areas accompanied by areas of ground glass in the periphery, increase in interlobular septal thickness and subsegmental atelectasis, and occasionally faint centriacinar nodular density increases in both lungs, more prominently in the lower lobe of the right lung. Findings are compatible with bronchopneumonia.  Mediastinal lymph nodes.  Minimal pericardial effusion.  Hepatomegaly, hydropic appearance in the gallbladder.  Mixed bone lesion at the level of the left 1st costochondral joint; The primary malignancy of the patient is compatible with the involvement.  Millimetric sclerotic focus in the right 4th rib."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_870/valid_870_a/valid_870_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2053",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. Minimal pericardial effusion is observed. The widths of the mediastinal main vascular structures are normal. Millimetric calcific atheroma plaques are observed in the aorta. Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are consolidations with air bronchograms in the posterior segment of the right lung and left lung lower lobe, more prominently in the right lung lower lobe, accompanying ground glass areas and interlobular septal thickness increases, and subsegmental atelectasis in places. In the left lung lower lobe superior segment, upper lobe apicoposterior segment, and right lung upper lobe posterior segment, peripheral ground glass areas followed by faintly circumscribed centracinar nodular density increases are present. No pathological increase in wall thickness was observed in the esophagus. As far as it can be observed, there is no mass with distinguishable borders in the upper abdominal organs. Liver AP diameter was measured 190 mm and increased. The transverse diameter of the gallbladder was 40 mm, and the gallbladder has a hydropic appearance. Linear calcification is observed in the posterior of the spleen. An expansile, mixed type malignant bone lesion at the level of the left first costochondral joint is consistent with the involvement of the patient's primary malignancy. Millimetric sclerotic focus is observed in the posterior part of the right 4th rib. Impression:  Multiple myeloma at follow-up.  Consolidation areas accompanied by areas of ground glass in the periphery, increase in interlobular septal thickness and subsegmental atelectasis, and occasionally faint centriacinar nodular density increases in both lungs, more prominently in the lower lobe of the right lung. Findings are compatible with bronchopneumonia.  Mediastinal lymph nodes.  Minimal pericardial effusion.  Hepatomegaly, hydropic appearance in the gallbladder.  Mixed bone lesion at the level of the left 1st costochondral joint; The primary malignancy of the patient is compatible with the involvement.  Millimetric sclerotic focus in the right 4th rib."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_870/valid_870_a/valid_870_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2054",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_871/valid_871_a/valid_871_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2055",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_871/valid_871_a/valid_871_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Right paratracheal diverticulum is observed. Calibration of mediastinal vascular structures, heart contour, size are natural. Pericardial-pleural effusion was not detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. Parenchymal changes secondary to the treatment were observed in the patient who was operated for the cause of breast Ca in the anterior and middle lobes of the right lung upper lobe. There are also sequela parenchymal changes in the posterobasal segment of the lower lobe. Stable loculated collection is observed in the operation site of the right breast. No active infiltration or mass lesion was detected in both lungs. There are a few nonspecific nodules, some of them purely calcified, in millimeters in both lungs. No pathology was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Operated breast Ca.  Stable collection in the right mastectomy site.  Parenchymal changes secondary to radiotherapy in the upper and middle lobe of the right lung and sequelae changes in the posterobasal segment of the lower lobe.  A few nonspecific nodules in millimetric sizes, some of them purely calcified, in both lungs.  Calcified atheroma plaques in the wall of the thoracic aorta.  Stable lymph nodes in the mediastinum that are not pathological in size and appearance.  Sliding type mild hiatal hernia at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_872/valid_872_a/valid_872_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2057",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Right paratracheal diverticulum is observed. Calibration of mediastinal vascular structures, heart contour, size are natural. Pericardial-pleural effusion was not detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end. Parenchymal changes secondary to the treatment were observed in the patient who was operated for the cause of breast Ca in the anterior and middle lobes of the right lung upper lobe. There are also sequela parenchymal changes in the posterobasal segment of the lower lobe. Stable loculated collection is observed in the operation site of the right breast. No active infiltration or mass lesion was detected in both lungs. There are a few nonspecific nodules, some of them purely calcified, in millimeters in both lungs. No pathology was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Operated breast Ca.  Stable collection in the right mastectomy site.  Parenchymal changes secondary to radiotherapy in the upper and middle lobe of the right lung and sequelae changes in the posterobasal segment of the lower lobe.  A few nonspecific nodules in millimetric sizes, some of them purely calcified, in both lungs.  Calcified atheroma plaques in the wall of the thoracic aorta.  Stable lymph nodes in the mediastinum that are not pathological in size and appearance.  Sliding type mild hiatal hernia at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_872/valid_872_a/valid_872_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2058",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node was observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was observed in the bones. Impression:  No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_873/valid_873_a/valid_873_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node was observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic destructive lesion was observed in the bones. Impression:  No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_873/valid_873_a/valid_873_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2060",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. In the lung parenchyma, atypical pneumonic infiltration area in the form of peribronchial ground glass density and septal thickening is observed in the posterior segment of the right lung upper lobe. It is in one focus. The radiological pattern is consistent with the lung parenchyma involvement of Covid infection. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Atypical pneumonic infiltration area in the upper lobe of the right lung is consistent with the involvement of the lung parenchyma of Covid infection. It is in one focus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_874/valid_874_a/valid_874_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2061",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. In the lung parenchyma, atypical pneumonic infiltration area in the form of peribronchial ground glass density and septal thickening is observed in the posterior segment of the right lung upper lobe. It is in one focus. The radiological pattern is consistent with the lung parenchyma involvement of Covid infection. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Atypical pneumonic infiltration area in the upper lobe of the right lung is consistent with the involvement of the lung parenchyma of Covid infection. It is in one focus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_874/valid_874_a/valid_874_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2062",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung lower lobe superior segment, nodular density increase with ground glass areas is observed in the vicinity of the major fissure, and the appearance is suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen in non-contrast sections; Liver parenchyma density decreased in line with fatty deposits. Gallbladder, spleen, both adrenal glands and both kidneys are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nodular density increase in the right lung lower lobe superior segment, adjacent to the major fissure, around which ground glass areas are observed; the appearance is highly suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinic and laboratory.  Millimetric nonspecific parenchymal nodules in both lungs . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_875/valid_875_a/valid_875_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2063",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung lower lobe superior segment, nodular density increase with ground glass areas is observed in the vicinity of the major fissure, and the appearance is suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen in non-contrast sections; Liver parenchyma density decreased in line with fatty deposits. Gallbladder, spleen, both adrenal glands and both kidneys are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nodular density increase in the right lung lower lobe superior segment, adjacent to the major fissure, around which ground glass areas are observed; the appearance is highly suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinic and laboratory.  Millimetric nonspecific parenchymal nodules in both lungs . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_875/valid_875_a/valid_875_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2064",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There are calcific nodules in the thyroid gland. Heterogeneity is observed in contour irregularity and parenchymal density. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. When examined in the lung parenchyma window; Bronchial wall thickness increases in the segmental bronchi of the lower lobe basal segments of both lungs and a mosaic attenuation pattern in the parenchyma are observed. It was primarily thought that this pattern developed secondary to small airway involvement. Slight increase in parenchymal density and linear atelectasis areas are observed in the left lung upper lobe lingula inferior segment. The finding is nonspecific. Nodular lesions evaluated in favor of adenoma with a diameter of 12 mm in the left adrenal gland and 11 mm in diameter in the right adrenal gland are observed in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. There are nodular lesions with rim-like calcification in the left breast (fat necrosis calcification?). In addition, space-occupying solid lesions with a diameter of 26 and 18 mm in the outer quadrant of the left breast are observed. Examination with USG is recommended. Impression: Mosaic attenuation in the lower lobes of both lungs was primarily thought to develop secondary to small airway involvement. Nodules in the thyroid gland . Nodular lesions favoring adenoma in both adrenal glands. Findings described in the left breast. Examination with USG is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_876/valid_876_a/valid_876_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There are calcific nodules in the thyroid gland. Heterogeneity is observed in contour irregularity and parenchymal density. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. When examined in the lung parenchyma window; Bronchial wall thickness increases in the segmental bronchi of the lower lobe basal segments of both lungs and a mosaic attenuation pattern in the parenchyma are observed. It was primarily thought that this pattern developed secondary to small airway involvement. Slight increase in parenchymal density and linear atelectasis areas are observed in the left lung upper lobe lingula inferior segment. The finding is nonspecific. Nodular lesions evaluated in favor of adenoma with a diameter of 12 mm in the left adrenal gland and 11 mm in diameter in the right adrenal gland are observed in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. There are nodular lesions with rim-like calcification in the left breast (fat necrosis calcification?). In addition, space-occupying solid lesions with a diameter of 26 and 18 mm in the outer quadrant of the left breast are observed. Examination with USG is recommended. Impression: Mosaic attenuation in the lower lobes of both lungs was primarily thought to develop secondary to small airway involvement. Nodules in the thyroid gland . Nodular lesions favoring adenoma in both adrenal glands. Findings described in the left breast. Examination with USG is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_876/valid_876_a/valid_876_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2066",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There are calcific nodules in the thyroid gland. Heterogeneity is observed in contour irregularity and parenchymal density. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calcific atheroma plaques were observed in the main vascular structures. Pericardial effusion was not observed. When examined in the lung parenchyma window; In the lower lobe basal segments of both lungs and in the left lung upper lobe lingula inferior segment, areas of mild parenchymal density increase with a tendency to merge are observed (ground glass pattern?). Clinical and laboratory evaluation will be appropriate. Nodular lesions evaluated in favor of adenoma with a diameter of 12 mm in the left adrenal gland and 11 mm in diameter in the right adrenal gland are observed in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. There are nodular lesions with rim-like calcification in the left breast (fat necrosis calcification?). In addition, space-occupying solid lesions with a diameter of 26 and 18 mm in the outer quadrant of the left breast are observed. After infection, it is recommended to be examined with mammography and ultrasonography under elective conditions. Impression: Areas of mild parenchymal density increase are observed in the confluence of both lung bases (ground glass pattern?). Clinical and laboratory evaluation will be appropriate. Nodules in the thyroid gland Atherosclerosis Nodular lesions favoring adenoma in both adrenal glands. Findings described in the left breast. Examination with USG is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_876/valid_876_b/valid_876_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2067",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There are calcific nodules in the thyroid gland. Heterogeneity is observed in contour irregularity and parenchymal density. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calcific atheroma plaques were observed in the main vascular structures. Pericardial effusion was not observed. When examined in the lung parenchyma window; In the lower lobe basal segments of both lungs and in the left lung upper lobe lingula inferior segment, areas of mild parenchymal density increase with a tendency to merge are observed (ground glass pattern?). Clinical and laboratory evaluation will be appropriate. Nodular lesions evaluated in favor of adenoma with a diameter of 12 mm in the left adrenal gland and 11 mm in diameter in the right adrenal gland are observed in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. There are nodular lesions with rim-like calcification in the left breast (fat necrosis calcification?). In addition, space-occupying solid lesions with a diameter of 26 and 18 mm in the outer quadrant of the left breast are observed. After infection, it is recommended to be examined with mammography and ultrasonography under elective conditions. Impression: Areas of mild parenchymal density increase are observed in the confluence of both lung bases (ground glass pattern?). Clinical and laboratory evaluation will be appropriate. Nodules in the thyroid gland Atherosclerosis Nodular lesions favoring adenoma in both adrenal glands. Findings described in the left breast. Examination with USG is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_876/valid_876_b/valid_876_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2068",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. The aortic arch calibration is 35 mm. Calibration of other mediastinal major vascular structures is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node was detected in pathological size and configuration at the mediastinal and hilar level. Calibration of trachea and main bronchi is normal, their lumens are clear. In the evaluation of both lungs in the parenchyma window; There are scattered focal ground-glass-like density increases in both lungs and interstitial scars are evident on this background. It is compatible with the anamnesis in the case learned to have Covid PCR (+). No pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Mild hiatal hernia is observed. In bilateral kidneys, there is a hypodense appearance that cannot be differentiated from parapelvic cyst and pelvic calyceal ectasia. First, US examination is recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissues are natural. Minimal degenerative changes are observed in the bone structure. Impression: There are scattered focal ground-glass-like density increases in both lungs and interstitial scars on this background. It is compatible with the anamnesis in the case, which was learned to have PCR (+) for Covid.  There is a hypodense appearance in bilateral kidneys that cannot be differentiated from parapelvic cyst-pelvis calyceal ectasia. First, US examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_877/valid_877_a/valid_877_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2069",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. The aortic arch calibration is 35 mm. Calibration of other mediastinal major vascular structures is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node was detected in pathological size and configuration at the mediastinal and hilar level. Calibration of trachea and main bronchi is normal, their lumens are clear. In the evaluation of both lungs in the parenchyma window; There are scattered focal ground-glass-like density increases in both lungs and interstitial scars are evident on this background. It is compatible with the anamnesis in the case learned to have Covid PCR (+). No pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Mild hiatal hernia is observed. In bilateral kidneys, there is a hypodense appearance that cannot be differentiated from parapelvic cyst and pelvic calyceal ectasia. First, US examination is recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissues are natural. Minimal degenerative changes are observed in the bone structure. Impression: There are scattered focal ground-glass-like density increases in both lungs and interstitial scars on this background. It is compatible with the anamnesis in the case, which was learned to have PCR (+) for Covid.  There is a hypodense appearance in bilateral kidneys that cannot be differentiated from parapelvic cyst-pelvis calyceal ectasia. First, US examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_877/valid_877_a/valid_877_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2070",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. No space-occupying suspicious lesion was detected in the mediastinal fat pad. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the mediastinum in pathological size and appearance. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. In the upper abdominal sections, the balloon was placed in the stomach antrum. There is a decrease in liver parenchyma density consistent with advanced adiposity. No lytic-destructive lesions were detected in bone structures. Old costal fractures are observed in the right 6th and 7th ribs. Impression:  Balloon in the stomach antrum.  Advanced hepatosteatosis.  Prior right rib fractures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_878/valid_878_a/valid_878_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. No space-occupying suspicious lesion was detected in the mediastinal fat pad. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the mediastinum in pathological size and appearance. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. In the upper abdominal sections, the balloon was placed in the stomach antrum. There is a decrease in liver parenchyma density consistent with advanced adiposity. No lytic-destructive lesions were detected in bone structures. Old costal fractures are observed in the right 6th and 7th ribs. Impression:  Balloon in the stomach antrum.  Advanced hepatosteatosis.  Prior right rib fractures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_878/valid_878_a/valid_878_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta was 41 mm and showed fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Several millimetric stable nonspecific parenchymal nodules were observed in both lungs. Atelectatic changes were observed in the posterobasal segment of the lower lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in the anterior segment of the right lung upper lobe. The bud branch appearance and acinar opacities observed in the previous examination are not detected in the current examination. A mosaic attenuation pattern was observed in both lung parenchyma (small airway disease?small vessel disease?). No mass nodule-infiltration was detected in both lung parenchyma. Upper abdominal sections entering the examination area were evaluated in detail in MRI examination. Metastatic lesions were observed in the liver. Widespread air images secondary to instrumentation were observed within the mass in the intrahepatic biliary tract and right lobe of the liver. In the current intra-abdominal examination, newly emerged diffuse free fluid is present. There are degenerative changes in the bone structure in the examination area. Impression:  Stable nonspecific parenchymal nodules of millimeter size in both lungs.  Branch bud appearance-acinar opacities observed in the previous examination in the anterior segment of the right lung upper lobe were not detected in the current examination.  Sequelae changes in the right lung.  Metastatic lesions in the liver and aerial images secondary to instrumentation.  Diffuse intra-abdominal free fluid newly revealed in the current examination.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_879/valid_879_a/valid_879_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2073",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta was 41 mm and showed fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Several millimetric stable nonspecific parenchymal nodules were observed in both lungs. Atelectatic changes were observed in the posterobasal segment of the lower lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in the anterior segment of the right lung upper lobe. The bud branch appearance and acinar opacities observed in the previous examination are not detected in the current examination. A mosaic attenuation pattern was observed in both lung parenchyma (small airway disease?small vessel disease?). No mass nodule-infiltration was detected in both lung parenchyma. Upper abdominal sections entering the examination area were evaluated in detail in MRI examination. Metastatic lesions were observed in the liver. Widespread air images secondary to instrumentation were observed within the mass in the intrahepatic biliary tract and right lobe of the liver. In the current intra-abdominal examination, newly emerged diffuse free fluid is present. There are degenerative changes in the bone structure in the examination area. Impression:  Stable nonspecific parenchymal nodules of millimeter size in both lungs.  Branch bud appearance-acinar opacities observed in the previous examination in the anterior segment of the right lung upper lobe were not detected in the current examination.  Sequelae changes in the right lung.  Metastatic lesions in the liver and aerial images secondary to instrumentation.  Diffuse intra-abdominal free fluid newly revealed in the current examination.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_879/valid_879_a/valid_879_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Soft tissue defect is observed in the pretracheal area of the previously opened tracheostomy in the patient. The right breast was not observed (operated). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A few mediastinal, paraaortal short lymph nodes with a diameter of up to 8 mm are observed. In addition, pleuroparenchymal sequelae changes are observed in the lower lobes of both lungs and in the left lingular segments. elevation is observed in the right hemidiaphragm. When the bone was examined in the window, disseminated bone metastases were observed in the thoracic vertebral column and in all other bones forming the thorax. Impression: Consolidation area in the lateral, medial and anterior segments of the lower lobe of the right lung, in which air bronchograms are observed, and elevation in the right hemidiaphragm. A few lymph nodes in the mediastinum with a short diameter of up to 8 mm . Disseminated metastases in all bones in the examination area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_880/valid_880_a/valid_880_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2075",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Soft tissue defect is observed in the pretracheal area of the previously opened tracheostomy in the patient. The right breast was not observed (operated). Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A few mediastinal, paraaortal short lymph nodes with a diameter of up to 8 mm are observed. In addition, pleuroparenchymal sequelae changes are observed in the lower lobes of both lungs and in the left lingular segments. elevation is observed in the right hemidiaphragm. When the bone was examined in the window, disseminated bone metastases were observed in the thoracic vertebral column and in all other bones forming the thorax. Impression: Consolidation area in the lateral, medial and anterior segments of the lower lobe of the right lung, in which air bronchograms are observed, and elevation in the right hemidiaphragm. A few lymph nodes in the mediastinum with a short diameter of up to 8 mm . Disseminated metastases in all bones in the examination area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_880/valid_880_a/valid_880_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2076",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Bilateral peribronchial thickenings were observed. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Subsegmental atelectasis was observed in the lower lobe of the left lung. No pleural effusion was detected. Nodular thickness increase was observed in the left adrenal gland corpus. Thoracic kyphosis has decreased. No lytic-destructive lesion was detected in bone structures. Impression:  Minimal emphysematous changes in both lungs, peribronchial thickenings, millimetric nonspecific parenchymal nodules.  Nodular thickness increase from the left adrenal gland body section."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_881/valid_881_a/valid_881_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2077",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Bilateral peribronchial thickenings were observed. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Subsegmental atelectasis was observed in the lower lobe of the left lung. No pleural effusion was detected. Nodular thickness increase was observed in the left adrenal gland corpus. Thoracic kyphosis has decreased. No lytic-destructive lesion was detected in bone structures. Impression:  Minimal emphysematous changes in both lungs, peribronchial thickenings, millimetric nonspecific parenchymal nodules.  Nodular thickness increase from the left adrenal gland body section."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_881/valid_881_a/valid_881_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2078",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion was not observed. Millimetric atheroma plaques are observed in the coronary arteries in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes in the basal segments of the lower lobes of both lungs. Mild bronchiectasis is observed in the basal segment of the right lower lobe. A few fluid attenuation weighted findings with cortical dimensions up to 13 mm in both kidneys were evaluated in favor of cotical cysts. Apart from this, the upper abdominal organs included in the sections are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild atelectatic changes and bronchiectasis in the basal segments of the lower lobes of both lungs. Bilateral cortical cysts. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_882/valid_882_a/valid_882_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2079",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion was not observed. Millimetric atheroma plaques are observed in the coronary arteries in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes in the basal segments of the lower lobes of both lungs. Mild bronchiectasis is observed in the basal segment of the right lower lobe. A few fluid attenuation weighted findings with cortical dimensions up to 13 mm in both kidneys were evaluated in favor of cotical cysts. Apart from this, the upper abdominal organs included in the sections are natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild atelectatic changes and bronchiectasis in the basal segments of the lower lobes of both lungs. Bilateral cortical cysts. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_882/valid_882_a/valid_882_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2080",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The diameter of the ascending aorta is 41 mm and shows dilatation. Heart contour size is natural. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. There is a 20x13 mm lesion showing pure calcification at the level of the aorticopulmonary window (calcified lymph node?). There is an effusion measuring 12 mm in thickness in the anterior pericardial area. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Sliding type hiatal hernia was observed. When examined in the lung parenchyma window; There are bilateral peribronchial thickenings and mild bronchiectatic changes that become prominent in the center. Parenchymal nodules with a diameter of 5.5 mm in the peripheral subpleural area in the right lung middle lobe and 5.3 mm in diameter in the lateral segment of the middle lobe were observed in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Exophytic cortical cysts were observed in both kidneys in the upper abdominal sections that entered the examination area. Minimal calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Fusiform dilatation of the thoracic aorta, pericardial effusion. Pure calcified solid lesion at the level of the aorticopulmonary window (calcified lymph node?). Hiatal hernia. Right lung parenchymal nodules. Bilateral peribronchial thickenings and mild bronchiectatic changes. Bilateral renal cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_883/valid_883_a/valid_883_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2081",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The diameter of the ascending aorta is 41 mm and shows dilatation. Heart contour size is natural. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. There is a 20x13 mm lesion showing pure calcification at the level of the aorticopulmonary window (calcified lymph node?). There is an effusion measuring 12 mm in thickness in the anterior pericardial area. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Sliding type hiatal hernia was observed. When examined in the lung parenchyma window; There are bilateral peribronchial thickenings and mild bronchiectatic changes that become prominent in the center. Parenchymal nodules with a diameter of 5.5 mm in the peripheral subpleural area in the right lung middle lobe and 5.3 mm in diameter in the lateral segment of the middle lobe were observed in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Exophytic cortical cysts were observed in both kidneys in the upper abdominal sections that entered the examination area. Minimal calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Fusiform dilatation of the thoracic aorta, pericardial effusion. Pure calcified solid lesion at the level of the aorticopulmonary window (calcified lymph node?). Hiatal hernia. Right lung parenchymal nodules. Bilateral peribronchial thickenings and mild bronchiectatic changes. Bilateral renal cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_883/valid_883_a/valid_883_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2082",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. The cardiothoracic index increased in favor of the heart. Mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung and mosaic attenuation in the lower lobes of both lungs are observed (small airway disease? small vessel disease?). In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the abdominal sections, hypodense compatible with hepatosteatosis is also observed in the liver that enters the examination section. First of all, it was evaluated as slightly hyperdense appearing faintly limited areas in the left lobe medial segment in the neighborhood of the portal vein or compatible with the adjacent parenchyma. No lytic destructive lesion was detected in the bones. Impression:  Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung, and mosaic attenuation in the lower lobes of both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_884/valid_884_a/valid_884_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2083",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. The cardiothoracic index increased in favor of the heart. Mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung and mosaic attenuation in the lower lobes of both lungs are observed (small airway disease? small vessel disease?). In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the abdominal sections, hypodense compatible with hepatosteatosis is also observed in the liver that enters the examination section. First of all, it was evaluated as slightly hyperdense appearing faintly limited areas in the left lobe medial segment in the neighborhood of the portal vein or compatible with the adjacent parenchyma. No lytic destructive lesion was detected in the bones. Impression:  Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung, and mosaic attenuation in the lower lobes of both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_884/valid_884_a/valid_884_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2084",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. The cardiothoracic index increased in favor of the heart. Mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung and mosaic attenuation in the lower lobes of both lungs are observed (small airway disease? small vessel disease?). In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the abdominal sections, hypodense compatible with hepatosteatosis is also observed in the liver that enters the examination section. First of all, it was evaluated as slightly hyperdense appearing faintly limited areas in the left lobe medial segment in the neighborhood of the portal vein or compatible with the adjacent parenchyma. No lytic destructive lesion was detected in the bones. Impression:  Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung, and mosaic attenuation in the lower lobes of both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_884/valid_884_a/valid_884_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_2085",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. The cardiothoracic index increased in favor of the heart. Mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung and mosaic attenuation in the lower lobes of both lungs are observed (small airway disease? small vessel disease?). In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the abdominal sections, hypodense compatible with hepatosteatosis is also observed in the liver that enters the examination section. First of all, it was evaluated as slightly hyperdense appearing faintly limited areas in the left lobe medial segment in the neighborhood of the portal vein or compatible with the adjacent parenchyma. No lytic destructive lesion was detected in the bones. Impression:  Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung, and mosaic attenuation in the lower lobes of both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_884/valid_884_a/valid_884_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_2086",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. The cardiothoracic index increased in favor of the heart. Mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung and mosaic attenuation in the lower lobes of both lungs are observed (small airway disease? small vessel disease?). In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the abdominal sections, hypodense compatible with hepatosteatosis is also observed in the liver that enters the examination section. First of all, it was evaluated as slightly hyperdense appearing faintly limited areas in the left lobe medial segment in the neighborhood of the portal vein or compatible with the adjacent parenchyma. No lytic destructive lesion was detected in the bones. Impression:  Subsegmental atelectasis in the posterobasal segments of the lower lobes of both lungs and the lingula of the left lung, and mosaic attenuation in the lower lobes of both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_884/valid_884_a/valid_884_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_2087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortic pulmonary lymph nodes smaller than 1 cm are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; A non-specific nodule with a diameter of 2-3 mm is observed in the superior segment of the left lung lower lobe, and it was also present in previous examinations. It is stable. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Hepatostetaosis is present in the liver included in the examination area. In the localization of the upper pole of the spleen, there is a nodular structure compatible with the accessory spleen with a diameter of 18 mm. No significant pathology was detected in other abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  Cardiothoracic index increased in favor of the heart.  Stable nodules with a non-specific appearance, 2-3 mm in diameter, in the superior segment of the left lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_884/valid_884_b/valid_884_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2088",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortic pulmonary lymph nodes smaller than 1 cm are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; A non-specific nodule with a diameter of 2-3 mm is observed in the superior segment of the left lung lower lobe, and it was also present in previous examinations. It is stable. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Hepatostetaosis is present in the liver included in the examination area. In the localization of the upper pole of the spleen, there is a nodular structure compatible with the accessory spleen with a diameter of 18 mm. No significant pathology was detected in other abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  Cardiothoracic index increased in favor of the heart.  Stable nodules with a non-specific appearance, 2-3 mm in diameter, in the superior segment of the left lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_884/valid_884_b/valid_884_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2089",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Examination is suboptimal because of respiratory artifacts. Trachea, both main bronchi are open. Heart sizes have increased globally. Pericardial effusion up to 9 mm was observed. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes were observed in the paratracheal area, prevascular area, and subcarinal area, the largest of which was 18x11mm in the upper paratracheal area. When the lung parenchyma window is examined; mosaic attenuation is present in both lungs (secondary to small airway disease?). Peribronchial thickness increase in both lung lower lobes and consolidation areas including air bronchogram in right lung lower lobe were observed. Pleural effusion-thickening was not detected. A few lymph nodes, the largest of which is 15x11mm in size, were observed at the level of the celiac axis included in the sections. There are calculi in the gallbladder. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mosaic attenuation in both lungs (secondary to small airway disease?).  Peribronchial thickenings in the lower lobes of both lungs and areas of consolidation with air bronchogram in the lower lobe of the right lung.  Cholelithiasis. LAPs in the mediastinal and celiac axis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_885/valid_885_a/valid_885_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2090",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Examination is suboptimal because of respiratory artifacts. Trachea, both main bronchi are open. Heart sizes have increased globally. Pericardial effusion up to 9 mm was observed. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes were observed in the paratracheal area, prevascular area, and subcarinal area, the largest of which was 18x11mm in the upper paratracheal area. When the lung parenchyma window is examined; mosaic attenuation is present in both lungs (secondary to small airway disease?). Peribronchial thickness increase in both lung lower lobes and consolidation areas including air bronchogram in right lung lower lobe were observed. Pleural effusion-thickening was not detected. A few lymph nodes, the largest of which is 15x11mm in size, were observed at the level of the celiac axis included in the sections. There are calculi in the gallbladder. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mosaic attenuation in both lungs (secondary to small airway disease?).  Peribronchial thickenings in the lower lobes of both lungs and areas of consolidation with air bronchogram in the lower lobe of the right lung.  Cholelithiasis. LAPs in the mediastinal and celiac axis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_885/valid_885_a/valid_885_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2091",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In both lung parenchyma, multiple nodules, the largest of which are 7.5 mm in the mediobasal region in the left lower lobe, and 5.5 mm in the right lower lobe anterior adjacent to the major fissure, are observed. In the upper abdominal organs included in the sections, a stone density of 1.5 mm in size is observed in the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pulmonary nodules in bilateral lungs  Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_886/valid_886_a/valid_886_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2092",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In both lung parenchyma, multiple nodules, the largest of which are 7.5 mm in the mediobasal region in the left lower lobe, and 5.5 mm in the right lower lobe anterior adjacent to the major fissure, are observed. In the upper abdominal organs included in the sections, a stone density of 1.5 mm in size is observed in the right kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Pulmonary nodules in bilateral lungs  Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_886/valid_886_a/valid_886_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2093",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: There is an 8 mm diameter hypodense nodule in the right lobe of the thyroid gland. The cardiothoracic ratio increased in favor of the heart. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 39 mm and increased. There are several lymphadenopathies in the mediastinum and bilateral hilar regions, the largest of which is 14 mm in diameter in the right paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickness increase is observed. There is a 9 cm thick pleural effusion in the right hemithorax and 6 cm in the left hemithorax. Compression atelectasis and ground glass areas are observed adjacent to the effusion. There are occasional increases in interlobular septal thickness in both lungs (secondary to cardiac stasis?). Linear atelectasis areas are observed in both lungs. No mass was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is a 1.5 cm diameter hyperdense stone in the gallbladder lumen. Several lymph nodes, the largest of which are 1 cm in diameter, are observed in the periportal, paracaval area. There are cerclage suture materials in the sternum. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Cardiomegaly, increased diameter of the ascending aorta.  Bilateral pleural effusion, compression atelectasis adjacent to the effusion, and nonspecific ground glass areas.  Interlobular septal thickness increases in both lungs (secondary to cardiac stasis?).  Mediastinal and periportal-paracaval lymph nodes.  Cholelithiasis.  Millimetric hypodense nodule in the thyroid gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_887/valid_887_a/valid_887_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2094",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There is an 8 mm diameter hypodense nodule in the right lobe of the thyroid gland. The cardiothoracic ratio increased in favor of the heart. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 39 mm and increased. There are several lymphadenopathies in the mediastinum and bilateral hilar regions, the largest of which is 14 mm in diameter in the right paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickness increase is observed. There is a 9 cm thick pleural effusion in the right hemithorax and 6 cm in the left hemithorax. Compression atelectasis and ground glass areas are observed adjacent to the effusion. There are occasional increases in interlobular septal thickness in both lungs (secondary to cardiac stasis?). Linear atelectasis areas are observed in both lungs. No mass was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is a 1.5 cm diameter hyperdense stone in the gallbladder lumen. Several lymph nodes, the largest of which are 1 cm in diameter, are observed in the periportal, paracaval area. There are cerclage suture materials in the sternum. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Cardiomegaly, increased diameter of the ascending aorta.  Bilateral pleural effusion, compression atelectasis adjacent to the effusion, and nonspecific ground glass areas.  Interlobular septal thickness increases in both lungs (secondary to cardiac stasis?).  Mediastinal and periportal-paracaval lymph nodes.  Cholelithiasis.  Millimetric hypodense nodule in the thyroid gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_887/valid_887_a/valid_887_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2095",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. A few millimetric plaques of calcific atheroma are observed in the aortic arch and coronary arteries. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Atelectasis changes in the left lung upper lobe inferior lingula are observed with a slightly patchy ground-glass density. Covid-19 is atypical in terms of viral pneumonia. Clinical lab cor. recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: In the left lung upper lobe inferior lingula, atelectatic changes and a slightly patchy ground-glass density are observed. Covid-19 is atypical in terms of viral pneumonia. Clinical lab cor. recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_888/valid_888_a/valid_888_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. A few millimetric plaques of calcific atheroma are observed in the aortic arch and coronary arteries. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Atelectasis changes in the left lung upper lobe inferior lingula are observed with a slightly patchy ground-glass density. Covid-19 is atypical in terms of viral pneumonia. Clinical lab cor. recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: In the left lung upper lobe inferior lingula, atelectatic changes and a slightly patchy ground-glass density are observed. Covid-19 is atypical in terms of viral pneumonia. Clinical lab cor. recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_888/valid_888_a/valid_888_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2097",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was observed in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hiatal hernia  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_889/valid_889_a/valid_889_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2098",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was observed in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hiatal hernia  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_889/valid_889_a/valid_889_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2099",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis areas are observed in both lungs. Several nodules with a diameter of 3.5 mm are observed in both lungs, the largest of which is in the lateral segment of the right lung middle lobe. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was detected in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Sequelae atelectatic changes in both lungs  A few millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_890/valid_890_a/valid_890_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2100",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis areas are observed in both lungs. Several nodules with a diameter of 3.5 mm are observed in both lungs, the largest of which is in the lateral segment of the right lung middle lobe. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was detected in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Sequelae atelectatic changes in both lungs  A few millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_890/valid_890_a/valid_890_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are atelectasis in the middle and lower lobes of the right lung and the lingular segment of the left lung upper lobe. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Minimal emphysematous changes in both lungs.  Atelectasis in both lungs . Atherosclerotic changes in coronary arteries . Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_891/valid_891_a/valid_891_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_892/valid_892_a/valid_892_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are normal. Pericardial, pleural effusion or thickness increase was not observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; In the current examination of both lungs, newly developed multilobar, mostly peripherally located, indistinct limited consolidation and density increases in ground glass density are observed, and the findings were primarily evaluated as secondary to viral pneumonias. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. As far as can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. free fluid, no loculated collection is observed. No lymph node was detected in pathological size and appearance. There are expansile lytic bone lesions in the left 4th and 6th ribs. Apart from this, lytic-sclerotic bone lesions were also observed in other bone structures. It is compatible with multiple myeloma in its clinical preliminary diagnosis. Impression:  Expansile lytic lesions on the left 4th and 6th ribs and multiple lytic-sclerotic lesions in other bone structures within the image; It is compatible with multiple myeloma indicated in the clinical preliminary diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_893/valid_893_a/valid_893_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2104",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are normal. Pericardial, pleural effusion or thickness increase was not observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; In the current examination of both lungs, newly developed multilobar, mostly peripherally located, indistinct limited consolidation and density increases in ground glass density are observed, and the findings were primarily evaluated as secondary to viral pneumonias. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. As far as can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. free fluid, no loculated collection is observed. No lymph node was detected in pathological size and appearance. There are expansile lytic bone lesions in the left 4th and 6th ribs. Apart from this, lytic-sclerotic bone lesions were also observed in other bone structures. It is compatible with multiple myeloma in its clinical preliminary diagnosis. Impression:  Expansile lytic lesions on the left 4th and 6th ribs and multiple lytic-sclerotic lesions in other bone structures within the image; It is compatible with multiple myeloma indicated in the clinical preliminary diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_893/valid_893_a/valid_893_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2105",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A 3.6x5x5 tracheal diverticulum was observed in the right posterolateral aspect of the upper part of the trachea. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm and above normal. Other mediastinal vascular structures are subject to calibration. Heart contour, size is normal. A smear-like effusion was observed in the pericardial space. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse pleuroparenchymal fibrotic recessions were observed in the upper lobe of the right lung. In both lungs; Paraseptal emphysematous changes were observed in the upper lobe of the right lung, which were more widespread and paraacinar in appearance. Subpleural striations, interlobular septal thickenings and micro-retractions in the pleura were observed in both lungs (early stage interstitial lung disease?). Nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Impression: Fusiform aneurysmatic dilatation in the ascending aorta . Pericardial effusion, calcific atheromatous plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Tracheal diverticulum . Paraseptal emphysematous changes in both lungs . Findings that may be compatible with early stage interstitial lung disease in both lungs . Nonspecific parenchymal lung disease in both lungs nodules . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_894/valid_894_a/valid_894_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: A 3.6x5x5 tracheal diverticulum was observed in the right posterolateral aspect of the upper part of the trachea. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm and above normal. Other mediastinal vascular structures are subject to calibration. Heart contour, size is normal. A smear-like effusion was observed in the pericardial space. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse pleuroparenchymal fibrotic recessions were observed in the upper lobe of the right lung. In both lungs; Paraseptal emphysematous changes were observed in the upper lobe of the right lung, which were more widespread and paraacinar in appearance. Subpleural striations, interlobular septal thickenings and micro-retractions in the pleura were observed in both lungs (early stage interstitial lung disease?). Nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Impression: Fusiform aneurysmatic dilatation in the ascending aorta . Pericardial effusion, calcific atheromatous plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Tracheal diverticulum . Paraseptal emphysematous changes in both lungs . Findings that may be compatible with early stage interstitial lung disease in both lungs . Nonspecific parenchymal lung disease in both lungs nodules . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_894/valid_894_a/valid_894_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2107",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, in both axillae and mediastinum in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart size increased. Left ventricular diameter increased. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is in normal calibration. Sliding type hiatal hernia is present. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Aeration differences are observed in the upper lobe posterior segment and lower lobes. No suspicious space-occupying lesion in mass or nodular structure was observed. A few nonspecific millimetric nodules less than 3 mm in diameter are observed in the lung parenchyma. In the gastric mucosa, rugae effacement and mild diffuse smooth wall thickness increase, which may be in favor of chronic gastritis, are observed. Endoscopy examination is recommended. In the upper abdominal sections; A nodular lesion with a diameter of 1 cm, which cannot be characterized by this examination, is observed in the corpus of the left adrenal gland. No lytic-destructive lesions were detected in bone structures. Impression:  Increase in heart size and left ventricular diameter.  Suspicious radiological findings in favor of chronic pangastritis. Endoscopic examination is recommended.  Uncharacterized millimetric nodular lesion in the left adrenal gland.  Nonspecific millimetric nodules in both lungs.  Aeration differences in lung parenchyma  Sliding type hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_895/valid_895_a/valid_895_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, in both axillae and mediastinum in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart size increased. Left ventricular diameter increased. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is in normal calibration. Sliding type hiatal hernia is present. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Aeration differences are observed in the upper lobe posterior segment and lower lobes. No suspicious space-occupying lesion in mass or nodular structure was observed. A few nonspecific millimetric nodules less than 3 mm in diameter are observed in the lung parenchyma. In the gastric mucosa, rugae effacement and mild diffuse smooth wall thickness increase, which may be in favor of chronic gastritis, are observed. Endoscopy examination is recommended. In the upper abdominal sections; A nodular lesion with a diameter of 1 cm, which cannot be characterized by this examination, is observed in the corpus of the left adrenal gland. No lytic-destructive lesions were detected in bone structures. Impression:  Increase in heart size and left ventricular diameter.  Suspicious radiological findings in favor of chronic pangastritis. Endoscopic examination is recommended.  Uncharacterized millimetric nodular lesion in the left adrenal gland.  Nonspecific millimetric nodules in both lungs.  Aeration differences in lung parenchyma  Sliding type hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_895/valid_895_a/valid_895_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2109",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; a few millimetric nonspecific subpleural nodules are observed in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. The gallbladder is operated. It was evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Several millimetric nonspecific subpleural nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_896/valid_896_a/valid_896_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; a few millimetric nonspecific subpleural nodules are observed in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. The gallbladder is operated. It was evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Several millimetric nonspecific subpleural nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_896/valid_896_a/valid_896_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2111",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are minimal prominences in interstitial signs in the upper lobes of both lungs. Mild emphysematous changes are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mild emphysematous changes in both lungs, mild interstitial markings at apical levels, millimetric non-specific nodular ground glass densities; minor airway disease small vessel disease? No obvious infectious process was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_897/valid_897_a/valid_897_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2112",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are minimal prominences in interstitial signs in the upper lobes of both lungs. Mild emphysematous changes are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mild emphysematous changes in both lungs, mild interstitial markings at apical levels, millimetric non-specific nodular ground glass densities; minor airway disease small vessel disease? No obvious infectious process was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_897/valid_897_a/valid_897_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2113",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A nonspecific parenchymal nodule with a diameter of 3 mm located subpleural was observed in the anterior segment of the right lung upper lobe. No mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric nonspecific parenchymal nodule in the right lung. CT findings indicating pneumonia are not available. (Note: CT may be negative early in COVID-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_898/valid_898_a/valid_898_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A nonspecific parenchymal nodule with a diameter of 3 mm located subpleural was observed in the anterior segment of the right lung upper lobe. No mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric nonspecific parenchymal nodule in the right lung. CT findings indicating pneumonia are not available. (Note: CT may be negative early in COVID-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_898/valid_898_a/valid_898_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2115",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral ground-glass areas are observed in the lower and upper lobes of both lungs and the middle lobe of the right lung. Findings are more prominent in the lower lobe of the lung. There are enlarged vascular structures in the ground glass areas. The described findings were evaluated primarily in favor of Covid-19 pneumonia during the pandemic process. No mass was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_898/valid_898_b/valid_898_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral ground-glass areas are observed in the lower and upper lobes of both lungs and the middle lobe of the right lung. Findings are more prominent in the lower lobe of the lung. There are enlarged vascular structures in the ground glass areas. The described findings were evaluated primarily in favor of Covid-19 pneumonia during the pandemic process. No mass was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_898/valid_898_b/valid_898_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2117",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Consolidation is observed in the apical segment and middle lobe of the right lung upper lobe, and there are cavitary lesions and bronchiectasis within the consolidated area in the apical segment. In addition, occasionally cystic bronchiectasis and thin-walled cavitary lesions were observed in other parts of both lungs. In addition, there are common budding tree appearances in both lungs, more prominently in the right lung. The described appearances are consistent with the diagnosis of tuberculosis stated in the clinical preliminary diagnosis. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are lymphadenopathies in the mediastinum and hilar regions. The largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter is 15 mm. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Findings evaluated in favor of tuberculosis in both lungs and mediastinum in the clinical pre-diagnosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_899/valid_899_a/valid_899_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Consolidation is observed in the apical segment and middle lobe of the right lung upper lobe, and there are cavitary lesions and bronchiectasis within the consolidated area in the apical segment. In addition, occasionally cystic bronchiectasis and thin-walled cavitary lesions were observed in other parts of both lungs. In addition, there are common budding tree appearances in both lungs, more prominently in the right lung. The described appearances are consistent with the diagnosis of tuberculosis stated in the clinical preliminary diagnosis. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are lymphadenopathies in the mediastinum and hilar regions. The largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter is 15 mm. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Findings evaluated in favor of tuberculosis in both lungs and mediastinum in the clinical pre-diagnosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_899/valid_899_a/valid_899_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2119",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are multiple lymph nodes in the mediastinal upper-lower paratracheal, subcarinal and right hilar areas, the largest of which measures 12 mm on the short axis, and the larger one shows calcification. When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in both lungs. There are pleuroparenchymal sequelae density increases in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta in the upper abdominal sections that entered the examination area. Postoperative changes in the stomach were observed. No lytic-destructive lesion was detected in bone structures. Impression:  Diffuse emphysematous changes in both lungs.  Postoperative changes in the stomach.  Atherosclerotic changes.  Mediastinal, some calcified lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_900/valid_900_a/valid_900_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are multiple lymph nodes in the mediastinal upper-lower paratracheal, subcarinal and right hilar areas, the largest of which measures 12 mm on the short axis, and the larger one shows calcification. When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in both lungs. There are pleuroparenchymal sequelae density increases in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral pleural thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta in the upper abdominal sections that entered the examination area. Postoperative changes in the stomach were observed. No lytic-destructive lesion was detected in bone structures. Impression:  Diffuse emphysematous changes in both lungs.  Postoperative changes in the stomach.  Atherosclerotic changes.  Mediastinal, some calcified lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_900/valid_900_a/valid_900_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2121",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_901/valid_901_a/valid_901_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2122",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_901/valid_901_a/valid_901_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2123",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. bilateral lower paratracheal, subcarinal lymph nodes with a short axis reaching 1 cm at the left lower paratracheal level were observed. A mass of approximately 11.5x5.5 cm in size, surrounding the lower lobe segmental bronchi at the central level and the lingular segment at the central level, sitting on the mediastinal pleura with its broad base extending along the left lung lower lobe lower lobe anteromediobasal and upper lobe inferior lingular segment. irregular, lobulated contoured lesion was observed. Ground glass densities and diffuse linear density increases were observed around the mass. Bronchoscopy and histopathological verification are recommended. Subsegmental atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segments. Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, there was no finding in favor of active infiltration - pneumonia in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A mass lesion located in the left infrahilar, extending along the lower lobe anteriomediobasal and upper lobe inferior lingular segment, sitting in the pericardium with its broad base, where the fatty planes between the pericardium and esophagus are erased; bronchoscopy and histopathological verification is recommended. No evidence of infection was detected in the lung parenchyma.  Nonspecific parenchymal nodules in both lungs. Linear subsegmental atelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_902/valid_902_a/valid_902_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2124",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. bilateral lower paratracheal, subcarinal lymph nodes with a short axis reaching 1 cm at the left lower paratracheal level were observed. A mass of approximately 11.5x5.5 cm in size, surrounding the lower lobe segmental bronchi at the central level and the lingular segment at the central level, sitting on the mediastinal pleura with its broad base extending along the left lung lower lobe lower lobe anteromediobasal and upper lobe inferior lingular segment. irregular, lobulated contoured lesion was observed. Ground glass densities and diffuse linear density increases were observed around the mass. Bronchoscopy and histopathological verification are recommended. Subsegmental atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segments. Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, there was no finding in favor of active infiltration - pneumonia in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A mass lesion located in the left infrahilar, extending along the lower lobe anteriomediobasal and upper lobe inferior lingular segment, sitting in the pericardium with its broad base, where the fatty planes between the pericardium and esophagus are erased; bronchoscopy and histopathological verification is recommended. No evidence of infection was detected in the lung parenchyma.  Nonspecific parenchymal nodules in both lungs. Linear subsegmental atelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_902/valid_902_a/valid_902_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2125",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart contour and size and the widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion or thickening was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_903/valid_903_a/valid_903_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2126",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. The heart was evaluated within normal limits. Pulmonary arteries are dilated. Prevascular, aorticopulmonary and paratracheal lymph nodes with a short diameter of 1 cm were observed in the mediastinum. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Millimetric non-specific nodules were observed in both lungs. Patchy ground glass densities observed in both lung bases may be due to transient atelectasis. Mosaic attenuation was noted in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Perihepatic, perisplenic and periintestinal diffuse free peritoneal fluid was observed in the abdomen. The gallbladder wall is minimally edematous. Atrophy was observed in both kidneys. Degenerative cortex irregularities and large schmorl nodules were observed in the vertebral plateaus. Bilateral nodular gynecomastia was observed. Impression: Dilatation of pulmonary arteries Millimetric non-specific nodules in both lungs Transient atelectasis in both lung bases? Mosaic attenuation of both lungs Ascites Atrophy of both kidneys Degenerative cortical irregularities and large schmorl nodules in vertebral plateaus Bilateral nodular gynecomastia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_904/valid_904_a/valid_904_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2127",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. The heart was evaluated within normal limits. Pulmonary arteries are dilated. Prevascular, aorticopulmonary and paratracheal lymph nodes with a short diameter of 1 cm were observed in the mediastinum. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Millimetric non-specific nodules were observed in both lungs. Patchy ground glass densities observed in both lung bases may be due to transient atelectasis. Mosaic attenuation was noted in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Perihepatic, perisplenic and periintestinal diffuse free peritoneal fluid was observed in the abdomen. The gallbladder wall is minimally edematous. Atrophy was observed in both kidneys. Degenerative cortex irregularities and large schmorl nodules were observed in the vertebral plateaus. Bilateral nodular gynecomastia was observed. Impression: Dilatation of pulmonary arteries Millimetric non-specific nodules in both lungs Transient atelectasis in both lung bases? Mosaic attenuation of both lungs Ascites Atrophy of both kidneys Degenerative cortical irregularities and large schmorl nodules in vertebral plateaus Bilateral nodular gynecomastia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_904/valid_904_a/valid_904_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Multiple kidney stones are observed in both kidneys included in the examination. No dilatation was detected in the collecting systems. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bilateral nephrolithiasis. No dilatation was detected in the collecting systems."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_905/valid_905_a/valid_905_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2129",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Multiple kidney stones are observed in both kidneys included in the examination. No dilatation was detected in the collecting systems. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bilateral nephrolithiasis. No dilatation was detected in the collecting systems."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_905/valid_905_a/valid_905_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2130",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Minimal sequelae changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_906/valid_906_a/valid_906_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Minimal sequelae changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_906/valid_906_a/valid_906_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2132",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. In the medial segment of the right lung middle lobe, band-like sequela fibrotic density increases were observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_906/valid_906_b/valid_906_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2133",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nodule in the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodule in the lower lobe of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_907/valid_907_a/valid_907_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2134",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are calcific sequelae changes in the upper lobes of both lungs, more prominent on the left, at the apex level. Emphysematous appearance and mosaic density differences are observed in the bilateral lung. Irregularly circumscribed ground-glass densities extending to the pleura are observed in the bilateral peribronchial areas. In both lungs, nodules with a diameter of 6 mm are observed in the posterobasal region of the left lower lobe. Subpleural air cysts are observed in the posterobasal lower lobe on the right. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the vertebrae in the bone structures in the study area. Impression:  Sequelae changes in lungs, mosaic density differences, emphysema and nonspecific nodules  Peribronchial and subpleural ground-glass densities with irregular borders in bilateral lungs, findings may belong to regressed pneumonia foci."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_908/valid_908_a/valid_908_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are calcific sequelae changes in the upper lobes of both lungs, more prominent on the left, at the apex level. Emphysematous appearance and mosaic density differences are observed in the bilateral lung. Irregularly circumscribed ground-glass densities extending to the pleura are observed in the bilateral peribronchial areas. In both lungs, nodules with a diameter of 6 mm are observed in the posterobasal region of the left lower lobe. Subpleural air cysts are observed in the posterobasal lower lobe on the right. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the vertebrae in the bone structures in the study area. Impression:  Sequelae changes in lungs, mosaic density differences, emphysema and nonspecific nodules  Peribronchial and subpleural ground-glass densities with irregular borders in bilateral lungs, findings may belong to regressed pneumonia foci."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_908/valid_908_a/valid_908_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2136",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the axilla, in the supraclavicular fossa, with pathological size and appearance that can be distinguished by non-contrast CT. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. The widths of the mediastinal main vascular structures are normal. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. There are parenchymal air trapping areas and parenchymal attenuation differences in the upper lobes of both lungs. Linear subsegmental atelectasis areas are observed in the lower lobe basal segments. No area of pneumonic consolidation or infiltration was detected in the lung parenchyma. No mass was detected. In the minor fissure of the right lung, focal fissure thickness increase is stable. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There is a diffuse decrease in the density of bone structures and trabecular prominence. Height loss is evident in T6, T9 and T12 vertebral bodies and cement is placed in the vertebral bodies. Impression:  Air trapping areas in the upper lobes in the lung parenchyma, linear atelectasis in the lower lobes; pneumonia was not detected.  There is an asymmetric slight increase in the size of the left kidney and an increase in the density of the perirenal adipose tissue. In the etiology of fever, urinary infection should be excluded because of these radiological findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_909/valid_909_a/valid_909_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2137",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the axilla, in the supraclavicular fossa, with pathological size and appearance that can be distinguished by non-contrast CT. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. The widths of the mediastinal main vascular structures are normal. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. There are parenchymal air trapping areas and parenchymal attenuation differences in the upper lobes of both lungs. Linear subsegmental atelectasis areas are observed in the lower lobe basal segments. No area of pneumonic consolidation or infiltration was detected in the lung parenchyma. No mass was detected. In the minor fissure of the right lung, focal fissure thickness increase is stable. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There is a diffuse decrease in the density of bone structures and trabecular prominence. Height loss is evident in T6, T9 and T12 vertebral bodies and cement is placed in the vertebral bodies. Impression:  Air trapping areas in the upper lobes in the lung parenchyma, linear atelectasis in the lower lobes; pneumonia was not detected.  There is an asymmetric slight increase in the size of the left kidney and an increase in the density of the perirenal adipose tissue. In the etiology of fever, urinary infection should be excluded because of these radiological findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_909/valid_909_a/valid_909_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2138",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 37 mm. The diameters of the right and left pulmonary arteries were measured as 31 mm and 29 mm, respectively. Heart size increased. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; More diffuse emphysematous changes were observed in the upper lobes of both lungs on the right. Reticulonodular sequela fibrotic density increases were observed in the apex of the right lung upper lobe. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung upper lobe inferior lingular and both lung lower lobe basal segments. A nodular density increase of approximately 1 mm in diameter was observed in the posterobasal segment of the lower lobe of the left lung, and it was thought to be compatible with atelectasis. It is recommended to be evaluated together with previous examinations, if any. There was no finding in favor of pneumonia-mass in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric calculi images were observed in the gallbladder lumen. In both kidneys, nodular lesion areas with a fluid density of 5 cm in diameter, the largest on the left, were observed (cyst?). Extrarenal pelvis variation was observed in both kidneys. The pelvis is full on the left. Nodular thickening is observed in the left adrenal gland, lateral crus and corpus. Calcific atherosclerosis plates were inflamed in the middle and visceral branches of the abdomen. At the level of the thorax, scoliosis with the opening facing left and spur formations bridging with each other in the right anterolateral corner of the thoracic vertebral corpus were observed. Impression: Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, fusiform anverismatic dilatation in the thoracic aorta, cardiomegaly, increased diameter of both pulmonary arteries, diffuse calcific atheromatous plaques in the thoracic aorta and coronary arteries. Hiatal hernia. Emphysematous changes more diffuse on the right in both upper lobes of both lungs. Pleuroparenchymal fibroatelectatic change in the apical segment of the right lung upper lobe.  1 cm diameter subpleural nodular density increase (round atelectasis?) in the posterobasal segment of the left lung lower lobe. Cholelithiasis.  Cortical hypodense nodular lesions (cyst?) in both kidneys. Nodular thickening of left adrenal gland lateral crus and corpus.  Scoliosis with the opening facing left at the thoracic level and spur formations bridging each other in the right anterolateral corner of the vertebral corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_910/valid_910_a/valid_910_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 37 mm. The diameters of the right and left pulmonary arteries were measured as 31 mm and 29 mm, respectively. Heart size increased. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; More diffuse emphysematous changes were observed in the upper lobes of both lungs on the right. Reticulonodular sequela fibrotic density increases were observed in the apex of the right lung upper lobe. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung upper lobe inferior lingular and both lung lower lobe basal segments. A nodular density increase of approximately 1 mm in diameter was observed in the posterobasal segment of the lower lobe of the left lung, and it was thought to be compatible with atelectasis. It is recommended to be evaluated together with previous examinations, if any. There was no finding in favor of pneumonia-mass in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric calculi images were observed in the gallbladder lumen. In both kidneys, nodular lesion areas with a fluid density of 5 cm in diameter, the largest on the left, were observed (cyst?). Extrarenal pelvis variation was observed in both kidneys. The pelvis is full on the left. Nodular thickening is observed in the left adrenal gland, lateral crus and corpus. Calcific atherosclerosis plates were inflamed in the middle and visceral branches of the abdomen. At the level of the thorax, scoliosis with the opening facing left and spur formations bridging with each other in the right anterolateral corner of the thoracic vertebral corpus were observed. Impression: Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, fusiform anverismatic dilatation in the thoracic aorta, cardiomegaly, increased diameter of both pulmonary arteries, diffuse calcific atheromatous plaques in the thoracic aorta and coronary arteries. Hiatal hernia. Emphysematous changes more diffuse on the right in both upper lobes of both lungs. Pleuroparenchymal fibroatelectatic change in the apical segment of the right lung upper lobe.  1 cm diameter subpleural nodular density increase (round atelectasis?) in the posterobasal segment of the left lung lower lobe. Cholelithiasis.  Cortical hypodense nodular lesions (cyst?) in both kidneys. Nodular thickening of left adrenal gland lateral crus and corpus.  Scoliosis with the opening facing left at the thoracic level and spur formations bridging each other in the right anterolateral corner of the vertebral corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_910/valid_910_a/valid_910_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2140",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; centriacinar nodular diffuse light ground glass densities are observed in both lung parenchyma. It is atypical in terms of early viral pneumonia. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Centriacinar nodular diffuse light ground glass densities are observed in both lung parenchyma. It is atypical for early viral pneumonia. Clinical laboratory correlation is recommended for small airway disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_911/valid_911_a/valid_911_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; centriacinar nodular diffuse light ground glass densities are observed in both lung parenchyma. It is atypical in terms of early viral pneumonia. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Centriacinar nodular diffuse light ground glass densities are observed in both lung parenchyma. It is atypical for early viral pneumonia. Clinical laboratory correlation is recommended for small airway disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_911/valid_911_a/valid_911_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2142",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_912/valid_912_a/valid_912_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_912/valid_912_a/valid_912_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2144",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild small amount of centrilobular emphysema is observed. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_913/valid_913_a/valid_913_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2145",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild small amount of centrilobular emphysema is observed. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_913/valid_913_a/valid_913_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a 2 mm diameter subpleural nodule in the right lung upper lobe anterior segment lateral subpleural area and a 2 mm diameter subpleural nodule in the middle lobe. Focal pleural thickening is observed at the posterobasal level of the lower lobe of the right lung. Pleural thickening is observed in the lower lobe superior segment. Pleuroparenchymal sequelae changes are observed in the lingular segment. There are pleuroparenchymal sequelae changes at the posterobasal level in the left lung. There is mild irregularity and thickening of the pleura in the lower lobe of the left lung. Pneumonia or pleural effusion, pneumothorax were not detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Hemangioma appearance is present in D4 vertebra. No lytic-destructive lesions were detected in bone structures. Impression:  No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_914/valid_914_a/valid_914_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2147",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a 2 mm diameter subpleural nodule in the right lung upper lobe anterior segment lateral subpleural area and a 2 mm diameter subpleural nodule in the middle lobe. Focal pleural thickening is observed at the posterobasal level of the lower lobe of the right lung. Pleural thickening is observed in the lower lobe superior segment. Pleuroparenchymal sequelae changes are observed in the lingular segment. There are pleuroparenchymal sequelae changes at the posterobasal level in the left lung. There is mild irregularity and thickening of the pleura in the lower lobe of the left lung. Pneumonia or pleural effusion, pneumothorax were not detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Hemangioma appearance is present in D4 vertebra. No lytic-destructive lesions were detected in bone structures. Impression:  No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_914/valid_914_a/valid_914_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2148",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. There is a secondary triangle-shaped density in the thymic reminate in the anterior mediastinum. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No mass nodule infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_915/valid_915_a/valid_915_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2149",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. There is a secondary triangle-shaped density in the thymic reminate in the anterior mediastinum. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No mass nodule infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_915/valid_915_a/valid_915_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2150",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A subpleural millimetric nodule is observed in series 2 image 320 at the junction level of the anteromedial lateral segment in the left lung lower lobe lateral. Subpleural millimetric irregularity is observed at the right apical level. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric nodule that does not differ significantly at the junction of the left lung lower lobe anteromedial lateral segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_915/valid_915_b/valid_915_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A subpleural millimetric nodule is observed in series 2 image 320 at the junction level of the anteromedial lateral segment in the left lung lower lobe lateral. Subpleural millimetric irregularity is observed at the right apical level. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric nodule that does not differ significantly at the junction of the left lung lower lobe anteromedial lateral segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_915/valid_915_b/valid_915_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is a millimetric nonspecific nodule in the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_915/valid_915_c/valid_915_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is a millimetric nonspecific nodule in the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_915/valid_915_c/valid_915_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2154",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are sequelae changes in both lung parenchyma and centriacinar nodular opacities in the bud tree bud in the right lung upper lobe anterior and lower lobe superiority, and nodular consolidation areas and ground glass densities are observed in the upper lobe anterior. findings were primarily evaluated as secondary to pneumonic infiltration. Follow-up is recommended after treatment. Pleural effusion-thickening was not detected. No pathology was detected in the upper abdominal sections included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area. Impression: There are sequelae changes in both lung parenchyma and right lung upper lobe anterior, bud tree-like centriacinar nodular opacities in the right lung upper lobe anterior, and nodular consolidation areas and ground glass densities in the upper lobe anterior are observed. The findings were primarily evaluated as secondary to pneumonic infiltration. Post-treatment follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_916/valid_916_a/valid_916_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2155",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are sequelae changes in both lung parenchyma and centriacinar nodular opacities in the bud tree bud in the right lung upper lobe anterior and lower lobe superiority, and nodular consolidation areas and ground glass densities are observed in the upper lobe anterior. findings were primarily evaluated as secondary to pneumonic infiltration. Follow-up is recommended after treatment. Pleural effusion-thickening was not detected. No pathology was detected in the upper abdominal sections included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area. Impression: There are sequelae changes in both lung parenchyma and right lung upper lobe anterior, bud tree-like centriacinar nodular opacities in the right lung upper lobe anterior, and nodular consolidation areas and ground glass densities in the upper lobe anterior are observed. The findings were primarily evaluated as secondary to pneumonic infiltration. Post-treatment follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_916/valid_916_a/valid_916_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2156",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the apical segment of the upper lobe of the right lung, there are centracinar nodules, some of which have the appearance of budding trees. In addition, there are similar appearances in a small area in the right lung lower lobe superior segment. Apart from these, nodule-nodular consolidations are observed in the right lung upper lobe apical segment and lower lobe superior segment. The findings described in the patient with a preliminary diagnosis of tuberculosis are compatible with the diagnosis of tuberculosis. There are millimetric nonspecific nodules in both lungs. No mass was detected in both lungs. No pleural or pericardial effusion was observed. There is no intraabdominal free fluid collection. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_916/valid_916_b/valid_916_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2157",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the apical segment of the upper lobe of the right lung, there are centracinar nodules, some of which have the appearance of budding trees. In addition, there are similar appearances in a small area in the right lung lower lobe superior segment. Apart from these, nodule-nodular consolidations are observed in the right lung upper lobe apical segment and lower lobe superior segment. The findings described in the patient with a preliminary diagnosis of tuberculosis are compatible with the diagnosis of tuberculosis. There are millimetric nonspecific nodules in both lungs. No mass was detected in both lungs. No pleural or pericardial effusion was observed. There is no intraabdominal free fluid collection. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_916/valid_916_b/valid_916_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2158",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi are in the midline and no obstructive pathology is detected in the lumen. In the apical segment of the upper lobe of the right lung, there are centriacinar nodules, some of which have the appearance of budding trees. In addition, similar appearances were observed in a small area in the right lung lower lobe superior segment. Nodular consolidation areas are observed in the right lung upper lobe apical segment and lower lobe superior segment. There are millimetric nonspecific nodules in both lungs. No mass lesion with distinguishable borders was detected in both lungs. Pericardial-pleural effusion was not observed. No intraabdominal free fluid-collection was detected. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_916/valid_916_c/valid_916_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2159",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi are in the midline and no obstructive pathology is detected in the lumen. In the apical segment of the upper lobe of the right lung, there are centriacinar nodules, some of which have the appearance of budding trees. In addition, similar appearances were observed in a small area in the right lung lower lobe superior segment. Nodular consolidation areas are observed in the right lung upper lobe apical segment and lower lobe superior segment. There are millimetric nonspecific nodules in both lungs. No mass lesion with distinguishable borders was detected in both lungs. Pericardial-pleural effusion was not observed. No intraabdominal free fluid-collection was detected. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_916/valid_916_c/valid_916_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. In the evaluation of the lung parenchyma, parenchymal findings in the right lung lower lobe superior segment and subpleural and parenchymal ground glass opacity in the left lung lower lobe, which were evaluated in favor of atypical pneumonic infiltration, were observed. Radiological findings were evaluated as compatible with Covid 19 pneumonia. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Atypical pneumonic infiltration in both lung lower lobes. Radiological findings are consistent with Covid 19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_917/valid_917_a/valid_917_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. In the evaluation of the lung parenchyma, parenchymal findings in the right lung lower lobe superior segment and subpleural and parenchymal ground glass opacity in the left lung lower lobe, which were evaluated in favor of atypical pneumonic infiltration, were observed. Radiological findings were evaluated as compatible with Covid 19 pneumonia. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Atypical pneumonic infiltration in both lung lower lobes. Radiological findings are consistent with Covid 19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_917/valid_917_a/valid_917_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2162",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heterogeneous hypoechoic appearance was observed in the anterior mediastinum and it was evaluated primarily in favor of thymus tissue. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; A thin-walled air cyst with lobulated contour is observed in the superior segment of the lower lobe of the right lung. There are a few millimetric nonspecific nodules in both lung parenchyma. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression:  There is no finding in favor of pneumonic infiltration in both lungs. There are thin-walled air cysts in the superior segment of the lower lobe of the right lung, and a few millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_918/valid_918_a/valid_918_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2163",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heterogeneous hypoechoic appearance was observed in the anterior mediastinum and it was evaluated primarily in favor of thymus tissue. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; A thin-walled air cyst with lobulated contour is observed in the superior segment of the lower lobe of the right lung. There are a few millimetric nonspecific nodules in both lung parenchyma. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression:  There is no finding in favor of pneumonic infiltration in both lungs. There are thin-walled air cysts in the superior segment of the lower lobe of the right lung, and a few millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_918/valid_918_a/valid_918_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2164",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No pathological increase in wall thickness was observed in the thoracic esophagus. Trachea, both main bronchi are open and no occlusive pathology is detected. The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast. Calibration of the vascular structures and heart contour size are normal as far as can be observed. Pericardial, pleural effusion was not detected. No lymph node was observed in the mediastinum, supraclavicular fossa and both axillary regions in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration, mass or nodular lesion was detected in both lungs. There are sequela parenchymal changes in the posterobasal segment of both lung lower lobes. A mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease?, small vessel disease?). No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  No active infiltration, mass or nodular lesion was observed in both lungs.  Sequelae parenchymal changes and mosaic attenuation pattern in both lung lower lobe posterobasal segments (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_919/valid_919_a/valid_919_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2165",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No pathological increase in wall thickness was observed in the thoracic esophagus. Trachea, both main bronchi are open and no occlusive pathology is detected. The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast. Calibration of the vascular structures and heart contour size are normal as far as can be observed. Pericardial, pleural effusion was not detected. No lymph node was observed in the mediastinum, supraclavicular fossa and both axillary regions in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration, mass or nodular lesion was detected in both lungs. There are sequela parenchymal changes in the posterobasal segment of both lung lower lobes. A mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease?, small vessel disease?). No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures in the study area. Impression:  No active infiltration, mass or nodular lesion was observed in both lungs.  Sequelae parenchymal changes and mosaic attenuation pattern in both lung lower lobe posterobasal segments (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_919/valid_919_a/valid_919_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2166",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Calcific atheroma plaques are observed on the wall of the coronary vascular structures. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There are lymph nodes in the mediastinum, the largest of which reaches 10 mm in diameter at the subcarinal level. When examined in the lung parenchyma window; Multilobar, indistinct borders, mostly peripheral subpleural localized areas of increased density in ground glass were observed in both lungs, and Covid-19 pneumonia is considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved. Impression:  Findings consistent with viral pneumonia in both lungs.  Mediastinal lymph nodes.  Calcified atheromatous plaques in the wall of coronary vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_920/valid_920_a/valid_920_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2167",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Calcific atheroma plaques are observed on the wall of the coronary vascular structures. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There are lymph nodes in the mediastinum, the largest of which reaches 10 mm in diameter at the subcarinal level. When examined in the lung parenchyma window; Multilobar, indistinct borders, mostly peripheral subpleural localized areas of increased density in ground glass were observed in both lungs, and Covid-19 pneumonia is considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved. Impression:  Findings consistent with viral pneumonia in both lungs.  Mediastinal lymph nodes.  Calcified atheromatous plaques in the wall of coronary vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_920/valid_920_a/valid_920_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Atherosclerotic changes are observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are small lymph nodes measuring 12 mm in the carina with more than one feature in the mediastinum. There is an 11 mm calcific lymph node posterior to the right pulmonary artery and posterior to the right main bronchial structure. When examined in the lung parenchyma window; Centrilobular emphysematous changes are observed at the apical levels in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Fatty degeneration is observed in the pancreas. Degenerative height losses are observed in Dh11 vertebral body and L1 vertebral body. Diffuse density reduction in bone structures and hemangiomatous appearances in vertebral corpuscles are present. Impression:  Emphysematous changes at the apical levels of both lungs.  Some calcific lymph nodes in the mediastinium.  Fatty degeneration of the pancreas.2  Atherosclerosis.  Diffuse degenerative changes in bone structures, decrease in density, degenerative height losses in some vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_921/valid_921_a/valid_921_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2169",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Atherosclerotic changes are observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are small lymph nodes measuring 12 mm in the carina with more than one feature in the mediastinum. There is an 11 mm calcific lymph node posterior to the right pulmonary artery and posterior to the right main bronchial structure. When examined in the lung parenchyma window; Centrilobular emphysematous changes are observed at the apical levels in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Fatty degeneration is observed in the pancreas. Degenerative height losses are observed in Dh11 vertebral body and L1 vertebral body. Diffuse density reduction in bone structures and hemangiomatous appearances in vertebral corpuscles are present. Impression:  Emphysematous changes at the apical levels of both lungs.  Some calcific lymph nodes in the mediastinium.  Fatty degeneration of the pancreas.2  Atherosclerosis.  Diffuse degenerative changes in bone structures, decrease in density, degenerative height losses in some vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_921/valid_921_a/valid_921_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_922/valid_922_a/valid_922_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2171",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_922/valid_922_a/valid_922_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Ground glass areas are observed in the peripheral area of the right lung lower lobe superior segment. Within these ground glass areas are enlarged vascular structures. The appearances of the described lesions are of the type frequently encountered in Covid-19 pneumonia. It is recommended that the patient be evaluated together with the laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. No mass or filling defect compatible with thrombus was detected within the heart cavities. Mediastinal main vascular structures are normal. No filling defect compatible with embolism was detected in the pulmonary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated primarily in favor of viral pneumonia in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_923/valid_923_a/valid_923_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2173",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Ground glass areas are observed in the peripheral area of the right lung lower lobe superior segment. Within these ground glass areas are enlarged vascular structures. The appearances of the described lesions are of the type frequently encountered in Covid-19 pneumonia. It is recommended that the patient be evaluated together with the laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion or thickening was detected. No mass or filling defect compatible with thrombus was detected within the heart cavities. Mediastinal main vascular structures are normal. No filling defect compatible with embolism was detected in the pulmonary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated primarily in favor of viral pneumonia in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_923/valid_923_a/valid_923_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Wide patchy ground-glass consolidations were observed in both lungs, which were multilobar, multisegmental, extending from the central to the periphery, forming a crazy paving pattern. There are areas of consolidation in which air bronchograms are observed in the superior and basal segments of both lung lower lobes. The outlook may be compatible with Covid-19 pneumonia and ARDS. It is recommended to be evaluated together with clinical and laboratory. Linear subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. Upper abdominal organs are normal as far as can be seen in the sections. Two accessory spleens with a diameter of 13.5 mm were observed inferior to the splenic hilum. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings in the lung parenchyma that may be compatible with Covid-19 pneumonia and ARDS; it is recommended to be evaluated together with the clinic and laboratory. Linear subsegmental atelectatic changes in the right lung middle lobe, left lung inferior lingular and both lung lower lobe basal segments."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_924/valid_924_a/valid_924_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2175",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Wide patchy ground-glass consolidations were observed in both lungs, which were multilobar, multisegmental, extending from the central to the periphery, forming a crazy paving pattern. There are areas of consolidation in which air bronchograms are observed in the superior and basal segments of both lung lower lobes. The outlook may be compatible with Covid-19 pneumonia and ARDS. It is recommended to be evaluated together with clinical and laboratory. Linear subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. Upper abdominal organs are normal as far as can be seen in the sections. Two accessory spleens with a diameter of 13.5 mm were observed inferior to the splenic hilum. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings in the lung parenchyma that may be compatible with Covid-19 pneumonia and ARDS; it is recommended to be evaluated together with the clinic and laboratory. Linear subsegmental atelectatic changes in the right lung middle lobe, left lung inferior lingular and both lung lower lobe basal segments."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_924/valid_924_a/valid_924_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2176",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, a multilobar, multisegmental, central-peripheral localized nodular consolidation area with crazy paving pattern and ground glass areas around it showing signs of vascular enlargement was observed. The described appearance is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory. No mass lesion with distinguishable borders was detected in both lungs. A hypodense lesion with lobulated contours of 22x16 mm was observed in segment 7 at the level of the liver dome. One millimeter-sized hypodense lesions were also observed in segment 2 and segment 5 of the liver. They could not be characterized in the non-contrast examination (cyst?). In case of clinical necessity, further examination with MRI is recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure in the examination area. Mild scoliosis with left opening was observed at the thoracic level. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Hypodense lesions with lobulated contours in segment 7, 2 and 5 of the liver, the largest in segment 7; they could not be characterized in the non-contrast examination (cyst?). In case of clinical necessity, further examination with upper MRI is recommended.  Minimal scoliosis with left-facing opening at the thoracic level, minimal osteodegenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_925/valid_925_a/valid_925_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2177",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, a multilobar, multisegmental, central-peripheral localized nodular consolidation area with crazy paving pattern and ground glass areas around it showing signs of vascular enlargement was observed. The described appearance is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory. No mass lesion with distinguishable borders was detected in both lungs. A hypodense lesion with lobulated contours of 22x16 mm was observed in segment 7 at the level of the liver dome. One millimeter-sized hypodense lesions were also observed in segment 2 and segment 5 of the liver. They could not be characterized in the non-contrast examination (cyst?). In case of clinical necessity, further examination with MRI is recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure in the examination area. Mild scoliosis with left opening was observed at the thoracic level. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Hypodense lesions with lobulated contours in segment 7, 2 and 5 of the liver, the largest in segment 7; they could not be characterized in the non-contrast examination (cyst?). In case of clinical necessity, further examination with upper MRI is recommended.  Minimal scoliosis with left-facing opening at the thoracic level, minimal osteodegenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_925/valid_925_a/valid_925_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2178",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few millimetric nodules with a short axis not exceeding 1 cm were observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibrotic density is observed in the left lung lingula. There are calcific atheroma plaques in the coronary arteries. A few nodules up to 5 mm in diameter were observed in both lungs, the larger of which was located in the major fissure in the anterior lower lobe. In the upper abdominal organs, including sections; A stone density of 20 mm in size was observed in the gallbladder. There are hypodense lesions in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Millimetric osteophytes are observed in the vertebrae. Impression:  Coronary atherosclerosis.  Cholelithiasis.  Bilateral renal hypodense lesions (cyst?).  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_926/valid_926_a/valid_926_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few millimetric nodules with a short axis not exceeding 1 cm were observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibrotic density is observed in the left lung lingula. There are calcific atheroma plaques in the coronary arteries. A few nodules up to 5 mm in diameter were observed in both lungs, the larger of which was located in the major fissure in the anterior lower lobe. In the upper abdominal organs, including sections; A stone density of 20 mm in size was observed in the gallbladder. There are hypodense lesions in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Millimetric osteophytes are observed in the vertebrae. Impression:  Coronary atherosclerosis.  Cholelithiasis.  Bilateral renal hypodense lesions (cyst?).  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_926/valid_926_a/valid_926_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2180",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Pleural effusion is observed on the left. The left lung is total atelectatic. It was learned that the patient was followed up for pulmonary Ca. However, an appearance that can be evaluated in favor of a mass in the left lung due to atelectasis was not detected in this examination. There is minimal pleural effusion on the right. No pleural thickening was detected. Heart contour and size are normal. There is no pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. It is understood that the patient underwent coronary bypass surgery. There are lymphadenopathies in the mediastinum and hilar regions. The largest of the lymphadenopathies is observed in the paratracheal region and is approximately 30x25 mm in size. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric multiple nodules in the right lung. The largest of these nodules is observed in the lower lobe of the lung and its longest diameter is approximately 5 mm. There is no mass or infiltrative lesion in the right lung. No upper abdominal free fluid-collection was detected in the sections. Lymphadenopathies are observed in the upper abdomen. The shortest diameter of the largest of these lymphadenopathies measured approximately 13 mm. No fracture or lytic-destructive lesion was detected in the bone structures within the sections. Impression:  Lung Ca, left pleural effusion, left total atelectasis, mediastinal and hilar lymphadenopathies, intraabdominal lymphadenopathies in follow-up.  Minimal pleural effusion on the right.  Millimetric nodules in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_927/valid_927_a/valid_927_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2181",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Pleural effusion is observed on the left. The left lung is total atelectatic. It was learned that the patient was followed up for pulmonary Ca. However, an appearance that can be evaluated in favor of a mass in the left lung due to atelectasis was not detected in this examination. There is minimal pleural effusion on the right. No pleural thickening was detected. Heart contour and size are normal. There is no pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. It is understood that the patient underwent coronary bypass surgery. There are lymphadenopathies in the mediastinum and hilar regions. The largest of the lymphadenopathies is observed in the paratracheal region and is approximately 30x25 mm in size. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric multiple nodules in the right lung. The largest of these nodules is observed in the lower lobe of the lung and its longest diameter is approximately 5 mm. There is no mass or infiltrative lesion in the right lung. No upper abdominal free fluid-collection was detected in the sections. Lymphadenopathies are observed in the upper abdomen. The shortest diameter of the largest of these lymphadenopathies measured approximately 13 mm. No fracture or lytic-destructive lesion was detected in the bone structures within the sections. Impression:  Lung Ca, left pleural effusion, left total atelectasis, mediastinal and hilar lymphadenopathies, intraabdominal lymphadenopathies in follow-up.  Minimal pleural effusion on the right.  Millimetric nodules in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_927/valid_927_a/valid_927_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2182",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal peribronchial thickening is observed in both lungs. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the left circumflex coronary artery. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Minimal peribronchial thickening in both lungs. Minimal emphysematous changes in both lungs. Millimetric nodules in both lungs. Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_928/valid_928_a/valid_928_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal peribronchial thickening is observed in both lungs. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the left circumflex coronary artery. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Minimal peribronchial thickening in both lungs. Minimal emphysematous changes in both lungs. Millimetric nodules in both lungs. Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_928/valid_928_a/valid_928_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2184",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A large hypodense nodular lesion filling the left thyroid lobe was observed. US control is recommended. In the mediastinal upper-lower paratracheal subcarinal area, some calcified lymph nodes with a short axis smaller than 7 mm were observed. Minimal calcified atherosclerotic changes were observed in the coronary artery wall. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. When both lungs are evaluated in the parenchyma window; Emphysematous changes are observed in both lungs. There are minimal peribronchial thickenings in both lungs. Ground-glass-like density increases were observed in the peripheral subpleural area in the upper and lower lobes of both lungs. The view described includes the commonly seen imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. There is no mass or infiltrative lesion in both lungs. Bilateral pleural thickening-effusion was not detected. Within the sections, no mass with discernible borders was detected in the upper abdominal organs as far as it can be observed within the borders of non-contrast CT. Osteophytes were observed in the vertebral corpus corners of the bone structures. Impression: There are imaging features frequently reported for Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended.  Minimal emphysematous changes in both lungs, peribronchial thickenings, millimeter-sized nonspecific parenchymal nodules in both lungs. Mild thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_928/valid_928_b/valid_928_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2185",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A large hypodense nodular lesion filling the left thyroid lobe was observed. US control is recommended. In the mediastinal upper-lower paratracheal subcarinal area, some calcified lymph nodes with a short axis smaller than 7 mm were observed. Minimal calcified atherosclerotic changes were observed in the coronary artery wall. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. When both lungs are evaluated in the parenchyma window; Emphysematous changes are observed in both lungs. There are minimal peribronchial thickenings in both lungs. Ground-glass-like density increases were observed in the peripheral subpleural area in the upper and lower lobes of both lungs. The view described includes the commonly seen imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. There is no mass or infiltrative lesion in both lungs. Bilateral pleural thickening-effusion was not detected. Within the sections, no mass with discernible borders was detected in the upper abdominal organs as far as it can be observed within the borders of non-contrast CT. Osteophytes were observed in the vertebral corpus corners of the bone structures. Impression: There are imaging features frequently reported for Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended.  Minimal emphysematous changes in both lungs, peribronchial thickenings, millimeter-sized nonspecific parenchymal nodules in both lungs. Mild thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_928/valid_928_b/valid_928_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2186",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Heart size has increased (cardiomegaly). Pericardial thickening-effusion was not detected. The ascending aorta measures 38 mm in diameter and shows slight dilatation. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Fibroatelectasis changes were observed in the left lung inferior lingular segment. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area, consistent with mild adiposity. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Cardiomegaly. Slight fusiform dilation of the thoracic aorta. Sequelae changes in left lung. Mosaic attenuation pattern in both lungs. Emphysematous changes in both lungs. Nonspecific parenchymal nodules in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_929/valid_929_a/valid_929_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2187",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Heart size has increased (cardiomegaly). Pericardial thickening-effusion was not detected. The ascending aorta measures 38 mm in diameter and shows slight dilatation. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Fibroatelectasis changes were observed in the left lung inferior lingular segment. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area, consistent with mild adiposity. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Cardiomegaly. Slight fusiform dilation of the thoracic aorta. Sequelae changes in left lung. Mosaic attenuation pattern in both lungs. Emphysematous changes in both lungs. Nonspecific parenchymal nodules in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_929/valid_929_a/valid_929_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2188",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Millimetric calcific plaques are observed in the aortic arch, ascending and descending aorta. Millimetric calcific lymph nodes are observed in the left hilar localization. There are also calcific plaques in the coronary arteries. The heart and mediastinal vascular structures have a natural appearance. A smear-like effusion is observed in both hemithorax. In the evaluation of both lung parenchyma; Dependent density increases are observed in the posterior sections of both upper lobes of the lungs. In addition, there are central acinar and paraseptal emphysematous areas in the upper lobes of both lungs. In the middle lobe of the right lung, a focal ground-glass area with fissure-based nonspecific appearance is observed. In addition, mild peribronchial thickening is observed in the lower lobes of both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the non-contrast examination, no obvious pathology was detected in the abdominal sections. Impression:  More pronounced dependency increases posteriorly in the upper lobes of both lungs  More prominent central acinar emphysematous areas in the upper lobes  More pronounced bilateral effusion in the left bilateral effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_930/valid_930_a/valid_930_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2189",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Millimetric calcific plaques are observed in the aortic arch, ascending and descending aorta. Millimetric calcific lymph nodes are observed in the left hilar localization. There are also calcific plaques in the coronary arteries. The heart and mediastinal vascular structures have a natural appearance. A smear-like effusion is observed in both hemithorax. In the evaluation of both lung parenchyma; Dependent density increases are observed in the posterior sections of both upper lobes of the lungs. In addition, there are central acinar and paraseptal emphysematous areas in the upper lobes of both lungs. In the middle lobe of the right lung, a focal ground-glass area with fissure-based nonspecific appearance is observed. In addition, mild peribronchial thickening is observed in the lower lobes of both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the non-contrast examination, no obvious pathology was detected in the abdominal sections. Impression:  More pronounced dependency increases posteriorly in the upper lobes of both lungs  More prominent central acinar emphysematous areas in the upper lobes  More pronounced bilateral effusion in the left bilateral effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_930/valid_930_a/valid_930_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2190",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. No mass-infiltration was detected in both lung parenchyma. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Sequelae changes in both lungs. No signs of pneumonia were detected. (NOTE: CT may be negative in the early stage of Covid-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_931/valid_931_a/valid_931_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. No mass-infiltration was detected in both lung parenchyma. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Sequelae changes in both lungs. No signs of pneumonia were detected. (NOTE: CT may be negative in the early stage of Covid-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_931/valid_931_a/valid_931_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2192",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the left lung upper lobe inferior lingula. Covid-19 is atypical in terms of viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild atelectatic changes in the left lung upper lobe inferior lingula are atypical for covid-19 viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_931/valid_931_b/valid_931_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2193",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the left lung upper lobe inferior lingula. Covid-19 is atypical in terms of viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild atelectatic changes in the left lung upper lobe inferior lingula are atypical for covid-19 viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_931/valid_931_b/valid_931_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2194",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is focal ground-glass-like density refinement at the mediobasal level of the lower lobe of the right lung. In the lower lobe superior segment, a partially calcific 2 mm diameter nodule is observed in the dorsal subpleural area. Peripheral faint ground-glass-like density increases are present in the superior segment of the left lung lower lobe. Pleural effusion and pneumothorax were not detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression:  Mild but peripherally localized faint ground-glass-like density increases at the level of the lower lobes of both lungs. In the pandemic process, the findings may be compatible with early Covid pneumonia. Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_932/valid_932_a/valid_932_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is focal ground-glass-like density refinement at the mediobasal level of the lower lobe of the right lung. In the lower lobe superior segment, a partially calcific 2 mm diameter nodule is observed in the dorsal subpleural area. Peripheral faint ground-glass-like density increases are present in the superior segment of the left lung lower lobe. Pleural effusion and pneumothorax were not detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Impression:  Mild but peripherally localized faint ground-glass-like density increases at the level of the lower lobes of both lungs. In the pandemic process, the findings may be compatible with early Covid pneumonia. Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_932/valid_932_a/valid_932_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2196",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: In the section, no lymph node in pathological size and appearance was observed in the axilla and supraclavicular fossa. Heart dimensions and compartments appear natural. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the mediastinum in pathological size and appearance. Pericardial effusion was not detected. There are calcified atheroma plaques in the coronary arteries. Esophageal calibration is natural. Sliding type mild hiatal hernia is present. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. A few nonspecific pulmonary nodules, the largest of which are 5.5 mm in diameter, are observed in the left lung lower lobe laterobasal segment. There is a bleb in the basal segment of the lower lobe of the right lung. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. In the upper abdomen sections, a cortical cyst with a diameter of 14 mm was observed in the right kidney. Calcified atheroma plaques were observed in the thoracic and abdominal aorta. No lytic-destructive lesion was detected in the bone structures including the section. Osteoporosis is present. Impression: Millimetrically sized nonspecific pulmonary nodules in both lungs . Calcified atheromatous plaques in the coronary arteries, thoracic and abdominal aorta . Millimetric cortical cyst in the right kidney . Slidin type mild hiatal hernia . Osteoporosis in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_933/valid_933_a/valid_933_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2197",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart sizes are natural. Calcific atheroma plaques are observed in the coronary arteries. Calibration of mediastinal major vascular structures is natural. Pericardial effusion was not observed. Normal calibration of the esophagus is observed. Sliding type hiatal hernia is observed. When examined in the lung parenchyma window; No area of pneumonic infiltration or consolidation was detected. A slight increase in bronchial wall thickness is observed in segmental bronchi. There are mild endobronchiolar prominences in the upper lobes. In favor of respiratory bronchiolitis. Right lung lower lobe air cyst is observed. It is stable. However, in the current examination, centiracinar nodules and endobronchiolar prominence in favor of bronchiolitis observed in the lower lobe of both lungs and in the right middle lobe are new findings. It is not observed in the previous examination. It was evaluated in favor of infectious bronchiolitis. Clinical and laboratory correlation is recommended. No features were detected in the upper abdomen sections. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Stable millimetric nonspecific nodules in both lungs . Findings in favor of respiratory bronchiolitis are stable. Mild bronchial wall thickness increases in segment bronchi were also present in the previous examination.  In the current examination, central acinar nodules observed in the lower lobes were evaluated in favor of bronchiolitis. It is in favor of infectious bronchitis. Its correlation with clinic and laboratory is recommended.  Calcified atheroma plaques in coronary arteries . Sliding type hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_933/valid_933_b/valid_933_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2198",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart sizes are natural. Calcific atheroma plaques are observed in the coronary arteries. Calibration of mediastinal major vascular structures is natural. Pericardial effusion was not observed. Normal calibration of the esophagus is observed. Sliding type hiatal hernia is observed. When examined in the lung parenchyma window; No area of pneumonic infiltration or consolidation was detected. A slight increase in bronchial wall thickness is observed in segmental bronchi. There are mild endobronchiolar prominences in the upper lobes. In favor of respiratory bronchiolitis. Right lung lower lobe air cyst is observed. It is stable. However, in the current examination, centiracinar nodules and endobronchiolar prominence in favor of bronchiolitis observed in the lower lobe of both lungs and in the right middle lobe are new findings. It is not observed in the previous examination. It was evaluated in favor of infectious bronchiolitis. Clinical and laboratory correlation is recommended. No features were detected in the upper abdomen sections. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Stable millimetric nonspecific nodules in both lungs . Findings in favor of respiratory bronchiolitis are stable. Mild bronchial wall thickness increases in segment bronchi were also present in the previous examination.  In the current examination, central acinar nodules observed in the lower lobes were evaluated in favor of bronchiolitis. It is in favor of infectious bronchitis. Its correlation with clinic and laboratory is recommended.  Calcified atheroma plaques in coronary arteries . Sliding type hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_933/valid_933_b/valid_933_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2199",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour and size are natural. Pericardial effusion-thickening was not observed. Upper-lower paratracheal, prevascular millimetric lymph nodes were observed. No lymph node was detected in mediastinal pathological size and appearance. Thoracic esophageal calibration was normal, and no significant pathological wall thickening was detected in the margins of non-contrast examination. When examined in the lung parenchyma window; Minimal bronchiectatic changes were observed in both lungs, which became prominent in the center. A nonspecific pulmonary nodule with a diameter of 2 mm was observed in the middle lobe of the right lung. No mass-infiltration was detected in both lungs. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections that entered the examination area, a 2 cm diameter calculus was observed in the gallbladder lumen. A hypodense lesion of 1 cm in diameter with exophytic location was observed in the upper pole of the right kidney. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Mild bronchiectatic changes in both lungs.  Millimetric-sized nonspecific pulmonary nodule in the middle lobe of the right lung.  Cholelithiasis. Hypodense lesion in the upper pole of the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_934/valid_934_a/valid_934_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour and size are natural. Pericardial effusion-thickening was not observed. Upper-lower paratracheal, prevascular millimetric lymph nodes were observed. No lymph node was detected in mediastinal pathological size and appearance. Thoracic esophageal calibration was normal, and no significant pathological wall thickening was detected in the margins of non-contrast examination. When examined in the lung parenchyma window; Minimal bronchiectatic changes were observed in both lungs, which became prominent in the center. A nonspecific pulmonary nodule with a diameter of 2 mm was observed in the middle lobe of the right lung. No mass-infiltration was detected in both lungs. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections that entered the examination area, a 2 cm diameter calculus was observed in the gallbladder lumen. A hypodense lesion of 1 cm in diameter with exophytic location was observed in the upper pole of the right kidney. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Mild bronchiectatic changes in both lungs.  Millimetric-sized nonspecific pulmonary nodule in the middle lobe of the right lung.  Cholelithiasis. Hypodense lesion in the upper pole of the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_934/valid_934_a/valid_934_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2201",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Patchy ground-glass consolidation areas are observed, which is more prominent in the lower lobes and posterobasal areas of both lungs. The outlook is consistent with typical-probable Covid-19 pneumonia. Millimetric-sized nonspecific and calcific millimetric nodules are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia. Evaluation with clinical and laboratory findings is recommended. ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_935/valid_935_a/valid_935_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2202",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Patchy ground-glass consolidation areas are observed, which is more prominent in the lower lobes and posterobasal areas of both lungs. The outlook is consistent with typical-probable Covid-19 pneumonia. Millimetric-sized nonspecific and calcific millimetric nodules are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia. Evaluation with clinical and laboratory findings is recommended. ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_935/valid_935_a/valid_935_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2203",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal pleuroparenchymal sequelae changes in both lung apexes. There are linear atelectasis in the right lung middle lobe and left lung upper lobe lingular segment. There are minimal emphysematous changes in both lungs. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There is a nodular lesion measuring approximately 20x16 mm in the anterior mediastinum. The described nodular lesion could not be characterized in this examination. This lesion may belong to a thymic mass. If present, the patient should be evaluated together with previous examinations and, if indicated, MRI is recommended. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Minimal emphysematous changes in both lungs . Minimal pleuroparenchymal sequelae changes in both lung apex.  Atelectasis in both lungs. Nodular lesion (thymic mass?) in anterior mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_936/valid_936_a/valid_936_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2204",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal pleuroparenchymal sequelae changes in both lung apexes. There are linear atelectasis in the right lung middle lobe and left lung upper lobe lingular segment. There are minimal emphysematous changes in both lungs. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There is a nodular lesion measuring approximately 20x16 mm in the anterior mediastinum. The described nodular lesion could not be characterized in this examination. This lesion may belong to a thymic mass. If present, the patient should be evaluated together with previous examinations and, if indicated, MRI is recommended. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Minimal emphysematous changes in both lungs . Minimal pleuroparenchymal sequelae changes in both lung apex.  Atelectasis in both lungs. Nodular lesion (thymic mass?) in anterior mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_936/valid_936_a/valid_936_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2205",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: A 21x15 mm nodular lesion was observed in the anterior mediastinum. The examination cannot be characterized as it lacks contrast. If available, it is recommended to be evaluated together with previous examinations and MRI examination. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Minimal emphysematous changes were observed in both lungs. In both lungs, diffuse peripheral subpleural ground-glass density increases in the lower lobes and basal segments and focal consolidations in the lower lobes were observed. Bilateral pleural thickening-effusion was not detected. Pleuroparenchymal sequelae density increases were observed in both lungs apical. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Degenerative changes were observed in bone structures. Impression: Diffuse ground-glass-like density increases and focal consolidations that become evident in the lower lobes and basal segments of both lungs. In the presence of a pandemic, radiological findings initially suggest Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Sequelae in both lungs changes, emphysematous changes.  Nodular lesion (mass?) in anterior mediastinum. MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_936/valid_936_b/valid_936_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2206",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs and especially in the lower lobe. There are ground glass areas and millimetric centriacinar nodules in the left lung lower lobe anteromediobasal segment. The described appearance was evaluated primarily in favor of infective pathology. There are nodular ground glass areas in the pleural area in the right lung middle lobe medial segment anterior section and left lung lower lobe laterobasal segment. The described appearances cannot be characterized in this examination. However, when evaluated together with other findings, it was thought to be compatible with infective pathology. There is a slightly irregularly circumscribed nodule measuring approximately 9.5 mm in diameter in the posterobasal segment of the lower lobe of the right lung. It is recommended to be evaluated together with previous examinations and followed closely, if any. An increase in linear density is observed in the posterobasal segment of the lower lobe of the right lung, and the sequelae were evaluated in favor of a change. There are appearances evaluated in favor of pleuropraranchymal sequelae changes in both lung apex. No mass was detected in both lungs. There are emphysematous changes in both lungs. It was observed in a few millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal bronchiectasis and minimal peribronchial thickening in the central part of both lungs, ground glass areas in the anteromediobasal segment in the left lung lower lobe and centracinar nodular (findings were evaluated in favor of infective pathology) . Nodular ground glass areas in the right lung middle lobe and subpleural area peripheral to the left lung lower lobe . Mild irregular limited nodule in the lower lobe of the right lung (if any, it is recommended to evaluate and follow up with previous examinations) .Millimetric nonspecific nodules in both lungs. Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_a/valid_937_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs and especially in the lower lobe. There are ground glass areas and millimetric centriacinar nodules in the left lung lower lobe anteromediobasal segment. The described appearance was evaluated primarily in favor of infective pathology. There are nodular ground glass areas in the pleural area in the right lung middle lobe medial segment anterior section and left lung lower lobe laterobasal segment. The described appearances cannot be characterized in this examination. However, when evaluated together with other findings, it was thought to be compatible with infective pathology. There is a slightly irregularly circumscribed nodule measuring approximately 9.5 mm in diameter in the posterobasal segment of the lower lobe of the right lung. It is recommended to be evaluated together with previous examinations and followed closely, if any. An increase in linear density is observed in the posterobasal segment of the lower lobe of the right lung, and the sequelae were evaluated in favor of a change. There are appearances evaluated in favor of pleuropraranchymal sequelae changes in both lung apex. No mass was detected in both lungs. There are emphysematous changes in both lungs. It was observed in a few millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal bronchiectasis and minimal peribronchial thickening in the central part of both lungs, ground glass areas in the anteromediobasal segment in the left lung lower lobe and centracinar nodular (findings were evaluated in favor of infective pathology) . Nodular ground glass areas in the right lung middle lobe and subpleural area peripheral to the left lung lower lobe . Mild irregular limited nodule in the lower lobe of the right lung (if any, it is recommended to evaluate and follow up with previous examinations) .Millimetric nonspecific nodules in both lungs. Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_a/valid_937_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2208",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  In his previous examination, there was bronchopneumonic infiltration in the posteromediobasal segment of the lower lobe of the left lung. In addition, an irregular bordered nodular consolidation area is observed in the basal segment of the lower lobe of the right lung. In his previous examination, subpleural ground-glass opacity areas are observed in the right lung middle lobe medial segment and left lung lower lobe laterobasal segment. In the current examination, the area of bronchopneumonic consolidation in the lower lobe of the left lung shows almost complete regression. It is located in the posterobasal segment as a light ground glass opacity. In the anterobasal segment of the lower lobe of the right lung, the irregular border nodular consolidation area has undergone complete resolution. Pleural ground-glass opacity areas in the right lung middle lobe medial segment and left lung lower lobe laterobasal segment are not fully regressed. Unlike in the current examination, there are faint ground glass areas located peripherally in the anterior segments of both lungs in the upper lobe, more prominent in the right, subpleural localized in the left lung upper lobe posterior segment and left lung lower lobe mediobasal segment. It is located peripherally. Etiologies such as hypersensitivity may be considered in the differential diagnosis, since old lesions are regressed and transient in follow-up imaging, and new lesions in different localizations are observed in new imaging. It can also be considered in the differential diagnosis in eosinophilic pathologies. Consolidation areas with non-massive semisolid appearance in the anterobasal and laterobasal segments of the lower lobe of the right lung are a new finding. Again, the presence of infection in this localization cannot be excluded. Correlation with clinic is recommended. Increases in pleuroparenchymal density in the upper lobe apical segments of both lungs are consistent with the change in sequelae. Thyroid gland sizes are natural. Its contours are smooth. Non-contrast examination; no lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and contours appear natural. Esophageal calibration was followed naturally. No lymph node was observed in pathological size and appearance in both axillae and subraclavicular fossa. Impression: In his previous examination, bronchopneumanic infiltration in the left lung lower lobe basal segment, pleural-based ground glass opacities in the right lung middle lobe and left lung lower lobe, and nodular consolidation in the right lung lower lobe antero basal segment, almost complete regression was observed in the current examination. Mild regression in the left lung lower lobe posterobasal segment The ground glass opacity persists. In the current examination, there are areas of ground glass opacity located in the upper lobe anterior segments of both lungs, prominent on the right, subpleural localized in the left lung upper lobe posterior segment and left lung lower lobe mediobasal segment. Also, approximately 2 cm in the right lung lower lobe anterobasal segment. Consolidated area with semisolid appearance is present in an area of 1 000. It is a new finding. Infectious etiologies cannot be excluded radiologically in the differential diagnosis. However, hypersensitivity or eosinophilic pathologies can be considered in the differential diagnosis because of the formation of new lesions in different localizations in follow-up imaging."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_b/valid_937_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2209",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  In his previous examination, there was bronchopneumonic infiltration in the posteromediobasal segment of the lower lobe of the left lung. In addition, an irregular bordered nodular consolidation area is observed in the basal segment of the lower lobe of the right lung. In his previous examination, subpleural ground-glass opacity areas are observed in the right lung middle lobe medial segment and left lung lower lobe laterobasal segment. In the current examination, the area of bronchopneumonic consolidation in the lower lobe of the left lung shows almost complete regression. It is located in the posterobasal segment as a light ground glass opacity. In the anterobasal segment of the lower lobe of the right lung, the irregular border nodular consolidation area has undergone complete resolution. Pleural ground-glass opacity areas in the right lung middle lobe medial segment and left lung lower lobe laterobasal segment are not fully regressed. Unlike in the current examination, there are faint ground glass areas located peripherally in the anterior segments of both lungs in the upper lobe, more prominent in the right, subpleural localized in the left lung upper lobe posterior segment and left lung lower lobe mediobasal segment. It is located peripherally. Etiologies such as hypersensitivity may be considered in the differential diagnosis, since old lesions are regressed and transient in follow-up imaging, and new lesions in different localizations are observed in new imaging. It can also be considered in the differential diagnosis in eosinophilic pathologies. Consolidation areas with non-massive semisolid appearance in the anterobasal and laterobasal segments of the lower lobe of the right lung are a new finding. Again, the presence of infection in this localization cannot be excluded. Correlation with clinic is recommended. Increases in pleuroparenchymal density in the upper lobe apical segments of both lungs are consistent with the change in sequelae. Thyroid gland sizes are natural. Its contours are smooth. Non-contrast examination; no lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and contours appear natural. Esophageal calibration was followed naturally. No lymph node was observed in pathological size and appearance in both axillae and subraclavicular fossa. Impression: In his previous examination, bronchopneumanic infiltration in the left lung lower lobe basal segment, pleural-based ground glass opacities in the right lung middle lobe and left lung lower lobe, and nodular consolidation in the right lung lower lobe antero basal segment, almost complete regression was observed in the current examination. Mild regression in the left lung lower lobe posterobasal segment The ground glass opacity persists. In the current examination, there are areas of ground glass opacity located in the upper lobe anterior segments of both lungs, prominent on the right, subpleural localized in the left lung upper lobe posterior segment and left lung lower lobe mediobasal segment. Also, approximately 2 cm in the right lung lower lobe anterobasal segment. Consolidated area with semisolid appearance is present in an area of 1 000. It is a new finding. Infectious etiologies cannot be excluded radiologically in the differential diagnosis. However, hypersensitivity or eosinophilic pathologies can be considered in the differential diagnosis because of the formation of new lesions in different localizations in follow-up imaging."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_b/valid_937_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2210",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Again, a consolidated area in semisolid appearance is observed in the anterior segment of the left lung upper lobe. The lesions described were newly revealed in the current review. Apart from this, mild regression was observed in the infiltration areas observed in the previous examination in both lung lower lobe posterobasal segments. Apart from this, no newly emerged pathology was detected in the current examination. No significant pathological changes were detected in other areas. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_c/valid_937_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Again, a consolidated area in semisolid appearance is observed in the anterior segment of the left lung upper lobe. The lesions described were newly revealed in the current review. Apart from this, mild regression was observed in the infiltration areas observed in the previous examination in both lung lower lobe posterobasal segments. Apart from this, no newly emerged pathology was detected in the current examination. No significant pathological changes were detected in other areas. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_c/valid_937_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2212",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch and other mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. In the evaluation of both lungs in the parenchyma window; tracheal calibration is normal. Bronchial caliber was increased in the lower zones of both lungs, consistent with mild bronchiectasis. There is a large pneumothorax in the left lung. It was not tracked in the previous review. There are sequelae changes at the apical level in both lungs. Focal ground-glass-like density increase in the posterior segment of the right lung upper lobe was not detected in the previous examination. Again, a ground-glass-like density increase observed at the central level in the upper lobe is not observed in the previous examination. In the posterior segment, a ground-glass-like density increase extending from the pleura to the central showed progression. There is also a progression in the ground-glass-like density increase observed in the medial segment of the middle lobe. There is a focal new ground glass-style density increase in the plant. Sequelae changes at the posterobasal level are also observed in the previous examination. There is a newly developed consolidation area with air bronchograms in the left lung upper lobe apicoposterior segment. There is a consolidation appearance, which is observed caudally in the anterior of the apicoposterior segment, in which there is a millimetric cavitation area associated with the bronchial tract. However, the outlook has acquired a more consolidative character. Focal ground-glass-like density increase in the lower lobe anteromediobasal segment is also observed in the previous examination. Surrounding soft tissue plans are natural. Local evaluation of bone structure is suboptimal due to motion artifacts. Impression:   Large area of pneumothorax in the left lung that was not observed in the previous examination . Ground-glass-like density increases in both lungs, some of which are understood to have developed recently . Consolidative area in the upper lobe apicoposterior segment of the left lung, which has a cavitation area associated with the bronchial structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_d/valid_937_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2213",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of the aortic arch and other mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. In the evaluation of both lungs in the parenchyma window; tracheal calibration is normal. Bronchial caliber was increased in the lower zones of both lungs, consistent with mild bronchiectasis. There is a large pneumothorax in the left lung. It was not tracked in the previous review. There are sequelae changes at the apical level in both lungs. Focal ground-glass-like density increase in the posterior segment of the right lung upper lobe was not detected in the previous examination. Again, a ground-glass-like density increase observed at the central level in the upper lobe is not observed in the previous examination. In the posterior segment, a ground-glass-like density increase extending from the pleura to the central showed progression. There is also a progression in the ground-glass-like density increase observed in the medial segment of the middle lobe. There is a focal new ground glass-style density increase in the plant. Sequelae changes at the posterobasal level are also observed in the previous examination. There is a newly developed consolidation area with air bronchograms in the left lung upper lobe apicoposterior segment. There is a consolidation appearance, which is observed caudally in the anterior of the apicoposterior segment, in which there is a millimetric cavitation area associated with the bronchial tract. However, the outlook has acquired a more consolidative character. Focal ground-glass-like density increase in the lower lobe anteromediobasal segment is also observed in the previous examination. Surrounding soft tissue plans are natural. Local evaluation of bone structure is suboptimal due to motion artifacts. Impression:   Large area of pneumothorax in the left lung that was not observed in the previous examination . Ground-glass-like density increases in both lungs, some of which are understood to have developed recently . Consolidative area in the upper lobe apicoposterior segment of the left lung, which has a cavitation area associated with the bronchial structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_d/valid_937_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2214",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO is normal. Mediastinal main vascular structures are normal. It can be observed at both hilar levels in non-contrast examination, and there is no significant lymph node. When examined in the lung parenchyma window; The appearance of a large pneumothorax in the left lung in the previous examination has regressed significantly in the current examination. It is observed only at the apical level. However, pneumothorax, which was not observed in the right lung in the previous examination, is selected in the neighborhood of the upper lobe of the right lung. Trachea calibration is natural. There is a slight prominence in bronchial calibration in the lower zones. The consolidative area observed at the apicoposterior level in the upper lobe of the left lung has been resorbed in the current examination and has a ground-glass appearance. Consolidative density, including air bronchograms caudal to the defined lesion area and associated with bronchial structures inferior to the defined area, including air bronchograms with a slightly cavitary appearance in the central area, is observed and has progressed according to the previous examination. In addition, there are consolidative areas in the upper lobes and the lower lobe superior segment of the left lung, which are sometimes associated with the bronchial tree, and ground glass-like density increases around it (septic pulmonary embolism?, pulmonary TB?, granulomatous diseases?), which are understood to have newly emerged in both lungs. It is recommended to evaluate the case together with clinical and laboratory findings. Bilateral significant pleural effusion was not detected. In the dorsal region, left-facing scoliosis is observed. Heterogeneity is observed in the lateral part of the 7th rib on the right. The sequelae were evaluated as compatible with the changes. Impression:   Pneumothorax appearance is present in both lungs. It has regressed significantly on the left. It appears to have developed newly on the right. It is recommended to evaluate the case together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_e/valid_937_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO is normal. Mediastinal main vascular structures are normal. It can be observed at both hilar levels in non-contrast examination, and there is no significant lymph node. When examined in the lung parenchyma window; The appearance of a large pneumothorax in the left lung in the previous examination has regressed significantly in the current examination. It is observed only at the apical level. However, pneumothorax, which was not observed in the right lung in the previous examination, is selected in the neighborhood of the upper lobe of the right lung. Trachea calibration is natural. There is a slight prominence in bronchial calibration in the lower zones. The consolidative area observed at the apicoposterior level in the upper lobe of the left lung has been resorbed in the current examination and has a ground-glass appearance. Consolidative density, including air bronchograms caudal to the defined lesion area and associated with bronchial structures inferior to the defined area, including air bronchograms with a slightly cavitary appearance in the central area, is observed and has progressed according to the previous examination. In addition, there are consolidative areas in the upper lobes and the lower lobe superior segment of the left lung, which are sometimes associated with the bronchial tree, and ground glass-like density increases around it (septic pulmonary embolism?, pulmonary TB?, granulomatous diseases?), which are understood to have newly emerged in both lungs. It is recommended to evaluate the case together with clinical and laboratory findings. Bilateral significant pleural effusion was not detected. In the dorsal region, left-facing scoliosis is observed. Heterogeneity is observed in the lateral part of the 7th rib on the right. The sequelae were evaluated as compatible with the changes. Impression:   Pneumothorax appearance is present in both lungs. It has regressed significantly on the left. It appears to have developed newly on the right. It is recommended to evaluate the case together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_e/valid_937_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2216",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Consolidations and ground glass areas are observed in the left lung upper lobe anterior and apicoposterior segment, left lung lower lobe superior segment and posterobasal segment, right lung lower lobe superior segment and middle lobe, and right lung upper lobe apical segment. In these localizations, bronchiectatic structures are observed within the consolidated areas. Centriacinar nodules are also observed in these localizations. The described appearances are consistent with the diagnosis of mycobacterial pneumonia indicated in the clinical preliminary diagnosis. However, it was observed that the findings increased minimally in this examination. No mass was detected in both lungs. There are minimal emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Millimetric atheroma plaque is observed in the left anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_f/valid_937_f_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Consolidations and ground glass areas are observed in the left lung upper lobe anterior and apicoposterior segment, left lung lower lobe superior segment and posterobasal segment, right lung lower lobe superior segment and middle lobe, and right lung upper lobe apical segment. In these localizations, bronchiectatic structures are observed within the consolidated areas. Centriacinar nodules are also observed in these localizations. The described appearances are consistent with the diagnosis of mycobacterial pneumonia indicated in the clinical preliminary diagnosis. However, it was observed that the findings increased minimally in this examination. No mass was detected in both lungs. There are minimal emphysematous changes in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Millimetric atheroma plaque is observed in the left anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_f/valid_937_f_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2218",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. In the patient who was followed up due to mycobacteria pneumonia; There is a decrease in the size and number of lymph nodes observed in the mediastinum. Trachea, both main bronchi are open. No pleural or pericardial effusion was observed. When examined in the lung parenchyma window; There is shrinkage in the consolidation areas observed in the anterior and apicoposterior segment of the left lung upper lobe, the left lung lower lobe superior segment and posterobasal segment, the right lung lower lobe superior segment, middle lobe and right lung upper lobe apical segments. An increase is observed in bronchiectasis observed in the described areas. Between the two examinations, there was a newly emerged consolidation and ground glass area in the anterior segment of the lower lobe of the right lung. It is accompanied by an air bronchogram. Findings consistent with paraseptal emphysema are observed in both lungs. Heart sizes are normal. No upper abdominal free or loculated fluid was observed in the sections. When the bone is examined in the window, an increase in thoracic kyphosis and prominent scoliosis with its opening to the left are observed. Impression: Pneumonia on follow-up, regression of consolidation-ground-glass areas observed in almost all lobes of both lungs in the previous examination, and an increase in bronchiectasis observed within the described areas. On current examination, newly emerged consolidation-ground-glass area in the anterior segment of the right lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_g/valid_937_g_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. In the patient who was followed up due to mycobacteria pneumonia; There is a decrease in the size and number of lymph nodes observed in the mediastinum. Trachea, both main bronchi are open. No pleural or pericardial effusion was observed. When examined in the lung parenchyma window; There is shrinkage in the consolidation areas observed in the anterior and apicoposterior segment of the left lung upper lobe, the left lung lower lobe superior segment and posterobasal segment, the right lung lower lobe superior segment, middle lobe and right lung upper lobe apical segments. An increase is observed in bronchiectasis observed in the described areas. Between the two examinations, there was a newly emerged consolidation and ground glass area in the anterior segment of the lower lobe of the right lung. It is accompanied by an air bronchogram. Findings consistent with paraseptal emphysema are observed in both lungs. Heart sizes are normal. No upper abdominal free or loculated fluid was observed in the sections. When the bone is examined in the window, an increase in thoracic kyphosis and prominent scoliosis with its opening to the left are observed. Impression: Pneumonia on follow-up, regression of consolidation-ground-glass areas observed in almost all lobes of both lungs in the previous examination, and an increase in bronchiectasis observed within the described areas. On current examination, newly emerged consolidation-ground-glass area in the anterior segment of the right lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_g/valid_937_g_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2220",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs. No obstructive pathology was detected in the bronchi in this examination. In both lungs, consolidations and ground-glass areas are observed around the bronchiectatic ducts, more prominently in the upper lobes. The described appearances are more prominent especially in the peripheral parts of the lung. It is understood that some consolidated areas in the right lung lower lobe superior segment and left lung upper lobe have just emerged. In addition, there are budding tree appearances in the right lung lower lobe superior segment and left lung lower lobe superior segment. The views described are not specific. It was learned that he was followed up due to tuberculosis. The described appearances are consistent with the diagnosis of tuberculosis stated in the clinical preliminary diagnosis. No mass was detected in both lungs. There are appearances of air density measuring 25 mm in the thickest part, with thin septums in the neighborhood of the upper lobes of both lungs. There are also similar appearances in the mediastinum. The described appearances were considered to be compatible with pneumothorax. Mediastinal air is also monitored. Mediastinal air appears to be particularly prominent in this examination. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. In the mediastinum and hilar regions, there are numerous lymph nodes with short diameters less than 1 cm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Consolidations and ground-glass areas around bronchiectasis and bronchiectasis in both lungs, budding tree appearance in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_h/valid_937_h_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2221",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening are observed in the central parts of both lungs. No obstructive pathology was detected in the bronchi in this examination. In both lungs, consolidations and ground-glass areas are observed around the bronchiectatic ducts, more prominently in the upper lobes. The described appearances are more prominent especially in the peripheral parts of the lung. It is understood that some consolidated areas in the right lung lower lobe superior segment and left lung upper lobe have just emerged. In addition, there are budding tree appearances in the right lung lower lobe superior segment and left lung lower lobe superior segment. The views described are not specific. It was learned that he was followed up due to tuberculosis. The described appearances are consistent with the diagnosis of tuberculosis stated in the clinical preliminary diagnosis. No mass was detected in both lungs. There are appearances of air density measuring 25 mm in the thickest part, with thin septums in the neighborhood of the upper lobes of both lungs. There are also similar appearances in the mediastinum. The described appearances were considered to be compatible with pneumothorax. Mediastinal air is also monitored. Mediastinal air appears to be particularly prominent in this examination. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. In the mediastinum and hilar regions, there are numerous lymph nodes with short diameters less than 1 cm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Consolidations and ground-glass areas around bronchiectasis and bronchiectasis in both lungs, budding tree appearance in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_937/valid_937_h/valid_937_h_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2222",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal emphysematous changes are observed in both lungs. There are sometimes linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal emphysematous changes in both lungs . Locally linear atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_938/valid_938_a/valid_938_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2223",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung middle lobe medial segment, there is a wide patchy consolidation area with a crazy paving pattern in which air bronchogram is observed, and a ground glass area around it. The consolidation defined due to the pandemic was initially evaluated in favor of Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Appearance compatible with Covid-19 pneumonia in the right lung middle lobe medial segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_939/valid_939_a/valid_939_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2224",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the right lung middle lobe medial segment, there is a wide patchy consolidation area with a crazy paving pattern in which air bronchogram is observed, and a ground glass area around it. The consolidation defined due to the pandemic was initially evaluated in favor of Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Appearance compatible with Covid-19 pneumonia in the right lung middle lobe medial segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_939/valid_939_a/valid_939_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2225",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and as far as can be observed; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta was 42 mm and showed fusiform dilatation. The diameter of the main pulmonary artery was 33 mm and increased. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Minimal effusion is observed in the anterior pericardial area. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. Mediastinal millimetric lymph nodes are observed. No lymph node was detected in pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal density increases are observed, which is compatible with sequelae, which causes mild structural distortion with calcification in the upper lobes of both lungs. Micronodular opacities and accompanying ground glass density increases are observed at the level of the left lung upper lobe lingular segments and lower lobe. In addition, several millimeter-sized ground-glass nodules are observed in the upper lobe of the right lung. the described findings were initially evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended. Bilateral peribronchial thickenings are observed. A free pleural effusion measuring 1 cm in thickness is observed on the left. Bilateral pleural thickening was not detected. In the upper abdominal sections in the study area; Several calculi in different localizations are observed in the right kidney. 1 cm in diameter hypodense lesion is observed in the middle zone (cyst?). Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In bone structures; Thoracic kyphosis has increased. Tapering and osteophytic changes are observed in the vertebral corpus corners. No lytic-destructive lesion was detected. Impression: Fusiform dilatation of the ascending aorta. Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery.  Cardiomegaly, minimal pericardial effusion. Demicronodular opacities in the left lung and accompanying ground-glass density increases, ground-glass nodules in the right lung (the findings described were initially evaluated in favor of the infectious process). Clinical and laboratory correlation is recommended.  Locally calcified sequelae changes in both lungs. Right nephrolithiasis, right renal hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_940/valid_940_a/valid_940_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2226",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and as far as can be observed; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta was 42 mm and showed fusiform dilatation. The diameter of the main pulmonary artery was 33 mm and increased. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Minimal effusion is observed in the anterior pericardial area. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. Mediastinal millimetric lymph nodes are observed. No lymph node was detected in pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal density increases are observed, which is compatible with sequelae, which causes mild structural distortion with calcification in the upper lobes of both lungs. Micronodular opacities and accompanying ground glass density increases are observed at the level of the left lung upper lobe lingular segments and lower lobe. In addition, several millimeter-sized ground-glass nodules are observed in the upper lobe of the right lung. the described findings were initially evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended. Bilateral peribronchial thickenings are observed. A free pleural effusion measuring 1 cm in thickness is observed on the left. Bilateral pleural thickening was not detected. In the upper abdominal sections in the study area; Several calculi in different localizations are observed in the right kidney. 1 cm in diameter hypodense lesion is observed in the middle zone (cyst?). Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In bone structures; Thoracic kyphosis has increased. Tapering and osteophytic changes are observed in the vertebral corpus corners. No lytic-destructive lesion was detected. Impression: Fusiform dilatation of the ascending aorta. Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery.  Cardiomegaly, minimal pericardial effusion. Demicronodular opacities in the left lung and accompanying ground-glass density increases, ground-glass nodules in the right lung (the findings described were initially evaluated in favor of the infectious process). Clinical and laboratory correlation is recommended.  Locally calcified sequelae changes in both lungs. Right nephrolithiasis, right renal hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_940/valid_940_a/valid_940_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. A smear-like effusion was observed in the pericardial space. Pericardial thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration was detected in the lung parenchyma. As far as can be seen in the sections, a well-circumscribed hypodense lesion area of 30x25 mm was observed in the left paraaortic area, located retroperitoneally. It was understood from the previous examinations of the patient that he had a benign cyst with no solid component. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: \u00b7 Several millimetric nonspecific parenchymal nodules in both lungs. \u00b7 Placing pericardial effusion \u00b7 Benign natural cyst with no retroperitoneal solid component"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_941/valid_941_a/valid_941_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2228",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. A smear-like effusion was observed in the pericardial space. Pericardial thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration was detected in the lung parenchyma. As far as can be seen in the sections, a well-circumscribed hypodense lesion area of 30x25 mm was observed in the left paraaortic area, located retroperitoneally. It was understood from the previous examinations of the patient that he had a benign cyst with no solid component. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: \u00b7 Several millimetric nonspecific parenchymal nodules in both lungs. \u00b7 Placing pericardial effusion \u00b7 Benign natural cyst with no retroperitoneal solid component"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_941/valid_941_a/valid_941_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of the main vascular structures in the mediastinum is normal. Pericardial effusion-thickening was not observed. No pathologically sized and configured lymph nodes were detected in the mediastinum and both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. A 3 mm diameter nodule is observed in the right lung lower lobe laterobasal segment. There are focal ground-glass-like density increases in the right lung lower lobe superior segment. A 2 mm diameter nodule is observed at the laterobasal level in the left lung. There are subpleural 4 mm diameter nodules in the superior lower lobe and low density 3 mm diameter nodules anteriorly. A 2 mm diameter nodule is observed in the lateral subpleural area in the upper lobe apicoposterior segment. There was no finding compatible with pleural effusion or pneumothorax in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved Impression:  Focal ground-glass-style density increases in the right lung lower lobe superior segment. Although the appearance is atypical for Covid pneumonia, it is recommended to be evaluated together with clinical and laboratory during the pandemic process.  A few nonspecific nodule formations in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_942/valid_942_a/valid_942_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2230",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of the main vascular structures in the mediastinum is normal. Pericardial effusion-thickening was not observed. No pathologically sized and configured lymph nodes were detected in the mediastinum and both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. A 3 mm diameter nodule is observed in the right lung lower lobe laterobasal segment. There are focal ground-glass-like density increases in the right lung lower lobe superior segment. A 2 mm diameter nodule is observed at the laterobasal level in the left lung. There are subpleural 4 mm diameter nodules in the superior lower lobe and low density 3 mm diameter nodules anteriorly. A 2 mm diameter nodule is observed in the lateral subpleural area in the upper lobe apicoposterior segment. There was no finding compatible with pleural effusion or pneumothorax in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved Impression:  Focal ground-glass-style density increases in the right lung lower lobe superior segment. Although the appearance is atypical for Covid pneumonia, it is recommended to be evaluated together with clinical and laboratory during the pandemic process.  A few nonspecific nodule formations in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_942/valid_942_a/valid_942_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2231",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are several small short axis lymph nodes measuring 5 mm in the mediastinum. When examined in the lung parenchyma window; right lung upper lobe posteriors, right lung lower lobe superior posterior, patchy ground glass densities and consolidation areas in crazy paving pattern are observed. Clinical laboratory correlation and follow-up of the findings in terms of viral pneumonia is recommended. Hepatocetaosis is observed in the upper abdominal sections entering the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Diffuse density reduction in bone structures and hypertrophic osteophytic tapering in the end plates of the vertebral corpuscles are present. Impression: The findings described above were primarily evaluated for Covid-19 viral pneumonia. Clinical and laboratory correlation is recommended.  Hepatosteatosis.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the end plates of the vertebral corpuscles are present."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_943/valid_943_a/valid_943_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2232",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are several small short axis lymph nodes measuring 5 mm in the mediastinum. When examined in the lung parenchyma window; right lung upper lobe posteriors, right lung lower lobe superior posterior, patchy ground glass densities and consolidation areas in crazy paving pattern are observed. Clinical laboratory correlation and follow-up of the findings in terms of viral pneumonia is recommended. Hepatocetaosis is observed in the upper abdominal sections entering the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Diffuse density reduction in bone structures and hypertrophic osteophytic tapering in the end plates of the vertebral corpuscles are present. Impression: The findings described above were primarily evaluated for Covid-19 viral pneumonia. Clinical and laboratory correlation is recommended.  Hepatosteatosis.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the end plates of the vertebral corpuscles are present."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_943/valid_943_a/valid_943_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is 36 mm and is ectatic. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. When examined in the lung parenchyma window; Peripheral ground glass densities and consolidations are observed in both lung parenchyma. There are fibrotic densities in the lower lobes. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the vertebrae in the bone structures in the study area. Impression:  Findings consistent with Covid pneumonia in both lung parenchyma  Ectasia in the ascending aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_944/valid_944_a/valid_944_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2234",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is 36 mm and is ectatic. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. When examined in the lung parenchyma window; Peripheral ground glass densities and consolidations are observed in both lung parenchyma. There are fibrotic densities in the lower lobes. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the vertebrae in the bone structures in the study area. Impression:  Findings consistent with Covid pneumonia in both lung parenchyma  Ectasia in the ascending aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_944/valid_944_a/valid_944_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few ground glass nodules with diameters less than 5 mm were observed in the anterobasal-mediobasal segments of the right lung lower lobe and the left lung lower lobe superior segment. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric ground glass nodules in the right lung lower lobe anterobasal-mediobasal and left lung lower lobe superior segments; if present, it is recommended to evaluate and follow up with previous examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_945/valid_945_a/valid_945_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2236",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few ground glass nodules with diameters less than 5 mm were observed in the anterobasal-mediobasal segments of the right lung lower lobe and the left lung lower lobe superior segment. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric ground glass nodules in the right lung lower lobe anterobasal-mediobasal and left lung lower lobe superior segments; if present, it is recommended to evaluate and follow up with previous examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_945/valid_945_a/valid_945_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2237",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: In the anterior mediastinum, secondary triangle-shaped density is observed in the thymic remnant. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Ground glass densities with an air bronchogram are observed in the mediobasal, laterobasal and posterobasal segments of the right lung lower lobe. The lesion observed in the posterobasal segment became more prominent and increased in size. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesions were detected in bone structures. Conclusion. Although the involvement was unilateral, it was evaluated as significant for Covid-19 pneumonia. Clinical and laboratory examination is recommended. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_945/valid_945_b/valid_945_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2238",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: In the anterior mediastinum, secondary triangle-shaped density is observed in the thymic remnant. Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Ground glass densities with an air bronchogram are observed in the mediobasal, laterobasal and posterobasal segments of the right lung lower lobe. The lesion observed in the posterobasal segment became more prominent and increased in size. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesions were detected in bone structures. Conclusion. Although the involvement was unilateral, it was evaluated as significant for Covid-19 pneumonia. Clinical and laboratory examination is recommended. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_945/valid_945_b/valid_945_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2239",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Calcified atheroma plaques were observed in LAD. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Tubular bronchiectasis, which became prominent in the center of both lungs, was observed. Minimal sequela fibrotic recessions were observed in the posterior segment of the right lung upper lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Liver, gallbladder, spleen, pancreas and right adrenal gland are normal as far as can be seen on non-contrast images. Minimal thickening was observed in the lateral crus of the left adrenal gland. No stones were detected in both kidneys within the sections. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Tubular bronchiectasis prominent in the center of both lungs. Sequela fibroatelectasis in the posterior segment of the right lung upper lobe.  Minimal thickening of the lateral crus of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_946/valid_946_a/valid_946_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2240",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mixed type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; both lungs are multilobar, multisegmentary central-peripherally located crazy paving pattern and vascular enlargement, more patchy in the lower lobe basal segments, nodular ground glass consolidations are observed in the upper lobes. The outlook is consistent with Covid-19 pneumonia. It is recommended to evaluate together with clinical and laboratory evaluation. Detection of a mass lesion with distinguishable borders in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in the bone structures in the examination area. Vertebral corpus heights are preserved. Impression:  Mixed hiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_947/valid_947_a/valid_947_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mixed type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; both lungs are multilobar, multisegmentary central-peripherally located crazy paving pattern and vascular enlargement, more patchy in the lower lobe basal segments, nodular ground glass consolidations are observed in the upper lobes. The outlook is consistent with Covid-19 pneumonia. It is recommended to evaluate together with clinical and laboratory evaluation. Detection of a mass lesion with distinguishable borders in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal degenerative changes were observed in the bone structures in the examination area. Vertebral corpus heights are preserved. Impression:  Mixed hiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_947/valid_947_a/valid_947_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2242",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. Pulmonary trunk calibration is 32 mm. It is wider than normal. Right pulmonary artery calibration is normal. The right pulmonary artery is at the maximal physiological limit. Left pulmonary artery calibration is greater than normal at 29 mm. Arch aortic calibration is within the normal range. Millimetric-sized calcific atheroma plaques are observed in the descending and ascending aorta in the aortic arch, and in the coronary arteries. Several lymph nodes are observed in the upper paratracheal area, the largest of which is the short axis of 11 mm. No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; In the right lung, pleural effusion reaching 6 cm at its widest part extending from basal to apex and a thin atelectative lung segment adjacent to it are observed. There is also effusion at the level of the interlobar fissure on the right. Focal consolidative parenchyma areas are observed in the middle lobe on the right and the lingular segment on the left. There are faint ground-glass-like density increases in the upper lobe, middle lobe on the right, and at the level of the lower lobe, in the lower lobe on the left, and at the level of the lingular segment. A nodule with a diameter of approximately 5 mm is observed in the middle lobe of the right lung. Perihepatic and perisplenic effusions are present in the upper abdominal organs included in the sections. Degenerative changes are observed in the bone structures in the study area. Impression: Cardiomegaly, increased calibration in the main vascular structures in the mediastinum . Prominent pleural effusion on the right and a thin atelectatic lung segment adjacent . Clear ground glass densities in both lungs. The appearance is atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_948/valid_948_a/valid_948_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. Pulmonary trunk calibration is 32 mm. It is wider than normal. Right pulmonary artery calibration is normal. The right pulmonary artery is at the maximal physiological limit. Left pulmonary artery calibration is greater than normal at 29 mm. Arch aortic calibration is within the normal range. Millimetric-sized calcific atheroma plaques are observed in the descending and ascending aorta in the aortic arch, and in the coronary arteries. Several lymph nodes are observed in the upper paratracheal area, the largest of which is the short axis of 11 mm. No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; In the right lung, pleural effusion reaching 6 cm at its widest part extending from basal to apex and a thin atelectative lung segment adjacent to it are observed. There is also effusion at the level of the interlobar fissure on the right. Focal consolidative parenchyma areas are observed in the middle lobe on the right and the lingular segment on the left. There are faint ground-glass-like density increases in the upper lobe, middle lobe on the right, and at the level of the lower lobe, in the lower lobe on the left, and at the level of the lingular segment. A nodule with a diameter of approximately 5 mm is observed in the middle lobe of the right lung. Perihepatic and perisplenic effusions are present in the upper abdominal organs included in the sections. Degenerative changes are observed in the bone structures in the study area. Impression: Cardiomegaly, increased calibration in the main vascular structures in the mediastinum . Prominent pleural effusion on the right and a thin atelectatic lung segment adjacent . Clear ground glass densities in both lungs. The appearance is atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_948/valid_948_a/valid_948_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2244",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: No fracture was observed in both clavicles. No fracture or lytic-destructive lesion was observed in the bones included in the other examination. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_949/valid_949_a/valid_949_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2245",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No fracture was observed in both clavicles. No fracture or lytic-destructive lesion was observed in the bones included in the other examination. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_949/valid_949_a/valid_949_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2246",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. Calibration of vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. No pathological increase in wall thickness is observed in the thoracic esophagus. There are no lymph nodes in pathological size and appearance in mediastinal lymph node stations and in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Linear atelectasis is observed in the left lung. Nonspecific nodules with stable size and appearance are observed in the left lung parenchyma, and in the current examination, there is a newly developed nonspecific nodule measuring 5 mm in the upper lobe apicoposterior segment. Ventilation of both lungs is natural. In the upper abdomen sections within the image, no solid or cystic mass, free-loculated collection is observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Findings evaluated in favor of infective pathology in the lower lobe of the right lung in previous CT examinations are almost completely regressed in the current examination. There is a nonspecific nodule in millimetric dimensions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_950/valid_950_a/valid_950_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2247",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. Calibration of vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. No pathological increase in wall thickness is observed in the thoracic esophagus. There are no lymph nodes in pathological size and appearance in mediastinal lymph node stations and in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Linear atelectasis is observed in the left lung. Nonspecific nodules with stable size and appearance are observed in the left lung parenchyma, and in the current examination, there is a newly developed nonspecific nodule measuring 5 mm in the upper lobe apicoposterior segment. Ventilation of both lungs is natural. In the upper abdomen sections within the image, no solid or cystic mass, free-loculated collection is observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Findings evaluated in favor of infective pathology in the lower lobe of the right lung in previous CT examinations are almost completely regressed in the current examination. There is a nonspecific nodule in millimetric dimensions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_950/valid_950_a/valid_950_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Cardiac pacemaker catheter is monitored. Heart dimensions and compartments appear natural. Calibrations of mediastinal major vascular structures are natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. No lymph node was observed in the axilla in pathological size and appearance. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There are several nonspecific millimetric nodules in both lungs, the largest of which is 6 mm in long diameter in the lateral segment of the right lung middle lobe. In the upper abdominal sections, there is a millimetric-sized hypodense lesion in the liver segment 3 localization and could not be characterized due to its dimensions. No lytic-destructive lesions were detected in bone structures. At T12 level, laminectomy line is observed on the right. Impression: Pneumonic infiltration was not detected.  A few nonspecific millimetric nodules in both lungs . Cardiac pace maker catheter"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_951/valid_951_a/valid_951_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2249",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Cardiac pacemaker catheter is monitored. Heart dimensions and compartments appear natural. Calibrations of mediastinal major vascular structures are natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. No lymph node was observed in the axilla in pathological size and appearance. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There are several nonspecific millimetric nodules in both lungs, the largest of which is 6 mm in long diameter in the lateral segment of the right lung middle lobe. In the upper abdominal sections, there is a millimetric-sized hypodense lesion in the liver segment 3 localization and could not be characterized due to its dimensions. No lytic-destructive lesions were detected in bone structures. At T12 level, laminectomy line is observed on the right. Impression: Pneumonic infiltration was not detected.  A few nonspecific millimetric nodules in both lungs . Cardiac pace maker catheter"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_951/valid_951_a/valid_951_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2250",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A hypodense nodule with a diameter of 9 mm was observed in the left thyroid lobe. It is recommended to be evaluated together with US. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Calcified lymph nodes were observed in the right axilla and mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae causing parenchymal distortion and volume loss accompanied by calcifications in both upper lobe and lower lobe superior segments of both lungs and accompanying traction bronchiectasis were observed (granulomatous infection sequela). Central-peripheral crazy paving pattern and nodular patchy ground glass consolidations showing signs of vascular enlargement were observed in both lungs. The outlook is consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric hypodense nodule in the right thyroid lobe, US control is recommended.  Calcified lymph nodes in the right axilla, mediastinum, pleuroparenchymal diffuse fibroatelectasis sequelae accompanied by calcifications in both upper lobe-lower lobe superior segments of both lungs (sequelae of granulomatous infection)  Findings consistent with Covid-19 pneumonia in the lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_952/valid_952_a/valid_952_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2251",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: A hypodense nodule with a diameter of 9 mm was observed in the left thyroid lobe. It is recommended to be evaluated together with US. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Calcified lymph nodes were observed in the right axilla and mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae causing parenchymal distortion and volume loss accompanied by calcifications in both upper lobe and lower lobe superior segments of both lungs and accompanying traction bronchiectasis were observed (granulomatous infection sequela). Central-peripheral crazy paving pattern and nodular patchy ground glass consolidations showing signs of vascular enlargement were observed in both lungs. The outlook is consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric hypodense nodule in the right thyroid lobe, US control is recommended.  Calcified lymph nodes in the right axilla, mediastinum, pleuroparenchymal diffuse fibroatelectasis sequelae accompanied by calcifications in both upper lobe-lower lobe superior segments of both lungs (sequelae of granulomatous infection)  Findings consistent with Covid-19 pneumonia in the lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_952/valid_952_a/valid_952_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2252",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse fibroatelectasis causing parenchymal distortion and volume loss in the upper lobes of both lungs, irregularity in the pleura and accompanying calcific nodules were observed. In addition, traction bronchiectasis in the right lung upper lobe posterior segment was observed. It was evaluated in favor of sequelae. Linear atelectasis were observed in the middle lobe of the right lung and the lower lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Impression: Diffuse fibroatelectasis causing parenchymal distortion and volume loss in the upper lobes of both lungs, irregularity in the pleura, accompanying calcific nodules, and traction bronchiectasis in the posterior segment of the right lung upper lobe; consistent with sequelae.  Linear atelectasis in the basal and middle lobes of the right lung lower lobe Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_953/valid_953_a/valid_953_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2253",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse fibroatelectasis causing parenchymal distortion and volume loss in the upper lobes of both lungs, irregularity in the pleura and accompanying calcific nodules were observed. In addition, traction bronchiectasis in the right lung upper lobe posterior segment was observed. It was evaluated in favor of sequelae. Linear atelectasis were observed in the middle lobe of the right lung and the lower lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Impression: Diffuse fibroatelectasis causing parenchymal distortion and volume loss in the upper lobes of both lungs, irregularity in the pleura, accompanying calcific nodules, and traction bronchiectasis in the posterior segment of the right lung upper lobe; consistent with sequelae.  Linear atelectasis in the basal and middle lobes of the right lung lower lobe Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_953/valid_953_a/valid_953_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. There is thymic tissue in the anterior mediastinum without mass effect. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. There was no finding compatible with pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Impression: No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_954/valid_954_a/valid_954_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2255",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. There is thymic tissue in the anterior mediastinum without mass effect. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. There was no finding compatible with pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structure entering the examination area. Impression: No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_954/valid_954_a/valid_954_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2256",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_955/valid_955_a/valid_955_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2257",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the parenchyma of both lungs, more prominent in the lower lobes, ground-glass densities with a predominantly peripheral fusion tendency are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_956/valid_956_a/valid_956_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2258",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the parenchyma of both lungs, more prominent in the lower lobes, ground-glass densities with a predominantly peripheral fusion tendency are observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_956/valid_956_a/valid_956_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2259",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Heart contour and size are normal. No pleural or pericardial effusion was detected. No mass or filling defect compatible with thrombus was detected within the heart cavities. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_957/valid_957_a/valid_957_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2260",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Heart contour and size are normal. No pleural or pericardial effusion was detected. No mass or filling defect compatible with thrombus was detected within the heart cavities. Mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_957/valid_957_a/valid_957_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2261",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nodular density-consolidation area with air bronchograms is observed in the subpleural located in the superior segment of the right lung lower lobe. The outlook was evaluated in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_958/valid_958_a/valid_958_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2262",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nodular density-consolidation area with air bronchograms is observed in the subpleural located in the superior segment of the right lung lower lobe. The outlook was evaluated in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_958/valid_958_a/valid_958_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are mild apical atelectatic changes in the upper lobes of both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild apical atelectatic changes in the upper lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_959/valid_959_a/valid_959_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are mild apical atelectatic changes in the upper lobes of both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild apical atelectatic changes in the upper lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_959/valid_959_a/valid_959_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Hypodense nodular lesions were observed in both thyroid glands. It is recommended to evaluate with USG examination. Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of mediastinal vascular structures is normal as far as can be observed. Widespread calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node was observed in the mediastinum in pathological size and appearance. In the evaluation made in the lung parenchyma window: No mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). A hypodense lesion measuring approximately 50x20 mm was observed in the axial sections of the right lung middle lobe. The appearance is primarily suggestive of subsegmentary atelectasis. In addition, there is a similar appearance lesion measuring approximately 30x10 mm in the left lung upper lobe anterior localization adjacent to the mediastinum. If available, it is recommended to be evaluated together with old-dated CT examinations or close follow-up. In the posterobasal segment of the left lung lower lobe, there is structural distortion of the pleura and an increase in pleural thickness measuring approximately 8x2.5 mm, accompanied by volume loss. There was no finding in favor of active infiltration in both lungs. In the upper abdominal sections within the image, a low-density nodular lesion measuring 17x14 mm in size was observed in the left adrenal gland corpus, as far as it can be seen within the borders of unenhanced CT, and it was evaluated in favor of adenoma. Intraabdominal free fluid, pathological size and appearance of lymph nodes were not detected. No lytic or destructive lesions were observed in the bone structures within the image. There are suture materials secondary to surgery in the sternum. Impression:  Diffuse calcified atheromatous plaques in the wall of thoracic aorta, coronary vascular structures.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Hypodense with smooth borders in the right lung middle lobe and left lung upper lobe anterior, areas of increased density evaluated primarily in favor of subsegmentary atelectasis; If there is, it is recommended to be evaluated together with old-dated CT examinations or close follow-up.  Structural distortion in the posterobasal segment of the left lung lower lobe, increased nodular thickness in the pleura accompanied by volume loss.  Nodular lesion in the left adrenal gland corpus evaluated in favor of adenoma.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_960/valid_960_a/valid_960_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2266",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Hypodense nodular lesions were observed in both thyroid glands. It is recommended to evaluate with USG examination. Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of mediastinal vascular structures is normal as far as can be observed. Widespread calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node was observed in the mediastinum in pathological size and appearance. In the evaluation made in the lung parenchyma window: No mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). A hypodense lesion measuring approximately 50x20 mm was observed in the axial sections of the right lung middle lobe. The appearance is primarily suggestive of subsegmentary atelectasis. In addition, there is a similar appearance lesion measuring approximately 30x10 mm in the left lung upper lobe anterior localization adjacent to the mediastinum. If available, it is recommended to be evaluated together with old-dated CT examinations or close follow-up. In the posterobasal segment of the left lung lower lobe, there is structural distortion of the pleura and an increase in pleural thickness measuring approximately 8x2.5 mm, accompanied by volume loss. There was no finding in favor of active infiltration in both lungs. In the upper abdominal sections within the image, a low-density nodular lesion measuring 17x14 mm in size was observed in the left adrenal gland corpus, as far as it can be seen within the borders of unenhanced CT, and it was evaluated in favor of adenoma. Intraabdominal free fluid, pathological size and appearance of lymph nodes were not detected. No lytic or destructive lesions were observed in the bone structures within the image. There are suture materials secondary to surgery in the sternum. Impression:  Diffuse calcified atheromatous plaques in the wall of thoracic aorta, coronary vascular structures.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Hypodense with smooth borders in the right lung middle lobe and left lung upper lobe anterior, areas of increased density evaluated primarily in favor of subsegmentary atelectasis; If there is, it is recommended to be evaluated together with old-dated CT examinations or close follow-up.  Structural distortion in the posterobasal segment of the left lung lower lobe, increased nodular thickness in the pleura accompanied by volume loss.  Nodular lesion in the left adrenal gland corpus evaluated in favor of adenoma.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_960/valid_960_a/valid_960_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2267",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; thickening of the bronchial wall in the central, linear atelectasis in the lower lobes of the lung are observed. Millimetric calcific sequela nodule was observed in the right middle lobe. Millimetric stone opacity is observed in the gallbladder in the upper abdominal organs included in the sections. Calcifications are observed in the abdominal aorta. Calcific plaques are observed in the proximal of the left renal artery towards the distal of the right renal artery. There are signs of severe osteoarthrosis in the bilateral shoulder joint. Impression: Nonspecific sequelae changes in the lung . Cholelithiasis . Abdominal aorta and renal artery atherosclerosis . Cystic lesion in the liver . Severe osteoarthrosis findings in the bilateral shoulder joint. PULMONARY CT ANGIOGRAPHY Technique: 1 mm thick sections were taken in the axial plane with MDCT after IVCM. Results: Main pulmonary artery, each The lobar segmental and subsegmental branches of the two pulmonary arteries are open and there is no finding in favor of pulmonary embolism. Heart size is within normal limits. No lymph nodes enlarged in mediastinal or hilar pathological dimensions. When examined in the lung parenchyma window, thickening of the bronchial wall in the center, linear atelectasis in the lower lobes of the lung are observed. A millimetric calcific sequela nodule is observed in the middle lobe.Millimetric stone opacity is observed in the gallbladder in the upper abdominal organs included in the sections.Calcifications are observed in the abdominal aorta.Proximal to the left renal artery, distal to the right renal artery neither right calcific plaques are observed. There are severe osteoarthrosis findings in the bilateral shoulder joint. Conclusion: . Nonspecific sequelae changes in the lung . Cholelithiasis . Abdominal aorta and renal artery atherosclerosis . Cystic lesion in the liver . Severe osteoarthrosis findings in the bilateral shoulder joint."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_961/valid_961_a/valid_961_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2268",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; thickening of the bronchial wall in the central, linear atelectasis in the lower lobes of the lung are observed. Millimetric calcific sequela nodule was observed in the right middle lobe. Millimetric stone opacity is observed in the gallbladder in the upper abdominal organs included in the sections. Calcifications are observed in the abdominal aorta. Calcific plaques are observed in the proximal of the left renal artery towards the distal of the right renal artery. There are signs of severe osteoarthrosis in the bilateral shoulder joint. Impression: Nonspecific sequelae changes in the lung . Cholelithiasis . Abdominal aorta and renal artery atherosclerosis . Cystic lesion in the liver . Severe osteoarthrosis findings in the bilateral shoulder joint. PULMONARY CT ANGIOGRAPHY Technique: 1 mm thick sections were taken in the axial plane with MDCT after IVCM. Results: Main pulmonary artery, each The lobar segmental and subsegmental branches of the two pulmonary arteries are open and there is no finding in favor of pulmonary embolism. Heart size is within normal limits. No lymph nodes enlarged in mediastinal or hilar pathological dimensions. When examined in the lung parenchyma window, thickening of the bronchial wall in the center, linear atelectasis in the lower lobes of the lung are observed. A millimetric calcific sequela nodule is observed in the middle lobe.Millimetric stone opacity is observed in the gallbladder in the upper abdominal organs included in the sections.Calcifications are observed in the abdominal aorta.Proximal to the left renal artery, distal to the right renal artery neither right calcific plaques are observed. There are severe osteoarthrosis findings in the bilateral shoulder joint. Conclusion: . Nonspecific sequelae changes in the lung . Cholelithiasis . Abdominal aorta and renal artery atherosclerosis . Cystic lesion in the liver . Severe osteoarthrosis findings in the bilateral shoulder joint."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_961/valid_961_a/valid_961_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. There is thickening of the bilateral major fissures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Thickening in bilateral major fissures. Clinical and laboratory evaluation for COVID is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_962/valid_962_a/valid_962_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2270",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. There is thickening of the bilateral major fissures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Thickening in bilateral major fissures. Clinical and laboratory evaluation for COVID is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_962/valid_962_a/valid_962_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2271",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Diffuse peribronchial thickening was observed in both lungs. In addition, there are centriacinar nodules, some of which have the appearance of budding trees, more prominent in the lower lobes of both lungs and the middle lobe of the right lung. There are appearances that can be evaluated in favor of consolidations or atelectasis in the right lung middle lobe and left lung upper lobe lingular segment. The described findings were first evaluated in favor of an infective pathology. However, differential diagnosis could not be made. There are emphysematous changes in both lungs. Pleuroparenchymal sequelae changes were observed at the apex of both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 14 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Minimal peribronchial thickening in both lungs and centriacinar nodules, some with budding tree appearance, in both lungs (findings were primarily evaluated in favor of infective pathology)  Emphysematous changes in both lungs  Atherosclerotic changes in aorta and coronary arteries  Mediastinal and hilar lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_963/valid_963_a/valid_963_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2272",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Diffuse peribronchial thickening was observed in both lungs. In addition, there are centriacinar nodules, some of which have the appearance of budding trees, more prominent in the lower lobes of both lungs and the middle lobe of the right lung. There are appearances that can be evaluated in favor of consolidations or atelectasis in the right lung middle lobe and left lung upper lobe lingular segment. The described findings were first evaluated in favor of an infective pathology. However, differential diagnosis could not be made. There are emphysematous changes in both lungs. Pleuroparenchymal sequelae changes were observed at the apex of both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 14 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Minimal peribronchial thickening in both lungs and centriacinar nodules, some with budding tree appearance, in both lungs (findings were primarily evaluated in favor of infective pathology)  Emphysematous changes in both lungs  Atherosclerotic changes in aorta and coronary arteries  Mediastinal and hilar lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_963/valid_963_a/valid_963_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2273",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass, nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_964/valid_964_a/valid_964_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2274",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass, nodule-infiltration was detected in both lung parenchyma. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_964/valid_964_a/valid_964_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2275",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Dense calcific nodular lesion with an axial diameter of 55x40 mm is observed in the left lobe of the thyroid gland. It is observed that the pressure of the lesion on the trachea pushes the trachea to the right. There is ectasia reaching 40 mm in the ascending aorta. Calcific plaques are observed in the coronary arteries. Calibration of other vascular structures of the mediastinum is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are emphysematous changes, more prominent in the upper lobes, and sequela fibrotic changes in the upper lobe apex in both lung parenchyma. Slight thickening of the bronchial walls is observed at the central level. Minimally dependent ground glass is present in both lung lower lobe posterobasales. Nodules up to 5 mm in diameter are observed in both lungs, the largest on the right. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric accessory spleen is observed adjacent to the lower pole of the spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific nodular lesion in the left lobe of the thyroid gland and compression on the trachea.  Bilateral pulmonary emphysema.  Millimetric nonspecific nodules in bilateral lungs.  Dependent ground glass densities in the bilateral lower lung lobes.  Findings in favor of chronic bronchitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_965/valid_965_a/valid_965_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2276",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Dense calcific nodular lesion with an axial diameter of 55x40 mm is observed in the left lobe of the thyroid gland. It is observed that the pressure of the lesion on the trachea pushes the trachea to the right. There is ectasia reaching 40 mm in the ascending aorta. Calcific plaques are observed in the coronary arteries. Calibration of other vascular structures of the mediastinum is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are emphysematous changes, more prominent in the upper lobes, and sequela fibrotic changes in the upper lobe apex in both lung parenchyma. Slight thickening of the bronchial walls is observed at the central level. Minimally dependent ground glass is present in both lung lower lobe posterobasales. Nodules up to 5 mm in diameter are observed in both lungs, the largest on the right. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric accessory spleen is observed adjacent to the lower pole of the spleen. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific nodular lesion in the left lobe of the thyroid gland and compression on the trachea.  Bilateral pulmonary emphysema.  Millimetric nonspecific nodules in bilateral lungs.  Dependent ground glass densities in the bilateral lower lung lobes.  Findings in favor of chronic bronchitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_965/valid_965_a/valid_965_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2277",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is increased aeration in both lungs. Tubular bronchiectasis foci and ectatic bronchi with slight increase in wall thickness are observed in the anterobasal and mediobasal segments of the lower lobe of the right lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Increased aeration in both lungs. Tubular bronchiectasis with slight increase in wall thickness in the anterobasal and mediobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_966/valid_966_a/valid_966_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2278",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is increased aeration in both lungs. Tubular bronchiectasis foci and ectatic bronchi with slight increase in wall thickness are observed in the anterobasal and mediobasal segments of the lower lobe of the right lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Increased aeration in both lungs. Tubular bronchiectasis with slight increase in wall thickness in the anterobasal and mediobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_966/valid_966_a/valid_966_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2279",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. Sliding type hiatal hernia was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; no mass-nodule-infiltration was detected in both lung parenchyma. Sequelae changes were observed in the inferior lingular segment of the left lung and the middle lobe of the right lung. Emphysematous changes were observed in both lungs. There are increases in pleuroparenchymal sequelae in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: Sequelae changes in both lungs, emphysematous changes, mild bronchiectasis, mild fusiform dilatation of the ascending aorta.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_967/valid_967_a/valid_967_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2280",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected. Sliding type hiatal hernia was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; no mass-nodule-infiltration was detected in both lung parenchyma. Sequelae changes were observed in the inferior lingular segment of the left lung and the middle lobe of the right lung. Emphysematous changes were observed in both lungs. There are increases in pleuroparenchymal sequelae in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: Sequelae changes in both lungs, emphysematous changes, mild bronchiectasis, mild fusiform dilatation of the ascending aorta.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_967/valid_967_a/valid_967_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2281",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A catheter image extending to the vena cava was observed in the right inferior of the neck. Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. An effusion measuring 7.5 mm in its widest part was observed in the pericardial area. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. A few millimetric calcified lymph nodes were observed in the right hilar localization. Right upper-lower paratracheal, prevascular pretracheal-subcarinal multiple lymph nodes measuring 10x5 mm in size were observed. There are contaminations in the mediastinal fatty planes around it. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. When examined in the lung parenchyma window; Areas of free pleural effusion measuring 42 mm in the thickest part on the right and 25 mm in the thickest part on the left, and passive atelectasis in the adjacent lung parenchyma were observed. Pleuroparenchymal sequelae density increases were observed at the level of bilateral lung apical segments. The middle lobe of the right lung was observed as total atelectasis. Peripheral consolidation areas including air bronchograms were observed in both lung upper lobes anterior, left lung lingular segment and bilateral lung lower lobes. In addition, nodular ground glass densities and bud branch appearances were observed in the bilateral lower lobes of the lung, more prominent in the right lung. The described findings were initially evaluated as compatible with the infectious process. Clinical and laboratory correlation and post-treatment control are recommended. At the level of the posteriobasal segment of the lower lobe of the right lung, density increases were observed on the costal pleural face, consistent with calcification in places. The area of subcutaneous emphysema in the right lateral wall of the chest, which was observed in the previous examination, has been total regression in the current examination. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion was detected. Impression: Compared to the previous thorax CT scan, no additional findings were detected except for the new paradular consolidation area in the posterior segment of the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_968/valid_968_a/valid_968_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2282",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A catheter image extending to the vena cava was observed in the right inferior of the neck. Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. An effusion measuring 7.5 mm in its widest part was observed in the pericardial area. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. A few millimetric calcified lymph nodes were observed in the right hilar localization. Right upper-lower paratracheal, prevascular pretracheal-subcarinal multiple lymph nodes measuring 10x5 mm in size were observed. There are contaminations in the mediastinal fatty planes around it. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. When examined in the lung parenchyma window; Areas of free pleural effusion measuring 42 mm in the thickest part on the right and 25 mm in the thickest part on the left, and passive atelectasis in the adjacent lung parenchyma were observed. Pleuroparenchymal sequelae density increases were observed at the level of bilateral lung apical segments. The middle lobe of the right lung was observed as total atelectasis. Peripheral consolidation areas including air bronchograms were observed in both lung upper lobes anterior, left lung lingular segment and bilateral lung lower lobes. In addition, nodular ground glass densities and bud branch appearances were observed in the bilateral lower lobes of the lung, more prominent in the right lung. The described findings were initially evaluated as compatible with the infectious process. Clinical and laboratory correlation and post-treatment control are recommended. At the level of the posteriobasal segment of the lower lobe of the right lung, density increases were observed on the costal pleural face, consistent with calcification in places. The area of subcutaneous emphysema in the right lateral wall of the chest, which was observed in the previous examination, has been total regression in the current examination. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion was detected. Impression: Compared to the previous thorax CT scan, no additional findings were detected except for the new paradular consolidation area in the posterior segment of the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_968/valid_968_a/valid_968_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2283",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. There is an effusion about 10 mm in diameter in the pericardium. Thoracic aorta diameter is normal. Pericardial thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. On the right, there is a venous catheter that ends in the SVC. There are several calcific lymph nodes in the right hilar region. Apart from this, there are millimetric lymph nodes in the paratracheal, subcarinal, prevascular and aortopulmonary areas, the largest of which is 10x5 mm in size in the paratracheal area. Density increases are observed in mediastinal fatty planes. When examined in the lung parenchyma window; Bilateral pleural effusion measuring 19 mm in the thickest part on the right (44 mm in the old examination) and 5 mm in the deepest part on the left (15 mm in the former examination) and passive atelectasis in both lower lobes of the lungs are observed. The pleural effusion on the right extends to the major fissure. Pleuroparenchymal fibrotic sequelae bands are observed in both lung apical segments. Total atelectasis in the middle lobe of the right lung is observed and has a stable appearance. Consolidation areas containing air bronchograms in the anterior upper lobes of both lungs, left lung lingular segment and bilateral lung lower lobes, more prominent nodular ground glass densities and budding branch appearances were observed in the lower lobes of both lungs. In addition, there is a stable size of nodular consolidation area with air bronchograms in approximately 15 mm diameter in the posterior of the right lung upper lobe. There are coarse calcifications in the pleura in the posterobasal region of the lower lobe of the right lung. Diffuse pleural thickening is observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Multiple lymph nodes in the mediastinum . Pericardial effusion; amount increased minimally. Bilateral pleural effusion, decreased in amount."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_968/valid_968_b/valid_968_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. There is an effusion about 10 mm in diameter in the pericardium. Thoracic aorta diameter is normal. Pericardial thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. On the right, there is a venous catheter that ends in the SVC. There are several calcific lymph nodes in the right hilar region. Apart from this, there are millimetric lymph nodes in the paratracheal, subcarinal, prevascular and aortopulmonary areas, the largest of which is 10x5 mm in size in the paratracheal area. Density increases are observed in mediastinal fatty planes. When examined in the lung parenchyma window; Bilateral pleural effusion measuring 19 mm in the thickest part on the right (44 mm in the old examination) and 5 mm in the deepest part on the left (15 mm in the former examination) and passive atelectasis in both lower lobes of the lungs are observed. The pleural effusion on the right extends to the major fissure. Pleuroparenchymal fibrotic sequelae bands are observed in both lung apical segments. Total atelectasis in the middle lobe of the right lung is observed and has a stable appearance. Consolidation areas containing air bronchograms in the anterior upper lobes of both lungs, left lung lingular segment and bilateral lung lower lobes, more prominent nodular ground glass densities and budding branch appearances were observed in the lower lobes of both lungs. In addition, there is a stable size of nodular consolidation area with air bronchograms in approximately 15 mm diameter in the posterior of the right lung upper lobe. There are coarse calcifications in the pleura in the posterobasal region of the lower lobe of the right lung. Diffuse pleural thickening is observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Multiple lymph nodes in the mediastinum . Pericardial effusion; amount increased minimally. Bilateral pleural effusion, decreased in amount."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_968/valid_968_b/valid_968_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2285",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. An increase in favor of the heart is observed in the cardiothoracic ratio and there is a pericardial effusion measured at 10 mm in the current examination in its thickest part. (measured as 12 mm in the old CT examination). Thoracic aorta diameter is normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is an effusion measuring 30 mm in the deepest part on the right and 9 mm in the deepest part on the left, and there are increases in density consistent with atelectasis in the adjacent lung parenchyma. Lymph nodes without pathological size and appearance were observed in mediastinal lymph node stations. When the lung parenchyma is examined in the window, there are areas of consolidation in the left lung upper lobe anterior and lingular segment, and in the right lung upper lobe anterior and middle lobe, in which air bronchograms are observed. In addition, there are nodular density increases in the centriacinar ground glass density, which is more evident in the lower lobes of both lungs, which looks like a tree with buds in places. Infectious pathologies are considered in its etiology. There are hyperdense appearances secondary to pleurodesis on the pleural surfaces of the lower lobe of the right lung. Impression: There is no change in the size and appearance of the consolidations described above in both lungs, and the centriacinar budding tree appearance, which is more clearly observed in the lower lobes of both lungs, There is an increase in nodular ground glass density areas. Infectious pathology is considered in the etiology of the described findings. Clinical evaluation and radiological follow-up are recommended"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_968/valid_968_c/valid_968_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2286",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. An increase in favor of the heart is observed in the cardiothoracic ratio and there is a pericardial effusion measured at 10 mm in the current examination in its thickest part. (measured as 12 mm in the old CT examination). Thoracic aorta diameter is normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is an effusion measuring 30 mm in the deepest part on the right and 9 mm in the deepest part on the left, and there are increases in density consistent with atelectasis in the adjacent lung parenchyma. Lymph nodes without pathological size and appearance were observed in mediastinal lymph node stations. When the lung parenchyma is examined in the window, there are areas of consolidation in the left lung upper lobe anterior and lingular segment, and in the right lung upper lobe anterior and middle lobe, in which air bronchograms are observed. In addition, there are nodular density increases in the centriacinar ground glass density, which is more evident in the lower lobes of both lungs, which looks like a tree with buds in places. Infectious pathologies are considered in its etiology. There are hyperdense appearances secondary to pleurodesis on the pleural surfaces of the lower lobe of the right lung. Impression: There is no change in the size and appearance of the consolidations described above in both lungs, and the centriacinar budding tree appearance, which is more clearly observed in the lower lobes of both lungs, There is an increase in nodular ground glass density areas. Infectious pathology is considered in the etiology of the described findings. Clinical evaluation and radiological follow-up are recommended"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_968/valid_968_c/valid_968_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2287",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and mediastinum are slightly displaced to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta has an ectatic appearance with an anterior-posterior diameter of 37 mm. Calibration of other vascular structures of the mediastinum is natural. Heart size increased. An effusion measuring 8.5 mm was observed in the thickest part of the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Multiple lymph nodes with prevascular, right upper-bilateral lower paratracheal, aortopulmonary, subcarinal short axes less than 1 cm were observed. Right hilar calcified lymph nodes were observed. When examined in the lung parenchyma window; There is an effusion measuring 33 mm in the deepest part on the right and 12 mm in the deepest part on the left, and density increases consistent with atelectasis were observed in the adjacent lung parenchyma. Pleuroparenchymal sequelae density increases were observed in bilateral upper lobe apicoposterior segments of the lung. Atelectasis areas accompanied by tubular bronchiectasis that cause volume loss and structural distortion in which air bronchograms are observed in both upper lobe anterior segments of both lungs, middle lobe of left lung and inferior lingular segment of left lung upper lobe were observed. Segmentary-subsegmental tubular bronchiectasis and minimal peribronchial thickening, centriacinar nodular infiltrates around the bronchus-budding tree view and mucous plugs in the lumens of bronchiectasis were observed in both lungs. The described findings were evaluated in favor of bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. Hyperdense appearances were observed on the pleural faces in the lower lobe of the right lung. Hyperdense appearances consistent with calcification were observed (secondary to pleurodesis?). As far as can be seen within the sections; the left kidney was not observed (operated). Other upper abdominal organs are normal. Trabeculation increase secondary to osteoporosis, irregularity in the end plateaus and degenerative osteophytes were observed in the bone structures within the study area. Impression:  Fusiform ectasia, pericardial effusion in the thoracic aorta.  Significant bilateral pleural effusion on the right, hyperdense appearances on the right pleural faces secondary to pleurodesis.  Diffuse atelectatic changes in both lungs.  Segmentary-subsegmental tubular bronchiectasis in both lungs, peribronchial thickening, centriacinar nodular infiltrates-budding tree view in lower lobe basal segments; It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia.  Osteoporosis, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_968/valid_968_d/valid_968_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2288",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and mediastinum are slightly displaced to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta has an ectatic appearance with an anterior-posterior diameter of 37 mm. Calibration of other vascular structures of the mediastinum is natural. Heart size increased. An effusion measuring 8.5 mm was observed in the thickest part of the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Multiple lymph nodes with prevascular, right upper-bilateral lower paratracheal, aortopulmonary, subcarinal short axes less than 1 cm were observed. Right hilar calcified lymph nodes were observed. When examined in the lung parenchyma window; There is an effusion measuring 33 mm in the deepest part on the right and 12 mm in the deepest part on the left, and density increases consistent with atelectasis were observed in the adjacent lung parenchyma. Pleuroparenchymal sequelae density increases were observed in bilateral upper lobe apicoposterior segments of the lung. Atelectasis areas accompanied by tubular bronchiectasis that cause volume loss and structural distortion in which air bronchograms are observed in both upper lobe anterior segments of both lungs, middle lobe of left lung and inferior lingular segment of left lung upper lobe were observed. Segmentary-subsegmental tubular bronchiectasis and minimal peribronchial thickening, centriacinar nodular infiltrates around the bronchus-budding tree view and mucous plugs in the lumens of bronchiectasis were observed in both lungs. The described findings were evaluated in favor of bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. Hyperdense appearances were observed on the pleural faces in the lower lobe of the right lung. Hyperdense appearances consistent with calcification were observed (secondary to pleurodesis?). As far as can be seen within the sections; the left kidney was not observed (operated). Other upper abdominal organs are normal. Trabeculation increase secondary to osteoporosis, irregularity in the end plateaus and degenerative osteophytes were observed in the bone structures within the study area. Impression:  Fusiform ectasia, pericardial effusion in the thoracic aorta.  Significant bilateral pleural effusion on the right, hyperdense appearances on the right pleural faces secondary to pleurodesis.  Diffuse atelectatic changes in both lungs.  Segmentary-subsegmental tubular bronchiectasis in both lungs, peribronchial thickening, centriacinar nodular infiltrates-budding tree view in lower lobe basal segments; It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia.  Osteoporosis, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_968/valid_968_d/valid_968_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. The upper abdominal organs are normal as far as can be observed in the non-contrast examination. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis is increased. Degenerative changes were observed in the vertebrae at the lower thoracic level. Impression: Thorax within normal limits except for degenerative changes in the lower thoracic vertebrae and increased thoracic kyphosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_969/valid_969_a/valid_969_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2290",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. The upper abdominal organs are normal as far as can be observed in the non-contrast examination. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis is increased. Degenerative changes were observed in the vertebrae at the lower thoracic level. Impression: Thorax within normal limits except for degenerative changes in the lower thoracic vertebrae and increased thoracic kyphosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_969/valid_969_a/valid_969_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2291",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed at the lower thoracic level. The neural foramina are open. Impression:  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_969/valid_969_b/valid_969_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2292",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed at the lower thoracic level. The neural foramina are open. Impression:  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_969/valid_969_b/valid_969_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Minimal emphysematous changes are observed in both lungs, more prominently in the upper lobes. There is minimal volume loss in the right lung middle lobe medial segment and left lung upper lobe linular segment inferior subsegment. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart contour and size and the widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion or thickening was detected. Short lymph nodes less than 1 cm in diameter are observed in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. No pathological increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No lytic-destructive lesions were observed in bone structures within the sections. Impression: Few millimetric nonspecific nodules in both lungs. Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_970/valid_970_a/valid_970_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2294",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Minimal emphysematous changes are observed in both lungs, more prominently in the upper lobes. There is minimal volume loss in the right lung middle lobe medial segment and left lung upper lobe linular segment inferior subsegment. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart contour and size and the widths of the mediastinal main vascular structures are normal. No pleural or pericardial effusion or thickening was detected. Short lymph nodes less than 1 cm in diameter are observed in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. No pathological increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No lytic-destructive lesions were observed in bone structures within the sections. Impression: Few millimetric nonspecific nodules in both lungs. Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_970/valid_970_a/valid_970_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2295",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. Mild emphysematous changes are present in both lungs. There is a 2 mm diameter nonspecific nodule at the level of the major fissure on the right. A nodule with a diameter of 3 mm is observed at the level of the interlobar fissure on the right. There is a subpleural 2 mm diameter nodule in the apicoposterior segment. More caudally, there are two nonspecific nodules, the largest of which is 4x3 mm. A 5x4 mm nodule is observed at the laterobasal level. There are occasional faint frosted glass-style densities in both lungs. Bilateral pleural effusion-pneumothorax was not detected. In the sections passing through the upper abdomen, a density compatible with calculus of approximately 5x3.5 mm is observed in the middle part of the left kidney. Again, in the middle part, there is hypodensity compatible with a 35mm diameter cortical cyst. At the level of the right breast areola, at the level of 6, a nodular density of approximately 30x12 mm is observed, superposed to the parenchyma laterally. Sonographic examination is recommended if necessary. Mild degenerative changes are observed in the bone structure. Impression: There are occasional faint ground glass densities in both lungs. The appearance is nonspecific. Evaluation with clinical and laboratory findings is recommended.  Multiple nonspecific millimetric nodule formation in both lungs.  Left nephrolithiasis, cortical cyst in left kidney. A superposed nodular density is observed lateral to the parenchyma at the level of 6 at the level of the right breast areola. If necessary, USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_971/valid_971_a/valid_971_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2296",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. Mild emphysematous changes are present in both lungs. There is a 2 mm diameter nonspecific nodule at the level of the major fissure on the right. A nodule with a diameter of 3 mm is observed at the level of the interlobar fissure on the right. There is a subpleural 2 mm diameter nodule in the apicoposterior segment. More caudally, there are two nonspecific nodules, the largest of which is 4x3 mm. A 5x4 mm nodule is observed at the laterobasal level. There are occasional faint frosted glass-style densities in both lungs. Bilateral pleural effusion-pneumothorax was not detected. In the sections passing through the upper abdomen, a density compatible with calculus of approximately 5x3.5 mm is observed in the middle part of the left kidney. Again, in the middle part, there is hypodensity compatible with a 35mm diameter cortical cyst. At the level of the right breast areola, at the level of 6, a nodular density of approximately 30x12 mm is observed, superposed to the parenchyma laterally. Sonographic examination is recommended if necessary. Mild degenerative changes are observed in the bone structure. Impression: There are occasional faint ground glass densities in both lungs. The appearance is nonspecific. Evaluation with clinical and laboratory findings is recommended.  Multiple nonspecific millimetric nodule formation in both lungs.  Left nephrolithiasis, cortical cyst in left kidney. A superposed nodular density is observed lateral to the parenchyma at the level of 6 at the level of the right breast areola. If necessary, USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_971/valid_971_a/valid_971_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2297",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are a few millimetric, nonspecific, subpleural nodules in both lungs, more prominent on the left. Lung parenchymal aeration is normal, and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; A partial hyperdense finding in the left kidney with a size of 6 mm located in the pelvicalycea was evaluated in favor of a stone. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific, subpleural nodules in both lungs.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_971/valid_971_b/valid_971_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2298",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are a few millimetric, nonspecific, subpleural nodules in both lungs, more prominent on the left. Lung parenchymal aeration is normal, and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs, including sections; A partial hyperdense finding in the left kidney with a size of 6 mm located in the pelvicalycea was evaluated in favor of a stone. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Millimetric nonspecific, subpleural nodules in both lungs.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_971/valid_971_b/valid_971_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2299",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. A few millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. Thoracic vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_972/valid_972_a/valid_972_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. A few millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. Thoracic vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_972/valid_972_a/valid_972_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2301",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calculus images, one on the right and two on the left, the largest of which reached a diameter of 3 mm, were observed in the upper pole of both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal osteodegenerative changes were observed in the bone structures in the study area. Mild scoliosis with left opening was observed in the vertebral column. Impression:  Millimetric nonspecific parenchymal nodules in both lungs.  Bilateral nephrolithiasis.  Mild scoliosis with left thoracic opening, minimal osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_973/valid_973_a/valid_973_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2302",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calculus images, one on the right and two on the left, the largest of which reached a diameter of 3 mm, were observed in the upper pole of both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal osteodegenerative changes were observed in the bone structures in the study area. Mild scoliosis with left opening was observed in the vertebral column. Impression:  Millimetric nonspecific parenchymal nodules in both lungs.  Bilateral nephrolithiasis.  Mild scoliosis with left thoracic opening, minimal osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_973/valid_973_a/valid_973_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2303",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Linear subsegmental atelectatic changes were observed in the middle lobe of the right lung, the posterior segment of the left lung upper lobe, and the inferior lingular segment of the left lung upper lobe. Nonspecific parenchymal nodules with a diameter of 3.1 mm in the right lung middle lobe lateral segment and 4.8 and 2.2 mm in diameter in the left lung lower lobe laterobasal segment were observed. On the left, 5.4x2 mm oval-shaped nodular density increases were observed over the fissure (intrapulmonary lymph node). No mass lesion-active infiltration with distinguishable borders was detected in both lungs. No mass lesions were detected in the liver, spleen and pancreas within the sections. Spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae. Vertebral corpus heights are preserved. Impression:  Atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries  Hiatal hernia  Linear atelectatic changes in both lungs  Millimetric nonspecific parenchymal nodules in both lungs  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Nodular over fissure on left (intrapulmonary lymph node).  Spur formations bridging each other on the anterior surface of the thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_974/valid_974_a/valid_974_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2304",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Linear subsegmental atelectatic changes were observed in the middle lobe of the right lung, the posterior segment of the left lung upper lobe, and the inferior lingular segment of the left lung upper lobe. Nonspecific parenchymal nodules with a diameter of 3.1 mm in the right lung middle lobe lateral segment and 4.8 and 2.2 mm in diameter in the left lung lower lobe laterobasal segment were observed. On the left, 5.4x2 mm oval-shaped nodular density increases were observed over the fissure (intrapulmonary lymph node). No mass lesion-active infiltration with distinguishable borders was detected in both lungs. No mass lesions were detected in the liver, spleen and pancreas within the sections. Spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae. Vertebral corpus heights are preserved. Impression:  Atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries  Hiatal hernia  Linear atelectatic changes in both lungs  Millimetric nonspecific parenchymal nodules in both lungs  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Nodular over fissure on left (intrapulmonary lymph node).  Spur formations bridging each other on the anterior surface of the thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_974/valid_974_a/valid_974_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2305",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The cardiothoracic ratio increased in favor of the heart. No pleural-pericardial effusion or thickening was detected. Millimetric calcific atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal. Multiple lymph nodes with a diameter of 15 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal region. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral weighted ground glass areas are present in both upper lobes of the lungs and lower lobes of the left lung. In the posterior segment of the lower lobe of the right lung, the ground-glass areas show confluence and become consolidated, in which air bronchograms are observed and interlobular septal thickness increases in places. Linear atelectasis areas are observed in the lingular segment of the left lung upper lobe. There is a sliding type hiatal hernia at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Millimetric osteophytes at the corners of the thoracic vertebral corpus within the sections and vacuum phenomena consistent with degeneration at the intervertebral disc levels are observed. No lytic-destructive lesion was observed. Impression:  Peripheral weighted ground glass areas in both lungs and consolidation areas in the lower lobe posterior segment of the right lung, in which air bronchograms are observed, accompanied by increased interlobular septal thickness from place to place; findings are consistent with viral pneumonia.  Mediastinal lymph nodes.  Hiatal hernia.  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_975/valid_975_a/valid_975_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2306",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The cardiothoracic ratio increased in favor of the heart. No pleural-pericardial effusion or thickening was detected. Millimetric calcific atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal. Multiple lymph nodes with a diameter of 15 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal region. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral weighted ground glass areas are present in both upper lobes of the lungs and lower lobes of the left lung. In the posterior segment of the lower lobe of the right lung, the ground-glass areas show confluence and become consolidated, in which air bronchograms are observed and interlobular septal thickness increases in places. Linear atelectasis areas are observed in the lingular segment of the left lung upper lobe. There is a sliding type hiatal hernia at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Millimetric osteophytes at the corners of the thoracic vertebral corpus within the sections and vacuum phenomena consistent with degeneration at the intervertebral disc levels are observed. No lytic-destructive lesion was observed. Impression:  Peripheral weighted ground glass areas in both lungs and consolidation areas in the lower lobe posterior segment of the right lung, in which air bronchograms are observed, accompanied by increased interlobular septal thickness from place to place; findings are consistent with viral pneumonia.  Mediastinal lymph nodes.  Hiatal hernia.  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_975/valid_975_a/valid_975_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: A 26x18 mm fluid density nodular lesion was observed in the lower outer quadrant of the right breast (cyst?). It is recommended to be evaluated together with breast US. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Focal patchy-nodular ground-glass consolidations showing multilobar, multisegmentary central-peripheral crazy paving and vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. It is the detection of a mass lesion with distinguishable borders in both lungs. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis. Thickening of the left adrenal gland corpus was observed. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nodular lesion (cyst?) of fluid density in the lower outer quadrant of the right breast. It is recommended to evaluate the breast with US.  Hiatal hernia.  Findings in lung parenchyma consistent with Covid-19 pneumonia. Hepatosteatosis.  Thickening of the left adrenal gland corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_976/valid_976_a/valid_976_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2308",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A 26x18 mm fluid density nodular lesion was observed in the lower outer quadrant of the right breast (cyst?). It is recommended to be evaluated together with breast US. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Focal patchy-nodular ground-glass consolidations showing multilobar, multisegmentary central-peripheral crazy paving and vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. It is the detection of a mass lesion with distinguishable borders in both lungs. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis. Thickening of the left adrenal gland corpus was observed. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nodular lesion (cyst?) of fluid density in the lower outer quadrant of the right breast. It is recommended to evaluate the breast with US.  Hiatal hernia.  Findings in lung parenchyma consistent with Covid-19 pneumonia. Hepatosteatosis.  Thickening of the left adrenal gland corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_976/valid_976_a/valid_976_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2309",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in both lungs. There are linear atelectasis in the right lung upper lobe anterior segment and middle lobe, and left lung upper lobe lingular segment and both lung lower lobes. A few millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There are stones in the gallbladder about 1 cm in diameter. No upper abdominal free fluid-collection was detected in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances were minimally narrowed. The neural foramina are open. Impression:  Atelectasis in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_977/valid_977_a/valid_977_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2310",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in both lungs. There are linear atelectasis in the right lung upper lobe anterior segment and middle lobe, and left lung upper lobe lingular segment and both lung lower lobes. A few millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There are stones in the gallbladder about 1 cm in diameter. No upper abdominal free fluid-collection was detected in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances were minimally narrowed. The neural foramina are open. Impression:  Atelectasis in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_977/valid_977_a/valid_977_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2311",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are peripheral and centrally located ground-glass areas in the upper and lower lobes of both lungs and the middle lobe of the right lung, and there are subpleural linear band-like appearances on the posterior in the peripheral areas of both lungs. The described manifestations were evaluated primarily in favor of viral pneumonia. These findings are common in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a decrease in liver parenchyma density consistent with moderate adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings consistent with viral pneumonia in both lungs . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_978/valid_978_a/valid_978_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2312",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are peripheral and centrally located ground-glass areas in the upper and lower lobes of both lungs and the middle lobe of the right lung, and there are subpleural linear band-like appearances on the posterior in the peripheral areas of both lungs. The described manifestations were evaluated primarily in favor of viral pneumonia. These findings are common in Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a decrease in liver parenchyma density consistent with moderate adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings consistent with viral pneumonia in both lungs . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_978/valid_978_a/valid_978_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2313",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No pathologically sized and configured lymph nodes were detected at the mediastinal and bilateral hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. There are sequelae changes at both apical levels. There are ground-glass-like density increases that show confluence in the right lung lower lobe segments, which are scattered and located in peripheral areas in both lungs. It has gained a consolidation appearance in places. There is a mosaic attenuation pattern in the lower lobes. No bilateral pleural effusion or pneumothorax was detected. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. The right kidney and both adrenal glands are normal. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ground-glass-style density increases in both lungs showing confluence and consolidation appearance, it is recommended that the case be evaluated clinically and laboratory together in terms of implant and Covid pneumonia.  Hepatosteatosis. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_979/valid_979_a/valid_979_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2314",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. No pathologically sized and configured lymph nodes were detected at the mediastinal and bilateral hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear. There are sequelae changes at both apical levels. There are ground-glass-like density increases that show confluence in the right lung lower lobe segments, which are scattered and located in peripheral areas in both lungs. It has gained a consolidation appearance in places. There is a mosaic attenuation pattern in the lower lobes. No bilateral pleural effusion or pneumothorax was detected. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. The right kidney and both adrenal glands are normal. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ground-glass-style density increases in both lungs showing confluence and consolidation appearance, it is recommended that the case be evaluated clinically and laboratory together in terms of implant and Covid pneumonia.  Hepatosteatosis. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_979/valid_979_a/valid_979_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2315",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. A calcific atheroma plaque was observed in the proximal LAD. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration was detected in both lungs. Pleural effusion-thickening was not detected. As far as can be observed in the sections, the density of liver parenchyma is diffusely decreased, consistent with hepatosteatosis. Other upper abdominal organs entering the section area are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Vertebral corpus heights are preserved. Syndesmophytes bridging each other were observed in the right anterolateral corners of the thoracic vertebrae. Impression: \u00b7 Calcified atheroma plaque proximal to LAD \u00b7 Mosaic attenuation pattern in lung parenchyma (small airway disease? small vessel disease?). \u00b7 There was no finding in favor of pneumonic infiltration-mass in the lung. \u00b7 Hepatosteatosis. \u00b7 Findings consistent with diffuse idiopathic bone hyperosteosis in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_979/valid_979_b/valid_979_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. A calcific atheroma plaque was observed in the proximal LAD. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration was detected in both lungs. Pleural effusion-thickening was not detected. As far as can be observed in the sections, the density of liver parenchyma is diffusely decreased, consistent with hepatosteatosis. Other upper abdominal organs entering the section area are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Vertebral corpus heights are preserved. Syndesmophytes bridging each other were observed in the right anterolateral corners of the thoracic vertebrae. Impression: \u00b7 Calcified atheroma plaque proximal to LAD \u00b7 Mosaic attenuation pattern in lung parenchyma (small airway disease? small vessel disease?). \u00b7 There was no finding in favor of pneumonic infiltration-mass in the lung. \u00b7 Hepatosteatosis. \u00b7 Findings consistent with diffuse idiopathic bone hyperosteosis in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_979/valid_979_b/valid_979_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2317",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level in both lungs. There are diffuse ground-glass-like density increases in both lungs, usually peripherally located, and prominence in accompanying interstitial scars. Evaluated as compatible with Covid pneumonia Clinical and laboratory correlation recommended. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Impression: Findings consistent with Covid pneumonia, clinical-laboratory correlation recommended"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_980/valid_980_a/valid_980_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum. Pathological size and configuration of lymph nodes are not observed at both hilar levels. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level in both lungs. There are diffuse ground-glass-like density increases in both lungs, usually peripherally located, and prominence in accompanying interstitial scars. Evaluated as compatible with Covid pneumonia Clinical and laboratory correlation recommended. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Impression: Findings consistent with Covid pneumonia, clinical-laboratory correlation recommended"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_980/valid_980_a/valid_980_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2319",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper-bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lung parenchyma (small airway disease? small vessel disease?). A fissure-based nodule of 3 mm in diameter is observed in the superior segment of the left lung lower lobe (intraparenchymal lymph node?). No significant pathology was detected in the sections passing through the upper part of the abdomen. No lytic-destructive lesion was detected in bone structures. Impression: Mosaic attenuation in both lung parenchyma (small airway disease? small vessel disease?).  Fissure-based nonspecific nodule (intraparenchymal lymph node?) in the superior segment of the left lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_981/valid_981_a/valid_981_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2320",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; One or two millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, there is a slight decrease in density of the liver parenchyma. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Several millimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_982/valid_982_a/valid_982_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2321",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; One or two millimetric nonspecific nodules are observed in both lungs. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, there is a slight decrease in density of the liver parenchyma. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Several millimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_982/valid_982_a/valid_982_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Eventration was observed in the right hemidiaphragm. When examined in the lung parenchyma window; Tubular bronchiectasis and peribronchial thickening were observed in both lungs. Subsegmental atelectatic changes were observed in the lower lobe of the right lung. Peripheral localized nodular ground-glass opacities were observed in both lungs, most prominently central-peripherally located in the right lung lower lobe basal. The findings described in the case who had Covid-19 pneumonia were interpreted as the continuation of the infection. Sequelae thickening was observed in the lateral costal pleura in the right hemithorax. No mass lesion with distinguishable border was detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. An accessory spleen with a diameter of 13 mm was observed inferior to the splenic hilum. A cortical cyst was observed in the upper pole of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bilateral gynecomastia. \u00b7 Eventration in the right hemidiaphragm, subsegmental atelectatic changes in the lower lobe \u00b7 Central tubular bronchiectasis, peribronchial thickening in both lungs \u00b7 Findings consistent with prolonged Covid-19 pneumonia in the lung parenchyma. Cortical cyst in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_983/valid_983_a/valid_983_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Eventration was observed in the right hemidiaphragm. When examined in the lung parenchyma window; Tubular bronchiectasis and peribronchial thickening were observed in both lungs. Subsegmental atelectatic changes were observed in the lower lobe of the right lung. Peripheral localized nodular ground-glass opacities were observed in both lungs, most prominently central-peripherally located in the right lung lower lobe basal. The findings described in the case who had Covid-19 pneumonia were interpreted as the continuation of the infection. Sequelae thickening was observed in the lateral costal pleura in the right hemithorax. No mass lesion with distinguishable border was detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. An accessory spleen with a diameter of 13 mm was observed inferior to the splenic hilum. A cortical cyst was observed in the upper pole of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bilateral gynecomastia. \u00b7 Eventration in the right hemidiaphragm, subsegmental atelectatic changes in the lower lobe \u00b7 Central tubular bronchiectasis, peribronchial thickening in both lungs \u00b7 Findings consistent with prolonged Covid-19 pneumonia in the lung parenchyma. Cortical cyst in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_983/valid_983_a/valid_983_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2324",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: In the bilateral supraclavicular fossa and axilla, no lymph node in pathological size and appearance was observed. Both supraclavicular veins are dilated and tortuous. A 21 mm diameter hypodense nodule was observed in the right thyroid lobe. No lymph node was detected in the mediastinum in pathological size and appearance. Heart size increased. There is also an increase in diameter in the entire compartment. Diffuse calcified atheroma plaques are observed in all coronary arteries. The diameter of the ascending aorta increased in the distal section and measured 45 mm. A slight increase in diameter is also observed in the thoracic aorta. Pericardial effusion was not detected. Although the trachea and air passages of both main bronchi were open, the extraction was performed in expiration. There is a mosaic attenuation pattern in the lower lobes of both lung parenchyma. An increase in wall thickness is observed in collapsed segment bronchi. The mosaic attenuation pattern in the lung parenchyma was thought to develop secondary to small airway involvement. In the left lung, a linear subsegmental atelectasis area is observed in the upper lobe lingula inferior segment. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. In the upper abdominal sections, the gallbladder is operated. There is a nodular lesion in the lateral crus of the left adrenal gland, which cannot be characterized because of its small diameter of 6 mm. Both kidney parenchyma thinning in thickness and lobulation and sequela changes are observed in its contour. In the upper outer quadrant of the left breast, there are two nodular lesions of heterogeneous density containing focal coarse calcification foci, and it would be appropriate to evaluate it with USG or mammography. No lytic-destructive lesions were detected in bone structures. Impression: Mosaic attenuation pattern in lung parenchyma was evaluated secondary to small airway involvement.  Cholecystectomized.  Nodule in right thyroid lobe.  Increase in heart size, calcified atheromatous plaques in coronary arteries. Thinning of both kidney parenchyma thickness. could not be characterized because of the left adrenal nodule size in millimeters."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_984/valid_984_a/valid_984_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2325",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: In the bilateral supraclavicular fossa and axilla, no lymph node in pathological size and appearance was observed. Both supraclavicular veins are dilated and tortuous. A 21 mm diameter hypodense nodule was observed in the right thyroid lobe. No lymph node was detected in the mediastinum in pathological size and appearance. Heart size increased. There is also an increase in diameter in the entire compartment. Diffuse calcified atheroma plaques are observed in all coronary arteries. The diameter of the ascending aorta increased in the distal section and measured 45 mm. A slight increase in diameter is also observed in the thoracic aorta. Pericardial effusion was not detected. Although the trachea and air passages of both main bronchi were open, the extraction was performed in expiration. There is a mosaic attenuation pattern in the lower lobes of both lung parenchyma. An increase in wall thickness is observed in collapsed segment bronchi. The mosaic attenuation pattern in the lung parenchyma was thought to develop secondary to small airway involvement. In the left lung, a linear subsegmental atelectasis area is observed in the upper lobe lingula inferior segment. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. In the upper abdominal sections, the gallbladder is operated. There is a nodular lesion in the lateral crus of the left adrenal gland, which cannot be characterized because of its small diameter of 6 mm. Both kidney parenchyma thinning in thickness and lobulation and sequela changes are observed in its contour. In the upper outer quadrant of the left breast, there are two nodular lesions of heterogeneous density containing focal coarse calcification foci, and it would be appropriate to evaluate it with USG or mammography. No lytic-destructive lesions were detected in bone structures. Impression: Mosaic attenuation pattern in lung parenchyma was evaluated secondary to small airway involvement.  Cholecystectomized.  Nodule in right thyroid lobe.  Increase in heart size, calcified atheromatous plaques in coronary arteries. Thinning of both kidney parenchyma thickness. could not be characterized because of the left adrenal nodule size in millimeters."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_984/valid_984_a/valid_984_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. There are densities of stent material in coronary arteries. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Widespread ground-glass-like density increases accompanied by smooth interlobular septal thickenings in the perihilar area in both lung parenchyma and consolidation areas in the lower lobes of both lungs are noteworthy. In addition, free pleural effusion with a thickness of 24 mm on the right and 12 mm on the left was observed between the bilateral pleural leaves. Density increases consistent with edema-inflammation were observed in the right perirenal fatty planes in the upper abdominal sections in the examination area. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Increases in ground glass density accompanied by interlobular septal thickening in the bilateral perihilar area and areas of consolidation in the lower lobes, bilateral pleural effusion. The appearance was initially thought to be due to pulmonary edema. However, viral pneumonia developing in the background cannot be excluded. Clinical and laboratory data in terms of Covid-19 pneumonia It is recommended that they be evaluated together."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_985/valid_985_a/valid_985_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. There are densities of stent material in coronary arteries. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Widespread ground-glass-like density increases accompanied by smooth interlobular septal thickenings in the perihilar area in both lung parenchyma and consolidation areas in the lower lobes of both lungs are noteworthy. In addition, free pleural effusion with a thickness of 24 mm on the right and 12 mm on the left was observed between the bilateral pleural leaves. Density increases consistent with edema-inflammation were observed in the right perirenal fatty planes in the upper abdominal sections in the examination area. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: Increases in ground glass density accompanied by interlobular septal thickening in the bilateral perihilar area and areas of consolidation in the lower lobes, bilateral pleural effusion. The appearance was initially thought to be due to pulmonary edema. However, viral pneumonia developing in the background cannot be excluded. Clinical and laboratory data in terms of Covid-19 pneumonia It is recommended that they be evaluated together."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_985/valid_985_a/valid_985_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2328",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; right lung lower lobe posterior (series 2 image 261), left lung lower lobe poaterobasal level, there is a millimetric indistinct ground glass density. Imaging features are atypical or rarely reported for Covid-19 pneumonia. However, due to the current pandemic, follow-up is recommended for the onset of an early infectious process, clinical laboratory correlation, and better differential diagnosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Changes in favor of steatosis were observed in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric indistinct ground-glass density in the right lung lower lobe posterior and left lung lower lobe poaterobasal level; imaging features are atypical or rarely reported for Covid-19 pneumonia. However, due to the current pandemic, in terms of the onset of an early infectious process, clinical laboratory correlation, Follow-up is recommended for better differential diagnosis.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_986/valid_986_a/valid_986_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2329",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; right lung lower lobe posterior (series 2 image 261), left lung lower lobe poaterobasal level, there is a millimetric indistinct ground glass density. Imaging features are atypical or rarely reported for Covid-19 pneumonia. However, due to the current pandemic, follow-up is recommended for the onset of an early infectious process, clinical laboratory correlation, and better differential diagnosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Changes in favor of steatosis were observed in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric indistinct ground-glass density in the right lung lower lobe posterior and left lung lower lobe poaterobasal level; imaging features are atypical or rarely reported for Covid-19 pneumonia. However, due to the current pandemic, in terms of the onset of an early infectious process, clinical laboratory correlation, Follow-up is recommended for better differential diagnosis.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_986/valid_986_a/valid_986_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. Calibration of mediastinal vascular structures is natural and heart contour and size are natural. No pericardial effusion or thickening was detected. No lymph node is observed in the mediastinal area in pathological size and appearance. Trachea and both main bronchi are open and no obstructive pathology is detected. No pathological increase in wall thickness was observed in the esophagus. When examined in the lung parenchyma window; Mild emphysematous changes are observed in both lungs, and there are nodules measuring 4x2 mm in the right lung middle lobe medial segment and lower lobe superior segment, the largest in the middle lobe medial segment. Nodules with ground glass density observed in the right lung lower lobe superior segment were not detected in the current examination. No bilateral pleural effusion or thickening was detected. Slight enlargement of the bronchial structures and an increase in peribronchial thickness are observed at the central level in both lungs (sequelae change). Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild dilatation and peribronchial thickening (sequelae change) in the bronchial structures at the central level in both lungs. Other findings described are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_987/valid_987_a/valid_987_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2331",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. Calibration of mediastinal vascular structures is natural and heart contour and size are natural. No pericardial effusion or thickening was detected. No lymph node is observed in the mediastinal area in pathological size and appearance. Trachea and both main bronchi are open and no obstructive pathology is detected. No pathological increase in wall thickness was observed in the esophagus. When examined in the lung parenchyma window; Mild emphysematous changes are observed in both lungs, and there are nodules measuring 4x2 mm in the right lung middle lobe medial segment and lower lobe superior segment, the largest in the middle lobe medial segment. Nodules with ground glass density observed in the right lung lower lobe superior segment were not detected in the current examination. No bilateral pleural effusion or thickening was detected. Slight enlargement of the bronchial structures and an increase in peribronchial thickness are observed at the central level in both lungs (sequelae change). Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild dilatation and peribronchial thickening (sequelae change) in the bronchial structures at the central level in both lungs. Other findings described are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_987/valid_987_a/valid_987_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There are a few nonspecific nodules in millimeter sizes. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression:  There is no finding in favor of pneumonic infiltration in both lungs, and there are a few nonspecific ones in millimetric dimensions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_988/valid_988_a/valid_988_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2333",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There are a few nonspecific nodules in millimeter sizes. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression:  There is no finding in favor of pneumonic infiltration in both lungs, and there are a few nonspecific ones in millimetric dimensions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_988/valid_988_a/valid_988_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2334",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 4 mm in size, nonspecific ground-glass nodule density is observed in the anterior upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nonspecific millimetric ground-glass nodule in the anterior upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_989/valid_989_a/valid_989_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2335",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; 4 mm in size, nonspecific ground-glass nodule density is observed in the anterior upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Nonspecific millimetric ground-glass nodule in the anterior upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_989/valid_989_a/valid_989_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2336",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures are normal. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Irregular fibrotic sequelae changes were observed in the apex of both lungs. In both lungs, nonspecific pulmonary nodules with a diameter of 4.5 mm were observed in the middle lobe anterobasal segment. In both lungs, areas of consolidation in the form of ground-glass consolidation with a crazy paving pattern accompanied by peripheral patchy and nodular interlobular septal thickening were observed, and the described findings are highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Passive atelectatic changes were observed in the medial segment of the right lung middle lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Apart from this, no mass lesion-active infiltration was detected in both lungs. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Syndesmophytes bridging each other were observed on the anterior surfaces of the thoracic vertebrae. Impression: Calcified atheromatous plaques in the aortic arch and coronary arteries. Hiatal hernia.  Patchy-nodular ground glass densities forming crazy paving pattern accompanied by peripheral interlobular septal thickening in both lungs; the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinic and laboratory.  Passive atelectatic changes in right lung middle lobe medial segment. Both lungs, the largest in the lower lobe anterobasal segment, some with calcific nonspecific millimetric parenchymal nodules. Syndesmophytes bridging each other on the anterior surfaces of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_990/valid_990_a/valid_990_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2337",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures are normal. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Irregular fibrotic sequelae changes were observed in the apex of both lungs. In both lungs, nonspecific pulmonary nodules with a diameter of 4.5 mm were observed in the middle lobe anterobasal segment. In both lungs, areas of consolidation in the form of ground-glass consolidation with a crazy paving pattern accompanied by peripheral patchy and nodular interlobular septal thickening were observed, and the described findings are highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Passive atelectatic changes were observed in the medial segment of the right lung middle lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Apart from this, no mass lesion-active infiltration was detected in both lungs. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Syndesmophytes bridging each other were observed on the anterior surfaces of the thoracic vertebrae. Impression: Calcified atheromatous plaques in the aortic arch and coronary arteries. Hiatal hernia.  Patchy-nodular ground glass densities forming crazy paving pattern accompanied by peripheral interlobular septal thickening in both lungs; the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinic and laboratory.  Passive atelectatic changes in right lung middle lobe medial segment. Both lungs, the largest in the lower lobe anterobasal segment, some with calcific nonspecific millimetric parenchymal nodules. Syndesmophytes bridging each other on the anterior surfaces of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_990/valid_990_a/valid_990_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2338",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are mild atelectasis changes in the middle lobe on the right and the inferior lingula of the upper lobe on the left in both lungs. A few millimetric nonspecific nodules are observed in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. The gallbladder is operated. No lytic-destructive lesion was detected in bone structures. Impression:  Several millimetric nonspecific nodules in both lungs.  Mild atelectasis in right lung middle and left lung upper lobe inferior lingula. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_991/valid_991_a/valid_991_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2339",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are mild atelectasis changes in the middle lobe on the right and the inferior lingula of the upper lobe on the left in both lungs. A few millimetric nonspecific nodules are observed in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. The gallbladder is operated. No lytic-destructive lesion was detected in bone structures. Impression:  Several millimetric nonspecific nodules in both lungs.  Mild atelectasis in right lung middle and left lung upper lobe inferior lingula. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_991/valid_991_a/valid_991_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2340",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the coronary arteries. The ascending aorta is 39 mm and ectatic. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are milimetric lymph nodes in the mediastinum that do not reach pathological size and appearance. Bilateral gynecomastia is observed. When examined in the lung parenchyma window; There are millimetric nonspecific nodules in both lungs. Sequelae linear atelectasis are observed in the middle lobe on the right and the lingula on the left. In the lower lobe of the right lung, newly developed subpleural ground-glass densities located in the upper lobe posterior and located in the upper lobe, which are not seen in the thorax CT taken approximately 10 days ago, are observed. Pleural effusion-thickening was not detected. The gallbladder is operated. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the abdominal aorta. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Aortic and coronary artery atherosclerosis, ectasia in the ascending aorta.  Bilateral gynecomastia.  Nonspecific nodules and sequela fibrotic changes in the lungs, newly developed ground glass densities in the right lung middle lobe and left posterior; In the patient who was learned to have been treated for Covid pneumonia, the findings are compatible with Covid pneumonia infiltration.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_991/valid_991_b/valid_991_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2341",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the coronary arteries. The ascending aorta is 39 mm and ectatic. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are milimetric lymph nodes in the mediastinum that do not reach pathological size and appearance. Bilateral gynecomastia is observed. When examined in the lung parenchyma window; There are millimetric nonspecific nodules in both lungs. Sequelae linear atelectasis are observed in the middle lobe on the right and the lingula on the left. In the lower lobe of the right lung, newly developed subpleural ground-glass densities located in the upper lobe posterior and located in the upper lobe, which are not seen in the thorax CT taken approximately 10 days ago, are observed. Pleural effusion-thickening was not detected. The gallbladder is operated. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the abdominal aorta. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Aortic and coronary artery atherosclerosis, ectasia in the ascending aorta.  Bilateral gynecomastia.  Nonspecific nodules and sequela fibrotic changes in the lungs, newly developed ground glass densities in the right lung middle lobe and left posterior; In the patient who was learned to have been treated for Covid pneumonia, the findings are compatible with Covid pneumonia infiltration.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_991/valid_991_b/valid_991_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2342",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination. Heart contour, size is normal. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, supraclavicular fossa and both axillary regions, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; A 6x4.5 mm nonspecific nodule is observed in the anterior segment of the lower lobe of the right lung, the base of which sits on the fissure. Active infiltration or mass lesion, newly developed nodule is not observed in both lung parenchyma. In the upper abdominal sections included in the sections, there is no solid mass, intra-abdominal free fluid, lymph node in intra-abdominal pathological size and appearance within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the study area. Impression: No new advanced pathology was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_992/valid_992_a/valid_992_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2343",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There is prominence in the epicardiac fat pad. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, there is diffuse density loss in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hepatosteatosis  Prominence in the epicardiac fat pad"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_993/valid_993_a/valid_993_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2344",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There is prominence in the epicardiac fat pad. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, there is diffuse density loss in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Hepatosteatosis  Prominence in the epicardiac fat pad"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_993/valid_993_a/valid_993_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2345",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Post-op suture materials are observed in the sternum. Calcific plaques are observed on the walls of the coronary artery. The AP diameter of the ascending aorta is 4 cm and wider than normal. The cardiothoracic index was slightly increased in favor of the heart. Densities secondary to valve replacement are observed in aortic valve localization. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; mosaic attenuation is observed in both lungs (small airway disease? small vessel disease?). Nonspecific nodules with a diameter of 3.6 mm in the lung apex of the right lung, 5.3 mm in diameter in the anterior segment of the upper lobe of the right lung, others in millimeters, 2-3 mm in diameter adjacent to the fissure in the lower lobe superior segment, and 2 and 3 mm in diameter in the left lung apex are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Ectasia in the ascending aorta . Aortic valve replacement . Minimal cardiomegaly . Depandant density increases in both lung parenchyma (small airway disease? small vessel disease?) . Nonspecific-appearing nodules larger than 5.3 mm in diameter in the anterior segments of both lung upper lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_994/valid_994_a/valid_994_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2346",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Post-op suture materials are observed in the sternum. Calcific plaques are observed on the walls of the coronary artery. The AP diameter of the ascending aorta is 4 cm and wider than normal. The cardiothoracic index was slightly increased in favor of the heart. Densities secondary to valve replacement are observed in aortic valve localization. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; mosaic attenuation is observed in both lungs (small airway disease? small vessel disease?). Nonspecific nodules with a diameter of 3.6 mm in the lung apex of the right lung, 5.3 mm in diameter in the anterior segment of the upper lobe of the right lung, others in millimeters, 2-3 mm in diameter adjacent to the fissure in the lower lobe superior segment, and 2 and 3 mm in diameter in the left lung apex are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Ectasia in the ascending aorta . Aortic valve replacement . Minimal cardiomegaly . Depandant density increases in both lung parenchyma (small airway disease? small vessel disease?) . Nonspecific-appearing nodules larger than 5.3 mm in diameter in the anterior segments of both lung upper lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_994/valid_994_a/valid_994_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2347",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Post-op suture materials are observed in the sternum. Calcific plaques are observed on the walls of the coronary artery. The AP diameter of the ascending aorta is 4 cm and wider than normal. The cardiothoracic index was slightly increased in favor of the heart. Densities secondary to valve replacement are observed in aortic valve localization. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; mosaic attenuation is observed in both lungs (small airway disease? small vessel disease?). Nonspecific nodules with a diameter of 3.6 mm in the lung apex of the right lung, 5.3 mm in diameter in the anterior segment of the upper lobe of the right lung, others in millimeters, 2-3 mm in diameter adjacent to the fissure in the lower lobe superior segment, and 2 and 3 mm in diameter in the left lung apex are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Ectasia in the ascending aorta . Aortic valve replacement . Minimal cardiomegaly . Depandant density increases in both lung parenchyma (small airway disease? small vessel disease?) . Nonspecific-appearing nodules larger than 5.3 mm in diameter in the anterior segments of both lung upper lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_994/valid_994_a/valid_994_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_2348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Post-op suture materials are observed in the sternum. Calcific plaques are observed on the walls of the coronary artery. The AP diameter of the ascending aorta is 4 cm and wider than normal. The cardiothoracic index was slightly increased in favor of the heart. Densities secondary to valve replacement are observed in aortic valve localization. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; mosaic attenuation is observed in both lungs (small airway disease? small vessel disease?). Nonspecific nodules with a diameter of 3.6 mm in the lung apex of the right lung, 5.3 mm in diameter in the anterior segment of the upper lobe of the right lung, others in millimeters, 2-3 mm in diameter adjacent to the fissure in the lower lobe superior segment, and 2 and 3 mm in diameter in the left lung apex are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Ectasia in the ascending aorta . Aortic valve replacement . Minimal cardiomegaly . Depandant density increases in both lung parenchyma (small airway disease? small vessel disease?) . Nonspecific-appearing nodules larger than 5.3 mm in diameter in the anterior segments of both lung upper lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_994/valid_994_a/valid_994_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_2349",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Post-op suture materials are observed in the sternum. Calcific plaques are observed on the walls of the coronary artery. The AP diameter of the ascending aorta is 4 cm and wider than normal. The cardiothoracic index was slightly increased in favor of the heart. Densities secondary to valve replacement are observed in aortic valve localization. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; mosaic attenuation is observed in both lungs (small airway disease? small vessel disease?). Nonspecific nodules with a diameter of 3.6 mm in the lung apex of the right lung, 5.3 mm in diameter in the anterior segment of the upper lobe of the right lung, others in millimeters, 2-3 mm in diameter adjacent to the fissure in the lower lobe superior segment, and 2 and 3 mm in diameter in the left lung apex are observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No additional significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Ectasia in the ascending aorta . Aortic valve replacement . Minimal cardiomegaly . Depandant density increases in both lung parenchyma (small airway disease? small vessel disease?) . Nonspecific-appearing nodules larger than 5.3 mm in diameter in the anterior segments of both lung upper lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_994/valid_994_a/valid_994_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_2350",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_995/valid_995_a/valid_995_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2351",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_995/valid_995_a/valid_995_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2352",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There is a 14 mm diameter hypodense nodular lesion in the right thyroid lobe. There are calcified atheroma plaques in the aortic arch. There is a tortuous course in the thoracic aorta. Wall calcifications and calcified atheroma plaques are observed in the bifurcation localization of the main branches of the abdominal aorta. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Esophageal calibration was followed naturally. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in both lung parenchyma. Linear subsegmental atelectasis area and parenchymal air trapping area are observed in the upper lobe of the right lung. A few nonspecific millimetric nodular lesions were observed in the right lung. In the upper abdominal sections, there is a decrease in liver parenchyma density consistent with hepatosteatosis. A nodular lesion compatible with a 14 mm diameter adenoma is observed in the medial crus of the left adrenal gland. There are cortical cysts in both kidneys. Degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. Impression: Linear atelectasis and parenchymal air trapping area in the left lung. Several millimetric nonspecific pulmonary nodules in the right lung Nodule in the right thyroid lobe. Hepatosteatosis. Cysts of both kidneys.  Left adrenal adenoma . Calcified plaques of atheroma in the aorta.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_996/valid_996_a/valid_996_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There is a 14 mm diameter hypodense nodular lesion in the right thyroid lobe. There are calcified atheroma plaques in the aortic arch. There is a tortuous course in the thoracic aorta. Wall calcifications and calcified atheroma plaques are observed in the bifurcation localization of the main branches of the abdominal aorta. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Esophageal calibration was followed naturally. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in both lung parenchyma. Linear subsegmental atelectasis area and parenchymal air trapping area are observed in the upper lobe of the right lung. A few nonspecific millimetric nodular lesions were observed in the right lung. In the upper abdominal sections, there is a decrease in liver parenchyma density consistent with hepatosteatosis. A nodular lesion compatible with a 14 mm diameter adenoma is observed in the medial crus of the left adrenal gland. There are cortical cysts in both kidneys. Degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. Impression: Linear atelectasis and parenchymal air trapping area in the left lung. Several millimetric nonspecific pulmonary nodules in the right lung Nodule in the right thyroid lobe. Hepatosteatosis. Cysts of both kidneys.  Left adrenal adenoma . Calcified plaques of atheroma in the aorta.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_996/valid_996_a/valid_996_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2354",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or mass lesion, pneumonic infiltration area is detected in the lung parenchyma. There is an area of subsegmental atelectasis in the medial segment of the right lung middle lobe. No features were detected in the upper abdomen sections. The gallbladder is operated. No lytic-destructive lesions were detected in bone structures. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_997/valid_997_a/valid_997_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2355",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or mass lesion, pneumonic infiltration area is detected in the lung parenchyma. There is an area of subsegmental atelectasis in the medial segment of the right lung middle lobe. No features were detected in the upper abdomen sections. The gallbladder is operated. No lytic-destructive lesions were detected in bone structures. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_997/valid_997_a/valid_997_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2356",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are pleuroparenchymal sequelae changes in both lung apex. Atelectasis were observed in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. Minimal emphysematous changes were observed in both lungs. There are several millimetric nonspecific nodules in both lungs. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. There is a Schmorl nodule on the T11 vertebra superior end plate that causes minimal height loss. Other vertebral body heights within the sections are normal. Intervertebral disc distances are narrowed. The neural foramina are open. Impression:  Emphysematous changes in both lungs  Pleuroparenchymal sequelae changes in both lungs  Atelectasis in both lungs  Millimetric nodules in both lungs  Atherosclerotic changes in aorta and coronary arteries  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_998/valid_998_a/valid_998_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are pleuroparenchymal sequelae changes in both lung apex. Atelectasis were observed in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. Minimal emphysematous changes were observed in both lungs. There are several millimetric nonspecific nodules in both lungs. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. There is a Schmorl nodule on the T11 vertebra superior end plate that causes minimal height loss. Other vertebral body heights within the sections are normal. Intervertebral disc distances are narrowed. The neural foramina are open. Impression:  Emphysematous changes in both lungs  Pleuroparenchymal sequelae changes in both lungs  Atelectasis in both lungs  Millimetric nodules in both lungs  Atherosclerotic changes in aorta and coronary arteries  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_998/valid_998_a/valid_998_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2358",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: In the thyroid gland, both lobes are observed to be larger than normal. If necessary, USG examination is recommended. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Mild sequelae changes are observed at the apical level. Densities consistent with pleuroparenchymal sequelae follow in the middle lobe. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_999/valid_999_a/valid_999_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2359",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: In the thyroid gland, both lobes are observed to be larger than normal. If necessary, USG examination is recommended. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Mild sequelae changes are observed at the apical level. Densities consistent with pleuroparenchymal sequelae follow in the middle lobe. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_999/valid_999_a/valid_999_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1000/valid_1000_a/valid_1000_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2361",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1000/valid_1000_a/valid_1000_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2362",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1001/valid_1001_a/valid_1001_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1001/valid_1001_a/valid_1001_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2364",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; On the left chest wall, there are electrodes showing the appearance of a pacemaker and extending to the floor of the ventricle. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 38 mm in diameter and shows slight dilatation. The diameter of the main pulmonary artery was 38 mm and it shows dilatation. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart sizes were significantly increased. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Bilateral peribronchial thickenings were observed. Between the bilateral pleural leaves, there is a slight free pleural effusion measuring 17 mm thick on the right and 13 mm on the left. It extends to the fissure on the right. In the upper abdominal sections in the study area; liver contours are irregular. It is recommended to be evaluated for liver parenchymal disease. Abdominal aorta diameter is 32 mm and it shows fusiform dilatation. Calcified athertosclerotic changes were observed in the wall of the abdominal aorta. Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected. Impression:  Massive cardiomegaly, mild dilatation of the ascending aorta, significant dilatation of the pulmonary artery.  Bilateral, free pleural effusion extending to the right fissure.  Bilateral peribronchial thickenings.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Irregular appearance in liver contours; Clinical evaluation is recommended for liver parenchymal disease.  Calcified atherosclerotic changes in the wall of the abdominal aorta.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1002/valid_1002_a/valid_1002_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2365",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; On the left chest wall, there are electrodes showing the appearance of a pacemaker and extending to the floor of the ventricle. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 38 mm in diameter and shows slight dilatation. The diameter of the main pulmonary artery was 38 mm and it shows dilatation. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart sizes were significantly increased. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Bilateral peribronchial thickenings were observed. Between the bilateral pleural leaves, there is a slight free pleural effusion measuring 17 mm thick on the right and 13 mm on the left. It extends to the fissure on the right. In the upper abdominal sections in the study area; liver contours are irregular. It is recommended to be evaluated for liver parenchymal disease. Abdominal aorta diameter is 32 mm and it shows fusiform dilatation. Calcified athertosclerotic changes were observed in the wall of the abdominal aorta. Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected. Impression:  Massive cardiomegaly, mild dilatation of the ascending aorta, significant dilatation of the pulmonary artery.  Bilateral, free pleural effusion extending to the right fissure.  Bilateral peribronchial thickenings.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Irregular appearance in liver contours; Clinical evaluation is recommended for liver parenchymal disease.  Calcified atherosclerotic changes in the wall of the abdominal aorta.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1002/valid_1002_a/valid_1002_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2366",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. There is a right upper pratrecheal millimetric lymph node. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. No significant pathology was detected in the sections passing through the upper part of the abdomen. No lytic-destructive lesion was detected in bone structures. Impression: Infiltration was not detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1003/valid_1003_a/valid_1003_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2367",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. There is a right upper pratrecheal millimetric lymph node. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. No significant pathology was detected in the sections passing through the upper part of the abdomen. No lytic-destructive lesion was detected in bone structures. Impression: Infiltration was not detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1003/valid_1003_a/valid_1003_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2368",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A 30x13 mm loculated collection-cystic lesion was observed between the paracardiac fatty planes in the anterior neighborhood of the ascending aorta. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. Lymph nodes with a short axis measuring 2 cm in diameter were observed in the mediastinal lower paratracheal, precarinal, subcarinal and bilateral hilar areas, and the largest in the subcarinal area. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Minimal pleuroparenchymal sequelae density increases were observed in both lungs apical. Consolidation areas with air bronchogram were observed in the middle lobe of the right lung. Clinical-laboratory correlation and post-treatment control are recommended for the infectious process. In both lungs, multiple parenchymal nodules measuring 5 mm in diameter were observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Loculated collection-cystic lesion between paracardiac fatty planes in the anterior neighborhood of the ascending aorta.  Mild emphysematous changes in both lungs.  Sequelae changes in both lungs.  Consolidation area in the middle lobe of the right lung; Clinical laboratory correlation and post-treatment control for the infectious process are recommended.  Multiple parenchymal nodules in both lungs.  Mediastinal and hilar lymphadenomegaly.  Sliding type hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1004/valid_1004_a/valid_1004_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2369",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A 30x13 mm loculated collection-cystic lesion was observed between the paracardiac fatty planes in the anterior neighborhood of the ascending aorta. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. Lymph nodes with a short axis measuring 2 cm in diameter were observed in the mediastinal lower paratracheal, precarinal, subcarinal and bilateral hilar areas, and the largest in the subcarinal area. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Minimal pleuroparenchymal sequelae density increases were observed in both lungs apical. Consolidation areas with air bronchogram were observed in the middle lobe of the right lung. Clinical-laboratory correlation and post-treatment control are recommended for the infectious process. In both lungs, multiple parenchymal nodules measuring 5 mm in diameter were observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Loculated collection-cystic lesion between paracardiac fatty planes in the anterior neighborhood of the ascending aorta.  Mild emphysematous changes in both lungs.  Sequelae changes in both lungs.  Consolidation area in the middle lobe of the right lung; Clinical laboratory correlation and post-treatment control for the infectious process are recommended.  Multiple parenchymal nodules in both lungs.  Mediastinal and hilar lymphadenomegaly.  Sliding type hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1004/valid_1004_a/valid_1004_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2370",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be observed: Multiple lymph nodes were observed in the upper-lower paratracheal prevascular, subcarinal area, the largest of which was 7 mm in the short axis. Diffuse calcifications were observed in the pericardium, and the calcification area was measured 11 mm in its widest part. It is recommended to be evaluated for chronic constrictive pericarditis. Heart contour size is natural. Calibration of thoracic main vascular structures is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; There are pleural effusion and atelectatic changes measuring 26 mm in thickness on the right. Subsegmental atelectatic changes were observed in both lungs. Bilateral peribronchial thickenings were observed. Minimal emphysematous changes were observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Diffuse calcifications in the pericardium are recommended to be evaluated in terms of constructive pericarditis.  Pleural effusion and atelectatic changes on the right.  Bilateral subsegmentary atelectasis, mild emphysematous changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1005/valid_1005_a/valid_1005_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2371",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be observed: Multiple lymph nodes were observed in the upper-lower paratracheal prevascular, subcarinal area, the largest of which was 7 mm in the short axis. Diffuse calcifications were observed in the pericardium, and the calcification area was measured 11 mm in its widest part. It is recommended to be evaluated for chronic constrictive pericarditis. Heart contour size is natural. Calibration of thoracic main vascular structures is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; There are pleural effusion and atelectatic changes measuring 26 mm in thickness on the right. Subsegmental atelectatic changes were observed in both lungs. Bilateral peribronchial thickenings were observed. Minimal emphysematous changes were observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Diffuse calcifications in the pericardium are recommended to be evaluated in terms of constructive pericarditis.  Pleural effusion and atelectatic changes on the right.  Bilateral subsegmentary atelectasis, mild emphysematous changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1005/valid_1005_a/valid_1005_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2372",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. There is pericardial effusion measuring approximately 55 mm in its thickest part. Pericardial effusion is observed as hyperdense and was considered to be hemorrhagic. There are also calcifications in the pericardium. Surgical materials are observed in the sternum. Air is observed in the retrosternal region and mediastinum and is thought to be compatible with the postoperative change. Bilateral minimal pleural effusion, more prominent on the right, is observed. The pleural effusion measured approximately 20 mm at its thickest point. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. No upper abdominal free fluid-collection was observed in the sections. In the retrosternal region, there is a collection with an anterior-posterior diameter of 22 mm at its widest point, extending towards the subcutaneous fat tissue at the level of the xiphoid process. The collection was considered to be hemorrhagic. This collection appears to be associated with pericardial effusion. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Pericardial effusion thought to be of hemorrhagic content. Calcifications in the pericardium. Bilateral minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1005/valid_1005_b/valid_1005_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2373",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. There is pericardial effusion measuring approximately 55 mm in its thickest part. Pericardial effusion is observed as hyperdense and was considered to be hemorrhagic. There are also calcifications in the pericardium. Surgical materials are observed in the sternum. Air is observed in the retrosternal region and mediastinum and is thought to be compatible with the postoperative change. Bilateral minimal pleural effusion, more prominent on the right, is observed. The pleural effusion measured approximately 20 mm at its thickest point. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. No upper abdominal free fluid-collection was observed in the sections. In the retrosternal region, there is a collection with an anterior-posterior diameter of 22 mm at its widest point, extending towards the subcutaneous fat tissue at the level of the xiphoid process. The collection was considered to be hemorrhagic. This collection appears to be associated with pericardial effusion. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Pericardial effusion thought to be of hemorrhagic content. Calcifications in the pericardium. Bilateral minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1005/valid_1005_b/valid_1005_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2374",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Millimetric calcific foci are observed in the thyroid parenchyma. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. A venous catheter is observed in the superior vena cava. There is a smear-like pericardial effusion. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are fibrotic sequelae changes and bronchiectatic findings in the upper lobe of the left lung. At the basal level of the lower lobe of the left lung, atelectasis in the form of thick bands are observed. A smear-like effusion is observed in both hemithorax. No gross pathology was detected in favor of the infectious process. At the level of the sternal junction of the 2nd and 3rd ribs, immediately adjacent to the right lateral of the sternum, the size is 18x11 mm, and the dimensions of the paracardiac subdiaphragmatic area in the upper abdomen are up to 15 mm, 12 mm and 29 mm, which is also observed in more than one previous PET-CT, which is significant numerical and There are findings evaluated in favor of infiltrative tumors that do not differ in size. Effusion is observed in the upper abdomen and perihepatic area. Diffuse density reduction and degenerative changes in bone structures, and tapering in end plates are present. Impression:  Space-occupying lesions in the upper abdomen, in the subdiaphragmatic area, on the right side, at the level of the 2nd and 3rd ribs and anteriorly, at the level of the sternal junctions.  Millimetric calcific foci in the thyroid parenchyma.  Diffuse degenerative changes in bone structures.  In the lung parenchyma, fibrotic sequela changes in the left lung lower lobe basal segment and upper lobe, atelectasis in the form of thick bands, and no gross pathology evaluated in favor of an infectious process were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1006/valid_1006_a/valid_1006_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Millimetric calcific foci are observed in the thyroid parenchyma. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. A venous catheter is observed in the superior vena cava. There is a smear-like pericardial effusion. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are fibrotic sequelae changes and bronchiectatic findings in the upper lobe of the left lung. At the basal level of the lower lobe of the left lung, atelectasis in the form of thick bands are observed. A smear-like effusion is observed in both hemithorax. No gross pathology was detected in favor of the infectious process. At the level of the sternal junction of the 2nd and 3rd ribs, immediately adjacent to the right lateral of the sternum, the size is 18x11 mm, and the dimensions of the paracardiac subdiaphragmatic area in the upper abdomen are up to 15 mm, 12 mm and 29 mm, which is also observed in more than one previous PET-CT, which is significant numerical and There are findings evaluated in favor of infiltrative tumors that do not differ in size. Effusion is observed in the upper abdomen and perihepatic area. Diffuse density reduction and degenerative changes in bone structures, and tapering in end plates are present. Impression:  Space-occupying lesions in the upper abdomen, in the subdiaphragmatic area, on the right side, at the level of the 2nd and 3rd ribs and anteriorly, at the level of the sternal junctions.  Millimetric calcific foci in the thyroid parenchyma.  Diffuse degenerative changes in bone structures.  In the lung parenchyma, fibrotic sequela changes in the left lung lower lobe basal segment and upper lobe, atelectasis in the form of thick bands, and no gross pathology evaluated in favor of an infectious process were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1006/valid_1006_a/valid_1006_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2376",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There is minimal pericardial effusion. No significant pericardial thickening was detected. No enlarged lymph nodes in pathological size and appearance were observed in the mediastinum and hilar regions. There is bilateral minimal pleural effusion, more prominent on the right. The pleural effusion measured 30 mm at its thickest point. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal atelectasis adjacent to the effusion in both lung lower lobes. In addition, linear atelectasis were also observed in other parts of the lung. Bronchiectasis, structural distortion and volume loss are observed in the apicoposterior segment of the left upper lobe of the lung. There are emphysematous changes in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. In the upper abdomen, there is a collection of approximately 105x220 mm in anteroposterior and transverse length at its widest point between the stomach and the liver. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Lymphoma on follow-up  Minimal pericardial effusion  Bilateral minimal pleural effusion  Atelectasis in both lungs  Bronchiectasis, structural distortion and volume loss in the left upper lobe of the lung  Emphysematous changes in both lungs  Intraabdominal collection"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1006/valid_1006_b/valid_1006_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There is minimal pericardial effusion. No significant pericardial thickening was detected. No enlarged lymph nodes in pathological size and appearance were observed in the mediastinum and hilar regions. There is bilateral minimal pleural effusion, more prominent on the right. The pleural effusion measured 30 mm at its thickest point. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal atelectasis adjacent to the effusion in both lung lower lobes. In addition, linear atelectasis were also observed in other parts of the lung. Bronchiectasis, structural distortion and volume loss are observed in the apicoposterior segment of the left upper lobe of the lung. There are emphysematous changes in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. In the upper abdomen, there is a collection of approximately 105x220 mm in anteroposterior and transverse length at its widest point between the stomach and the liver. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Lymphoma on follow-up  Minimal pericardial effusion  Bilateral minimal pleural effusion  Atelectasis in both lungs  Bronchiectasis, structural distortion and volume loss in the left upper lobe of the lung  Emphysematous changes in both lungs  Intraabdominal collection"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1006/valid_1006_b/valid_1006_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Heart size increased. There are biventricular and biartrial diameter increases. Slight free fluid is observed between pericardial leaves. Pleural effusion is observed with a diameter of 3 cm between the leaves of the right pleura and 1.5 cm between the leaves of the left pleura. Anasarca-like edema is observed in all subcutaneous soft tissues within the section. Cystic bronchiectasis foci are observed in the apicoposterior segment of the left lung upper lobe. A slight deviation to the left is observed in the mediastinum. No pneumonic consolidation or infiltration area was observed in the lung parenchyma. There are mild interlobular septal thickenings that are more prominent on the left in both lung lower lobe basal segments. It is compatible with mild interstitial edema. Subsegmental atelectasis is observed in the posterobasal segment of the lower lobes of both lungs, adjacent to the effusion. In the upper abdomen sections, no significant difference was found in the size of the collection area in the epigastrium. Impression:  Increase in heart size.  Slight increase in the amount of pericardial effusion.  Intra-abdominal collection  Slight decrease in the amount of right pleural effusion.  Diffuse soft tissue edema persists."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1006/valid_1006_c/valid_1006_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart size increased. There are biventricular and biartrial diameter increases. Slight free fluid is observed between pericardial leaves. Pleural effusion is observed with a diameter of 3 cm between the leaves of the right pleura and 1.5 cm between the leaves of the left pleura. Anasarca-like edema is observed in all subcutaneous soft tissues within the section. Cystic bronchiectasis foci are observed in the apicoposterior segment of the left lung upper lobe. A slight deviation to the left is observed in the mediastinum. No pneumonic consolidation or infiltration area was observed in the lung parenchyma. There are mild interlobular septal thickenings that are more prominent on the left in both lung lower lobe basal segments. It is compatible with mild interstitial edema. Subsegmental atelectasis is observed in the posterobasal segment of the lower lobes of both lungs, adjacent to the effusion. In the upper abdomen sections, no significant difference was found in the size of the collection area in the epigastrium. Impression:  Increase in heart size.  Slight increase in the amount of pericardial effusion.  Intra-abdominal collection  Slight decrease in the amount of right pleural effusion.  Diffuse soft tissue edema persists."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1006/valid_1006_c/valid_1006_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is detected. Calibration of mediastinal vascular structures, heart contour, size are natural. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. There are lymph nodes in the mediastinum, the largest of which is 10 mm in short diameter, with fusiform configuration, and fatty hilus, which is not pathological in size and appearance. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. In both lungs, there is diffuse mild ectasia in the bronchial structures and diffuse mild thickness increase in the peribronchial structures. A few millimetric nodules were observed in both lungs. No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures within the image. There are degenerative changes. Impression:  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Several millimetric nodules in both lungs.  Diffuse mild ectasia and diffuse mild peribronchial thickness increase in bronchial structures in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1007/valid_1007_a/valid_1007_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2381",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is detected. Calibration of mediastinal vascular structures, heart contour, size are natural. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. There are lymph nodes in the mediastinum, the largest of which is 10 mm in short diameter, with fusiform configuration, and fatty hilus, which is not pathological in size and appearance. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. In both lungs, there is diffuse mild ectasia in the bronchial structures and diffuse mild thickness increase in the peribronchial structures. A few millimetric nodules were observed in both lungs. No pathology was detected in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures within the image. There are degenerative changes. Impression:  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Several millimetric nodules in both lungs.  Diffuse mild ectasia and diffuse mild peribronchial thickness increase in bronchial structures in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1007/valid_1007_a/valid_1007_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2382",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; reticulonodular sequelae density increases were observed in bilateral apex. Linear fibroatelectasis sequelae change was observed in the paracardiac area in the left lung lingular segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed in the non-contrast examination, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fibrotic density increases with reticulonodular sequelae in both lung apexes. Linear fibroatelectasis in the paracardiac area in the lingular segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1008/valid_1008_a/valid_1008_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2383",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; reticulonodular sequelae density increases were observed in bilateral apex. Linear fibroatelectasis sequelae change was observed in the paracardiac area in the left lung lingular segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed in the non-contrast examination, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fibrotic density increases with reticulonodular sequelae in both lung apexes. Linear fibroatelectasis in the paracardiac area in the lingular segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1008/valid_1008_a/valid_1008_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2384",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There is a 10 mm hypodense oval-shaped finding in the lower quadrant of the left breast. lymph node? When examined in the lung parenchyma window; There are several millimetric non-specific nodules in both lungs. Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, the liver parenchyma changes in favor of steatosis. The bilateral adrenal glands are normal. No space-occupying lesions were detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Diffuse density reduction in bone structures and mild hypertrophic tapering in the end plates are observed. Impression: There is a 10 mm hypodense oval-shaped finding in the lower quadrant of the left breast. Lymph node?. There are several millimetric non-specific nodules in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1009/valid_1009_a/valid_1009_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1010/valid_1010_a/valid_1010_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2386",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1010/valid_1010_a/valid_1010_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2387",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial smear-like fluid is observed. Calcified atheroma plaques are observed on the wall of the aortic arch and coronary vascular structures. No bilateral pleural effusion or thickening was detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness is observed in the thoracic esophagus. Sliding type hiatal hernia is observed at the lower end of the esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Sequela parenchymal changes are observed in the left lung upper lobe lingular segment, bilateral lung lower lobe posterobasal segment and right lung middle lobe medial segment. A few nonspecific nodules measuring 5.5 mm in size are observed in the posterior and anterior segment of the right lung upper lobe, the largest of which is in the upper lobe posterior. In both lungs, there is a mosaic attenuation pattern more evident in the lower lobes (small vessel disease?, small airway disease?). In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid or loculated collection was observed. Dilatation is observed in the transverse colon and descending colon segments. However, no occlusive pathology was detected in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Arcus aorta, calcified atheromatous plaques in the wall of coronary vascular structures. Hiatal hernia.  Sequela parenchymal changes in the left lung upper lobe lingular segment, bilateral lung lower lobe posterobasal segment, and right lung middle lobe medial segment. A few nonspecific nodules in the right lung upper lobe posterior and anterior segment, the largest in the upper lobe posterior. Mosaic attenuation pattern (small vessel disease?, small airway disease?) more evident in the lower lobes of both lungs. Dilatation in the transverse colon and descending colon segments."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1011/valid_1011_a/valid_1011_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2388",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial smear-like fluid is observed. Calcified atheroma plaques are observed on the wall of the aortic arch and coronary vascular structures. No bilateral pleural effusion or thickening was detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness is observed in the thoracic esophagus. Sliding type hiatal hernia is observed at the lower end of the esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Sequela parenchymal changes are observed in the left lung upper lobe lingular segment, bilateral lung lower lobe posterobasal segment and right lung middle lobe medial segment. A few nonspecific nodules measuring 5.5 mm in size are observed in the posterior and anterior segment of the right lung upper lobe, the largest of which is in the upper lobe posterior. In both lungs, there is a mosaic attenuation pattern more evident in the lower lobes (small vessel disease?, small airway disease?). In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid or loculated collection was observed. Dilatation is observed in the transverse colon and descending colon segments. However, no occlusive pathology was detected in the upper abdominal sections within the image. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Arcus aorta, calcified atheromatous plaques in the wall of coronary vascular structures. Hiatal hernia.  Sequela parenchymal changes in the left lung upper lobe lingular segment, bilateral lung lower lobe posterobasal segment, and right lung middle lobe medial segment. A few nonspecific nodules in the right lung upper lobe posterior and anterior segment, the largest in the upper lobe posterior. Mosaic attenuation pattern (small vessel disease?, small airway disease?) more evident in the lower lobes of both lungs. Dilatation in the transverse colon and descending colon segments."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1011/valid_1011_a/valid_1011_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2389",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1012/valid_1012_a/valid_1012_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2390",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1012/valid_1012_a/valid_1012_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2391",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were observed suboptimally since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Patchy ground glass density increases were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion with a thickness of 49 mm on the right and 36 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. No mass-infiltration was detected in both lung parenchyma. Hypodense lesions were observed in both kidneys in the upper abdominal sections included in the examination area. Diffuse calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Millimetric calculus was observed in the middle zone of the right kidney. Mild dilatation was observed in the pelvicalyceal structures of both kidneys. Fixation screws extending from posterior to vertebral corpus were observed at the level of lower thoracic and lumbar vertebrae. There are artifacts of the fixation materials, and the examination in the abdominal sections was evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: Patchy ground-glass density increases, peribronchial thickenings, bilateral pleural effusion and atelectatic changes in both lungs. Right nephrolithiasis and bilateral renal cysts. Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1013/valid_1013_a/valid_1013_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2392",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were observed suboptimally since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Patchy ground glass density increases were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion with a thickness of 49 mm on the right and 36 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. No mass-infiltration was detected in both lung parenchyma. Hypodense lesions were observed in both kidneys in the upper abdominal sections included in the examination area. Diffuse calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Millimetric calculus was observed in the middle zone of the right kidney. Mild dilatation was observed in the pelvicalyceal structures of both kidneys. Fixation screws extending from posterior to vertebral corpus were observed at the level of lower thoracic and lumbar vertebrae. There are artifacts of the fixation materials, and the examination in the abdominal sections was evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: Patchy ground-glass density increases, peribronchial thickenings, bilateral pleural effusion and atelectatic changes in both lungs. Right nephrolithiasis and bilateral renal cysts. Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1013/valid_1013_a/valid_1013_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Mild atherosclerotic changes are observed in the aortic arch and coronary arteries. There is pericardial effusion measuring up to 12 mm in thickness. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There is mild atelectasis at the posterobasal level of the left lung lower lobe. Upper abdominal organs are partially included in the study and diffuse large amount of free fluid is observed. Fatty planes are hyperemic and edematous. The spleen size was markedly increased. Cortical cyst is observed in the right kidney. No lytic-destructive lesion was detected in bone structures. There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles. Impression:  Mild atelectasis at the posterobasal level of the lower lobe of the left lung.  Increase in heart size.  12 mm thick pericardial effusion.  Splenomegaly  Large amount of ascites, partially visible on images in the upper abdomen.  Cortical cyst measuring 25 mm in size in the right kidney.  Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1014/valid_1014_a/valid_1014_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Mild atherosclerotic changes are observed in the aortic arch and coronary arteries. There is pericardial effusion measuring up to 12 mm in thickness. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There is mild atelectasis at the posterobasal level of the left lung lower lobe. Upper abdominal organs are partially included in the study and diffuse large amount of free fluid is observed. Fatty planes are hyperemic and edematous. The spleen size was markedly increased. Cortical cyst is observed in the right kidney. No lytic-destructive lesion was detected in bone structures. There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles. Impression:  Mild atelectasis at the posterobasal level of the lower lobe of the left lung.  Increase in heart size.  12 mm thick pericardial effusion.  Splenomegaly  Large amount of ascites, partially visible on images in the upper abdomen.  Cortical cyst measuring 25 mm in size in the right kidney.  Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1014/valid_1014_a/valid_1014_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases were observed in the lower lobes of both lungs, which tended to coalesce in the peripheral subpleural area. The outlook was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Clinical and laboratory correlation is recommended. A well-circumscribed parenchymal nodule with a diameter of 6 mm was observed in the right lung lower lobe laterobasal segment. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Subpleural parenchymal nodule in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1015/valid_1015_a/valid_1015_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2396",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases were observed in the lower lobes of both lungs, which tended to coalesce in the peripheral subpleural area. The outlook was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Clinical and laboratory correlation is recommended. A well-circumscribed parenchymal nodule with a diameter of 6 mm was observed in the right lung lower lobe laterobasal segment. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Subpleural parenchymal nodule in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1015/valid_1015_a/valid_1015_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2397",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast. There are calcified atheromatous plaques on the walls of the coronary vascular structures. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, there is a soft tissue density lesion with a size of 45x21 mm at the prevascular level, in which hyperdense calcified foci are observed. Apart from this, lymph nodes measuring 13x8 mm in size were observed in the mediastinum and bilateral hilar region, the largest in the right hilar region. When examined in the lung parenchyma window; Multiple nodular lesions measuring 16x10 mm in size, some with irregular borders, and some with a ground-glass halo in the periphery, were observed in both lungs, the largest of which was 16x10 mm in the left lung lower lobe laterobasal segment. In addition, there is a 10x5 mm nodular thickness increase in the pleura in the inferior lingular segment of the left lung upper lobe. In the anterior segment of the left lung upper lobe, smooth interlobular septal thickness increases were observed, accompanied by an increase in peribronchovascular bundle thickness. No pleural effusion was detected. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  A soft tissue density lesion, which is primarily evaluated in favor of lymphadenopathy, with millimetric calcified foci in the prevascular area, and lymph nodes less than 1 cm in diameter in the mediastinum, bilateral hilar region.  Solid-semisolid nodules, some of which have irregular borders and some of which have a ground-glass halo in the periphery, the largest observed in the left lung lower lobe laterobasal segment in both lungs, thickening in the peribronchovascular area and smooth interlobular septal thickness increases in the left lung upper lobe anterior segment; It is recommended that the findings be evaluated together with old-dated CT examinations, if any."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_a/valid_1016_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2398",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast. There are calcified atheromatous plaques on the walls of the coronary vascular structures. Pericardial, pleural effusion was not detected. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, there is a soft tissue density lesion with a size of 45x21 mm at the prevascular level, in which hyperdense calcified foci are observed. Apart from this, lymph nodes measuring 13x8 mm in size were observed in the mediastinum and bilateral hilar region, the largest in the right hilar region. When examined in the lung parenchyma window; Multiple nodular lesions measuring 16x10 mm in size, some with irregular borders, and some with a ground-glass halo in the periphery, were observed in both lungs, the largest of which was 16x10 mm in the left lung lower lobe laterobasal segment. In addition, there is a 10x5 mm nodular thickness increase in the pleura in the inferior lingular segment of the left lung upper lobe. In the anterior segment of the left lung upper lobe, smooth interlobular septal thickness increases were observed, accompanied by an increase in peribronchovascular bundle thickness. No pleural effusion was detected. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  A soft tissue density lesion, which is primarily evaluated in favor of lymphadenopathy, with millimetric calcified foci in the prevascular area, and lymph nodes less than 1 cm in diameter in the mediastinum, bilateral hilar region.  Solid-semisolid nodules, some of which have irregular borders and some of which have a ground-glass halo in the periphery, the largest observed in the left lung lower lobe laterobasal segment in both lungs, thickening in the peribronchovascular area and smooth interlobular septal thickness increases in the left lung upper lobe anterior segment; It is recommended that the findings be evaluated together with old-dated CT examinations, if any."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_a/valid_1016_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Minimal effusion was observed in both pleural spaces. Measured 20 mm on the right at its deepest point. In both lungs, there are areas of increase in density consistent with newly developed consolidation, which is evaluated in favor of compressive atelectasis adjacent to the effusion. In the mediastinum, a lesion of soft tissue density is observed in the prevascular area, which is evaluated primarily in favor of lymphadenopathy, in which calcified foci in millimeter sizes are also observed. Although no change was found in the craniocaudal dimension in the current examination, an increase in the mediolateral dimension was noted. It was measured as 25 mm in the previous CT examination, and it was measured as 31 mm in the current examination. In addition, there are lymph nodes in the mediastinum that are stable in number and size, short in diameter less than 1 cm, have a fusiform configuration, and are not pathological in size and appearance. There are nodules in both lungs, the largest of which is in the posterobasal segment of the left lung lower lobe, some with irregular borders and some with a ground-glass halo in the periphery. No change was detected in their number and size. In addition, thickening in the peribronchovascular area and smooth interlobular septal thickness increases are observed in the anterior segment of the left lung upper lobe. The findings were also observed in the previous CT examination and no change was detected. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_b/valid_1016_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2400",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Minimal effusion was observed in both pleural spaces. Measured 20 mm on the right at its deepest point. In both lungs, there are areas of increase in density consistent with newly developed consolidation, which is evaluated in favor of compressive atelectasis adjacent to the effusion. In the mediastinum, a lesion of soft tissue density is observed in the prevascular area, which is evaluated primarily in favor of lymphadenopathy, in which calcified foci in millimeter sizes are also observed. Although no change was found in the craniocaudal dimension in the current examination, an increase in the mediolateral dimension was noted. It was measured as 25 mm in the previous CT examination, and it was measured as 31 mm in the current examination. In addition, there are lymph nodes in the mediastinum that are stable in number and size, short in diameter less than 1 cm, have a fusiform configuration, and are not pathological in size and appearance. There are nodules in both lungs, the largest of which is in the posterobasal segment of the left lung lower lobe, some with irregular borders and some with a ground-glass halo in the periphery. No change was detected in their number and size. In addition, thickening in the peribronchovascular area and smooth interlobular septal thickness increases are observed in the anterior segment of the left lung upper lobe. The findings were also observed in the previous CT examination and no change was detected. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_b/valid_1016_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2401",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the neighborhood of the mass described in the posterior upper lobe of the left lung, nodular interlobular septal thickness increases are sometimes accompanied. The findings were evaluated as compatible with alveolar carcinomatosis. There are nodular lesions in both lungs, the largest measuring approximately 16x12 mm in the posterobasal segment of the left lung lower lobe, some with irregular borders. When evaluated together with the primary mass in the left lung, it was evaluated in favor of metastasis. Apart from this, in the current examination of both lungs, there are centriacinar nodular density increases in the appearance of a newly developed multilobar indeterminately limited tree with buds. Although the findings were nonspecific, infection was considered in its etiology. In both pleural spaces, an effusion up to 30 mm in depth was observed on the right at its deepest point. In both lungs, adjacent to the effusion, there are areas of increase in density consistent with consolidation, which is evaluated in favor of compressive atelectasis and in which air bronchograms are also observed. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  In the anterior and posterior segment of the left lung upper lobe, adjacent to the mediastinum, a soft tissue density mass extending towards the aorticopulmonary window, the borders of which cannot be distinguished from the right lung upper lobe bronchus, and findings evaluated in favor of alveolar carcinomatosis in the vicinity of the mass described in the left lung upper lobe posterior. nodular lesions with irregular borders in the posterobasal segment of the lower lobe (metastatic nodule?).  In the current examination, centriacinar nodular density increases in both lungs with the appearance of a newly developed tree with buds; Although the findings are nonspecific, infection was considered in the etiology beforehand.  Bilateral pleural effusion and areas of increased density in the adjacent lung parenchyma, evaluated in favor of compressive atelectasis, and lymph nodes with a fusiform configuration in the mediastinum showing an increase in size"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_c/valid_1016_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2402",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the neighborhood of the mass described in the posterior upper lobe of the left lung, nodular interlobular septal thickness increases are sometimes accompanied. The findings were evaluated as compatible with alveolar carcinomatosis. There are nodular lesions in both lungs, the largest measuring approximately 16x12 mm in the posterobasal segment of the left lung lower lobe, some with irregular borders. When evaluated together with the primary mass in the left lung, it was evaluated in favor of metastasis. Apart from this, in the current examination of both lungs, there are centriacinar nodular density increases in the appearance of a newly developed multilobar indeterminately limited tree with buds. Although the findings were nonspecific, infection was considered in its etiology. In both pleural spaces, an effusion up to 30 mm in depth was observed on the right at its deepest point. In both lungs, adjacent to the effusion, there are areas of increase in density consistent with consolidation, which is evaluated in favor of compressive atelectasis and in which air bronchograms are also observed. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  In the anterior and posterior segment of the left lung upper lobe, adjacent to the mediastinum, a soft tissue density mass extending towards the aorticopulmonary window, the borders of which cannot be distinguished from the right lung upper lobe bronchus, and findings evaluated in favor of alveolar carcinomatosis in the vicinity of the mass described in the left lung upper lobe posterior. nodular lesions with irregular borders in the posterobasal segment of the lower lobe (metastatic nodule?).  In the current examination, centriacinar nodular density increases in both lungs with the appearance of a newly developed tree with buds; Although the findings are nonspecific, infection was considered in the etiology beforehand.  Bilateral pleural effusion and areas of increased density in the adjacent lung parenchyma, evaluated in favor of compressive atelectasis, and lymph nodes with a fusiform configuration in the mediastinum showing an increase in size"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_c/valid_1016_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2403",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the right hilar region and its short diameter is 9 mm. An irregularly circumscribed mass is observed adjacent to the prevascular region in the medial of the upper lobe of the left lung. The longest diameter of the mass was 48 mm. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. Emphysematous changes and occasional atelectasis and minimal pleuroparenchymal sequelae were observed in both lungs. There are multiple nodules in both lungs. The largest of these nodules is observed in the lower lobe of the left lung and the longest diameter was 12 mm. No appearance that can be evaluated in favor of pneumonic infiltration was observed in both lungs. There is no upper abdominal free fluid-collection within the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Mass in the medial part of the upper lobe of the left lung, multiple nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_d/valid_1016_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2404",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the right hilar region and its short diameter is 9 mm. An irregularly circumscribed mass is observed adjacent to the prevascular region in the medial of the upper lobe of the left lung. The longest diameter of the mass was 48 mm. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. Emphysematous changes and occasional atelectasis and minimal pleuroparenchymal sequelae were observed in both lungs. There are multiple nodules in both lungs. The largest of these nodules is observed in the lower lobe of the left lung and the longest diameter was 12 mm. No appearance that can be evaluated in favor of pneumonic infiltration was observed in both lungs. There is no upper abdominal free fluid-collection within the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Mass in the medial part of the upper lobe of the left lung, multiple nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_d/valid_1016_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were evaluated as open. Mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial effusion was not detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, lymph nodes measuring 11 mm in diameter were observed, the largest of which was at the precarinal level. The short diameter of the lymph node described in the previous CT examination was measured as 9 mm, and there is an increase in the size of the lymph nodes observed in the mediastinum and in both hilar regions. No newly developed lymph node was detected. An irregularly circumscribed mass extending towards the prevascular area is observed in the medial side of the left lung upper lobe. The dimensions of the mass have increased in the current examination, and there is an indistinct limited consolidation that cannot be distinguished from the defined mass in the peribronchial areas in the left lung upper lobe anterior-posterior, lingular segments, and there is an increase in density in the ground glass density. The etiology may be viral pneumonias or fungal infections. It is recommended to be evaluated with clinical and laboratory findings. Effusion in each pleural space has been followed. It measures 15 mm on the right at its deepest point. In the comparative evaluation made with the previous CT examination, an increase in the size of the pleural effusion was observed on the right, and the left pleural effusion has just developed. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_e/valid_1016_e_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2406",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were evaluated as open. Mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial effusion was not detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, lymph nodes measuring 11 mm in diameter were observed, the largest of which was at the precarinal level. The short diameter of the lymph node described in the previous CT examination was measured as 9 mm, and there is an increase in the size of the lymph nodes observed in the mediastinum and in both hilar regions. No newly developed lymph node was detected. An irregularly circumscribed mass extending towards the prevascular area is observed in the medial side of the left lung upper lobe. The dimensions of the mass have increased in the current examination, and there is an indistinct limited consolidation that cannot be distinguished from the defined mass in the peribronchial areas in the left lung upper lobe anterior-posterior, lingular segments, and there is an increase in density in the ground glass density. The etiology may be viral pneumonias or fungal infections. It is recommended to be evaluated with clinical and laboratory findings. Effusion in each pleural space has been followed. It measures 15 mm on the right at its deepest point. In the comparative evaluation made with the previous CT examination, an increase in the size of the pleural effusion was observed on the right, and the left pleural effusion has just developed. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_e/valid_1016_e_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2407",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  An irregularly circumscribed mass extending towards the prevascular area is observed in the medial of the left lung upper lobe. In the current examination, areas of increase in density consistent with consolidation are observed in the upper lobe of the left lung adjacent to the mass, in the upper lobe of the left lung, in the lingular segment and in the lower lobe superior, and in all segments of the right lung, with an indistinct marginal tendency to merge with each other and areas of density increase consistent with consolidation. Pneumonic infiltration is considered in the etiology of the findings. There is also an increase in the size of nodular lesions with irregular borders with a ground-glass halo in the periphery observed in the previous CT examination, and the nodules described in the previous CT examination were primarily evaluated in favor of areas of consolidation secondary to pneumonic infiltration. In the current examination, an effusion showing an increase in size is observed in both pleural spaces and was measured at its deepest point at a depth of approximately 20 mm on the right. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_f/valid_1016_f_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2408",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  An irregularly circumscribed mass extending towards the prevascular area is observed in the medial of the left lung upper lobe. In the current examination, areas of increase in density consistent with consolidation are observed in the upper lobe of the left lung adjacent to the mass, in the upper lobe of the left lung, in the lingular segment and in the lower lobe superior, and in all segments of the right lung, with an indistinct marginal tendency to merge with each other and areas of density increase consistent with consolidation. Pneumonic infiltration is considered in the etiology of the findings. There is also an increase in the size of nodular lesions with irregular borders with a ground-glass halo in the periphery observed in the previous CT examination, and the nodules described in the previous CT examination were primarily evaluated in favor of areas of consolidation secondary to pneumonic infiltration. In the current examination, an effusion showing an increase in size is observed in both pleural spaces and was measured at its deepest point at a depth of approximately 20 mm on the right. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1016/valid_1016_f/valid_1016_f_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2409",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the left lung upper lobe inferior lingula. A few subpleural nonspecific millimetric nodules are observed in both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. A millimetric calcific focus is observed at the apical level of the left lobe of the liver entering the section area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Atelectasis changes in left lung upper lobe inferior lingula. Several subpleural nonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1017/valid_1017_a/valid_1017_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2410",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Minimal calcific atherosclerotic changes are observed in the wall of the thoracic aorta. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. No pathological wall thickening was detected in the mediastinal examination margins. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. Bilateral pleural effusion-thickening was not observed. A suspicious soft tissue thickening was observed in the anterior mediastinum, measuring 6 mm in its thickest part, in a triangular style, which could not be clearly characterized since the examination was uncontrasted. Verification with contrast-enhanced CT is recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Since the examination measuring 6 mm in the thickest part of the anterior mediastinum is uncontrasted, a suspicious soft tissue thickening in a triangular style that cannot be clearly characterized was observed. Verification with contrast-enhanced CT examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1018/valid_1018_a/valid_1018_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Minimal calcific atherosclerotic changes are observed in the wall of the thoracic aorta. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. No pathological wall thickening was detected in the mediastinal examination margins. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. Bilateral pleural effusion-thickening was not observed. A suspicious soft tissue thickening was observed in the anterior mediastinum, measuring 6 mm in its thickest part, in a triangular style, which could not be clearly characterized since the examination was uncontrasted. Verification with contrast-enhanced CT is recommended. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Since the examination measuring 6 mm in the thickest part of the anterior mediastinum is uncontrasted, a suspicious soft tissue thickening in a triangular style that cannot be clearly characterized was observed. Verification with contrast-enhanced CT examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1018/valid_1018_a/valid_1018_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No obvious pathology was detected. Pericardial effusion reaching 7 mm was observed. The thoracic esophagus is in normal calibration. No pathological wall thickening was detected. No lymph node reaching pathological size was detected in the bilateral supraclavicular region. Lymph nodes with thickened cortex were observed in the bilateral axillary region, the largest on the left, measuring approximately 22x16 mm. In the mediastinal prevascular area, in the upper and lower paratracheal area, in the bilateral hilar region and bilaterally in the lobar region, lymph nodes with a short diameter of 13 mm in oval and round configuration were observed. When examined in the lung parenchyma window; Mass lesions were observed in the right lung, the largest of which was in the lower lobe superior segment, on the mediastinal surface, with dimensions of approximately 57x38 mm. A pleural-based mass lesion measuring 24x28 mm was observed on the mediastinal surface in the apicoposterior segment of the left lung upper lobe. Masses and nodular lesions are observed in both lungs. On the right, the fissure is thickened. In the evaluation of the upper abdominal organs in the imaging area, hypodense lesions in the liver that could not be characterized in contrast sections were observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Masses in both lungs. Mediastinal lymphadenopathies.  Bilateral axillary lymphadenopathies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1019/valid_1019_a/valid_1019_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Aberrant right subclavian artery was observed. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Subsegmental atelectasis areas were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Contour irregularities and subpleural lines were observed in the pleura in the basal segments of the lower lobes of both lungs. Evaluation for early interstitial lung disease is recommended. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. A lytic soft tissue lesion causing destruction of the bone structure was observed in the left 4th rib anterior. Impression: Cardiomegaly. Calcified atherosclerotic changes in the thoracoabdominal aorta, aberrant right subclavian artery.  Fibroatelectatic changes in both lungs. Left 4. Lithic soft tissue lesion causing destruction of the bone structure in the anterior rib."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1019/valid_1019_b/valid_1019_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Aberrant right subclavian artery was observed. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Subsegmental atelectasis areas were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Contour irregularities and subpleural lines were observed in the pleura in the basal segments of the lower lobes of both lungs. Evaluation for early interstitial lung disease is recommended. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. A lytic soft tissue lesion causing destruction of the bone structure was observed in the left 4th rib anterior. Impression: Cardiomegaly. Calcified atherosclerotic changes in the thoracoabdominal aorta, aberrant right subclavian artery.  Fibroatelectatic changes in both lungs. Left 4. Lithic soft tissue lesion causing destruction of the bone structure in the anterior rib."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1019/valid_1019_b/valid_1019_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusions in the form of minimal thin smears are observed in both hemithorax. Pericardial effusion is present in the form of minimal smearing. In the evaluation of both lung parenchyma; Motion artifacts are present in both lungs. Pleuroparenchymal sequelae are observed in the middle lobe of the right lung and in the lower lobes of both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Destruction showing exit to the soft tissue is observed in the 4th rib on the left. On the right, there is a fractured appearance in the 4th rib. A height loss of 50-60% is observed in the T4.vertebra corpus, and it has recently developed according to the previous examination. When evaluated together with MRI examination, there is metastatic soft tissue extending to anterior epidural space and pre-paravertebral distance in this localization. Impression: Pathological partial compression causing 50-60% loss of height in the T4.vertebra. Destruction showing up to the soft tissue in the 4th rib on the left, fracture in the 4th rib on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1019/valid_1019_c/valid_1019_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2416",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusions in the form of minimal thin smears are observed in both hemithorax. Pericardial effusion is present in the form of minimal smearing. In the evaluation of both lung parenchyma; Motion artifacts are present in both lungs. Pleuroparenchymal sequelae are observed in the middle lobe of the right lung and in the lower lobes of both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Destruction showing exit to the soft tissue is observed in the 4th rib on the left. On the right, there is a fractured appearance in the 4th rib. A height loss of 50-60% is observed in the T4.vertebra corpus, and it has recently developed according to the previous examination. When evaluated together with MRI examination, there is metastatic soft tissue extending to anterior epidural space and pre-paravertebral distance in this localization. Impression: Pathological partial compression causing 50-60% loss of height in the T4.vertebra. Destruction showing up to the soft tissue in the 4th rib on the left, fracture in the 4th rib on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1019/valid_1019_c/valid_1019_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: KTO is in normal calibration. The aortic arch calibration is 30 mm, slightly wider than normal. Other major vascular structures are normal. Pericardial thickening is observed. According to the previous review, there is a clearing. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Aberrant right subclavian artery is present. Millimetric sized calcific atheroma plaques are observed in the aortic arch and descending aorta. In the case, there is a lymph node of approximately 24x16 mm on the right in the central cervical central group. In the old review it is 18x12 mm. There is an approximate 33% increase in size on the short axle. There are millimetric lymph nodes in the mediastinum. No lymph node with pathological size and configuration was detected at the hilar level. Most of them have lost their oval configuration at both axillary levels prominent on the right and the largest one is on the right with an increase in size by approximately 21%. However, there is an increase in size of approximately 40% in the smaller lymph node adjacent to it. It looks progressive. Trachea, both main bronchi are open. When examined in the lung parenchyma window; Sequela changes are observed in the middle lobe of the right lung. Also available in old review. There is a slight pleural thickening-pushing type pleural effusion at the base of the lower lobe. Again at this level, there are fibroatelectatic linear densities. Mild sequelae changes are observed in the upper lobe. There are pleuroparenchymal band appearances in the inferior lingular segment. Slight thickening and pleuroparenchymal sequelae changes are observed in the pleura at the posterobasal level of the lower lobe, which are also observed in the previous examination. Significant pneumonia and pneumothorax were not detected in both lungs. In the upper abdominal organs included in the sections, the spleen is full. The AP size is approximately 125 mm. . No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the bone structures in the examination area and there is a progression of the destructive lesion observed in the right scapula in the case with lymphoma anamnesis. A sequel fracture is observed at the 4th rib on the right. At the 4th rib on the left, there are destructive changes in the cortex, showing invasion into soft tissues both into the thorax and towards the chest wall. There is also progression at this level. There is bone involvement in the D6 vertebra, which causes approximately 75% loss of height and causes destruction in the bone structure, and it is observed that the destruction extends towards both peduncles and towards the posterior elements, and there is spread to the anterior epidural area in the vicinity of the surrounding posterior elements, and there is also progression at this level according to the previous examination. Invasion of lymphoma is also observed in both paravertebral areas and the level of involvement slightly extends in the craniocaudal axis. Impression:  There is thickening of the pleura at posterobasal levels in both lungs, a slight smear-like pleural effusion on the right and fibroatelectatic density increases are observed.  There are pathological lymph nodes in both axillary loci in the mediastinum that have progressed according to the previous examination.  Diffuse jutulum with progressive features is observed in the bone structure according to the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1019/valid_1019_d/valid_1019_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2418",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. In the anterior mediastinum, thymic tissue with trigonal configuration without mass effect is observed. Arkus oarta calibration is natural. Calibration of mediastinal other moment vascular structures is natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular dance compatible with the accessory spleen is also observed in the spleen hilum. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1020/valid_1020_a/valid_1020_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2419",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. In the anterior mediastinum, thymic tissue with trigonal configuration without mass effect is observed. Arkus oarta calibration is natural. Calibration of mediastinal other moment vascular structures is natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No bilateral pleural effusion or pneumothorax was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular dance compatible with the accessory spleen is also observed in the spleen hilum. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1020/valid_1020_a/valid_1020_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2420",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like pericardial effusion was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal sequela fibrotic recessions were observed in the basal segments of the right lung middle lobe and left lung lower lobe. A nonspecific subcentimetric nodule was observed on the fissure on the left. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. An accessory spleen with a diameter of 12 mm was observed inferior to the splenic hilum. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the dorsal level, mild scoliosis was observed with the left opening. Impression:  Placing pericardial effusion.  Pleuroparenchymal sequela fibrotic recessions in the right lung middle lobe and left lung lower lobe basal segments.  Subcentimetric nonspecific nodule on the left fissure.  Mild scoliosis with left-facing thoracic opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1021/valid_1021_a/valid_1021_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2421",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like pericardial effusion was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal sequela fibrotic recessions were observed in the basal segments of the right lung middle lobe and left lung lower lobe. A nonspecific subcentimetric nodule was observed on the fissure on the left. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. An accessory spleen with a diameter of 12 mm was observed inferior to the splenic hilum. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the dorsal level, mild scoliosis was observed with the left opening. Impression:  Placing pericardial effusion.  Pleuroparenchymal sequela fibrotic recessions in the right lung middle lobe and left lung lower lobe basal segments.  Subcentimetric nonspecific nodule on the left fissure.  Mild scoliosis with left-facing thoracic opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1021/valid_1021_a/valid_1021_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear fibroatelactastic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis. Two accessory spleens with diameters of 7 and 14 mm were observed in the upper pole anterior of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Linear fibroatelactasis changes in right lung middle lobe medial and left lung upper lobe inferior lingular segment . Hepatosteatosis . Two accessory spleens in anterior upper pole of spleen.  Scoliosis with thoracic opening facing left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1022/valid_1022_a/valid_1022_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2423",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear fibroatelactastic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis. Two accessory spleens with diameters of 7 and 14 mm were observed in the upper pole anterior of the spleen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Linear fibroatelactasis changes in right lung middle lobe medial and left lung upper lobe inferior lingular segment . Hepatosteatosis . Two accessory spleens in anterior upper pole of spleen.  Scoliosis with thoracic opening facing left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1022/valid_1022_a/valid_1022_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No pericardial pleural effusion or thickening was detected. Trachea, both main bronchi were open and no obstructive pathology was detected. There is no pathological increase in thoracic esophagus wall thickness, and there is a sliding type hiatal hernia at the lower end. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Calcified plaque-like thickness increase is observed in the bilateral pleura. No active infiltrative or mass lesion was detected in both lung parenchyma. Sequela parenchymal changes are observed in the bilateral apex and posterior segment of the right lung upper lobe. A nonspecific nodule with a diameter of 5.4 mm is observed in the anterior segment of the right lung upper lobe. There are minimal centriacinar emphysematous changes, which are more prominent in the lower lobes of both lungs. As far as it can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. free fluid or loculated collection is not observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Calcified plaque-like thickness increases are observed in the bilateral pleura, and there are sequela parenchymal changes in the apex of both lungs, posterior segment of the right lung upper lobe, and centriacinar emphysematous changes in both lungs. No signs of pneumonic infiltration were found.  Sliding hiatal hernia is observed in the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1023/valid_1023_a/valid_1023_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2425",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No pericardial pleural effusion or thickening was detected. Trachea, both main bronchi were open and no obstructive pathology was detected. There is no pathological increase in thoracic esophagus wall thickness, and there is a sliding type hiatal hernia at the lower end. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; Calcified plaque-like thickness increase is observed in the bilateral pleura. No active infiltrative or mass lesion was detected in both lung parenchyma. Sequela parenchymal changes are observed in the bilateral apex and posterior segment of the right lung upper lobe. A nonspecific nodule with a diameter of 5.4 mm is observed in the anterior segment of the right lung upper lobe. There are minimal centriacinar emphysematous changes, which are more prominent in the lower lobes of both lungs. As far as it can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. free fluid or loculated collection is not observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: Calcified plaque-like thickness increases are observed in the bilateral pleura, and there are sequela parenchymal changes in the apex of both lungs, posterior segment of the right lung upper lobe, and centriacinar emphysematous changes in both lungs. No signs of pneumonic infiltration were found.  Sliding hiatal hernia is observed in the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1023/valid_1023_a/valid_1023_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A millimetric hypodense nodule was observed in the posterior of the left thyroid lobe. It is recommended to be evaluated together with US. Trachea, both main bronchi are open. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the left coronary artery and aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral crazy paving pattern and nodular ground glass densities showing vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia. Sequelae fibrotic recessions, accompanied by paracicatricial bronchiectasis, causing structural distortion and mild volume loss, were observed in both upper lobe and lower lobe superior segments of both lungs. . Millimetric nonspecific calcific nodules were observed in the left lung upper lobe and lingular segment. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the middle part of the left kidney, a nodular lesion area with a diameter of 2.5 cm and fluid density is observed. (parapelvic cyst?). There is osteoporosis in the bone structures included in the study area. It is natural that degenerative schmorl nodule impressions and osteodegenerative changes in bone structures were observed in the end plateaus at the mid-thoracic level. Impression: Calcific atheroma plaques in the aortic arch and left coronary arteries . Hiatal hernia . Findings consistent with Covid-19 pneumonia in the lung parenchyma . Sequela fibrotic recessions accompanied by paracicatricial bronchiectasis causing structural distortion and mild volume loss in both upper lobe and lower lobe superior segments of both lungs .  Nodular lesion (parapelvic cyst?) in fluid density in the middle part of the left kidney . Osteoporosis and osteodegenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1024/valid_1024_a/valid_1024_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2427",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; diffusely located nodular density increases are observed in both lungs. The findings were primarily evaluated in favor of Covid-19 viral pneumonia, and other infectious and non-infectious changes are also in its differential diagnosis. There are widely reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance. The follow-up of the described nodular densities after excluding the infection is recommended in terms of progression-regression. An appearance compatible with hepatosteatosis is observed in the liver. No lytic-destructive lesion was detected in bone structures. Impression: There are widely reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease may cause similar appearance. Following the nodular densities described after excluding infection is recommended in terms of progression-regression.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1025/valid_1025_a/valid_1025_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2428",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; diffusely located nodular density increases are observed in both lungs. The findings were primarily evaluated in favor of Covid-19 viral pneumonia, and other infectious and non-infectious changes are also in its differential diagnosis. There are widely reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance. The follow-up of the described nodular densities after excluding the infection is recommended in terms of progression-regression. An appearance compatible with hepatosteatosis is observed in the liver. No lytic-destructive lesion was detected in bone structures. Impression: There are widely reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease may cause similar appearance. Following the nodular densities described after excluding infection is recommended in terms of progression-regression.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1025/valid_1025_a/valid_1025_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1025/valid_1025_b/valid_1025_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2430",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1025/valid_1025_b/valid_1025_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2431",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: \u00b7 Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1025/valid_1025_c/valid_1025_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2432",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: \u00b7 Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1025/valid_1025_c/valid_1025_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2433",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nodule in the middle lobe of the right lung. There are linear atelectasis in the right lung middle lobe medial segment, left lung lower lobe and upper lobe lingular segment. Apart from these, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Millimetric nodule in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1026/valid_1026_a/valid_1026_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2434",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a millimetric nodule in the middle lobe of the right lung. There are linear atelectasis in the right lung middle lobe medial segment, left lung lower lobe and upper lobe lingular segment. Apart from these, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Mediastinal main vascular structures are normal. No pleural or pericardial effusion was detected. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Millimetric nodule in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1026/valid_1026_a/valid_1026_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2435",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Thyroid lobe sizes increased. It is recommended to be evaluated together with USG. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A few nonspecific parenchymal nodules were observed in the upper lobes of both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with clinical and laboratory. Minimal atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Cardiomegaly . Hiatal hernia . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?) It is recommended to be evaluated together with clinical and laboratory.  Several nonspecific millimetric parenchymal nodules in the upper lobe of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1027/valid_1027_a/valid_1027_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2436",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal examination is suboptimal due to lack of contrast. Calcific plaques are present in the aorta and coronary arteries. The main pulmonary artery is 42 mm and is ectatic. Right and left pulmonary arteries are ectatic. The ascending aorta is 41 mm and is ectatic. Although the borders of the mediastinum and hilar region cannot be clearly distinguished, lymph nodes reaching up to 15 mm in the short axis of the larger ones are seen. There are bilateral pleural effusions reaching 40 mm on the right and 30 mm on the left. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are diffuse mosaic density differences in both lungs. Band-like soft tissue densities are observed in the peribronchial and subpleural areas of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are cortical hypodense lesions in the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are degenerative. Impression:  Ectasia in the ascending aorta and pulmonary arteries (finding in favor of pulmonary HT)  Aortic and coronary artery atherosclerosis  Mediastinal and hilar lymph nodes  Bilateral pleural effusion  Mosaic density differences in both lungs (airway disease?, perfusion defect?)  In both lungs Density increases in the form of peribronchial patches starting from the central and extending to the pleura (bronchopneumonia?, pulmonary edema?)  Bilateral pleural effusion  Right renal hypodense lesions (cyst?)  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1028/valid_1028_a/valid_1028_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2437",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal examination is suboptimal due to lack of contrast. Calcific plaques are present in the aorta and coronary arteries. The main pulmonary artery is 42 mm and is ectatic. Right and left pulmonary arteries are ectatic. The ascending aorta is 41 mm and is ectatic. Although the borders of the mediastinum and hilar region cannot be clearly distinguished, lymph nodes reaching up to 15 mm in the short axis of the larger ones are seen. There are bilateral pleural effusions reaching 40 mm on the right and 30 mm on the left. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are diffuse mosaic density differences in both lungs. Band-like soft tissue densities are observed in the peribronchial and subpleural areas of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are cortical hypodense lesions in the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are degenerative. Impression:  Ectasia in the ascending aorta and pulmonary arteries (finding in favor of pulmonary HT)  Aortic and coronary artery atherosclerosis  Mediastinal and hilar lymph nodes  Bilateral pleural effusion  Mosaic density differences in both lungs (airway disease?, perfusion defect?)  In both lungs Density increases in the form of peribronchial patches starting from the central and extending to the pleura (bronchopneumonia?, pulmonary edema?)  Bilateral pleural effusion  Right renal hypodense lesions (cyst?)  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1028/valid_1028_a/valid_1028_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2438",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a ground glass nodular density measuring up to 13 mm in size with nodular shape and halo sign around the right lung middle lobe anterior (infectious process?, a carcinomatous finding?). Clinical and laboratory correlation and close follow-up are recommended for better differential diagnosis. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, a change in favor of steatosis is observed in the density of the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There is a ground glass nodular density measuring up to 13 mm in size with nodular shape and halo sign around the right lung middle lobe anterior (infectious process?, a carcinomatous finding? For better differential diagnosis, clinical and laboratory correlation and close follow-up if there is previous studies) It is recommended to compare with"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1029/valid_1029_a/valid_1029_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2439",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, and in the subcarinal area, with the largest measuring approximately 19x9 mm in the subcarinal area. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Tracheal diverticulum is observed on the right posterolateral at the level of the thoracic inlet. In the evaluation of both lungs in the parenchyma window: There are sequelae changes at the apical level. Density reduction consistent with emphysema is observed in both lungs. There are several nonspecific nodules 2-3 mm in size in the upper lobe of the right lung. A 7x4 mm nodule is observed in the left lung lower lobe laterobasal segment. In both lungs, faint ground-glass-like density increases are observed, more prominent in the basals, and consolidative areas, the largest in the right posterobasal area, are accompanied. In a case with a previous Covid diagnosis, the findings may be compatible with the continuation of the disease. Clinical and laboratory correlation is recommended. Pleural effusion, pneumonthorax were not detected. A millimetric nodular formation is observed in the anterior neighborhood of the spleen ridge. It was evaluated as compatible with accessory spleen. Other upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression: Density increases, the largest of which is consolidative at the right lung lower lobe posterobasal level, and in a case with a previous Covid diagnosis, the findings may be compatible with the continuation of the disease. Clinical and laboratory correlation is recommended.  Hiatal hernia.  Millimetric lymph nodes in the mediastinum, the largest in the subcarinal area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1030/valid_1030_a/valid_1030_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2440",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of major vascular structures in the mediastinum is natural. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, and in the subcarinal area, with the largest measuring approximately 19x9 mm in the subcarinal area. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Tracheal diverticulum is observed on the right posterolateral at the level of the thoracic inlet. In the evaluation of both lungs in the parenchyma window: There are sequelae changes at the apical level. Density reduction consistent with emphysema is observed in both lungs. There are several nonspecific nodules 2-3 mm in size in the upper lobe of the right lung. A 7x4 mm nodule is observed in the left lung lower lobe laterobasal segment. In both lungs, faint ground-glass-like density increases are observed, more prominent in the basals, and consolidative areas, the largest in the right posterobasal area, are accompanied. In a case with a previous Covid diagnosis, the findings may be compatible with the continuation of the disease. Clinical and laboratory correlation is recommended. Pleural effusion, pneumonthorax were not detected. A millimetric nodular formation is observed in the anterior neighborhood of the spleen ridge. It was evaluated as compatible with accessory spleen. Other upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression: Density increases, the largest of which is consolidative at the right lung lower lobe posterobasal level, and in a case with a previous Covid diagnosis, the findings may be compatible with the continuation of the disease. Clinical and laboratory correlation is recommended.  Hiatal hernia.  Millimetric lymph nodes in the mediastinum, the largest in the subcarinal area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1030/valid_1030_a/valid_1030_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A pacemaker is observed on the anterior chest wall on the left. The heart is larger than normal. The ascending aorta is 37 mm and slightly ectatic. The right pulmonary artery is 28 mm and slightly ectatic. Diffuse calcific plaques are present in the aorta and coronary arteries. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with short axes reaching 11 mm in diameter in the mediastinum. When examined in the lung parenchyma window; In the bilateral hemithorax, effusions measuring 49 mm on the right and 45 mm on the left and atelectasis adjacent to the effusion are observed in the widest part. Mosaic density differences, interlobular septal thickenings and peribronchial thickenings are seen in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures are degenerative. Thoracic kyphosis has increased. Impression:  Pacemaker, cardiomegaly.  Aortic and coronary artery atherosclerosis.  Mild ectasia in the ascending aorta and pulmonary artery.  Bilateral pleural effusion, atelectasis, mosaic density differences, interlobular septal and peribronchial thickenings; findings were evaluated as secondary to pulmonary edema.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1031/valid_1031_a/valid_1031_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: A pacemaker is observed on the anterior chest wall on the left. The heart is larger than normal. The ascending aorta is 37 mm and slightly ectatic. The right pulmonary artery is 28 mm and slightly ectatic. Diffuse calcific plaques are present in the aorta and coronary arteries. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with short axes reaching 11 mm in diameter in the mediastinum. When examined in the lung parenchyma window; In the bilateral hemithorax, effusions measuring 49 mm on the right and 45 mm on the left and atelectasis adjacent to the effusion are observed in the widest part. Mosaic density differences, interlobular septal thickenings and peribronchial thickenings are seen in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures are degenerative. Thoracic kyphosis has increased. Impression:  Pacemaker, cardiomegaly.  Aortic and coronary artery atherosclerosis.  Mild ectasia in the ascending aorta and pulmonary artery.  Bilateral pleural effusion, atelectasis, mosaic density differences, interlobular septal and peribronchial thickenings; findings were evaluated as secondary to pulmonary edema.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1031/valid_1031_a/valid_1031_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2443",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Focal ground glass opacity areas are observed in the posterobasal segment of the lower lobe of both lungs and the lingular segment of the left lung upper lobe. The findings were primarily considered in favor of mild parenchymal involvement of the new type of corona virus. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Several areas of ground glass opacity in the lung parenchyma are millimetric in size. Imaging findings were primarily evaluated in favor of parenchymal involvement of the new type of corona virus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1032/valid_1032_a/valid_1032_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2444",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion was not detected. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; Focal ground glass opacity areas are observed in the posterobasal segment of the lower lobe of both lungs and the lingular segment of the left lung upper lobe. The findings were primarily considered in favor of mild parenchymal involvement of the new type of corona virus. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Several areas of ground glass opacity in the lung parenchyma are millimetric in size. Imaging findings were primarily evaluated in favor of parenchymal involvement of the new type of corona virus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1032/valid_1032_a/valid_1032_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2445",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight patchy diffusion densities are observed in the upper lobe inferior lingula at the basal level of the lower lobe of the left lung. Slight patchy subpleural ground-glass densities are observed in the middle lobe of the right lung. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is a finding in favor of an adenoma of 11 mm in the left adrenal gland. right adrenal glands are normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1033/valid_1033_a/valid_1033_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight patchy diffusion densities are observed in the upper lobe inferior lingula at the basal level of the lower lobe of the left lung. Slight patchy subpleural ground-glass densities are observed in the middle lobe of the right lung. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is a finding in favor of an adenoma of 11 mm in the left adrenal gland. right adrenal glands are normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1033/valid_1033_a/valid_1033_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2447",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. The diameter of the pulmonary trunk was 30 mm and wider than normal. Heart contour size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. At the level of the gastric cardia-fundus junction, a diverticula measuring approximately 25x21 mm filled with lumen contents was observed posteriorly. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Aneurysmatic dilatation in the ascending aorta . Increase in the diameter of the pulmonary trunk . Posterior gastric diverticulum at the level of the cardio-fundus junction"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1034/valid_1034_a/valid_1034_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2448",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. The diameter of the pulmonary trunk was 30 mm and wider than normal. Heart contour size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. At the level of the gastric cardia-fundus junction, a diverticula measuring approximately 25x21 mm filled with lumen contents was observed posteriorly. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Aneurysmatic dilatation in the ascending aorta . Increase in the diameter of the pulmonary trunk . Posterior gastric diverticulum at the level of the cardio-fundus junction"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1034/valid_1034_a/valid_1034_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening were observed in the central parts of both lungs. There are several millimetric nonspecific nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a minimal hiatal hernia of the sliding type at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. In the liver parenchyma, there is a decrease in density compatible with fatty deposits. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs.  Hiatal hernia.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1035/valid_1035_a/valid_1035_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2450",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and minimal peribronchial thickening were observed in the central parts of both lungs. There are several millimetric nonspecific nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a minimal hiatal hernia of the sliding type at the lower end of the esophagus. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. In the liver parenchyma, there is a decrease in density compatible with fatty deposits. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs.  Hiatal hernia.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1035/valid_1035_a/valid_1035_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2451",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the wall of the coronary artery and in the descending aorta. Pericardial effusion in the form of minimal smearing is observed. Pleural effusion-thickening was not detected in both hemithorax. The heart and mediastinal vascular structures have a natural appearance. In the evaluation of both lung parenchyma; There are consolidations, the largest of which are in the upper lobes of both lungs, extending to the subpleural distance, in which air bronchogram and air bubble signs are observed. Ground glass densities are observed in the lingular segment and lower lobe of the left lung. It is accompanied by minimal pleural effusion in the right hemithorax. In the sections passing through the upper part of the abdomen, the left kidney partially entered the examination area. It has an atrophic appearance and its renal pelvis is grade II ectatic. Bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures. Impression: Consolidations in the upper lobes of both lungs and ground-glass densities in the left lung, typical imaging findings for Covid-19 pneumonia,. Right minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1036/valid_1036_a/valid_1036_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the wall of the coronary artery and in the descending aorta. Pericardial effusion in the form of minimal smearing is observed. Pleural effusion-thickening was not detected in both hemithorax. The heart and mediastinal vascular structures have a natural appearance. In the evaluation of both lung parenchyma; There are consolidations, the largest of which are in the upper lobes of both lungs, extending to the subpleural distance, in which air bronchogram and air bubble signs are observed. Ground glass densities are observed in the lingular segment and lower lobe of the left lung. It is accompanied by minimal pleural effusion in the right hemithorax. In the sections passing through the upper part of the abdomen, the left kidney partially entered the examination area. It has an atrophic appearance and its renal pelvis is grade II ectatic. Bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures. Impression: Consolidations in the upper lobes of both lungs and ground-glass densities in the left lung, typical imaging findings for Covid-19 pneumonia,. Right minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1036/valid_1036_a/valid_1036_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2453",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, in both axillary regions and bilateral supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. There is a hyperdense stone of millimeter size in the right kidney as far as it can be observed within the borders of uncontrasted CT in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1037/valid_1037_a/valid_1037_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2454",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, in both axillary regions and bilateral supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. There is a hyperdense stone of millimeter size in the right kidney as far as it can be observed within the borders of uncontrasted CT in the upper abdominal sections within the image. No lytic or destructive lesions were observed in the bone structures within the image. Impression:  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1037/valid_1037_a/valid_1037_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2455",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, prevascular, aortopulmonary lymph nodes in millimetric size are observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the coronary arteries in the descending aorta. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; There is a mosaic attenuation pattern in both lung parenchyma. In the apex of the right lung, an irregularly contoured density of approximately 7x4 mm with punctate calcification is observed, and a smooth contoured nodular lesion with a diameter of 4.5 mm is observed immediately adjacent (IMA 30). In addition, a low density nodule with a diameter of 6 mm (IMA 47) in the middle lobe of the right lung and a diameter of 3.5 mm in the apicoposterior segment of the left lung upper lobe is observed. No evidence of parenchymal infiltration was detected. No significant pathology was detected in the sections passing through the upper part of the abdomen. No lytic-destructive lesion was detected in bone structures. Impression: Irregularly contoured area with punctuated calcification in the apex of the right lung (cannot be distinguished from the sequelae), . Nodules of low density, some smaller than 5 mm, larger than 6 mm in the middle lobe of the right lung in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1038/valid_1038_a/valid_1038_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2456",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, prevascular, aortopulmonary lymph nodes in millimetric size are observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the coronary arteries in the descending aorta. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; There is a mosaic attenuation pattern in both lung parenchyma. In the apex of the right lung, an irregularly contoured density of approximately 7x4 mm with punctate calcification is observed, and a smooth contoured nodular lesion with a diameter of 4.5 mm is observed immediately adjacent (IMA 30). In addition, a low density nodule with a diameter of 6 mm (IMA 47) in the middle lobe of the right lung and a diameter of 3.5 mm in the apicoposterior segment of the left lung upper lobe is observed. No evidence of parenchymal infiltration was detected. No significant pathology was detected in the sections passing through the upper part of the abdomen. No lytic-destructive lesion was detected in bone structures. Impression: Irregularly contoured area with punctuated calcification in the apex of the right lung (cannot be distinguished from the sequelae), . Nodules of low density, some smaller than 5 mm, larger than 6 mm in the middle lobe of the right lung in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1038/valid_1038_a/valid_1038_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In sections passing through the upper part of the left lung, subpleural sequelae fibrotic changes are observed in the major fissure, lower lobe laterobasal and right lung lower lobe laterobasal. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric sequela fibrotic changes in bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1039/valid_1039_a/valid_1039_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2458",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinal upper-lower paratracheal subcarinal area, milimetric lymph nodes, some of them calcified, are observed. No lymph node was detected in mediastinal and hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. A 3.5 mm diameter nonspecific parenchymal nodule located subpleural in the middle lobe of the right lung was observed. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. Focal nonspecific ground glass density increase was observed in the parahilar area in the lower lobe of the left lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; The liver parenchyma density was diffusely decreased in line with mild adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Mild emphysematous changes in both lungs.  Millimetric nonspecific parenchymal nodule in the right lung.  Sequelae changes in both lungs.  Nonspecific ground-glass density increase in the lower lobe of the left lung, in the perihilar area.  Mediastinal milimetric lymph nodes, some of them calcified."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1040/valid_1040_a/valid_1040_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinal upper-lower paratracheal subcarinal area, milimetric lymph nodes, some of them calcified, are observed. No lymph node was detected in mediastinal and hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. A 3.5 mm diameter nonspecific parenchymal nodule located subpleural in the middle lobe of the right lung was observed. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. Focal nonspecific ground glass density increase was observed in the parahilar area in the lower lobe of the left lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; The liver parenchyma density was diffusely decreased in line with mild adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Mild emphysematous changes in both lungs.  Millimetric nonspecific parenchymal nodule in the right lung.  Sequelae changes in both lungs.  Nonspecific ground-glass density increase in the lower lobe of the left lung, in the perihilar area.  Mediastinal milimetric lymph nodes, some of them calcified."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1040/valid_1040_a/valid_1040_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. When the calibration of the mediastinal main vascular structures is evaluated; aortic arch calibration is 33 mm. Calibration of other major vascular structures in the mediastinum is natural. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Both lobes are prominent in the thyroid gland. The premidal lobe is also clearly observed. It is recommended to evaluate with USG in terms of goiter. Millimetric sized lymph nodes are observed in the mediastinum. In the distal segment of the esophagus, the lumen suddenly becomes obliterated. It is reopened distally, and there is a soft tissue appearance that cannot be clearly measured in the subcarinal area, which cannot be distinguished from the esophageal wall at this level (lymph node?). Control is recommended. No pathological size and configuration of lymph nodes were detected at both hilar levels. Hiatal hernia is observed. There are sequelae changes and tractional bronchiectasis at the apical level in the right lung. Sequelae changes are observed in the left lung upper lobe apicoposterior segment and lingular segment. Sequelae changes at the laterobasal level and a nodule of approximately 6x4 mm are observed at this level. There is a mosaic attenuation pattern in both lungs. There is thickening of the peribronchial sheath. No pleural effusion or pneumothorax was detected in both lungs. There are pleuroparenchymal linear density increments and accompanying ground glass density increments, especially in the mid-lower zones, slightly more on the right. In the case with a history of close contact with a Covid patient, it may be compatible with subacute-chronic Corona virus infection. Clinical and laboratory verification is recommended. There is a soft tissue appearance in the trachea that may be compatible with mucus impaction. Microlobulation is observed in liver contours. There is effusion at perihepatic perisplenic levels. The kidneys are slightly atrophic on the left. The contours of the right kidney are irregular. Calcific atheroma plaque is observed in the abdominal aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is full. The pancreas is normal as far as can be seen in the non-contrast examination. Degenerative changes are observed in the bone structures in the study area. There is squareness in the vertebrae. Thickening and calcification are observed in the anterior and posterior longitudinal ligaments. It is recommended to be evaluated for ankylosing spondylitis. Impression: Pleuroparenchymal linear density increases and accompanying ground glass density increases in the mid-lower zones, slightly more in the right lung. In the case with a history of close contact with a Covid patient, it may be compatible with subacute-chronic Corona virus infection. Clinical and laboratory verification is recommended.  Sequelae changes in both lungs (especially prominent at the apical level of the right lung). Tractional bronchiectasis is present. Mosaic attenuation pattern is observed in both lungs.  Goiter? Sonographic examination is recommended if necessary. Liver 'S' ?, Perihepatic perisplenic effusion.  Hiatal hernia, esophagus mid-distal lumen cannot be distinguished. There is a soft tissue appearance compatible with the adjacent lymph node. Control of the esophagus is recommended.  Case with CRF history; Slight reduction in size of both kidneys, irregularity in contours, prominent on the left.  Ankylosing spondylitis?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1041/valid_1041_a/valid_1041_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. When the calibration of the mediastinal main vascular structures is evaluated; aortic arch calibration is 33 mm. Calibration of other major vascular structures in the mediastinum is natural. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Both lobes are prominent in the thyroid gland. The premidal lobe is also clearly observed. It is recommended to evaluate with USG in terms of goiter. Millimetric sized lymph nodes are observed in the mediastinum. In the distal segment of the esophagus, the lumen suddenly becomes obliterated. It is reopened distally, and there is a soft tissue appearance that cannot be clearly measured in the subcarinal area, which cannot be distinguished from the esophageal wall at this level (lymph node?). Control is recommended. No pathological size and configuration of lymph nodes were detected at both hilar levels. Hiatal hernia is observed. There are sequelae changes and tractional bronchiectasis at the apical level in the right lung. Sequelae changes are observed in the left lung upper lobe apicoposterior segment and lingular segment. Sequelae changes at the laterobasal level and a nodule of approximately 6x4 mm are observed at this level. There is a mosaic attenuation pattern in both lungs. There is thickening of the peribronchial sheath. No pleural effusion or pneumothorax was detected in both lungs. There are pleuroparenchymal linear density increments and accompanying ground glass density increments, especially in the mid-lower zones, slightly more on the right. In the case with a history of close contact with a Covid patient, it may be compatible with subacute-chronic Corona virus infection. Clinical and laboratory verification is recommended. There is a soft tissue appearance in the trachea that may be compatible with mucus impaction. Microlobulation is observed in liver contours. There is effusion at perihepatic perisplenic levels. The kidneys are slightly atrophic on the left. The contours of the right kidney are irregular. Calcific atheroma plaque is observed in the abdominal aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is full. The pancreas is normal as far as can be seen in the non-contrast examination. Degenerative changes are observed in the bone structures in the study area. There is squareness in the vertebrae. Thickening and calcification are observed in the anterior and posterior longitudinal ligaments. It is recommended to be evaluated for ankylosing spondylitis. Impression: Pleuroparenchymal linear density increases and accompanying ground glass density increases in the mid-lower zones, slightly more in the right lung. In the case with a history of close contact with a Covid patient, it may be compatible with subacute-chronic Corona virus infection. Clinical and laboratory verification is recommended.  Sequelae changes in both lungs (especially prominent at the apical level of the right lung). Tractional bronchiectasis is present. Mosaic attenuation pattern is observed in both lungs.  Goiter? Sonographic examination is recommended if necessary. Liver 'S' ?, Perihepatic perisplenic effusion.  Hiatal hernia, esophagus mid-distal lumen cannot be distinguished. There is a soft tissue appearance compatible with the adjacent lymph node. Control of the esophagus is recommended.  Case with CRF history; Slight reduction in size of both kidneys, irregularity in contours, prominent on the left.  Ankylosing spondylitis?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1041/valid_1041_a/valid_1041_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atheroma plaques are observed in the coronary arteries and thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Fibrotic sequela changes and bronchiectatic findings are observed at the apical level of the right lung. Atelectatic changes are observed at the basal level of the left lung lower lobe. A few millimetric nodules were observed in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There is a small amount of effusion in the perihepatic and perisplenic area. Diffuse degenerative changes are observed in bone structures. Impression:  Right lung upper lobe apical fibrotic sequela changes, mild bronchiectatic appearances, millimetric nonspecific nodules in both lungs.  Atherosclerosis.  Perihepatic, perisplenic area effusion.  Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1041/valid_1041_b/valid_1041_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2463",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atheroma plaques are observed in the coronary arteries and thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Fibrotic sequela changes and bronchiectatic findings are observed at the apical level of the right lung. Atelectatic changes are observed at the basal level of the left lung lower lobe. A few millimetric nodules were observed in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There is a small amount of effusion in the perihepatic and perisplenic area. Diffuse degenerative changes are observed in bone structures. Impression:  Right lung upper lobe apical fibrotic sequela changes, mild bronchiectatic appearances, millimetric nonspecific nodules in both lungs.  Atherosclerosis.  Perihepatic, perisplenic area effusion.  Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1041/valid_1041_b/valid_1041_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2464",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO is within the normal range. In the thyroid gland, hypertrophy and mild parenchymal heterogeneity are observed in both lobes. The pulmonary arterial system calibration of the ascending-descending aorta in the mediastinum is normal. The arcus aorta calibration was measured as 29 mm and it was in the maximal physiological limit. Atherosclerotic changes are observed in mediastinal vascular structures. Multiple millimetric lymph nodes are observed in the mediastinum. The largest of the lymph nodes in the mediastinum is in the paraesophageal-subcarinal area, with dimensions of approximately 25x11 mm, although it cannot be clearly distinguished from the esophagus on non-contrast examination. According to his previous review, a progression is observed in his dimensions. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Thickening of the peribronchial sheath is more prominent, especially in the mid-lower zones. It is also observed in his previous review. On the right, sequela pleuroparenchymal density increases and tractional bronchiectasis are observed at the apical level. Amorphous calcification is observed in the anterior segment caudal of the upper lobe of the right lung, and it has a stable appearance according to the previous examination. In the right lung, there is a pleural effusion reaching 20 mm in its thickest part at the base and mild atelectasis adjacent to it. It was not detected in the previous review. Sequelae changes in both lungs and thickening of peripheral interlobular septa are present at this level, and there are slight ground-glass-like density increases at this level. It is recommended to be evaluated together with the clinic in terms of interstitial fibrosis. In the evaluation of upper abdominal sections in the study area; The left lobe of the liver and the caudate lobe are prominent. Sequelae changes in the liver (especially at the apical level of the right lung) are observed and there is an accompanying tractional bronchiectasis appearance. Perihepatic level effusion is present. Millimetric calculus is observed at the neck level of the gallbladder. It was not clearly identified in the previous review. The spleen is larger than normal. The pancreas is natural. Right and left adrenals are normal. Both kidneys are reduced in size and their contours are lobulated (CVI?). Mesenteric fatty planes are contaminated. At the anterior diaphragmatic level, there are lymph nodes on both sides, the largest on the right and measuring 21x13 mm. Surrounding soft tissue plans are natural. Dorsal kyphosis was evident in the evaluation of the bone structure. Square vertebra appearance and thickening of the paravertebral longitudinal ligaments and increases in density are observed (spondyloarthropathy?). Impression:  Thickening of the peribronchial sheath, thickening of the interlobular and subpleural septa, occasional accompanying faint ground-glass-like density increases. It is recommended to be evaluated together with clinical and laboratory findings in terms of interstitial fibrosis.  Effusion in the right pleural space and a thin atelectatic lung segment adjacent to it were not observed in the previous examination.  It is recommended to evaluate the liver in terms of prominence in the left lobe and caudate lobe, full appearance in the spleen, perisplenic effusion, chronic liver parenchyma disease. Perihepatic effusion was evident according to his previous examination.  Reduction in the size of both kidneys, lobulation in the contours (CRF?).  There are findings suggestive of spondyloarthropathy in the bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1041/valid_1041_c/valid_1041_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2465",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO is within the normal range. In the thyroid gland, hypertrophy and mild parenchymal heterogeneity are observed in both lobes. The pulmonary arterial system calibration of the ascending-descending aorta in the mediastinum is normal. The arcus aorta calibration was measured as 29 mm and it was in the maximal physiological limit. Atherosclerotic changes are observed in mediastinal vascular structures. Multiple millimetric lymph nodes are observed in the mediastinum. The largest of the lymph nodes in the mediastinum is in the paraesophageal-subcarinal area, with dimensions of approximately 25x11 mm, although it cannot be clearly distinguished from the esophagus on non-contrast examination. According to his previous review, a progression is observed in his dimensions. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Thickening of the peribronchial sheath is more prominent, especially in the mid-lower zones. It is also observed in his previous review. On the right, sequela pleuroparenchymal density increases and tractional bronchiectasis are observed at the apical level. Amorphous calcification is observed in the anterior segment caudal of the upper lobe of the right lung, and it has a stable appearance according to the previous examination. In the right lung, there is a pleural effusion reaching 20 mm in its thickest part at the base and mild atelectasis adjacent to it. It was not detected in the previous review. Sequelae changes in both lungs and thickening of peripheral interlobular septa are present at this level, and there are slight ground-glass-like density increases at this level. It is recommended to be evaluated together with the clinic in terms of interstitial fibrosis. In the evaluation of upper abdominal sections in the study area; The left lobe of the liver and the caudate lobe are prominent. Sequelae changes in the liver (especially at the apical level of the right lung) are observed and there is an accompanying tractional bronchiectasis appearance. Perihepatic level effusion is present. Millimetric calculus is observed at the neck level of the gallbladder. It was not clearly identified in the previous review. The spleen is larger than normal. The pancreas is natural. Right and left adrenals are normal. Both kidneys are reduced in size and their contours are lobulated (CVI?). Mesenteric fatty planes are contaminated. At the anterior diaphragmatic level, there are lymph nodes on both sides, the largest on the right and measuring 21x13 mm. Surrounding soft tissue plans are natural. Dorsal kyphosis was evident in the evaluation of the bone structure. Square vertebra appearance and thickening of the paravertebral longitudinal ligaments and increases in density are observed (spondyloarthropathy?). Impression:  Thickening of the peribronchial sheath, thickening of the interlobular and subpleural septa, occasional accompanying faint ground-glass-like density increases. It is recommended to be evaluated together with clinical and laboratory findings in terms of interstitial fibrosis.  Effusion in the right pleural space and a thin atelectatic lung segment adjacent to it were not observed in the previous examination.  It is recommended to evaluate the liver in terms of prominence in the left lobe and caudate lobe, full appearance in the spleen, perisplenic effusion, chronic liver parenchyma disease. Perihepatic effusion was evident according to his previous examination.  Reduction in the size of both kidneys, lobulation in the contours (CRF?).  There are findings suggestive of spondyloarthropathy in the bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1041/valid_1041_c/valid_1041_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2466",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Bilateral peribronchial thickenings were observed. Anteroposterior diameter of the trachea has increased. In the upper abdominal sections included in the study area, the left lobe of the liver and the caudate lobe appear hypertrophied. It is recommended to be evaluated in terms of chronic liver parenchymal disease. Both kidney sizes are below physiological limits. Its contours show lobulation. According to the previous examination, stable lymph nodes were observed in the anterior diaphragmatic area and mediastinum. There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1041/valid_1041_d/valid_1041_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2467",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Bilateral peribronchial thickenings were observed. Anteroposterior diameter of the trachea has increased. In the upper abdominal sections included in the study area, the left lobe of the liver and the caudate lobe appear hypertrophied. It is recommended to be evaluated in terms of chronic liver parenchymal disease. Both kidney sizes are below physiological limits. Its contours show lobulation. According to the previous examination, stable lymph nodes were observed in the anterior diaphragmatic area and mediastinum. There was no significant change in other findings in the current examination. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1041/valid_1041_d/valid_1041_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2468",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The right lung was not observed secondary to the operation. Areas of fluid density are observed in the right lung lodge, which completely fills it. Evaluation of mediastinal main vascular structures is suboptimal because the examination is unenhanced. Trachea is open. The left main bronchus is open. Heart contour, size is normal. The ascending aorta diameter has increased by 41 mm. Soft tissue densities are observed in the subcarinal area on the right, although it cannot be clearly distinguished due to the lack of contrast in the examination. Evaluation with clinical and laboratory findings, further examination is recommended if necessary. Calcific plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung, ground glass densities are observed in the left lobe apicoposterior segment, laterally in the subpleural area, adjacent to the aorta, and in the lower lobe superior segment, adjacent to the subpleural area. Clinical and laboratory correlation is appropriate for pneumonic infiltration. A linear subsegmental atelectasis area is observed in the posterobasal segment of the lower lobe of the right lung. In addition, a few pulmonary nodules, the largest of which reach 4 mm in diameter, are observed in the left lung. Nodular thickness increase is observed in the corpus section of the left adrenal gland entering the section area. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  The right lung was not observed in the patient with a history of pulmonary Ca (operated).  Soft tissue densities are observed just below the bifurcation level in the operation site. Exclusion of the mass could not be performed due to the lack of contrast in the examination.  There are scattered ground-glass densities in the subpleural areas of the left lung. Clinical and laboratory correlation is recommended for Covid-19 pneumonia.  There are several pulmonary nodules in the left lung, the largest of which is 4 mm in diameter.  The aorta is ectatic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1042/valid_1042_a/valid_1042_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The right lung was not observed secondary to the operation. Areas of fluid density are observed in the right lung lodge, which completely fills it. Evaluation of mediastinal main vascular structures is suboptimal because the examination is unenhanced. Trachea is open. The left main bronchus is open. Heart contour, size is normal. The ascending aorta diameter has increased by 41 mm. Soft tissue densities are observed in the subcarinal area on the right, although it cannot be clearly distinguished due to the lack of contrast in the examination. Evaluation with clinical and laboratory findings, further examination is recommended if necessary. Calcific plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the left lung, ground glass densities are observed in the left lobe apicoposterior segment, laterally in the subpleural area, adjacent to the aorta, and in the lower lobe superior segment, adjacent to the subpleural area. Clinical and laboratory correlation is appropriate for pneumonic infiltration. A linear subsegmental atelectasis area is observed in the posterobasal segment of the lower lobe of the right lung. In addition, a few pulmonary nodules, the largest of which reach 4 mm in diameter, are observed in the left lung. Nodular thickness increase is observed in the corpus section of the left adrenal gland entering the section area. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  The right lung was not observed in the patient with a history of pulmonary Ca (operated).  Soft tissue densities are observed just below the bifurcation level in the operation site. Exclusion of the mass could not be performed due to the lack of contrast in the examination.  There are scattered ground-glass densities in the subpleural areas of the left lung. Clinical and laboratory correlation is recommended for Covid-19 pneumonia.  There are several pulmonary nodules in the left lung, the largest of which is 4 mm in diameter.  The aorta is ectatic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1042/valid_1042_a/valid_1042_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are lymph nodes measuring up to 10 mm in the short axis and 17 mm in the long axis in the aorticopulmonary window in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A small hiatal hernia was observed at the esophagogastric junction. When examined in the lung parenchyma window; In both lungs, diffuse crazy paving pattern, patchy ice glass densities, enlargement of vascular structures, halo signs are observed. The findings were evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Changes in favor of steatosis are observed in the density of the liver parenchyma entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are hypertrophic osteophytic taperings in the anterior of the vertebral corpuscles. 1The bone structures that fall into the study area are natural. Vertebral corpus heights are preserved. Impression:  Small hiatal hernia  Findings described above; It was evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended.  Lymph nodes with a short axis measuring up to 10 mm in the aorticopulmonary window in the mediastinum  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1043/valid_1043_a/valid_1043_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2471",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are lymph nodes measuring up to 10 mm in the short axis and 17 mm in the long axis in the aorticopulmonary window in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A small hiatal hernia was observed at the esophagogastric junction. When examined in the lung parenchyma window; In both lungs, diffuse crazy paving pattern, patchy ice glass densities, enlargement of vascular structures, halo signs are observed. The findings were evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Changes in favor of steatosis are observed in the density of the liver parenchyma entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are hypertrophic osteophytic taperings in the anterior of the vertebral corpuscles. 1The bone structures that fall into the study area are natural. Vertebral corpus heights are preserved. Impression:  Small hiatal hernia  Findings described above; It was evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended.  Lymph nodes with a short axis measuring up to 10 mm in the aorticopulmonary window in the mediastinum  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1043/valid_1043_a/valid_1043_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2472",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of natural normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. When examined in the lung parenchyma window; Peribronchial and subpleural localized peribronchial and subpleural areas of atypical pneumonic infiltration are present in the lower lobes of both lungs. Radiological findings can be evaluated in favor of early Covid pneumonia or mild parenchymal involvement of Covid infection. Clinical follow-up is recommended. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Areas of atypical pneumonic infiltration in the lower lobes of both lungs; Radiological findings can be evaluated in favor of early Covid pneumonia or mild parenchymal involvement of Covid infection. Clinical follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1044/valid_1044_a/valid_1044_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of natural normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. When examined in the lung parenchyma window; Peribronchial and subpleural localized peribronchial and subpleural areas of atypical pneumonic infiltration are present in the lower lobes of both lungs. Radiological findings can be evaluated in favor of early Covid pneumonia or mild parenchymal involvement of Covid infection. Clinical follow-up is recommended. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Areas of atypical pneumonic infiltration in the lower lobes of both lungs; Radiological findings can be evaluated in favor of early Covid pneumonia or mild parenchymal involvement of Covid infection. Clinical follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1044/valid_1044_a/valid_1044_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2474",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper-lower paratracheal milimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. The heart and mediastinal vascular structures have a natural appearance. Fluid is present in superior paracardiac recess. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression: No mass nodule infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1045/valid_1045_a/valid_1045_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2475",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper-lower paratracheal milimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. The heart and mediastinal vascular structures have a natural appearance. Fluid is present in superior paracardiac recess. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression: No mass nodule infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1045/valid_1045_a/valid_1045_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2476",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Atheroma plaques were observed in the aorta and coronary arteries. Especially the coronary arteries are observed as plaques. Coronary arteries have stents. There is no pleural or pericardial effusion. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a decrease in liver parenchyma density consistent with adiposity. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Atheroma plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1046/valid_1046_a/valid_1046_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Atheroma plaques were observed in the aorta and coronary arteries. Especially the coronary arteries are observed as plaques. Coronary arteries have stents. There is no pleural or pericardial effusion. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a decrease in liver parenchyma density consistent with adiposity. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Atheroma plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1046/valid_1046_a/valid_1046_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A lymph node with a diameter of 7 mm is observed in the pretracheal area. No enlarged lymph nodes in subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; aeration of both lung parenchyma is natural. No nodular or infiltrative lesion was detected in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1047/valid_1047_a/valid_1047_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A lymph node with a diameter of 7 mm is observed in the pretracheal area. No enlarged lymph nodes in subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; aeration of both lung parenchyma is natural. No nodular or infiltrative lesion was detected in both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1047/valid_1047_a/valid_1047_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2480",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Consolidation areas with subpleural location tending to merge, which are more prominent especially in the lower lobes of both lungs, are observed. The findings are in favor of viral pneumonia and these findings are frequently observed in Covid 19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1048/valid_1048_a/valid_1048_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Consolidation areas with subpleural location tending to merge, which are more prominent especially in the lower lobes of both lungs, are observed. The findings are in favor of viral pneumonia and these findings are frequently observed in Covid 19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1048/valid_1048_a/valid_1048_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2482",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the anterior-posterior diameter of the ascending aorta is 38 mm, and the anterior-posterior diameter of the descending aorta is 29 mm, which is larger than normal. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Diffuse calcified atheroma plaques were observed in the descending aorta and LAD. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Prevascular, right upper paratracheal, bilateral lower paratracheal, aortopulmonary, lymph nodes that did not reach pathological dimensions, the largest of which was 9.5 mm in the short axis, were observed. When examined in the lung parenchyma window; Irregularity, minimal thickening, and micro-retractions were observed on all pleural surfaces of both lungs. More prominent interlobular septal thickening in the lower lobes and diffuse density increases in the subpleural areas of the lower lobes were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Bilateral pleural effusion was not observed. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques were observed in the abdominal aorta. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fusiform dilatation of the thoracic aorta. Diffuse calcified atheromatous plaques in the thoracic aorta and LAD. Pleural thickening-microretractions, subpleural density increases and interlobular septal thickenings in both lungs; mass-active infiltration was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1049/valid_1049_a/valid_1049_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: the anterior-posterior diameter of the ascending aorta is 38 mm, and the anterior-posterior diameter of the descending aorta is 29 mm, which is larger than normal. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Diffuse calcified atheroma plaques were observed in the descending aorta and LAD. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Prevascular, right upper paratracheal, bilateral lower paratracheal, aortopulmonary, lymph nodes that did not reach pathological dimensions, the largest of which was 9.5 mm in the short axis, were observed. When examined in the lung parenchyma window; Irregularity, minimal thickening, and micro-retractions were observed on all pleural surfaces of both lungs. More prominent interlobular septal thickening in the lower lobes and diffuse density increases in the subpleural areas of the lower lobes were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Bilateral pleural effusion was not observed. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques were observed in the abdominal aorta. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fusiform dilatation of the thoracic aorta. Diffuse calcified atheromatous plaques in the thoracic aorta and LAD. Pleural thickening-microretractions, subpleural density increases and interlobular septal thickenings in both lungs; mass-active infiltration was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1049/valid_1049_a/valid_1049_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2484",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In both lung parenchyma, areas of multilobar, mostly peripheral subpleural localization, indistinct limited consolidation and density increase in ground glass density are observed, and viral pneumonia (Covid-19 pneumonia) is considered among the findings. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image, no free liquefied collection was detected as far as it can be observed within the borders of non-contrast CT. No lymph node was observed in pathological size and appearance. No solid mass was detected. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1050/valid_1050_a/valid_1050_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In both lung parenchyma, areas of multilobar, mostly peripheral subpleural localization, indistinct limited consolidation and density increase in ground glass density are observed, and viral pneumonia (Covid-19 pneumonia) is considered among the findings. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image, no free liquefied collection was detected as far as it can be observed within the borders of non-contrast CT. No lymph node was observed in pathological size and appearance. No solid mass was detected. No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression:  Findings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1050/valid_1050_a/valid_1050_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2486",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Pulmonary trunk calibration is 33 mm and wider than normal. Calibration of other mediastinal major vascular structures is natural. Rest thymic tissue is observed in the anterior mediastinum. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal and their lumens are clear. The calibration of the thoracic esophagus is normal and no significant tumoral wall thickening was detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. There was no finding compatible with pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1051/valid_1051_a/valid_1051_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Pulmonary trunk calibration is 33 mm and wider than normal. Calibration of other mediastinal major vascular structures is natural. Rest thymic tissue is observed in the anterior mediastinum. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal and their lumens are clear. The calibration of the thoracic esophagus is normal and no significant tumoral wall thickening was detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. There was no finding compatible with pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1051/valid_1051_a/valid_1051_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is detected. Heart size was slightly increased. Heart contours have a natural appearance. Mediastinal main vascular structures were evaluated as normal within the borders of the unenhanced examination. No pathologically enlarged lymph nodes were detected in pretracheal, paravascular, hilar and axilla. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Minimal cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1052/valid_1052_a/valid_1052_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2489",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Minimal calcific atherosclerotic changes were observed in the coronary artery wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the upper lobes of both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Sequelae changes in both lungs.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1053/valid_1053_a/valid_1053_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2490",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Minimal calcific atherosclerotic changes were observed in the coronary artery wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the upper lobes of both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression:  Sequelae changes in both lungs.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1053/valid_1053_a/valid_1053_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1054/valid_1054_a/valid_1054_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2492",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1054/valid_1054_a/valid_1054_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. No pericardial-pleural effusion or increased thickness was detected. Calcified atheroma plaques are observed on the wall of the coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. In both lung parenchyma, there are nonspecific nodules in millimetric sizes, some of which are purcalcified. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  There is no finding in favor of active infiltration in both lungs.  There are nonspecific nodules in millimetric sizes, some of them purcalcified, in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1055/valid_1055_a/valid_1055_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2494",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. No pericardial-pleural effusion or increased thickness was detected. Calcified atheroma plaques are observed on the wall of the coronary vascular structures. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. In both lung parenchyma, there are nonspecific nodules in millimetric sizes, some of which are purcalcified. Ventilation of both lungs is natural. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  There is no finding in favor of active infiltration in both lungs.  There are nonspecific nodules in millimetric sizes, some of them purcalcified, in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1055/valid_1055_a/valid_1055_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Multilobar, multisegmental, peripherally weighted, crazy paving nodular ground glass consolidations were observed in both lungs. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The gallbladder was not observed (operated). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcific atheroma plaques in the thoracic aorta and coronary arteries. High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1056/valid_1056_a/valid_1056_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2496",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Multilobar, multisegmental, peripherally weighted, crazy paving nodular ground glass consolidations were observed in both lungs. The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The gallbladder was not observed (operated). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Calcific atheroma plaques in the thoracic aorta and coronary arteries. High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1056/valid_1056_a/valid_1056_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2497",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. Heart contours are normal. Widespread atheroma plaques are present in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Millimetric nodules in both lungs . Cardiomegaly, atherosclerotic changes in the aorta and coronary ridges, increased pulmonary artery diameter . Hiatal hernia . Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1057/valid_1057_a/valid_1057_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2498",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. Heart contours are normal. Widespread atheroma plaques are present in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. No pleural or pericardial effusion was detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Millimetric nodules in both lungs . Cardiomegaly, atherosclerotic changes in the aorta and coronary ridges, increased pulmonary artery diameter . Hiatal hernia . Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1057/valid_1057_a/valid_1057_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2499",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart size increased. Findings secondary to a previous bypass operation are observed. Pericardial effusion was not detected. Calcific atherosclerotic plaques are present in the abdominal aorta, ascending aorta and thoracic aorta. Calibrations of mediastinal major vascular structures are normal. There is a mild hiatal hernia. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Parenchymal air trapping areas are observed in both lung lower lobe basal segments. Subpleural septal prominences in the upper lobes of both lungs were also observed in the previous examination and were nonspecific. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Degenerative changes are observed in the vertebrae. There are signs of thoracic spondylosis. Impression:  Secondary findings to previous coronary bypass operation.  Slippery mild hiatal hernia.  Subpleural septal thickness increases in the upper lobes of both lungs are nonspecific.  Calcific atherosclerotic plaques in the abdominal aorta, ascending aorta and thoracic aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1057/valid_1057_b/valid_1057_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2500",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart size increased. Findings secondary to a previous bypass operation are observed. Pericardial effusion was not detected. Calcific atherosclerotic plaques are present in the abdominal aorta, ascending aorta and thoracic aorta. Calibrations of mediastinal major vascular structures are normal. There is a mild hiatal hernia. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Parenchymal air trapping areas are observed in both lung lower lobe basal segments. Subpleural septal prominences in the upper lobes of both lungs were also observed in the previous examination and were nonspecific. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Degenerative changes are observed in the vertebrae. There are signs of thoracic spondylosis. Impression:  Secondary findings to previous coronary bypass operation.  Slippery mild hiatal hernia.  Subpleural septal thickness increases in the upper lobes of both lungs are nonspecific.  Calcific atherosclerotic plaques in the abdominal aorta, ascending aorta and thoracic aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1057/valid_1057_b/valid_1057_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2501",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline and both main bronchi are open. Mediastinal structures were evaluated as suboptimal because the examination was without contrast. As far as can be seen; Heart dimensions and heart contour are normal. Mediastinal main vascular structures appear natural. No pericardial-pleural effusion or increase in thickness was observed. When the lung parenchyma window is examined; No mass or infiltrative lesion was detected in both lungs. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1058/valid_1058_a/valid_1058_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea is in the midline and both main bronchi are open. Mediastinal structures were evaluated as suboptimal because the examination was without contrast. As far as can be seen; Heart dimensions and heart contour are normal. Mediastinal main vascular structures appear natural. No pericardial-pleural effusion or increase in thickness was observed. When the lung parenchyma window is examined; No mass or infiltrative lesion was detected in both lungs. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1058/valid_1058_a/valid_1058_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, a decrease in density consistent with steatosis is observed in the liver parenchyma. Bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures. Impression: No mass, nodule-infiltration was detected in both lungs. Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1059/valid_1059_a/valid_1059_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2504",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Trachea and main bronchi are open. Right upper paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, a decrease in density consistent with steatosis is observed in the liver parenchyma. Bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures. Impression: No mass, nodule-infiltration was detected in both lungs. Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1059/valid_1059_a/valid_1059_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation. There is a well-circumscribed thin-walled cystic lesion measuring 55x38 mm in the anterior mediastinum. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Calcifications were observed in the mitral valve. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; There are infiltration areas with consolidative areas in the lower lobes, which have a common tendency to coalesce in both lungs. There are interlobular septal thickenings and irregularities in the bronchial wall in places within the ground glass areas. The outlook was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the separate diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections included in the study area, a 13 mm diameter calculi was observed at the level of the right kidney renal pelvis. There is a millimetric calculus with a diameter of 2 mm in the middle zone of the left kidney. Liver contours are irregular. His left lobe is hypertrophic (Liver parenchymal disease?). Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Left-facing scoliosis was observed in the thoracic vertebrae. Impression:  Infiltration areas with consolidative areas in the lower lobes, which have a common tendency to coalesce in both lungs, interlobular septal thickenings in places within the ground glass areas and irregularities in the bronchial wall, the appearance was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the separate diagnosis. Clinical and laboratory correlation is recommended.  Bilateral nephrolithiasis.  Cystic lesion in anterior mediastinum.  Atherosclerotic changes.  Fusiform dilatation of the ascending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1060/valid_1060_a/valid_1060_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2506",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation. There is a well-circumscribed thin-walled cystic lesion measuring 55x38 mm in the anterior mediastinum. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Calcifications were observed in the mitral valve. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; There are infiltration areas with consolidative areas in the lower lobes, which have a common tendency to coalesce in both lungs. There are interlobular septal thickenings and irregularities in the bronchial wall in places within the ground glass areas. The outlook was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the separate diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections included in the study area, a 13 mm diameter calculi was observed at the level of the right kidney renal pelvis. There is a millimetric calculus with a diameter of 2 mm in the middle zone of the left kidney. Liver contours are irregular. His left lobe is hypertrophic (Liver parenchymal disease?). Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Left-facing scoliosis was observed in the thoracic vertebrae. Impression:  Infiltration areas with consolidative areas in the lower lobes, which have a common tendency to coalesce in both lungs, interlobular septal thickenings in places within the ground glass areas and irregularities in the bronchial wall, the appearance was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the separate diagnosis. Clinical and laboratory correlation is recommended.  Bilateral nephrolithiasis.  Cystic lesion in anterior mediastinum.  Atherosclerotic changes.  Fusiform dilatation of the ascending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1060/valid_1060_a/valid_1060_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2507",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific nodule measuring 5 mm in size is observed in the lower lobe of the left lung (series 2, image 156). It is recommended to compare and follow-up with previous examinations, if any. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  If there is a nonspecific nodule measuring 5 mm in the lower lobe of the left lung (series 2, image 156), it is recommended to compare and follow-up with previous examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1061/valid_1061_a/valid_1061_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A nonspecific nodule measuring 5 mm in size is observed in the lower lobe of the left lung (series 2, image 156). It is recommended to compare and follow-up with previous examinations, if any. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  If there is a nonspecific nodule measuring 5 mm in the lower lobe of the left lung (series 2, image 156), it is recommended to compare and follow-up with previous examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1061/valid_1061_a/valid_1061_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2509",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. A few millimetric nonspecific nodules were observed in the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Vertebral corpus heights, alignments and densities within the sections are normal. There are millimetric osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Minimal emphysematous changes in both lungs  A few millimetric nodules in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1062/valid_1062_a/valid_1062_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. A few millimetric nonspecific nodules were observed in the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Vertebral corpus heights, alignments and densities within the sections are normal. There are millimetric osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Minimal emphysematous changes in both lungs  A few millimetric nodules in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1062/valid_1062_a/valid_1062_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2511",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1063/valid_1063_a/valid_1063_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2512",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1063/valid_1063_a/valid_1063_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2513",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Pulmonary trunk calibration is at the maximal physiological limit. Both pulmonary artery calibrations are normal. Calibration of other mediastinal major vascular structures is also natural. Millimetric-sized calcific atheroma plaques are observed at the level of the ascending aorta. There is a metallic valve at the level of the aortic root and prominent metallic artifact is observed. Millimetric calcific atheroma plaques are observed in the coronary arteries. Multiple lymph nodes are observed in the subcarinal area in the aorticopulmonary window at the prevascular level in the mediastinal upper-lower paratracheal area, and there are lymph nodes, the largest of which is in the subcarinal area and 17x10 mm in size. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). A partially calcific nodule measuring 5x2 mm is observed in the apicoposterior segment of the left lung upper lobe. Bilateral pleural effusion, pneumothorax were not detected. No significant finding suggestive of pneumonia is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Density compatible with 2 mm diameter calculi is observed in the middle part of the left kidney. There is an appearance compatible with elastofibroma dorsi in the inferior and anterior neighborhood of the scapula on both sides. Coarse calcifications, which may be compatible with fibrocystic changes, are observed in the left breast. Surrounding soft tissue plans are natural. There are degenerative changes in the bone structure in the examination area. Changes secondary to sternotomy are observed. Vertebral corpus heights are preserved. Impression:  Metallic prosthetic valve at the level of the aortic valve.  Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Millimetric calculus in left kidney.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1064/valid_1064_a/valid_1064_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2514",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Pulmonary trunk calibration is at the maximal physiological limit. Both pulmonary artery calibrations are normal. Calibration of other mediastinal major vascular structures is also natural. Millimetric-sized calcific atheroma plaques are observed at the level of the ascending aorta. There is a metallic valve at the level of the aortic root and prominent metallic artifact is observed. Millimetric calcific atheroma plaques are observed in the coronary arteries. Multiple lymph nodes are observed in the subcarinal area in the aorticopulmonary window at the prevascular level in the mediastinal upper-lower paratracheal area, and there are lymph nodes, the largest of which is in the subcarinal area and 17x10 mm in size. No pathological size and configuration of lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). A partially calcific nodule measuring 5x2 mm is observed in the apicoposterior segment of the left lung upper lobe. Bilateral pleural effusion, pneumothorax were not detected. No significant finding suggestive of pneumonia is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Density compatible with 2 mm diameter calculi is observed in the middle part of the left kidney. There is an appearance compatible with elastofibroma dorsi in the inferior and anterior neighborhood of the scapula on both sides. Coarse calcifications, which may be compatible with fibrocystic changes, are observed in the left breast. Surrounding soft tissue plans are natural. There are degenerative changes in the bone structure in the examination area. Changes secondary to sternotomy are observed. Vertebral corpus heights are preserved. Impression:  Metallic prosthetic valve at the level of the aortic valve.  Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Millimetric calculus in left kidney.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1064/valid_1064_a/valid_1064_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2515",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal bronchiectatic changes are observed in the lower lobe bronchi of both lungs. Linear densities are observed in the posterobasal segment of the lower lobe of the right lung. These views were evaluated nonspecifically. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. There is a hypodense appearance in the liver at the level of segment 6. It could not be characterized within the limits of this examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific plaques in the aorta and coronary arteries.  Bronchiectatic changes in the lower lobe bronchi of both lungs.  Linear opacities in the posterobasal region of the lower lobe of the right lung were evaluated nonspecifically."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1065/valid_1065_a/valid_1065_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2516",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Minimal bronchiectatic changes are observed in the lower lobe bronchi of both lungs. Linear densities are observed in the posterobasal segment of the lower lobe of the right lung. These views were evaluated nonspecifically. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. There is a hypodense appearance in the liver at the level of segment 6. It could not be characterized within the limits of this examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific plaques in the aorta and coronary arteries.  Bronchiectatic changes in the lower lobe bronchi of both lungs.  Linear opacities in the posterobasal region of the lower lobe of the right lung were evaluated nonspecifically."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1065/valid_1065_a/valid_1065_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2517",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and central consolidations and areas of ground glass are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. When evaluated together with the clinical information of the patient, these appearances were evaluated primarily in favor of viral pneumonia. The findings described in Covid-19 pneumonia are frequently observed. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1066/valid_1066_a/valid_1066_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2518",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral and central consolidations and areas of ground glass are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. When evaluated together with the clinical information of the patient, these appearances were evaluated primarily in favor of viral pneumonia. The findings described in Covid-19 pneumonia are frequently observed. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1066/valid_1066_a/valid_1066_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2519",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Massive pleural effusion is observed on the right. The pleural effusion continues to the apex of the lung when the patient is in the supine position. The anterior-posterior diameter of the effusion was 85 mm at its widest point. There is atelectasis in the right lung adjacent to the effusion. Right lung lower lobe and right lung upper lobe posterior segment are total atelectatic. Atelectasis is also observed in the right lung middle lobe lateral segment. There is also minimal pleural effusion on the left. At the level of the lower lobe of the right lung, there are appearances of nodular soft tissue density in the posterior part of the effusion. The described appearances could not be characterized in this examination. These may belong to debris and/or hemorrhage, or less likely a soft tissue lesion may have caused this appearance. It is recommended that the patient be evaluated together with previous examinations, if any, and further examination if indicated. There is no obstructive pathology in the trachea and both main bronchi. There is a ground-glass appearance in a small area in the anterior segment of the left upper lobe of the lung. Differential diagnosis could not be made because the described ground glass appearance was observed in a very small area. There are minimal emphysematous changes in both ventilated lungs. No mass was detected in both ventilated lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Massive pleural effusion on the right, prominent atelectasis in the lung adjacent to the effusion.  Minimal pleural effusion on the left, minimal pericardial effusion.  Appearances of nodular soft tissue density within the pleural effusion on the right (debris-hemorrhage? soft tissue lesion??).  Atherosclerotic changes in the aorta and coronary arteries.  Minimal emphysematous changes in both lungs.  Ground glass appearance in a small area in the anterior segment of the left lung upper lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1067/valid_1067_a/valid_1067_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Massive pleural effusion is observed on the right. The pleural effusion continues to the apex of the lung when the patient is in the supine position. The anterior-posterior diameter of the effusion was 85 mm at its widest point. There is atelectasis in the right lung adjacent to the effusion. Right lung lower lobe and right lung upper lobe posterior segment are total atelectatic. Atelectasis is also observed in the right lung middle lobe lateral segment. There is also minimal pleural effusion on the left. At the level of the lower lobe of the right lung, there are appearances of nodular soft tissue density in the posterior part of the effusion. The described appearances could not be characterized in this examination. These may belong to debris and/or hemorrhage, or less likely a soft tissue lesion may have caused this appearance. It is recommended that the patient be evaluated together with previous examinations, if any, and further examination if indicated. There is no obstructive pathology in the trachea and both main bronchi. There is a ground-glass appearance in a small area in the anterior segment of the left upper lobe of the lung. Differential diagnosis could not be made because the described ground glass appearance was observed in a very small area. There are minimal emphysematous changes in both ventilated lungs. No mass was detected in both ventilated lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Massive pleural effusion on the right, prominent atelectasis in the lung adjacent to the effusion.  Minimal pleural effusion on the left, minimal pericardial effusion.  Appearances of nodular soft tissue density within the pleural effusion on the right (debris-hemorrhage? soft tissue lesion??).  Atherosclerotic changes in the aorta and coronary arteries.  Minimal emphysematous changes in both lungs.  Ground glass appearance in a small area in the anterior segment of the left lung upper lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1067/valid_1067_a/valid_1067_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2521",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Pulmonary trunk calibration is slightly larger than normal at 30 mm. The left pulmonary artery is at the maximal physiological limit. The right pulmonary artery is at the maximal physiological limit. The aortic arch calibration was measured as 36 mm and was larger than normal. Calcific atheroma plaques are observed in the aortic arch, coronary arteries, and descending aorta. There is a hypodense nodule in the left lobe of the thyroid gland. Sonographic evaluation is recommended if necessary. There are millimetric lymph nodes in the mediastinum. There was no pathological size and configuration of lymph nodes at the bilateral hilar level. When examined in the lung parenchyma window; There is a significant pleural effusion of the right lung extending from the basal to the apex, which did not differ significantly according to the previous examination. Empyema discrimination cannot be made optimally in non-contrast examination. However, no significant thick-walled collection appearance was detected in pleural effusion. There is a consolidated parenchyma area in the adjacent lower lobe segments, partially air bronchograms. Mosaic atteniation pattern is observed in both lungs. Also available in old review. There are linear densities compatible with pleuroparenchymal sequelae or band atelectasis at the middle lobe level, which was also observed in the previous examination. Pleural effusion in the left lung, whose thickness reached 12 mm in the previous examination, regressed significantly in the current examination. There are ground glass-style density increments at the posterobasal level. It was not detected in the previous review. Thickening of the internodular septa observed in the peripheral areas and ground glass-like density increases are also present in the old examination on the left. Upper abdominal organs included in the sections are normal. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area. No space occupying lesion was detected in the liver. The spleen, both kidneys and bilateral adrenal glands were normal, and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression: Although the evaluation of empyema could not be made optimally in the non-contrast examination, no obvious thick-walled collection appearance was detected in the fluid. Therefore, it was not evaluated in favor of the first pleural empyema.  It is suggestive of interstitial lung disease in both lungs, thickening of the interlobular septa and mild irregularity in the pleural surfaces are observed.  There are consolidated areas in the right lung, including air bronchograms at the lower lobe and middle lobe level, which did not differ significantly from previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1067/valid_1067_b/valid_1067_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2522",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Pulmonary trunk calibration is slightly larger than normal at 30 mm. The left pulmonary artery is at the maximal physiological limit. The right pulmonary artery is at the maximal physiological limit. The aortic arch calibration was measured as 36 mm and was larger than normal. Calcific atheroma plaques are observed in the aortic arch, coronary arteries, and descending aorta. There is a hypodense nodule in the left lobe of the thyroid gland. Sonographic evaluation is recommended if necessary. There are millimetric lymph nodes in the mediastinum. There was no pathological size and configuration of lymph nodes at the bilateral hilar level. When examined in the lung parenchyma window; There is a significant pleural effusion of the right lung extending from the basal to the apex, which did not differ significantly according to the previous examination. Empyema discrimination cannot be made optimally in non-contrast examination. However, no significant thick-walled collection appearance was detected in pleural effusion. There is a consolidated parenchyma area in the adjacent lower lobe segments, partially air bronchograms. Mosaic atteniation pattern is observed in both lungs. Also available in old review. There are linear densities compatible with pleuroparenchymal sequelae or band atelectasis at the middle lobe level, which was also observed in the previous examination. Pleural effusion in the left lung, whose thickness reached 12 mm in the previous examination, regressed significantly in the current examination. There are ground glass-style density increments at the posterobasal level. It was not detected in the previous review. Thickening of the internodular septa observed in the peripheral areas and ground glass-like density increases are also present in the old examination on the left. Upper abdominal organs included in the sections are normal. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area. No space occupying lesion was detected in the liver. The spleen, both kidneys and bilateral adrenal glands were normal, and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression: Although the evaluation of empyema could not be made optimally in the non-contrast examination, no obvious thick-walled collection appearance was detected in the fluid. Therefore, it was not evaluated in favor of the first pleural empyema.  It is suggestive of interstitial lung disease in both lungs, thickening of the interlobular septa and mild irregularity in the pleural surfaces are observed.  There are consolidated areas in the right lung, including air bronchograms at the lower lobe and middle lobe level, which did not differ significantly from previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1067/valid_1067_b/valid_1067_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is above normal. The pulmonary conus calibration is slightly larger than normal at 30 mm. The diameters of the right and left pulmonary arteries are at the physiological upper limit. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. A smear-like effusion was observed in the pericardial space. There is a hypodense nodule in the left lobe of the thyroid gland. It is recommended to be evaluated together with US. In the right upper-lower paratracheal area, pathological lymph nodes with a size of 13 mm on the short axis of the largest were observed. In the previous examination, the short axis of the largest was measured as 8.5 mm, and there is an increase in the size of the lymph nodes. In other sections of the mediastinum, smaller lymph nodes with short axes less than 1 cm are also present. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Effusion was observed in the right hemithorax, reaching a thickness of 3.5 cm in its thickest part and entering into fissures showing loculation from place to place and forming a phantom tumor. An effusion reaching 4.6 cm in thickness was observed in the thickest part of the left hemithorax. In his previous examination, the effusion was in the form of smearing, and in the current examination, the amount of left pleural effusion has increased. The effusion entered the major fissure and formed a phantom tumor in the major fissure. The consolidated parenchyma area, in which air bronchograms were observed in the right lung lower lobe segments in the previous examination, showed significant regression in the current examination. There are segmental-subsegmental peribronchial thickening and interlobular-intralobar septal thickening in both lungs. The outlook was evaluated in favor of cardiac stasis. In the upper zones of both lungs, there is interlobular septal thickening in the subpleural areas and thickening in the interstitial scars accompanied by recessions in the pleura. In the current examination, ground glass densities were observed at these levels. Appearance is nonspecific. The sequela may be consistent with the interstitial pattern and superimposed viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Band atelectatic changes were observed in the right lung middle lobe and both lung lower lobe basal segments. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure. Impression:  Fusiform aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries, cardiomegaly, swarming pericardial effusion, increase in the diameter of the pulmonary conus.  Hiatal hernia.  Pleural effusion, which decreases in the right hemithorax, increases in the left hemithorax and enters the loculating fissures and forms a phantom tumor.  Cardiac stasis in the lung parenchyma.  Ground-glass densities accompanied by interlobular septal thickening and pleural irregularities in newly emerged peripheral subpleural areas on current examination in both lungs; appearance is nonspecific. It may be compatible with viral infections. It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1067/valid_1067_c/valid_1067_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2524",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is above normal. The pulmonary conus calibration is slightly larger than normal at 30 mm. The diameters of the right and left pulmonary arteries are at the physiological upper limit. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. A smear-like effusion was observed in the pericardial space. There is a hypodense nodule in the left lobe of the thyroid gland. It is recommended to be evaluated together with US. In the right upper-lower paratracheal area, pathological lymph nodes with a size of 13 mm on the short axis of the largest were observed. In the previous examination, the short axis of the largest was measured as 8.5 mm, and there is an increase in the size of the lymph nodes. In other sections of the mediastinum, smaller lymph nodes with short axes less than 1 cm are also present. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Effusion was observed in the right hemithorax, reaching a thickness of 3.5 cm in its thickest part and entering into fissures showing loculation from place to place and forming a phantom tumor. An effusion reaching 4.6 cm in thickness was observed in the thickest part of the left hemithorax. In his previous examination, the effusion was in the form of smearing, and in the current examination, the amount of left pleural effusion has increased. The effusion entered the major fissure and formed a phantom tumor in the major fissure. The consolidated parenchyma area, in which air bronchograms were observed in the right lung lower lobe segments in the previous examination, showed significant regression in the current examination. There are segmental-subsegmental peribronchial thickening and interlobular-intralobar septal thickening in both lungs. The outlook was evaluated in favor of cardiac stasis. In the upper zones of both lungs, there is interlobular septal thickening in the subpleural areas and thickening in the interstitial scars accompanied by recessions in the pleura. In the current examination, ground glass densities were observed at these levels. Appearance is nonspecific. The sequela may be consistent with the interstitial pattern and superimposed viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Band atelectatic changes were observed in the right lung middle lobe and both lung lower lobe basal segments. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure. Impression:  Fusiform aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries, cardiomegaly, swarming pericardial effusion, increase in the diameter of the pulmonary conus.  Hiatal hernia.  Pleural effusion, which decreases in the right hemithorax, increases in the left hemithorax and enters the loculating fissures and forms a phantom tumor.  Cardiac stasis in the lung parenchyma.  Ground-glass densities accompanied by interlobular septal thickening and pleural irregularities in newly emerged peripheral subpleural areas on current examination in both lungs; appearance is nonspecific. It may be compatible with viral infections. It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1067/valid_1067_c/valid_1067_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2525",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is above normal. The pulmonary conus calibration is slightly larger than normal at 30 mm. The diameters of the right and left pulmonary arteries are at the physiological upper limit. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. A smear-like effusion was observed in the pericardial space. Thyroid gland sizes are increased and heterogeneous. Millimetric hypodense nodules were observed in the thyroid parenchyma. It is recommended to be evaluated together with USG. Right upper-lower paratracheal, subcarinal aortopulmonary lymph nodes measuring 9 mm in the short axis of the right upper paratracheal were observed. In the previous examination, the short axis of the largest was measured as 15 mm, and there is a decrease in the size of the lymph nodes. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A pleural effusion reaching 3.5 cm in thickness was observed in the thickest part of the right hemithorax. The left pleural effusion observed in the previous examination is completely regressed. Sequelae thickening was observed in the posterior costal pleura on the left. Passive atelectatic changes were observed in the area adjacent to the effusion in the basal segment of the lower lobe of the right lung. Segmental-subsegmental peribronchial thickening and interlobular-intralobar septal thickening were observed in both lungs. The outlook was evaluated in favor of cardiac stasis. There are prominent interstitial scars accompanied by interlobular septal thickening in the subpleural areas and recessions in the pleura in the upper zones of both lungs. Appearance is nonspecific. Linear atelectasis is observed in the right lung middle lobe and both lung lower lobe basal segments. No mass lesion-active infiltration was detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a hyperdense appearance that gives a level in the gallbladder lumen. It is recommended to be evaluated together with US for possible mud-stone. Sequelae linear calcification was observed in the spleen capsule. No intraabdominal free-loculated fluid was detected. Mild degenerative changes were observed in the bone structure. Impression:  Right upper-lower paratracheal lymph nodes with reduced dimensions.  Cardiac stasis in the lung parenchyma.  Hyperdense appearance giving level in the gallbladder lumen; It is recommended to evaluate it together with US in terms of possible mud-stone."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1067/valid_1067_d/valid_1067_d_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2526",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: A catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is above normal. The pulmonary conus calibration is slightly larger than normal at 30 mm. The diameters of the right and left pulmonary arteries are at the physiological upper limit. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. A smear-like effusion was observed in the pericardial space. Thyroid gland sizes are increased and heterogeneous. Millimetric hypodense nodules were observed in the thyroid parenchyma. It is recommended to be evaluated together with USG. Right upper-lower paratracheal, subcarinal aortopulmonary lymph nodes measuring 9 mm in the short axis of the right upper paratracheal were observed. In the previous examination, the short axis of the largest was measured as 15 mm, and there is a decrease in the size of the lymph nodes. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A pleural effusion reaching 3.5 cm in thickness was observed in the thickest part of the right hemithorax. The left pleural effusion observed in the previous examination is completely regressed. Sequelae thickening was observed in the posterior costal pleura on the left. Passive atelectatic changes were observed in the area adjacent to the effusion in the basal segment of the lower lobe of the right lung. Segmental-subsegmental peribronchial thickening and interlobular-intralobar septal thickening were observed in both lungs. The outlook was evaluated in favor of cardiac stasis. There are prominent interstitial scars accompanied by interlobular septal thickening in the subpleural areas and recessions in the pleura in the upper zones of both lungs. Appearance is nonspecific. Linear atelectasis is observed in the right lung middle lobe and both lung lower lobe basal segments. No mass lesion-active infiltration was detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a hyperdense appearance that gives a level in the gallbladder lumen. It is recommended to be evaluated together with US for possible mud-stone. Sequelae linear calcification was observed in the spleen capsule. No intraabdominal free-loculated fluid was detected. Mild degenerative changes were observed in the bone structure. Impression:  Right upper-lower paratracheal lymph nodes with reduced dimensions.  Cardiac stasis in the lung parenchyma.  Hyperdense appearance giving level in the gallbladder lumen; It is recommended to evaluate it together with US in terms of possible mud-stone."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1067/valid_1067_d/valid_1067_d_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of mediastinal major vascular structures is natural. No pathologically sized and configured lymph nodes were detected at both hilar levels in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea, both main bronchi is natural. Lumens are clear. On the right, azygos fissure variation is observed. Density increases consistent with pleuroparenchymal sequelae are observed in the lingular segment on the right. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, there is a hypodense appearance that may be compatible with a parapelvic cyst at the level of the left kidney superior pole. Nodular density is observed in the spleen hilum, which is considered to be compatible with the accessory spleen with a diameter of approximately 8 mm. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild sequelae changes in the middle lobe of the right lung, azygos fissure variation in the upper lobe on the right. Hypodense appearance that may be compatible with parapelvic cyst at the level of the left kidney superior pole."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1068/valid_1068_a/valid_1068_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. Calibration of mediastinal major vascular structures is natural. No pathologically sized and configured lymph nodes were detected at both hilar levels in the mediastinum. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea, both main bronchi is natural. Lumens are clear. On the right, azygos fissure variation is observed. Density increases consistent with pleuroparenchymal sequelae are observed in the lingular segment on the right. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. In the upper abdominal organs included in the sections, there is a hypodense appearance that may be compatible with a parapelvic cyst at the level of the left kidney superior pole. Nodular density is observed in the spleen hilum, which is considered to be compatible with the accessory spleen with a diameter of approximately 8 mm. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mild sequelae changes in the middle lobe of the right lung, azygos fissure variation in the upper lobe on the right. Hypodense appearance that may be compatible with parapelvic cyst at the level of the left kidney superior pole."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1068/valid_1068_a/valid_1068_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2529",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta is 41 mm and shows dilatation. The diameter of the main pulmonary artery was 31 mm and it shows mild dilatation. Heart size increased. There is an effusion reaching 1 cm in the widest part of the pericardium. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In mediastinal, upper-lower paratracheal, prevascular, subcarinal and precarinal localization, lymph nodes measuring 1 cm in the short axis of the largest were observed. Thoracic esophagus calibration was normal, and no significant pathological wall thickness increase was detected in the non-contrast examination. When examined in the lung parenchyma window; Atelectatic changes were observed in the lower lobes of both lungs. Between the bilateral pleural leaves, free pleural effusion measuring 38 mm in thickness on the right and 10 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. No mass-infiltration was detected in both lung parenchyma. In the upper abdominal sections in the study area; In both adrenal glands, there are nodular lesions compatible with adrenal adenoma with a diameter of 33 mm in the right adrenal gland and 30 mm in the left, containing fat densities. Parapelvic cysts were observed in both kidneys. No lytic-destructive lesion was detected in bone structures. Impression: Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Cardiomegaly, pericardial effusion.  Bilateral pleural effusion and atelectatic changes.  Bilateral adrenal adenoma, bilateral renal parapelvic cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1069/valid_1069_a/valid_1069_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2530",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta is 41 mm and shows dilatation. The diameter of the main pulmonary artery was 31 mm and it shows mild dilatation. Heart size increased. There is an effusion reaching 1 cm in the widest part of the pericardium. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In mediastinal, upper-lower paratracheal, prevascular, subcarinal and precarinal localization, lymph nodes measuring 1 cm in the short axis of the largest were observed. Thoracic esophagus calibration was normal, and no significant pathological wall thickness increase was detected in the non-contrast examination. When examined in the lung parenchyma window; Atelectatic changes were observed in the lower lobes of both lungs. Between the bilateral pleural leaves, free pleural effusion measuring 38 mm in thickness on the right and 10 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. No mass-infiltration was detected in both lung parenchyma. In the upper abdominal sections in the study area; In both adrenal glands, there are nodular lesions compatible with adrenal adenoma with a diameter of 33 mm in the right adrenal gland and 30 mm in the left, containing fat densities. Parapelvic cysts were observed in both kidneys. No lytic-destructive lesion was detected in bone structures. Impression: Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Cardiomegaly, pericardial effusion.  Bilateral pleural effusion and atelectatic changes.  Bilateral adrenal adenoma, bilateral renal parapelvic cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1069/valid_1069_a/valid_1069_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is ectatic (40 mm). Apart from this, other mediastinal main vascular structures are normal. There are calcific atheroma plaques and stent-like appearances in the coronary arteries. The heart size has increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lung parenchyma, there are ground-glass infiltrates that tend to merge with peripheral posterior weights, being more prominent in the lower lobes. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the genus of the adrenal glands, hypodense lesions consistent with adenoma are observed, measuring 30x13 mm on the right and 27x21 mm on the left. There is a cage in the C6-C7 intervertebral disc distance. Anterior osteophytes are observed in the vertebrae. Impression:  Infiltrates in both lung parenchyma that may be compatible with Covid pneumonia.  Dilatation of the ascending aorta.  Coronary atherosclerosis and cardiomegaly.  Bilateral adrenal adenomas.  Degenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1069/valid_1069_b/valid_1069_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2532",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is ectatic (40 mm). Apart from this, other mediastinal main vascular structures are normal. There are calcific atheroma plaques and stent-like appearances in the coronary arteries. The heart size has increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lung parenchyma, there are ground-glass infiltrates that tend to merge with peripheral posterior weights, being more prominent in the lower lobes. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the genus of the adrenal glands, hypodense lesions consistent with adenoma are observed, measuring 30x13 mm on the right and 27x21 mm on the left. There is a cage in the C6-C7 intervertebral disc distance. Anterior osteophytes are observed in the vertebrae. Impression:  Infiltrates in both lung parenchyma that may be compatible with Covid pneumonia.  Dilatation of the ascending aorta.  Coronary atherosclerosis and cardiomegaly.  Bilateral adrenal adenomas.  Degenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1069/valid_1069_b/valid_1069_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2533",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1070/valid_1070_a/valid_1070_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2534",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1070/valid_1070_a/valid_1070_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2535",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was observed in both lungs. There are millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph node was detected. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Several millimetric nonspecific nodules in both lungs . Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1071/valid_1071_a/valid_1071_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was observed in both lungs. There are millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. There is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph node was detected. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Several millimetric nonspecific nodules in both lungs . Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1071/valid_1071_a/valid_1071_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; A few calcified lymph nodes with a short axis of 5 mm are observed in the left hilar region and paratracheal area. No lymph node was detected in mediastinal pathological size and appearance. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Emphysematous changes are observed in the upper lobes of both lungs. Pleuroparenchymal sequelae density increases are observed in the upper lobes of both lungs. Pleuroparenchymal sequelae increase in density and paracicatricial minimal bronchiectasis are observed in the left lung inferior lingular segment. Focal ground-glass density increase is observed in the peripheral subpleural area in the posterobasal segment of the left lung lower lobe. Its imaging features can be seen in Covid-19 pneumonia. However, it is not specific and other infectious-non-infectious diseases can be considered in the differential diagnosis. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections in the study area; Millimetric hyperdensity was observed in the gallbladder lumen (Calcified polyp? Calculus impacted on the wall?). A cortical cyst of 3 cm in diameter was observed in the upper pole of the left kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Emphysematous changes, sequelae changes, bronchiectasis in both lungs. Focal ground-glass density increase in the lower lobe of the left lung. The described imaging features can be seen in Covid 19 pneumonia. However, it is not specific and can be seen in other infectious-non-infectious diseases. Clinic-lab. correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1072/valid_1072_a/valid_1072_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2538",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. When examined in the lung parenchyma window; trachea and both main bronchi are open. Sequelae changes are observed at the apical level of both lungs. At the laterobasal level, parenchymal thin bands are observed. There was no finding compatible with pneumonia in both lungs. Sections passing through the upper abdomen included in the sections are natural. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No finding compatible with pneumonia was observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1073/valid_1073_a/valid_1073_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Although the mediastinum cannot be evaluated optimally in the examination performed without contrast, the calibration of the mediastinal main vascular structures and the heart contour-size are normal. Pericardial effusion-thickening was not observed. Metallic sutures consistent with ACBG were observed in the sternum and anterior mediastinum. There is a stent in the LAD. Widespread atheromatous plaques were detected in the coronary arteries and thoracic aorta. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. A minimal sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the patient with a history of pulmonary Ca, extensive consolidation with air bronchograms extending from the left lung hilus to the upper and lower lobes was observed. No mass was detected at this level whose borders can be distinguished from consolidation. A smear-like effusion was observed in the left pleural space. No mass and effusion with discernible borders were observed in the right lung. Ground glass densities in the aerated left lung lower lobe basal segment and consolidations in the periphery were observed. Findings may be compatible with atypical pneumonia. Correlation with clinical and laboratory is recommended. The upper lobes of both lungs are emphysematous, and a mosaic attenuation pattern is observed in both lungs (clinical correlation is recommended for small air-vascular diseases). In the non-contrast examination, the liver is normal. Multiple millimetric calculi were observed in the gallbladder lumen. Cystic lesions measuring 120x106 mm were observed in both kidneys, the largest of which was in the upper pole of the left kidney. A slightly hyperdense lesion with a diameter of 14 mm was observed in the middle zone of the left kidney (hemorrhagic cyst?). Linear calcification was observed throughout the spleen capsule. Degenerative changes are observed in the bone structures entering the cross-sectional area. No lytic-destructive lesion was detected. Impression: Metallic sutures compatible with ACBG in the sternum and mediastinum, minimal sliding type hiatal hernia at the lower end of the esophagus .  Focal patchy ground-glass densities in the basal segment of the left lung lower lobe and focal consolidations in the periphery, the appearance is nonspecific. Correlation with clinical and laboratory is recommended for atypical pneumonia.  Cholelithiasis . Bilateral renal multiple cysts, mild hyperdense cortical nodular lesion in the left kidney midzone (hemorrhagic cyst) ?) . Linear calcifications in the spleen capsule"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1074/valid_1074_a/valid_1074_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2540",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Although the mediastinum cannot be evaluated optimally in the examination performed without contrast, the calibration of the mediastinal main vascular structures and the heart contour-size are normal. Pericardial effusion-thickening was not observed. Metallic sutures consistent with ACBG were observed in the sternum and anterior mediastinum. There is a stent in the LAD. Widespread atheromatous plaques were detected in the coronary arteries and thoracic aorta. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. A minimal sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the patient with a history of pulmonary Ca, extensive consolidation with air bronchograms extending from the left lung hilus to the upper and lower lobes was observed. No mass was detected at this level whose borders can be distinguished from consolidation. A smear-like effusion was observed in the left pleural space. No mass and effusion with discernible borders were observed in the right lung. Ground glass densities in the aerated left lung lower lobe basal segment and consolidations in the periphery were observed. Findings may be compatible with atypical pneumonia. Correlation with clinical and laboratory is recommended. The upper lobes of both lungs are emphysematous, and a mosaic attenuation pattern is observed in both lungs (clinical correlation is recommended for small air-vascular diseases). In the non-contrast examination, the liver is normal. Multiple millimetric calculi were observed in the gallbladder lumen. Cystic lesions measuring 120x106 mm were observed in both kidneys, the largest of which was in the upper pole of the left kidney. A slightly hyperdense lesion with a diameter of 14 mm was observed in the middle zone of the left kidney (hemorrhagic cyst?). Linear calcification was observed throughout the spleen capsule. Degenerative changes are observed in the bone structures entering the cross-sectional area. No lytic-destructive lesion was detected. Impression: Metallic sutures compatible with ACBG in the sternum and mediastinum, minimal sliding type hiatal hernia at the lower end of the esophagus .  Focal patchy ground-glass densities in the basal segment of the left lung lower lobe and focal consolidations in the periphery, the appearance is nonspecific. Correlation with clinical and laboratory is recommended for atypical pneumonia.  Cholelithiasis . Bilateral renal multiple cysts, mild hyperdense cortical nodular lesion in the left kidney midzone (hemorrhagic cyst) ?) . Linear calcifications in the spleen capsule"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1074/valid_1074_a/valid_1074_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast. Calibration of the vascular structures, heart contour and size are normal as far as can be observed. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There are no lymph nodes in pathological size and appearance in both axillary regions and mediastinum. Centriacinar nodular density increases are observed in both lower lobe posterobasal segments of both lungs. Early viral pneumonia is considered in the etiology of the findings, and its evaluation with clinical and laboratory findings and close follow-up are recommended. No solid mass was detected in the upper abdominal sections within the image. Free liquid-loculated collection is not observed. Liver parenchyma density has a hypodense appearance of heptosteatosis. No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved. Impression: In both lung lower lobe posterobasal segments, areas of centriacinar density increase in bud-like tree appearance on the right and an area of increase in density consistent with nodular consolidation are observed on the left, and the findings may belong to early viral pneumonia. Evaluation and follow-up with clinical and laboratory findings is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1075/valid_1075_a/valid_1075_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2542",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast. Calibration of the vascular structures, heart contour and size are normal as far as can be observed. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. There are no lymph nodes in pathological size and appearance in both axillary regions and mediastinum. Centriacinar nodular density increases are observed in both lower lobe posterobasal segments of both lungs. Early viral pneumonia is considered in the etiology of the findings, and its evaluation with clinical and laboratory findings and close follow-up are recommended. No solid mass was detected in the upper abdominal sections within the image. Free liquid-loculated collection is not observed. Liver parenchyma density has a hypodense appearance of heptosteatosis. No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved. Impression: In both lung lower lobe posterobasal segments, areas of centriacinar density increase in bud-like tree appearance on the right and an area of increase in density consistent with nodular consolidation are observed on the left, and the findings may belong to early viral pneumonia. Evaluation and follow-up with clinical and laboratory findings is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1075/valid_1075_a/valid_1075_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2543",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are peripheral and centrally located consolidations in the upper and lower lobes of both lungs. The described findings are sometimes accompanied by ground glass areas and minimal interlobular septal thickenings in these areas. Although the differential diagnosis cannot be made because the findings are not very common, when evaluated together with the clinical information, these manifestations were primarily evaluated in favor of infective pathology. The described findings can also be observed in Covid 19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. Stents are observed in the coronary arteries on the left. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the prevascular area, measuring 12 mm in short diameter. The lymph nodes, which were also described in the previous examination of the patient, can be observed and no significant difference was detected in their number and size. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Stones are observed in the gallbladder. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are narrowed. Impression: Diffuse consolidations, ground-glass areas, and minimal interlobular septal thickenings in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1076/valid_1076_a/valid_1076_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2544",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are peripheral and centrally located consolidations in the upper and lower lobes of both lungs. The described findings are sometimes accompanied by ground glass areas and minimal interlobular septal thickenings in these areas. Although the differential diagnosis cannot be made because the findings are not very common, when evaluated together with the clinical information, these manifestations were primarily evaluated in favor of infective pathology. The described findings can also be observed in Covid 19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. Stents are observed in the coronary arteries on the left. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of the described lymph nodes is observed in the prevascular area, measuring 12 mm in short diameter. The lymph nodes, which were also described in the previous examination of the patient, can be observed and no significant difference was detected in their number and size. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Stones are observed in the gallbladder. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are narrowed. Impression: Diffuse consolidations, ground-glass areas, and minimal interlobular septal thickenings in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1076/valid_1076_a/valid_1076_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2545",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a millimetric subpleural nodule in the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1077/valid_1077_a/valid_1077_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2546",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a millimetric subpleural nodule in the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1077/valid_1077_a/valid_1077_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques were observed in the aorta and coronary arteries. Pleural effusion is observed on the left. The pleural effusion measured 70 mm at its thickest point. There is no pleural effusion on the right. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation and ground-glass appearances were observed in the posterior part of the lower lobe of the right lung, the lower lobe of the left lung, and the apicoposterior segment of the upper lobe. The described manifestations were primarily evaluated in favor of pneumonic infiltration. There are emphysematous changes in both aerated lungs. There are several millimeric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Follow-up over ca.  Left pleural effusion.  Findings evaluated primarily in favor of pneumonic infiltration in both lungs.  Emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1078/valid_1078_a/valid_1078_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2548",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques were observed in the aorta and coronary arteries. Pleural effusion is observed on the left. The pleural effusion measured 70 mm at its thickest point. There is no pleural effusion on the right. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation and ground-glass appearances were observed in the posterior part of the lower lobe of the right lung, the lower lobe of the left lung, and the apicoposterior segment of the upper lobe. The described manifestations were primarily evaluated in favor of pneumonic infiltration. There are emphysematous changes in both aerated lungs. There are several millimeric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Follow-up over ca.  Left pleural effusion.  Findings evaluated primarily in favor of pneumonic infiltration in both lungs.  Emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1078/valid_1078_a/valid_1078_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2549",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1079/valid_1079_a/valid_1079_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2550",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1079/valid_1079_a/valid_1079_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Evaluation of mediastinal structures is suboptimal because it is uncontrast. Evaluation is suboptimal because of obvious breath artifacts. Heart size increased. Evaluation of mediastinal vascular structures and lymph nodes in the mediastinal area could not be made clearly due to the lack of contrast in the examination. Pericardial effusion-thickness increase was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Mosaic attenuation pattern is observed in bilateral lungs. Focal ground-glass appearances are observed in the upper lobe anterior segment and lateral part of the left lung. Although it is not specific for Covid-19 pneumonia, it is appropriate to evaluate the patient together with clinical laboratory findings. Intraabdominal free fluid is observed in the upper abdominal organs included in the examination. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  While focal ground glass opacities in the left lung are not specific for Covid-19 pneumonia, it is appropriate to evaluate the patient together with clinical and laboratory findings.  Intraabdominal free fluid.  Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1080/valid_1080_a/valid_1080_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2552",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground-glass appearances are observed, more prominently in both lungs, lower lobes and peripheral regions. There are appearances of enlarged vascular structures within the ground glass appearances. The described findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1081/valid_1081_a/valid_1081_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground-glass appearances are observed, more prominently in both lungs, lower lobes and peripheral regions. There are appearances of enlarged vascular structures within the ground glass appearances. The described findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1081/valid_1081_a/valid_1081_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Millimetric calcification is observed in the liver entering the section area, and no space-occupying lesion was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1081/valid_1081_b/valid_1081_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2555",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Millimetric calcification is observed in the liver entering the section area, and no space-occupying lesion was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1081/valid_1081_b/valid_1081_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and major vascular structures is suboptimal because the examination is non-contrast. As far as can be seen; Heart size increased. Minimal effusion is observed in the pericardial area. The diameter of the main pulmonary artery has increased, reaching a diameter of 40 mm at its widest point. The diameters of the right and left pulmonary arteries were measured as 27 mm and 23 mm, respectively. There is a stent appearance in the left coronary artery localization. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Several lymphadenopathies are observed in the mediastinal area, the largest in the lower paratracheal area, with a short axis of 12 mm in diameter. No lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In both lungs, pleural effusions reaching a thickness of 67 mm on the left and 35 mm on the right are observed in the thickest part with an anky-like appearance. Fissures in both lungs are evident secondary to effusion. Effusion is also observed in the paracardiac areas of both lungs. Interseptal and interlobular thickness increases are also observed in the lung parenchyma adjacent to the effusion. A few focal ground-glass densities are observed scattered in both lungs. There is a mosaic attenuation pattern in both lung parenchyma. In the upper abdominal organs, including sections; The inferior vena cava is prominent. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal density increases, which are thought to be secondary to edema-inflammation, are observed in the skin and subcutaneous fatty tissues. No fractures, lytic or sclerotic lesions were observed in the bone structures included in the study area. Impression:  Pleural effusion, which is more prominent on the left in both lungs, which is thought to be secondary to heart failure, minimal effusion in the pericardial space, increase in heart dimensions.  Clarity in fissures evaluated in favor of heart failure in both lungs, increase in interseptal and interlobular thickness.  Non-specific ground-glass densities in the apicoposterior segment of the upper lobe of the right lung; Covid-19 pneumonia was considered unlikely.  Increase in main pulmonary artery diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1082/valid_1082_a/valid_1082_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2557",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and major vascular structures is suboptimal because the examination is non-contrast. As far as can be seen; Heart size increased. Minimal effusion is observed in the pericardial area. The diameter of the main pulmonary artery has increased, reaching a diameter of 40 mm at its widest point. The diameters of the right and left pulmonary arteries were measured as 27 mm and 23 mm, respectively. There is a stent appearance in the left coronary artery localization. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Several lymphadenopathies are observed in the mediastinal area, the largest in the lower paratracheal area, with a short axis of 12 mm in diameter. No lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In both lungs, pleural effusions reaching a thickness of 67 mm on the left and 35 mm on the right are observed in the thickest part with an anky-like appearance. Fissures in both lungs are evident secondary to effusion. Effusion is also observed in the paracardiac areas of both lungs. Interseptal and interlobular thickness increases are also observed in the lung parenchyma adjacent to the effusion. A few focal ground-glass densities are observed scattered in both lungs. There is a mosaic attenuation pattern in both lung parenchyma. In the upper abdominal organs, including sections; The inferior vena cava is prominent. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal density increases, which are thought to be secondary to edema-inflammation, are observed in the skin and subcutaneous fatty tissues. No fractures, lytic or sclerotic lesions were observed in the bone structures included in the study area. Impression:  Pleural effusion, which is more prominent on the left in both lungs, which is thought to be secondary to heart failure, minimal effusion in the pericardial space, increase in heart dimensions.  Clarity in fissures evaluated in favor of heart failure in both lungs, increase in interseptal and interlobular thickness.  Non-specific ground-glass densities in the apicoposterior segment of the upper lobe of the right lung; Covid-19 pneumonia was considered unlikely.  Increase in main pulmonary artery diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1082/valid_1082_a/valid_1082_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2558",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal examination is subopathic due to lack of contrast. A pacemaker placed on the anterior chest wall is seen on the left. The heart is larger than normal. Pulmonary artery is 41 mm and ectatic. There is a stent appearance in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the bilateral hemithorax, pleural effusion of 42 mm on the right and 11 mm on the left was observed in its widest part. Mosaic density difference in all lobes, thickening of interlobular septa, peribronchial prominence and subpleural band atelectasis are observed in both lung parenchyma (The findings were evaluated secondary to pulmonary edema). There are centrally weighted peribronchial ground-glass density increases in both lungs, more prominent in the upper lobes. Perihepatic minimal free fluid was observed in upper abdominal sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Cardiomegaly, coronary stents  Ectasia in the pulmonary artery  Findings of pulmonary edema in both lungs  Bilateral pleural effusion  Center-weighted ground glass densities in both lungs (bronchopneumonic infiltrates?)  Perihepatic free fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1082/valid_1082_b/valid_1082_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2559",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal examination is subopathic due to lack of contrast. A pacemaker placed on the anterior chest wall is seen on the left. The heart is larger than normal. Pulmonary artery is 41 mm and ectatic. There is a stent appearance in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the bilateral hemithorax, pleural effusion of 42 mm on the right and 11 mm on the left was observed in its widest part. Mosaic density difference in all lobes, thickening of interlobular septa, peribronchial prominence and subpleural band atelectasis are observed in both lung parenchyma (The findings were evaluated secondary to pulmonary edema). There are centrally weighted peribronchial ground-glass density increases in both lungs, more prominent in the upper lobes. Perihepatic minimal free fluid was observed in upper abdominal sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Cardiomegaly, coronary stents  Ectasia in the pulmonary artery  Findings of pulmonary edema in both lungs  Bilateral pleural effusion  Center-weighted ground glass densities in both lungs (bronchopneumonic infiltrates?)  Perihepatic free fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1082/valid_1082_b/valid_1082_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is observed. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of mediastinal vascular structures is normal as far as can be observed. Calcified atheroma plaques are observed on the LAD wall. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. There are minimal emphysematous changes in both lungs. There are several nonspecific nodules in the left lung, the largest measuring 3.5 mm in the lower lobe laterobasal segment and 3 mm in diameter in the right lung, the largest in the upper lobe posterior. No active infiltration or mass lesion was detected in both lungs. Peribronchial diffuse minimal thickness increase in both lungs. In the upper abdominal sections within the image, a few millimeter-sized stones are observed in the left kidney midzone and there is a 13 mm diameter hypodense fluid density lesion (cyst?) with a cortical location and exophytic extension in the upper pole posterior. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  A few millimetric nodules in millimetric sizes in both lungs, minimal emphysematous changes, diffuse minimal thickness increase in bilateral peribronchial, areas of increase in density compatible with linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment; No active infiltration or mass lesion was observed in both lungs.  Left nephrolithiasis and left kidney upper pole posterior cortical lesion with exophytic extension in hypodense fluid density (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1083/valid_1083_a/valid_1083_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2561",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open and no obstructive pathology is observed. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of mediastinal vascular structures is normal as far as can be observed. Calcified atheroma plaques are observed on the LAD wall. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. There are minimal emphysematous changes in both lungs. There are several nonspecific nodules in the left lung, the largest measuring 3.5 mm in the lower lobe laterobasal segment and 3 mm in diameter in the right lung, the largest in the upper lobe posterior. No active infiltration or mass lesion was detected in both lungs. Peribronchial diffuse minimal thickness increase in both lungs. In the upper abdominal sections within the image, a few millimeter-sized stones are observed in the left kidney midzone and there is a 13 mm diameter hypodense fluid density lesion (cyst?) with a cortical location and exophytic extension in the upper pole posterior. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  A few millimetric nodules in millimetric sizes in both lungs, minimal emphysematous changes, diffuse minimal thickness increase in bilateral peribronchial, areas of increase in density compatible with linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment; No active infiltration or mass lesion was observed in both lungs.  Left nephrolithiasis and left kidney upper pole posterior cortical lesion with exophytic extension in hypodense fluid density (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1083/valid_1083_a/valid_1083_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2562",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast and as far as can be observed; There is an increase in heart size. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. Pericardial effusion was not detected. There is an effusion up to 35 mm on the right in the deepest part of the bilateral pleural space. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. There is a sliding type hiatal hernia at the lower end. Although the bilateral hilus could not be evaluated optimally, multiple lymphadenopathies that lost their fusiform configuration were observed in the bilateral hilus, the larger one in the mediastinum, the shortest diameter at the right paratracheal level, and the 18 mm diameter. When examined in the lung parenchyma window; more prominent on the right, there are areas of consolidation and ground-glass density increase in both lungs consistent with pneumonic infiltration in ground glass density. Centracinar emphysematous changes are observed in both lungs. Sequela parenchymal changes, structural distortion and volume loss were noted in the lower lobes of both lungs and the apical segment of the upper lobe. There is an appearance in the apicoposterior segment of the left lung upper lobe, accompanied by sequela parenchymal changes, in which maxrocalcified foci are also observed in the central part, measured in approximately 20x10 mm, and evaluated primarily in favor of fibrotic nodular formation. Follow-up is recommended. Diffuse mild ectasia is observed in bilateral bronchial structures. As far as it can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; there are chronic atrophic changes in the left kidney. No solid mass was detected. No free fluid or loculated collection is observed. No lytic-destructive lesion is observed in the bone structures within the image, and vertebral corpus heights are preserved. Impression:  Increased heart size, calcified atheroma plaques in the wall of the thoracic aorta and coronary vascular structures.  Lymphadenopathies that have lost their fusiform configuration in the mediastinum, the largest of which is measured at the right paratracheal level, with a short diameter of more than 1 cm.  Centracinar amphimatous changes in both lungs, sequela parenchymal changes accompanying structural distortion and volume loss in both lung apks and lower lobes, left lung upper lobe inferior lingular segment, and nodular lesion evaluated in favor of fibrotic nodular formation in left lung upper lobe apicoposterior segment (follow-up is recommended) ).  Diffuse mild ectasia in bilateral bronchial structures.  Consolidation-ground glass density increase areas compatible with pneumonic infiltration in both lung parenchyma, more prominent on the right; Clinical and laboratory evaluation is recommended for Covid-19 pneumonia.  Chronic atrophic changes in the left kidney.  Increase in thoracic kyphosis, osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1084/valid_1084_a/valid_1084_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2563",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast and as far as can be observed; There is an increase in heart size. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. Pericardial effusion was not detected. There is an effusion up to 35 mm on the right in the deepest part of the bilateral pleural space. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. There is a sliding type hiatal hernia at the lower end. Although the bilateral hilus could not be evaluated optimally, multiple lymphadenopathies that lost their fusiform configuration were observed in the bilateral hilus, the larger one in the mediastinum, the shortest diameter at the right paratracheal level, and the 18 mm diameter. When examined in the lung parenchyma window; more prominent on the right, there are areas of consolidation and ground-glass density increase in both lungs consistent with pneumonic infiltration in ground glass density. Centracinar emphysematous changes are observed in both lungs. Sequela parenchymal changes, structural distortion and volume loss were noted in the lower lobes of both lungs and the apical segment of the upper lobe. There is an appearance in the apicoposterior segment of the left lung upper lobe, accompanied by sequela parenchymal changes, in which maxrocalcified foci are also observed in the central part, measured in approximately 20x10 mm, and evaluated primarily in favor of fibrotic nodular formation. Follow-up is recommended. Diffuse mild ectasia is observed in bilateral bronchial structures. As far as it can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; there are chronic atrophic changes in the left kidney. No solid mass was detected. No free fluid or loculated collection is observed. No lytic-destructive lesion is observed in the bone structures within the image, and vertebral corpus heights are preserved. Impression:  Increased heart size, calcified atheroma plaques in the wall of the thoracic aorta and coronary vascular structures.  Lymphadenopathies that have lost their fusiform configuration in the mediastinum, the largest of which is measured at the right paratracheal level, with a short diameter of more than 1 cm.  Centracinar amphimatous changes in both lungs, sequela parenchymal changes accompanying structural distortion and volume loss in both lung apks and lower lobes, left lung upper lobe inferior lingular segment, and nodular lesion evaluated in favor of fibrotic nodular formation in left lung upper lobe apicoposterior segment (follow-up is recommended) ).  Diffuse mild ectasia in bilateral bronchial structures.  Consolidation-ground glass density increase areas compatible with pneumonic infiltration in both lung parenchyma, more prominent on the right; Clinical and laboratory evaluation is recommended for Covid-19 pneumonia.  Chronic atrophic changes in the left kidney.  Increase in thoracic kyphosis, osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1084/valid_1084_a/valid_1084_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2564",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla and mediastinum. Heart dimensions and compartments appear natural. Calibrations of mediastinal main vascular structures are natural. Pericardial effusion was not detected. No mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma. A few nonspecific nodules with diameters less than 5 mm are observed. No pneumonic infiltration was detected in the parenchyma. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1085/valid_1085_a/valid_1085_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2565",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla and mediastinum. Heart dimensions and compartments appear natural. Calibrations of mediastinal main vascular structures are natural. Pericardial effusion was not detected. No mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma. A few nonspecific nodules with diameters less than 5 mm are observed. No pneumonic infiltration was detected in the parenchyma. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1085/valid_1085_a/valid_1085_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2566",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodule or mass-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1086/valid_1086_a/valid_1086_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2567",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodule or mass-occupying lesion was observed in the lung parenchyma. No features were detected in the upper abdomen sections. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Inspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1086/valid_1086_a/valid_1086_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2568",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobe basal segments of both lungs, slightly more diffuse, subpleural localized, crazy paving nodular ground glass consolidations were observed on the right, and the appearance is compatible with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1087/valid_1087_a/valid_1087_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2569",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobe basal segments of both lungs, slightly more diffuse, subpleural localized, crazy paving nodular ground glass consolidations were observed on the right, and the appearance is compatible with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1087/valid_1087_a/valid_1087_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the subcarinal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, there are peripherally weighted, patchy areas of consolidation that are more common in the lower lobes, in which air bronchograms are observed in places. Findings are consistent with viral pneumonia (COVID-19 pneumonia). Linear atelectasis areas are observed in the right lung middle lobe medial segment and both lung lower lobe posterior segments. No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type minimal hiatal hernia is present at the esophagogastric junction. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There are occasional millimetric osteophytes in the anterior corners of the thoracic vertebra corpus within the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Peripheral consolidations in both lungs, more extensive in the lower lobes; compatible with viral pneumonia.  Mediastinal lymph nodes  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1088/valid_1088_a/valid_1088_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2571",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the subcarinal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, there are peripherally weighted, patchy areas of consolidation that are more common in the lower lobes, in which air bronchograms are observed in places. Findings are consistent with viral pneumonia (COVID-19 pneumonia). Linear atelectasis areas are observed in the right lung middle lobe medial segment and both lung lower lobe posterior segments. No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type minimal hiatal hernia is present at the esophagogastric junction. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There are occasional millimetric osteophytes in the anterior corners of the thoracic vertebra corpus within the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Peripheral consolidations in both lungs, more extensive in the lower lobes; compatible with viral pneumonia.  Mediastinal lymph nodes  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1088/valid_1088_a/valid_1088_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2572",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1089/valid_1089_a/valid_1089_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2573",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1089/valid_1089_a/valid_1089_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1090/valid_1090_a/valid_1090_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2575",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1090/valid_1090_a/valid_1090_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No infiltration was detected in both lungs. A 7x4 mm subpleural nodule is observed in the posterobasal segment of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression:  Non-specific 7x4 mm subpleural nodule in the posterobasal segment of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1091/valid_1091_a/valid_1091_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No infiltration was detected in both lungs. A 7x4 mm subpleural nodule is observed in the posterobasal segment of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression:  Non-specific 7x4 mm subpleural nodule in the posterobasal segment of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1091/valid_1091_a/valid_1091_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. Metallic densities were observed in the sternum and secondary to surgery on the heart. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short diameter of up to 9 mm were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area, and bilateral hilar region. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; In both lungs, increased aeration consistent with centriacinar emphysema was observed. A mass of approximately 62x32 mm in size with irregular spiculated contours was observed in the superior segment of the left lung lower lobe. Satellite masses, the largest of which reached approximately 8 mm in diameter, were observed in the vicinity of the mass. Mild bronchiectatic changes, peribronchial thickenings and intense ground-glass appearances in the lower lobe of the left lung attract attention, especially in the lower lobe of the left lung. A calcified parenchymal nodule with a diameter of approximately 4 mm was observed in the lateral segment of the lower lobe of the right lung. Fibroatelectatic changes were observed in the bases of both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A hypodense lesion with a diameter of approximately 2 cm was observed in the middle zone of the left kidney. Significant degenerative changes and osteophyte formations in the vertebral corpus corners were observed in the bone structures in the study area. Impression: Mass in the superior segment of the left lung lower lobe and adjacent satellite nodules, bronchiectasis, more prominently in the left lung lower lobe, peribronchial thickening, ground-glass appearances and occasional irregular consolidations . Calcified nodule in the right lung . Centriacinar emphysema findings in both lungs . Mediastinal lymph nodes . Osteodegenerative bone disease . Left renal cortical cyst ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1092/valid_1092_a/valid_1092_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2579",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Calcified atheroma plaques were observed in the mediastinal main vascular structures. Metallic densities were observed in the sternum and secondary to surgery on the heart. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short diameter of up to 9 mm were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area, and bilateral hilar region. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; In both lungs, increased aeration consistent with centriacinar emphysema was observed. A mass of approximately 62x32 mm in size with irregular spiculated contours was observed in the superior segment of the left lung lower lobe. Satellite masses, the largest of which reached approximately 8 mm in diameter, were observed in the vicinity of the mass. Mild bronchiectatic changes, peribronchial thickenings and intense ground-glass appearances in the lower lobe of the left lung attract attention, especially in the lower lobe of the left lung. A calcified parenchymal nodule with a diameter of approximately 4 mm was observed in the lateral segment of the lower lobe of the right lung. Fibroatelectatic changes were observed in the bases of both lungs. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A hypodense lesion with a diameter of approximately 2 cm was observed in the middle zone of the left kidney. Significant degenerative changes and osteophyte formations in the vertebral corpus corners were observed in the bone structures in the study area. Impression: Mass in the superior segment of the left lung lower lobe and adjacent satellite nodules, bronchiectasis, more prominently in the left lung lower lobe, peribronchial thickening, ground-glass appearances and occasional irregular consolidations . Calcified nodule in the right lung . Centriacinar emphysema findings in both lungs . Mediastinal lymph nodes . Osteodegenerative bone disease . Left renal cortical cyst ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1092/valid_1092_a/valid_1092_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2580",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart were not evaluated optimally because the examination was without IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node in pathological size and appearance was observed in both axillary regions and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Ventilation of both lung parenchyma is natural. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1093/valid_1093_a/valid_1093_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart were not evaluated optimally because the examination was without IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node in pathological size and appearance was observed in both axillary regions and mediastinum. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Ventilation of both lung parenchyma is natural. No pathology was detected as far as it can be observed within the borders of non-contrast CT in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1093/valid_1093_a/valid_1093_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2582",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart size increased. Left ventricle and bilateral atrium diameters increased. There are wall calcifications in the aortic arch. Calcified atherosclerotic plaques are observed in LAD. Calibrations of mediastinal main vascular structures are natural. Pericardial effusion was not detected. No space-occupying lesion was observed in the mediastinal fat pad. When the lung parenchyma window is examined; trachea, both main bronchi, lobar and segmental bronchi, air passages are observed open. The extraction was performed during expiration. Mosaic attenuation pattern and aeration differences are present in both lungs towards the basals. Air trapping areas are observed in the lower lobes of both lungs. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was detected. There is a 3 mm diameter nonspecific nodule in the middle lobe of the right lung. Sliding type mild hiatal hernia is present in upper abdominal sections. Cysts of 4.5 cm and 5.5 cm were observed in the right kidney. Wall calcifications are observed at the exit of the left renal artery. No loculated or free fluid was detected in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  Increase in heart size.  Calcified atherosclerotic plaque in LAD.  Sliding hiatal hernia.  Cysts in the right kidney.  Ventilation differences in the lung parenchyma, more prominent air trapping areas at the bases.  Millimetric nonspecific solitary nodule in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1094/valid_1094_a/valid_1094_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2583",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart size increased. Left ventricle and bilateral atrium diameters increased. There are wall calcifications in the aortic arch. Calcified atherosclerotic plaques are observed in LAD. Calibrations of mediastinal main vascular structures are natural. Pericardial effusion was not detected. No space-occupying lesion was observed in the mediastinal fat pad. When the lung parenchyma window is examined; trachea, both main bronchi, lobar and segmental bronchi, air passages are observed open. The extraction was performed during expiration. Mosaic attenuation pattern and aeration differences are present in both lungs towards the basals. Air trapping areas are observed in the lower lobes of both lungs. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No pleural effusion was detected. There is a 3 mm diameter nonspecific nodule in the middle lobe of the right lung. Sliding type mild hiatal hernia is present in upper abdominal sections. Cysts of 4.5 cm and 5.5 cm were observed in the right kidney. Wall calcifications are observed at the exit of the left renal artery. No loculated or free fluid was detected in the upper abdominal sections. No lytic-destructive lesions were detected in bone structures. Impression:  Increase in heart size.  Calcified atherosclerotic plaque in LAD.  Sliding hiatal hernia.  Cysts in the right kidney.  Ventilation differences in the lung parenchyma, more prominent air trapping areas at the bases.  Millimetric nonspecific solitary nodule in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1094/valid_1094_a/valid_1094_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2584",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO increased in favor of the heart. The aortic arch calibration is 30 mm. It is wider than normal. Pulmonary trunk calibration is 27 mm. It is at the maximal physiological limit. Right pulmonary artery calibration is 30 mm, left pulmonary artery calibration is 25 mm. Right pulmonary artery calibration increased from normal. Dense calcific atheroma plaques are observed in the aortic arch, coronary arteries and descending aorta. There are millimetric lymph nodes in the upper-lower paratracheal area. No contrast-free examination of pathologically sized lymph nodes at both hilar levels was detected. When examined in the lung parenchyma window; Both hemithorax are symmetrical. There is bilateral pleural effusion in both lungs extending from the baseline to the upper zone on the right and the middle zone on the left. Its thickness reaches 33 mm on the right and 20 mm on the left. Atelectatic lung segments are observed adjacent to both sides. The effusion also extends to the interlobar fissure on the right. In the left lung, the upper lobe apicoposterior segment, bilateral lower lobe superior segment, right lung upper lobe posterior segment partially and partially in the middle lobes, there are consolidative areas accompanied by bud branch landscapes that continue along the bronchovascular sheath and occasionally aerial brocograms. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes. On the left, there is a pleural effusion in the form of a phantom tumor at the level of the interlobar fissure. There are pleural thin plate-like calcifications at the level of the lower lobe superior segment in the left lung. In the sections passing through the upper abdomen, there are pranchymal calcifications in the liver. There is effusion in the perihepatic and splenic areas. Local examination is suboptimal due to motion artifacts. In the middle part of the left kidney, a hypodense formation with a diameter of approximately 16 mm is observed that partially enters the image. Degenerative changes are observed in the bone structure. Impression: It is recommended to evaluate the case together with clinical and laboratory findings in terms of infective processes, with widespread consolidative densities in both lungs, and bud branch views in places."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1095/valid_1095_a/valid_1095_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2585",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO was within normal limits. Calibration of mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum. A thymic remnant is observed in the anterior mediastinum, which does not show the configuration of a fatty-involved mass. There are lymph nodes that do not reach the pathological size and configuration at the right hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is natural. Lumens are clear. Both hemithorax are symmetrical. In the right lung, fibroatelectasis sequela changes were observed in the middle lobe medial segment. Bilateral pleural effusion-thickening was not observed. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. On the right, nonspecific density increases are observed in the lateral parts of the 7th and 9th ribs and are also present in the previous examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings are stable in the case followed up due to testicular tumor."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1096/valid_1096_a/valid_1096_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2586",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  CTO was within normal limits. Calibration of mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum. A thymic remnant is observed in the anterior mediastinum, which does not show the configuration of a fatty-involved mass. There are lymph nodes that do not reach the pathological size and configuration at the right hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is natural. Lumens are clear. Both hemithorax are symmetrical. In the right lung, fibroatelectasis sequela changes were observed in the middle lobe medial segment. Bilateral pleural effusion-thickening was not observed. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. On the right, nonspecific density increases are observed in the lateral parts of the 7th and 9th ribs and are also present in the previous examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings are stable in the case followed up due to testicular tumor."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1096/valid_1096_a/valid_1096_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2587",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the coronary arteries in the aortic arch. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; linear pleuroparenchymal sequelae are observed with a few tubular bronchiectasis in the left lung lingular segment in the middle lobe of the right lung. A nodule with a diameter of 4.5 mm in the anterior segment of the left lung upper lobe, 5.5 mm in diameter in the lower lobe superior segment, 3.5 mm in diameter immediately adjacent, and 5.5 mm in diameter in the lower lobe laterobasal segment is observed. A 2.5 mm diameter nodule is observed in the right lung lower lobe laterobasal segment. A few thin-walled air cysts are observed in the left lung. Hypodense nodular lesions, which are thought to belong to cortical cysts in the right kidney, and parapelvic cysts in the left kidney, which are partially within the examination area, are observed. No obvious pathology was detected in bone structures. Impression: Ectasia and pleuroparenchymal sequelae in several bronchi in the right lung middle lobe left lung lingular segment. Several nodules, the largest of which is 5.5 mm in diameter, in both lungs.  Several thin-walled air cysts in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1097/valid_1097_a/valid_1097_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2588",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the coronary arteries in the aortic arch. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; linear pleuroparenchymal sequelae are observed with a few tubular bronchiectasis in the left lung lingular segment in the middle lobe of the right lung. A nodule with a diameter of 4.5 mm in the anterior segment of the left lung upper lobe, 5.5 mm in diameter in the lower lobe superior segment, 3.5 mm in diameter immediately adjacent, and 5.5 mm in diameter in the lower lobe laterobasal segment is observed. A 2.5 mm diameter nodule is observed in the right lung lower lobe laterobasal segment. A few thin-walled air cysts are observed in the left lung. Hypodense nodular lesions, which are thought to belong to cortical cysts in the right kidney, and parapelvic cysts in the left kidney, which are partially within the examination area, are observed. No obvious pathology was detected in bone structures. Impression: Ectasia and pleuroparenchymal sequelae in several bronchi in the right lung middle lobe left lung lingular segment. Several nodules, the largest of which is 5.5 mm in diameter, in both lungs.  Several thin-walled air cysts in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1097/valid_1097_a/valid_1097_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2589",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures. Calibration of mediastinal vascular structures is natural. Heart contour and size are natural. No pericardial or pleural effusion was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was observed in both lungs. In both lungs, nonspecific nodules of millimetric dimensions were observed, the largest of which was 4.5 mm in the anterior segment of the left lung upper lobe. There are minimal emphysematous changes in both lungs. There are diffuse mild ectasia and minimal peribronchial diffuse thickness increases that become prominent in the central bronchial structures of both lungs. Locally sequela parenchymal changes were observed in both lungs. There is diffuse minimal decrease in liver parenchyma density secondary to hepatosteatosis in in-image upper abdominal sections. A millimetric hyperdense stone was observed in the gallbladder lumen. There are lesions of hypodense fluid density measuring 28 mm in diameter, located parapelvic in the upper pole of the left kidney, and 25 mm in diameter, located cortical in the middle zone of the right kidney. Not clearly characterized (cyst?) within the limits of unenhanced CT. No lytic or destructive bone lesions were observed in the bone structures within the image. Impression:  No active infiltration or mass lesion was observed in both lungs. There are local sequela parenchymal changes, nonspecific nodules in millimeters and minimal emphysematous changes, diffuse mild ectasia in bilateral bronchial structures and minimal peribronchial thickness increases.  Lesions of hypodense fluid density, located cortical in the middle zone of the right kidney and parapelvic in the upper pole of the left kidney, could not be clearly characterized within the borders of unenhanced CT; cyst?  Hepatosteatosis  Cholelithiasis  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1097/valid_1097_b/valid_1097_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2590",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures. Calibration of mediastinal vascular structures is natural. Heart contour and size are natural. No pericardial or pleural effusion was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. No lymph node was observed in the mediastinum in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was observed in both lungs. In both lungs, nonspecific nodules of millimetric dimensions were observed, the largest of which was 4.5 mm in the anterior segment of the left lung upper lobe. There are minimal emphysematous changes in both lungs. There are diffuse mild ectasia and minimal peribronchial diffuse thickness increases that become prominent in the central bronchial structures of both lungs. Locally sequela parenchymal changes were observed in both lungs. There is diffuse minimal decrease in liver parenchyma density secondary to hepatosteatosis in in-image upper abdominal sections. A millimetric hyperdense stone was observed in the gallbladder lumen. There are lesions of hypodense fluid density measuring 28 mm in diameter, located parapelvic in the upper pole of the left kidney, and 25 mm in diameter, located cortical in the middle zone of the right kidney. Not clearly characterized (cyst?) within the limits of unenhanced CT. No lytic or destructive bone lesions were observed in the bone structures within the image. Impression:  No active infiltration or mass lesion was observed in both lungs. There are local sequela parenchymal changes, nonspecific nodules in millimeters and minimal emphysematous changes, diffuse mild ectasia in bilateral bronchial structures and minimal peribronchial thickness increases.  Lesions of hypodense fluid density, located cortical in the middle zone of the right kidney and parapelvic in the upper pole of the left kidney, could not be clearly characterized within the borders of unenhanced CT; cyst?  Hepatosteatosis  Cholelithiasis  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1097/valid_1097_b/valid_1097_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2591",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymphadenopathy was not observed in both axillae in the mediastinal area and in the retropectoral regions in pathological size and appearance. No pathological appearance was detected in the precardiac fat pad. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Pleuroparenchymal linear densities are observed in the linear segment of the upper lobe of the left lung. Apart from this, pleuroparenchymal linear densities are observed in the lower lobes of both lungs. Apart from this, no mass was observed in both lungs. Nonspecific pulmonary nodules with a diameter of 4 mm are observed in both lungs, the largest of which is in the anterior segment of the left lung upper lobe. In the vertebrae, especially in the upper thoracic vertebrae, osteophytes are observed in the appearance of merging with each other. In segment 8 localization, a slightly hypodense appearance with a diameter of 9 mm is observed, which does not create a clear border in the subcapsular area and cannot be characterized in this examination. In case of clinical necessity, US examination is recommended. A hypodense appearance with a diameter of 2.5 cm with exophytic extension is observed in the right kidney (cyst?). In the middle part of the left kidney, a hypodense, well-defined appearance with a diameter of 27 mm is observed with a pelvic location (parapelvic cyst?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal emphysematous changes.  Calcific atheroma plaques in the aorta and coronary arteries.  Linear fibrotic densities and nonspecific pulmonary nodules in both lungs.  Hypodense appearance in the liver at segment 8 level, which is primarily evaluated nonspecifically and does not form a prominent mass contour.  Well-defined hypodense appearances (cyst?) in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1097/valid_1097_c/valid_1097_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymphadenopathy was not observed in both axillae in the mediastinal area and in the retropectoral regions in pathological size and appearance. No pathological appearance was detected in the precardiac fat pad. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Pleuroparenchymal linear densities are observed in the linear segment of the upper lobe of the left lung. Apart from this, pleuroparenchymal linear densities are observed in the lower lobes of both lungs. Apart from this, no mass was observed in both lungs. Nonspecific pulmonary nodules with a diameter of 4 mm are observed in both lungs, the largest of which is in the anterior segment of the left lung upper lobe. In the vertebrae, especially in the upper thoracic vertebrae, osteophytes are observed in the appearance of merging with each other. In segment 8 localization, a slightly hypodense appearance with a diameter of 9 mm is observed, which does not create a clear border in the subcapsular area and cannot be characterized in this examination. In case of clinical necessity, US examination is recommended. A hypodense appearance with a diameter of 2.5 cm with exophytic extension is observed in the right kidney (cyst?). In the middle part of the left kidney, a hypodense, well-defined appearance with a diameter of 27 mm is observed with a pelvic location (parapelvic cyst?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Minimal emphysematous changes.  Calcific atheroma plaques in the aorta and coronary arteries.  Linear fibrotic densities and nonspecific pulmonary nodules in both lungs.  Hypodense appearance in the liver at segment 8 level, which is primarily evaluated nonspecifically and does not form a prominent mass contour.  Well-defined hypodense appearances (cyst?) in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1097/valid_1097_c/valid_1097_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2593",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral pleural effusion is observed. The pleural effusion is more prominent on the right and continues on both sides to the apex of the lung when the patient is in the supine position. Pleural effusion was measured at its thickest point at a thickness of 50 mm. Atelectasis is present in both lower lobes of the lungs adjacent to the pleural effusion. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Bilateral pleural effusion and atelectasis in the adjacent lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1098/valid_1098_a/valid_1098_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2594",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral pleural effusion is observed. The pleural effusion is more prominent on the right and continues on both sides to the apex of the lung when the patient is in the supine position. Pleural effusion was measured at its thickest point at a thickness of 50 mm. Atelectasis is present in both lower lobes of the lungs adjacent to the pleural effusion. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Bilateral pleural effusion and atelectasis in the adjacent lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1098/valid_1098_a/valid_1098_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2595",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are several calcific LAPs, the largest of which is 6x4 mm, in both hilar regions. When examined in the lung parenchyma window; Ventilation of both lung parenchyma is normal. There is a pleuroparenchymal fibrotic sequelae band at the apex of the left lung upper lobe. Pleuroparenchymal sequelae changes were observed in the right lung middle lobe medial and left lung lingular segment. There are several multiple pulmonary nodules, the largest of which is 4.3 mm in diameter in the lower lobe mediobasal segment in the right lung, and 6.7 mm in diameter in the left lung, the largest of which is in the upper lobe anterior. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteodegenerative changes were observed in the vertebrae and bone structures in the study area. Impression: Calcific LAPs in both hilar regions . Sequelae changes in both lungs . Pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1099/valid_1099_a/valid_1099_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2596",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are several calcific LAPs, the largest of which is 6x4 mm, in both hilar regions. When examined in the lung parenchyma window; Ventilation of both lung parenchyma is normal. There is a pleuroparenchymal fibrotic sequelae band at the apex of the left lung upper lobe. Pleuroparenchymal sequelae changes were observed in the right lung middle lobe medial and left lung lingular segment. There are several multiple pulmonary nodules, the largest of which is 4.3 mm in diameter in the lower lobe mediobasal segment in the right lung, and 6.7 mm in diameter in the left lung, the largest of which is in the upper lobe anterior. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteodegenerative changes were observed in the vertebrae and bone structures in the study area. Impression: Calcific LAPs in both hilar regions . Sequelae changes in both lungs . Pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1099/valid_1099_a/valid_1099_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2597",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the left lung lower lobe superior segment, lateral consolidation and ground-glass appearance are observed in the peripheral area. Since the described lesion is a single lesion, optimal evaluation cannot be made. However, it was thought that the appearance described during the pandemic process may be compatible with Covid-19 pneumonia. It is recommended to evaluate the patient together with clinical and laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Peripheral consolidation and ground glass appearance in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1100/valid_1100_a/valid_1100_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2598",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In the left lung lower lobe superior segment, lateral consolidation and ground-glass appearance are observed in the peripheral area. Since the described lesion is a single lesion, optimal evaluation cannot be made. However, it was thought that the appearance described during the pandemic process may be compatible with Covid-19 pneumonia. It is recommended to evaluate the patient together with clinical and laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Peripheral consolidation and ground glass appearance in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1100/valid_1100_a/valid_1100_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2599",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Sleeve gastroectomy is observed. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1101/valid_1101_a/valid_1101_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Sleeve gastroectomy is observed. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1101/valid_1101_a/valid_1101_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the posterobasal part of the left lung lower lobe, a millimetric millimetric subpleural nonspecific nodule is observed in series 2 image 408. No mass-infiltration was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1102/valid_1102_a/valid_1102_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2602",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the posterobasal part of the left lung lower lobe, a millimetric millimetric subpleural nonspecific nodule is observed in series 2 image 408. No mass-infiltration was detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1102/valid_1102_a/valid_1102_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no infiltrative lesion is observed in both lungs. In the middle lobe of the right lung, a slightly irregularly circumscribed solid nodule measuring approximately 25x20 mm in anteroposterior and transverse diameter at its widest point (series 2, section 188) was observed. The described nodule is also present in the previous examination of the patient, and no significant difference was found in its size and appearance. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is an appearance evaluated in favor of the thymic artery in the anterior mediastinum. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Irregularly circumscribed nodule in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1103/valid_1103_a/valid_1103_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2604",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no infiltrative lesion is observed in both lungs. In the middle lobe of the right lung, a slightly irregularly circumscribed solid nodule measuring approximately 25x20 mm in anteroposterior and transverse diameter at its widest point (series 2, section 188) was observed. The described nodule is also present in the previous examination of the patient, and no significant difference was found in its size and appearance. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is an appearance evaluated in favor of the thymic artery in the anterior mediastinum. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Irregularly circumscribed nodule in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1103/valid_1103_a/valid_1103_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. The middle lobe of the right lung is not observed secondary to the operation, and its bronchus ends in a stump, and surgical suture materials are observed around the stump. In the right lung upper lobe posterior segment, there are suture materials and fibrotic recessions in the vicinity of the suture material, extending along the major fissure, causing structural distortion and minimal volume loss in the parenchyma. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image. Impression:  Surgical suture materials extending along the major fissure in the upper lobe posterior segment, and fibrotic recessions in the vicinity of the suture materials, structural distortion in the patient who was found to have undergone right lung middle lobectomy; findings are also present in the previous CT examination. No newly developed pathology was detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1103/valid_1103_b/valid_1103_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2606",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural. No pericardial, pleural effusion or thickening was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. The middle lobe of the right lung is not observed secondary to the operation, and its bronchus ends in a stump, and surgical suture materials are observed around the stump. In the right lung upper lobe posterior segment, there are suture materials and fibrotic recessions in the vicinity of the suture material, extending along the major fissure, causing structural distortion and minimal volume loss in the parenchyma. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic-destructive lesion was observed in the bone structures within the image. Impression:  Surgical suture materials extending along the major fissure in the upper lobe posterior segment, and fibrotic recessions in the vicinity of the suture materials, structural distortion in the patient who was found to have undergone right lung middle lobectomy; findings are also present in the previous CT examination. No newly developed pathology was detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1103/valid_1103_b/valid_1103_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2607",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Dependent density increases were observed in both lung lower lobe posterobasal segments. Bilateral pleural thickening-effusion was not detected. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was observed in the bone structures in the study area. Degenerative changes were observed. Impression:  Atherosclerotic changes.  Densities judged primarily in favor of dependent density increase in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1104/valid_1104_a/valid_1104_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2608",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Dependent density increases were observed in both lung lower lobe posterobasal segments. Bilateral pleural thickening-effusion was not detected. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was observed in the bone structures in the study area. Degenerative changes were observed. Impression:  Atherosclerotic changes.  Densities judged primarily in favor of dependent density increase in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1104/valid_1104_a/valid_1104_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2609",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal, mediastinal lymphadenomegaly with a narrow diameter of 11 mm in the larger aortopulmonary is observed. The patterned aorta is 33 mm and has a slightly ectatic appearance. Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch. The cardiothoracic index is natural. The size of the right lobe of the thyroid gland has increased and it extends towards the thoracic inlet. There are nodules containing calcifications in the thyroid gland. Pleural thickening and effusion are observed in the right hemithorax with a thickness of up to 1.5 cm. In the evaluation of both lung parenchyma; In the current examination of the left lung, which was also observed in previous films, the nodules observed in the left lung upper lobe anterior segment and left lower lobe superior segment, which have decreased density and appear as ground glass, slightly decrease in size, decrease in density, and turn to ground glass rather than solid appearance in their pattern. There was no significant difference in the sizes of the two nodules observed in the anterior segment of the right lung upper lobe and the middle lobe. In previous films, there were regressions in several nodules in the right lung middle lobe. The outlook suggests regression secondary to treatment. No obvious pathology was detected in bone structures. Impression: Solid nodules with a stable decrease in size in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1105/valid_1105_a/valid_1105_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal, mediastinal lymphadenomegaly with a narrow diameter of 11 mm in the larger aortopulmonary is observed. The patterned aorta is 33 mm and has a slightly ectatic appearance. Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch. The cardiothoracic index is natural. The size of the right lobe of the thyroid gland has increased and it extends towards the thoracic inlet. There are nodules containing calcifications in the thyroid gland. Pleural thickening and effusion are observed in the right hemithorax with a thickness of up to 1.5 cm. In the evaluation of both lung parenchyma; In the current examination of the left lung, which was also observed in previous films, the nodules observed in the left lung upper lobe anterior segment and left lower lobe superior segment, which have decreased density and appear as ground glass, slightly decrease in size, decrease in density, and turn to ground glass rather than solid appearance in their pattern. There was no significant difference in the sizes of the two nodules observed in the anterior segment of the right lung upper lobe and the middle lobe. In previous films, there were regressions in several nodules in the right lung middle lobe. The outlook suggests regression secondary to treatment. No obvious pathology was detected in bone structures. Impression: Solid nodules with a stable decrease in size in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1105/valid_1105_a/valid_1105_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2611",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. The aortic arch calibration is 32 mm. Pulmonary trunk calibration is at the maximal physiological limit. Millimetric calcific atheroma plaques are observed at the level of the aortic arch and the left coronary artery. Pericardial effusion-thickening is not observed. There is coarse calcification in the right lobe of the thyroid gland. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. No pathologically enlarged lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; There are scattered ground-glass-like density increases in both lungs, which show consolidation from place to place, and it is recommended to evaluate the case together with clinical and laboratory findings in terms of Covid pneumonia. In the case, pleuroparenchymal density increases consistent with mild sequela changes are observed in places. The defined ground glass density increments have gained a consolidative character in places, including air bronchograms. Pleural effusion-pneumothorax was not detected. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. There is amorphous calcification in soft tissue planes in the superior glenohumeral joint on the right. Impression: Scattered ground-glass-like density increases in both lungs that tend to coalesce from place to place and go to consolidation. It is recommended to evaluate the case together with clinical and laboratory findings in terms of Covid pneumonia. Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1106/valid_1106_a/valid_1106_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. The aortic arch calibration is 32 mm. Pulmonary trunk calibration is at the maximal physiological limit. Millimetric calcific atheroma plaques are observed at the level of the aortic arch and the left coronary artery. Pericardial effusion-thickening is not observed. There is coarse calcification in the right lobe of the thyroid gland. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. No pathologically enlarged lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; There are scattered ground-glass-like density increases in both lungs, which show consolidation from place to place, and it is recommended to evaluate the case together with clinical and laboratory findings in terms of Covid pneumonia. In the case, pleuroparenchymal density increases consistent with mild sequela changes are observed in places. The defined ground glass density increments have gained a consolidative character in places, including air bronchograms. Pleural effusion-pneumothorax was not detected. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved. There is amorphous calcification in soft tissue planes in the superior glenohumeral joint on the right. Impression: Scattered ground-glass-like density increases in both lungs that tend to coalesce from place to place and go to consolidation. It is recommended to evaluate the case together with clinical and laboratory findings in terms of Covid pneumonia. Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1106/valid_1106_a/valid_1106_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2613",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a stone with a diameter of 4 mm in the middle part of the left kidney. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1107/valid_1107_a/valid_1107_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2614",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a stone with a diameter of 4 mm in the middle part of the left kidney. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1107/valid_1107_a/valid_1107_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological pathological size and appearance was observed in the mediastinum. A few non-specific lymph nodes located in the right upper and lower paratrachea were observed. Heart dimensions and compartments appear natural. Calcified atheroma plaque was observed in the LAD. Pericardial effusion was not detected. In lung parenchyma evaluation; There are bilateral asymmetrical, predominantly pleural-based, pneumonic infiltration areas in both lungs in the form of intraparenchymal ground glass and consolidation areas in both lungs. Radiological findings support covid-19 pneumonia. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1108/valid_1108_a/valid_1108_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Scoliosis with right thoracic opening was observed. Impression: Thorax CT within normal limits except for scoliosis with right thoracic opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1109/valid_1109_a/valid_1109_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Scoliosis with right thoracic opening was observed. Impression: Thorax CT within normal limits except for scoliosis with right thoracic opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1109/valid_1109_a/valid_1109_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A 4x2 mm nodule is observed at the level of the minor fissure in the right lung. A 2 mm diameter calcific nodule is observed in the upper lobe of the right lung. A 3 mm diameter nodule is observed in the upper lobe posterior segment dorsal subpleural area in the right lung. There was no significant pneumonia, pleural effusion or pneumothorax in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular densities compatible with the accessory spleen are observed in the spleen hilum and its anterior neighborhood. In the middle part of the left kidney, a density compatible with a calculi with a diameter of one or two millimeters is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Impression:  No finding compatible with pneumonia was detected.  Several nonspecific nodules in both lungs.  Density compatible with 1-2 mm calculus in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1110/valid_1110_a/valid_1110_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2619",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A 4x2 mm nodule is observed at the level of the minor fissure in the right lung. A 2 mm diameter calcific nodule is observed in the upper lobe of the right lung. A 3 mm diameter nodule is observed in the upper lobe posterior segment dorsal subpleural area in the right lung. There was no significant pneumonia, pleural effusion or pneumothorax in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular densities compatible with the accessory spleen are observed in the spleen hilum and its anterior neighborhood. In the middle part of the left kidney, a density compatible with a calculi with a diameter of one or two millimeters is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structure entering the examination area. Impression:  No finding compatible with pneumonia was detected.  Several nonspecific nodules in both lungs.  Density compatible with 1-2 mm calculus in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1110/valid_1110_a/valid_1110_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2620",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. In the aortic arch, prominent calcific atheroma plaques are observed in the descending aorta. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Consolidation areas, including air bronchogram signs, are observed in the basal segment of the lower lobe of the left lung, the most prominently observed in the central part, which is located more peripherally in both lungs. There are atelectatic changes observed in the left lung inferior lingula, more prominently in the basal segments of both lower lobes. There are smear-like effusions in both lungs, more prominent on the right. The upper abdominal organs are partially included in the examination, and the oval-shaped finding observed in fluid attenuation with a dimension of 37 mm at the pancreas head body level is in the differential diagnosis of IPMN in favor of pseudocyst in the first place. If clinical correlation and follow-up are in doubt, further examination is recommended. Upper Abdomen MRI. More than one parapelvic cyst measuring up to 32 mm on the right is observed in both kidneys. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a diffuse decrease in dabsite in the bone structures, and there are findings secondary to previous fractures in the ribs. There are sclerotic hyperdense appearances on the laterals of the 5th and 6th ribs on the right. Impression:  The findings described in both lung parenchyma were initially evaluated in favor of the infectious process and were evaluated in terms of Covid-19 due to the current pandemic. It is in the differential diagnosis of other infectious processes. Clinical laboratory correlation is recommended.  Atherosclerosis.  There are small lymph nodes in the mediastinum and paracardiac area.  37 mm oval cystic finding at the level of the pancreatic head and body; It was initially evaluated in favor of pseudocyst and is in the differential diagnosis of IPMN. Upper Abdomen MRI with advanced contrast contrast is recommended for better differential diagnosis.  Bilateral corticoplevic cysts.  There is a diffuse decrease in dabsite in the bone structures, findings secondary to previous fractures in the ribs, sclerotic hyperdense appearances in the laterals of the 5th and 6th ribs on the right side."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1111/valid_1111_a/valid_1111_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2621",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Atherosclerotic calcific plaque in millimetric dimensions is observed in the aortic arch. Bilateral pleural effusion was not detected. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More dominant centriacinar and paraseptal emphysematous areas are observed in the upper lobes of both lungs. Dependent density increases are observed in the lower lobes of both lungs. Bilateral adrenal glands appear natural. In the non-contrast examination, no obvious pathology was detected in the CT scans. No lytic-destructive lesion was observed in the bones. Impression: Predominant centriacinar paraseptal emphysemato areas in the upper lobes of both lungs. Dependent increases in density in the lower lobes of both lungs. No infiltration was detected in favor of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1112/valid_1112_a/valid_1112_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2622",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Atherosclerotic calcific plaque in millimetric dimensions is observed in the aortic arch. Bilateral pleural effusion was not detected. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More dominant centriacinar and paraseptal emphysematous areas are observed in the upper lobes of both lungs. Dependent density increases are observed in the lower lobes of both lungs. Bilateral adrenal glands appear natural. In the non-contrast examination, no obvious pathology was detected in the CT scans. No lytic-destructive lesion was observed in the bones. Impression: Predominant centriacinar paraseptal emphysemato areas in the upper lobes of both lungs. Dependent increases in density in the lower lobes of both lungs. No infiltration was detected in favor of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1112/valid_1112_a/valid_1112_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2623",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Atherosclerotic calcific plaque in millimetric dimensions is observed in the aortic arch. Bilateral pleural effusion was not detected. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More dominant centriacinar and paraseptal emphysematous areas are observed in the upper lobes of both lungs. Dependent density increases are observed in the lower lobes of both lungs. Bilateral adrenal glands appear natural. In the non-contrast examination, no obvious pathology was detected in the CT scans. No lytic-destructive lesion was observed in the bones. Impression: Predominant centriacinar paraseptal emphysemato areas in the upper lobes of both lungs. Dependent increases in density in the lower lobes of both lungs. No infiltration was detected in favor of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1112/valid_1112_a/valid_1112_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_2624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Atherosclerotic calcific plaque in millimetric dimensions is observed in the aortic arch. Bilateral pleural effusion was not detected. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More dominant centriacinar and paraseptal emphysematous areas are observed in the upper lobes of both lungs. Dependent density increases are observed in the lower lobes of both lungs. Bilateral adrenal glands appear natural. In the non-contrast examination, no obvious pathology was detected in the CT scans. No lytic-destructive lesion was observed in the bones. Impression: Predominant centriacinar paraseptal emphysemato areas in the upper lobes of both lungs. Dependent increases in density in the lower lobes of both lungs. No infiltration was detected in favor of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1112/valid_1112_a/valid_1112_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_2625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Atherosclerotic calcific plaque in millimetric dimensions is observed in the aortic arch. Bilateral pleural effusion was not detected. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More dominant centriacinar and paraseptal emphysematous areas are observed in the upper lobes of both lungs. Dependent density increases are observed in the lower lobes of both lungs. Bilateral adrenal glands appear natural. In the non-contrast examination, no obvious pathology was detected in the CT scans. No lytic-destructive lesion was observed in the bones. Impression: Predominant centriacinar paraseptal emphysemato areas in the upper lobes of both lungs. Dependent increases in density in the lower lobes of both lungs. No infiltration was detected in favor of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1112/valid_1112_a/valid_1112_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_2626",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are 1-2 millimetric subpleural nodules in the left lung lower lobe, one millimetric subpleural in the right lung middle lobe, and a few millimetric nodules in the left lung upper lobe inferior lingula. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Several millimetric subpleural nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1113/valid_1113_a/valid_1113_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2627",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are 1-2 millimetric subpleural nodules in the left lung lower lobe, one millimetric subpleural in the right lung middle lobe, and a few millimetric nodules in the left lung upper lobe inferior lingula. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Several millimetric subpleural nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1113/valid_1113_a/valid_1113_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2628",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1114/valid_1114_a/valid_1114_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2629",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1114/valid_1114_a/valid_1114_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2630",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. In the upper abdomen sections that enter the image area, a hypodense lesion with parapelvic location is observed in the right kidney partially cross-sectioned. It may belong to the cyst. Collecting system dilatation could not be ruled out. Because it is partially cut. If necessary, examination with sonography is recommended. No lytic-destructive lesions were detected in bone structures. Impression: Thorax CT scan within normal limits . Localized parapelvic hypodense appearance that cannot be evaluated due to partial cross-section of the right kidney in upper abdomen sections. It may belong to a parapelvic cyst or dilatation of the collecting system. It is recommended to evaluate the right kidney with sonography."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1115/valid_1115_a/valid_1115_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: An exophytic thyroid nodule extending from the thyroid gland to the mediastinum was observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Anterior osteophyte formations are observed in the vertebrae. Impression: Coronary atherosclerosis . Exophytic nodule in the thyroid gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1116/valid_1116_a/valid_1116_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2632",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: An exophytic thyroid nodule extending from the thyroid gland to the mediastinum was observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Anterior osteophyte formations are observed in the vertebrae. Impression: Coronary atherosclerosis . Exophytic nodule in the thyroid gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1116/valid_1116_a/valid_1116_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2633",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis areas are observed in the left lung upper lobe lingular segment inferior subsegment and right lung upper lobe medial segment. Dependent density increases are present in both lower lobe posterior segments of both lungs. A 1 cm diameter parenchymal air cyst is observed in the anterior segment of the right lung upper lobe. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear atelectasis areas in both lungs  Parenchymal air cyst in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1117/valid_1117_a/valid_1117_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis areas are observed in the left lung upper lobe lingular segment inferior subsegment and right lung upper lobe medial segment. Dependent density increases are present in both lower lobe posterior segments of both lungs. A 1 cm diameter parenchymal air cyst is observed in the anterior segment of the right lung upper lobe. No mass or infiltrative lesion was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear atelectasis areas in both lungs  Parenchymal air cyst in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1117/valid_1117_a/valid_1117_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2635",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Atelectatic changes are observed at the basal levels of both lung lower lobes. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. A change consistent with hepatosteatosis is observed in liver parenchymal density. Other upper abdominal organs included in the sections are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Atelectatic changes at basal levels in both lung lower lobes.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1118/valid_1118_a/valid_1118_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Atelectatic changes are observed at the basal levels of both lung lower lobes. No nodular or infiltrative lesion was detected in both lung parenchyma. Pleural effusion-thickening was not detected. A change consistent with hepatosteatosis is observed in liver parenchymal density. Other upper abdominal organs included in the sections are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Atelectatic changes at basal levels in both lung lower lobes.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1118/valid_1118_a/valid_1118_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2637",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1119/valid_1119_a/valid_1119_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2638",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1119/valid_1119_a/valid_1119_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2639",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the mediastinal pretracheal and aortopulmonary window, multiple lymph nodes with a short diameter of up to 1 cm are observed. Right hilar short lymph nodes measuring 1 cm in diameter are observed. When examined in the lung parenchyma window; In the anterior segment of the upper lobe of the right lung, a nodular lesion with wide cavitation and seated in the pleura with a diameter of 66 mm in the right and left anterior-posterior diameter of 55 mm is observed, with air bronchograms banding and a ground glass density area in the periphery. In addition, in the anterior neighborhood of the described lesion, there are multiple satellite nodules, the largest of which is 1 cm, in the subpleural area. Pleuroparenchymal band-like sequelae extending towards the pleura are observed in the posterobasal segment of the right lung lower lobe. In the upper abdominal organs included in the study area; The liver size was markedly increased. A decrease in liver density consistent with hepatosteatosis is observed. The spleen, pancreas, and bilateral adrenal glands are normal. When the bone was examined in the window, no lytic destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax. Impression: Large nodular lesion (Tumor? Wegener?) in the right lung upper lobe anterior segment, extending to the pleura with large cavitation in it, containing air bronchograms and a ground glass density area in the periphery (Tumor? Wegener?), multiple satellite nodules in the anterior neighborhood of the lesion. Histopathological verification is recommended.  Hepatomegaly and hepatosteatosis ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1120/valid_1120_a/valid_1120_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In the mediastinal pretracheal and aortopulmonary window, multiple lymph nodes with a short diameter of up to 1 cm are observed. Right hilar short lymph nodes measuring 1 cm in diameter are observed. When examined in the lung parenchyma window; In the anterior segment of the upper lobe of the right lung, a nodular lesion with wide cavitation and seated in the pleura with a diameter of 66 mm in the right and left anterior-posterior diameter of 55 mm is observed, with air bronchograms banding and a ground glass density area in the periphery. In addition, in the anterior neighborhood of the described lesion, there are multiple satellite nodules, the largest of which is 1 cm, in the subpleural area. Pleuroparenchymal band-like sequelae extending towards the pleura are observed in the posterobasal segment of the right lung lower lobe. In the upper abdominal organs included in the study area; The liver size was markedly increased. A decrease in liver density consistent with hepatosteatosis is observed. The spleen, pancreas, and bilateral adrenal glands are normal. When the bone was examined in the window, no lytic destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax. Impression: Large nodular lesion (Tumor? Wegener?) in the right lung upper lobe anterior segment, extending to the pleura with large cavitation in it, containing air bronchograms and a ground glass density area in the periphery (Tumor? Wegener?), multiple satellite nodules in the anterior neighborhood of the lesion. Histopathological verification is recommended.  Hepatomegaly and hepatosteatosis ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1120/valid_1120_a/valid_1120_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2641",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial thickening or effusion was detected. Calcific atheroma plaques are observed in the anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a diameter of 5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the subcarinal area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A few millimetric nodules, some of which are calcific, are observed in both lungs, the largest of which is in the superior segment of the left lung lower lobe, 3 mm in diameter, located in the perifissure. No mass was detected in both lungs. Linear atelectasis areas are observed in the apical regions of both lungs, left lung lingular segment and lower lobe lateral segment. There is a sliding type hiatal hernia at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were detected in the bone structures within the sections. There is an increase in trabeculation consistent with osteopenia in bone structures. Impression:  Several millimetric nonspecific nodules in both lungs.  Linear areas of atelectasis in both lungs.  Calcific atheroma plaques in the anterior descending coronary artery.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1121/valid_1121_a/valid_1121_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2642",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Heart contour and size are normal. No pleural-pericardial thickening or effusion was detected. Calcific atheroma plaques are observed in the anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a diameter of 5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the subcarinal area, and no enlarged lymph nodes in pathological size and appearance are detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A few millimetric nodules, some of which are calcific, are observed in both lungs, the largest of which is in the superior segment of the left lung lower lobe, 3 mm in diameter, located in the perifissure. No mass was detected in both lungs. Linear atelectasis areas are observed in the apical regions of both lungs, left lung lingular segment and lower lobe lateral segment. There is a sliding type hiatal hernia at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were detected in the bone structures within the sections. There is an increase in trabeculation consistent with osteopenia in bone structures. Impression:  Several millimetric nonspecific nodules in both lungs.  Linear areas of atelectasis in both lungs.  Calcific atheroma plaques in the anterior descending coronary artery.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1121/valid_1121_a/valid_1121_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2643",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination. thoracic aorta diameter increased by 45. Calcified atheroma plaques are observed on the walls of the vascular structures. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes are observed in both lung parenchyma and no mass or infiltrative lesion is detected in the lung parenchyma. There are sequelae changes and nodules measuring 6.5 mm in size are observed in both lungs, the largest of which is in the right middle lobe lateral segment. Pleural effusion-thickening was not detected. No pathology was detected in the upper abdominal sections included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area. There are degenerative changes. Impression: Emphysematous changes are observed in both lung parenchyma, and no mass or infiltrative lesion is detected in the lung parenchyma. There are sequelae changes and nodules measuring 6.5 mm in size are observed in the right middle lobe lateral segment of both lungs.  Increase in thoracic aorta calcification, calcified atheroma on the wall of vascular structures plaques are monitored"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1122/valid_1122_a/valid_1122_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2644",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination. thoracic aorta diameter increased by 45. Calcified atheroma plaques are observed on the walls of the vascular structures. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous changes are observed in both lung parenchyma and no mass or infiltrative lesion is detected in the lung parenchyma. There are sequelae changes and nodules measuring 6.5 mm in size are observed in both lungs, the largest of which is in the right middle lobe lateral segment. Pleural effusion-thickening was not detected. No pathology was detected in the upper abdominal sections included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area. There are degenerative changes. Impression: Emphysematous changes are observed in both lung parenchyma, and no mass or infiltrative lesion is detected in the lung parenchyma. There are sequelae changes and nodules measuring 6.5 mm in size are observed in the right middle lobe lateral segment of both lungs.  Increase in thoracic aorta calcification, calcified atheroma on the wall of vascular structures plaques are monitored"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1122/valid_1122_a/valid_1122_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: In the left lobe of the thyroid gland, there is no hypodense lesion nodule with a diameter of approximately 18 mm with millimetric calcifications. Hypodense millimetric nodules are observed in the parenchyma in the right lobe. CTO is within the normal range. Pulmonary trunk calibration is 32 mm. Right and left pulmonary artery calibration is normal. The aortic arch calibration was 30 mm, slightly above normal. Calibration of other major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Mild hiatal hernias are observed. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. There is a mosaic attenuation pattern in both lungs (small vessel disease ?; small airway disease ?). Densities compatible with pleural parenchymal sequelae are observed at the posterobasal level of the left lung lower lobe. Pleural effusion-thickening was not detected. In the evaluation of the upper abdominal organs included in the sections; A decrease in density consistent with mild steatosis is observed in the liver. At the level of the left adrenal genu, there is a nonspecific hypodense lesion with dimensions of approximately 20x18 mm and a density of approximately 27 HU. There is slight irregularity in the contours and contamination in the perinephric fatty planes at the upper pole levels in both kidneys. If necessary, USG examination is recommended. There are degenerative changes in the bone structures in the examination area. Impression:  Mosaic attenuation pattern in both lungs (small vessel disease ?; small airway disease ?).  Densities compatible with pleural parenchymal sequelae at the posterobasal level of the left lung lower lobe  Hepatosteatosis  Nonspecific hypodense lesion at the level of the left adrenal genu with a size of approximately 20x18 mm and a density of approximately 27 HU  Slight irregularity in the contours at the upper pole levels of the examination area in both kidneys, in perinephric fatty planes contamination, if necessary, USG examination is recommended.  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1123/valid_1123_a/valid_1123_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: In the left lobe of the thyroid gland, there is no hypodense lesion nodule with a diameter of approximately 18 mm with millimetric calcifications. Hypodense millimetric nodules are observed in the parenchyma in the right lobe. CTO is within the normal range. Pulmonary trunk calibration is 32 mm. Right and left pulmonary artery calibration is normal. The aortic arch calibration was 30 mm, slightly above normal. Calibration of other major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. Mild hiatal hernias are observed. When examined in the lung parenchyma window; both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. There is a mosaic attenuation pattern in both lungs (small vessel disease ?; small airway disease ?). Densities compatible with pleural parenchymal sequelae are observed at the posterobasal level of the left lung lower lobe. Pleural effusion-thickening was not detected. In the evaluation of the upper abdominal organs included in the sections; A decrease in density consistent with mild steatosis is observed in the liver. At the level of the left adrenal genu, there is a nonspecific hypodense lesion with dimensions of approximately 20x18 mm and a density of approximately 27 HU. There is slight irregularity in the contours and contamination in the perinephric fatty planes at the upper pole levels in both kidneys. If necessary, USG examination is recommended. There are degenerative changes in the bone structures in the examination area. Impression:  Mosaic attenuation pattern in both lungs (small vessel disease ?; small airway disease ?).  Densities compatible with pleural parenchymal sequelae at the posterobasal level of the left lung lower lobe  Hepatosteatosis  Nonspecific hypodense lesion at the level of the left adrenal genu with a size of approximately 20x18 mm and a density of approximately 27 HU  Slight irregularity in the contours at the upper pole levels of the examination area in both kidneys, in perinephric fatty planes contamination, if necessary, USG examination is recommended.  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1123/valid_1123_a/valid_1123_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2647",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart size increased. Pericardial effusion was not detected. Calcified atherosclerotic plaques are present in LAD and RCA. Calibrations of mediastinal major vascular structures are natural. There is a slight increase in diameter in the thoracic aorta, with a diameter of 35 mm at its widest point in the proximal section. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. When examined in the lung parenchyma window; There are prominent areas of centreacinar emphysema in the upper lobes of both lungs. Lung parenchymal aeration is increased. Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Pleural effusion was not detected. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections; A slightly hyperdense appearance of calculus is observed in the gallbladder lumen. Left kidney dimensions and parenchyma thickness decreased. There is a cortical cyst of 18 mm in diameter in the right kidney. No lytic-destructive lesions were detected in bone structures. Impression:  Increased heart size, fusiform diameter increase in coronary arteries due to atherosclerotic vascular disease, and calcific plaques.  Slight fusiform diameter increases in the thoracic aorta.  Diffuse centracinar emphysema in both lungs.  Left atrophic kidney, cyst in the right kidney.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1124/valid_1124_a/valid_1124_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart size increased. Pericardial effusion was not detected. Calcified atherosclerotic plaques are present in LAD and RCA. Calibrations of mediastinal major vascular structures are natural. There is a slight increase in diameter in the thoracic aorta, with a diameter of 35 mm at its widest point in the proximal section. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. When examined in the lung parenchyma window; There are prominent areas of centreacinar emphysema in the upper lobes of both lungs. Lung parenchymal aeration is increased. Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. Pleural effusion was not detected. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In the upper abdominal sections; A slightly hyperdense appearance of calculus is observed in the gallbladder lumen. Left kidney dimensions and parenchyma thickness decreased. There is a cortical cyst of 18 mm in diameter in the right kidney. No lytic-destructive lesions were detected in bone structures. Impression:  Increased heart size, fusiform diameter increase in coronary arteries due to atherosclerotic vascular disease, and calcific plaques.  Slight fusiform diameter increases in the thoracic aorta.  Diffuse centracinar emphysema in both lungs.  Left atrophic kidney, cyst in the right kidney.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1124/valid_1124_a/valid_1124_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2649",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calcific atheroma plaque is observed in the coronary arteries and aortic arch. No pathological size and configuration lymph nodes were detected at the mediastinal and hilar level. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; trachea and both main bronchi are normal. Sequelae changes are observed at the apical level. There are focal faint ground-glass-like density increases in the mediobasal and posterobasal segments of the lower lobe of the right lung. In the anterior segment of the upper lobe of the left lung, there is a 2 mm diameter faint ground-glass-like density increase. There is a 4 mm diameter nonspecific nodule in the lateral subpleural area in the lingular segment. Pleural effusion is not observed. There is a decrease in density consistent with hepatosteatosis in the sections passing through the upper abdomen. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No typical finding compatible with Covid-19 pneumonia was detected. However, there are faint focal nonspecific ground-glass-style density increases at the mediobasal level of the left lung lower lobe. Evaluation together with clinical and laboratory findings is recommended.  Sequelae changes at the apical level in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1125/valid_1125_a/valid_1125_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2650",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calcific atheroma plaque is observed in the coronary arteries and aortic arch. No pathological size and configuration lymph nodes were detected at the mediastinal and hilar level. Mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; trachea and both main bronchi are normal. Sequelae changes are observed at the apical level. There are focal faint ground-glass-like density increases in the mediobasal and posterobasal segments of the lower lobe of the right lung. In the anterior segment of the upper lobe of the left lung, there is a 2 mm diameter faint ground-glass-like density increase. There is a 4 mm diameter nonspecific nodule in the lateral subpleural area in the lingular segment. Pleural effusion is not observed. There is a decrease in density consistent with hepatosteatosis in the sections passing through the upper abdomen. Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: No typical finding compatible with Covid-19 pneumonia was detected. However, there are faint focal nonspecific ground-glass-style density increases at the mediobasal level of the left lung lower lobe. Evaluation together with clinical and laboratory findings is recommended.  Sequelae changes at the apical level in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1125/valid_1125_a/valid_1125_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2651",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Occasionally, linear atelectasis was observed in both lungs. There are emphysematous changes in both lungs. In the right lung, there are millimetric nodules with ground glass areas around some of them. When evaluated together with the patient's primary disease, these appearances were primarily evaluated in favor of metastases. It is recommended that the patient be evaluated together with previous examinations, if any. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. There is no pleural or pericardial effusion. There are millimetric atheroma plaques in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There are sometimes millimetric hypodense lesions in the bone structures within the sections. Although the described appearances cannot be characterized because they are very small, it was thought that the presence of primary disease could be metastases of these appearances. Further investigation is recommended. Impression:  Millimetric nodules (metastases?) in the right lung, some with areas of ground glass around them.  Millimetric hypodense lesions (metastases?) in all bone structures within the sections."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1126/valid_1126_a/valid_1126_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Occasionally, linear atelectasis was observed in both lungs. There are emphysematous changes in both lungs. In the right lung, there are millimetric nodules with ground glass areas around some of them. When evaluated together with the patient's primary disease, these appearances were primarily evaluated in favor of metastases. It is recommended that the patient be evaluated together with previous examinations, if any. There is no mass or infiltrative lesion in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. There is no pleural or pericardial effusion. There are millimetric atheroma plaques in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. There are sometimes millimetric hypodense lesions in the bone structures within the sections. Although the described appearances cannot be characterized because they are very small, it was thought that the presence of primary disease could be metastases of these appearances. Further investigation is recommended. Impression:  Millimetric nodules (metastases?) in the right lung, some with areas of ground glass around them.  Millimetric hypodense lesions (metastases?) in all bone structures within the sections."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1126/valid_1126_a/valid_1126_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2653",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Calibrations of mediastinal vascular structures are normal. Mild smear-like effusion is observed in the pericardial area. Lymph nodes are observed in the mediastinum, in the aortopulmonary region and in the hilum of both lungs. The largest of these, the aortopulmonary window is adjacent to the pulmonary artery on the left, and its short axis is 12 mm. Apart from this, there is pleural effusion in both lungs. In the right lung, it reaches 8.5 cm in thickness at its widest point. In the left lung, there is a pleural effusion reaching approximately 1.5 cm in thickness. The wall thickness of the thoracic esophagus is normal. When examined in the lung parenchyma window; both lung volumes decreased. There are sequelae fibrotic linear densities in both lung parenchyma. According to the previous examination, there are pulmonary nodules in both lungs, some of which are not distinguishable, but more prominent in the right lung, and no difference was detected. There are atelectasis adjacent to the effusion in both lungs. Nodular thickness increases are observed in both adrenal glands included in the examination. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1126/valid_1126_b/valid_1126_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2654",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Calibrations of mediastinal vascular structures are normal. Mild smear-like effusion is observed in the pericardial area. Lymph nodes are observed in the mediastinum, in the aortopulmonary region and in the hilum of both lungs. The largest of these, the aortopulmonary window is adjacent to the pulmonary artery on the left, and its short axis is 12 mm. Apart from this, there is pleural effusion in both lungs. In the right lung, it reaches 8.5 cm in thickness at its widest point. In the left lung, there is a pleural effusion reaching approximately 1.5 cm in thickness. The wall thickness of the thoracic esophagus is normal. When examined in the lung parenchyma window; both lung volumes decreased. There are sequelae fibrotic linear densities in both lung parenchyma. According to the previous examination, there are pulmonary nodules in both lungs, some of which are not distinguishable, but more prominent in the right lung, and no difference was detected. There are atelectasis adjacent to the effusion in both lungs. Nodular thickness increases are observed in both adrenal glands included in the examination. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1126/valid_1126_b/valid_1126_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2655",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pulmonary trunk calibration is 35 mm, larger than normal. The right pulmonary artery measures approximately 28 mm, wider than normal. Left pulmonary artery calibration is normal. The aortic arch calibration is 31 mm, wider than normal. There are millimetric-sized calcific atheroma plaques in the aortic arch and descending aorta. Calibration of major vascular structures in the mediastinum is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No lymph node with pathological size and configuration was detected at the left hilar level. The right hilar level cannot be evaluated. . Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. Pleural effusion is observed in both lungs. Its thickness reaches approximately 12 cm in the right lung at its most prominent location, and it was 8 cm in the previous examination. There is progression. There is a plaster-style effusion on the left. Focal faint ground-glass-like density increases are observed at the apical level in the left lung and were not detected in the previous examination. There are thickenings of the interlobular septa in the lingular segment, increases in pleuroparenchymal linear density, and mild effusion in the interlobar fissure. Pleuroparenchymal sequelae changes are also observed at the basal level. The findings are also followed in the previous review. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Both adrenals are full. It cannot be evaluated because it is partially included in the image. However, it has a full-nodular appearance in the old examination. Surrounding soft tissue planes are normal. Degenerative changes in bone structure and lesions compatible with metastasis are observed. Impression: Prominent on the right, smear-like pleural effusion on the left (on the right there is a progression according to the previous examination). \u00b7 Thickening of interlobular septa in the left lung, increase in pleuroparenchymal density and appearance of interlobar fluid; also observed in the previous review. \u00b7 Degenerative changes in bone structure are also present in the previous examination. \u00b7 Fullness and nodular appearance in both adrenals cannot be evaluated optimally because they do not enter the field of view. Also available in old review. Degenerative changes in bone structure and lesions compatible with metastasis are also observed in the previous examination. ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1126/valid_1126_c/valid_1126_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2656",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is at the maximal physiological limit. Pulmonary trunk calibration is 35 mm, larger than normal. The right pulmonary artery measures approximately 28 mm, wider than normal. Left pulmonary artery calibration is normal. The aortic arch calibration is 31 mm, wider than normal. There are millimetric-sized calcific atheroma plaques in the aortic arch and descending aorta. Calibration of major vascular structures in the mediastinum is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No lymph node with pathological size and configuration was detected at the left hilar level. The right hilar level cannot be evaluated. . Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. Pleural effusion is observed in both lungs. Its thickness reaches approximately 12 cm in the right lung at its most prominent location, and it was 8 cm in the previous examination. There is progression. There is a plaster-style effusion on the left. Focal faint ground-glass-like density increases are observed at the apical level in the left lung and were not detected in the previous examination. There are thickenings of the interlobular septa in the lingular segment, increases in pleuroparenchymal linear density, and mild effusion in the interlobar fissure. Pleuroparenchymal sequelae changes are also observed at the basal level. The findings are also followed in the previous review. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Both adrenals are full. It cannot be evaluated because it is partially included in the image. However, it has a full-nodular appearance in the old examination. Surrounding soft tissue planes are normal. Degenerative changes in bone structure and lesions compatible with metastasis are observed. Impression: Prominent on the right, smear-like pleural effusion on the left (on the right there is a progression according to the previous examination). \u00b7 Thickening of interlobular septa in the left lung, increase in pleuroparenchymal density and appearance of interlobar fluid; also observed in the previous review. \u00b7 Degenerative changes in bone structure are also present in the previous examination. \u00b7 Fullness and nodular appearance in both adrenals cannot be evaluated optimally because they do not enter the field of view. Also available in old review. Degenerative changes in bone structure and lesions compatible with metastasis are also observed in the previous examination. ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1126/valid_1126_c/valid_1126_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2657",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The examination was evaluated as non-contrast, and the mediastinal structures were evaluated as suboptimal in the non-contrast examination margins. As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal main vascular structures are normal. Heart sizes increased ) cardiomegaly). Pericardial effusion-thickening was not observed. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Millimetric sized lymph nodes are observed in upper-lower paratracheal, prevascular and subcarinal localization. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Subsegmental atelectasis areas in the mediobasal segment of the lower lobe of the left lung are noteworthy. No mass-nodule-infiltration was detected in both lung parenchyma. A minimal free pleural effusion measuring 5 mm at its thickest point is observed between the pleural leaves on the left. In the upper abdominal organs included in the sections, an accessory spleen with a diameter of 12 mm is observed adjacent to the spleen hilus. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. A hypodense lesion with a diameter of 16 mm is observed in the middle zone posterior cortex of the right kidney (cortical cyst?). Thoracic kyphosis has increased. Bridging osteophyte formations are observed in the right anterolateral aspect of the thoracic vertebrae. It is recommended to be evaluated in terms of DISH disease. L1 vertebra large hemangioma is observed. Impression: Cardiomegaly. Calcified atherosclerotic changes in the thoracic aorta and coronary wall.  Left minimal pleural effusion. Sequelae changes in both lungs, mild emphysematous changes. Right renal cyst. Findings consistent with DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1127/valid_1127_a/valid_1127_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2658",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: The examination was evaluated as non-contrast, and the mediastinal structures were evaluated as suboptimal in the non-contrast examination margins. As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal main vascular structures are normal. Heart sizes increased ) cardiomegaly). Pericardial effusion-thickening was not observed. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Millimetric sized lymph nodes are observed in upper-lower paratracheal, prevascular and subcarinal localization. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Subsegmental atelectasis areas in the mediobasal segment of the lower lobe of the left lung are noteworthy. No mass-nodule-infiltration was detected in both lung parenchyma. A minimal free pleural effusion measuring 5 mm at its thickest point is observed between the pleural leaves on the left. In the upper abdominal organs included in the sections, an accessory spleen with a diameter of 12 mm is observed adjacent to the spleen hilus. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. A hypodense lesion with a diameter of 16 mm is observed in the middle zone posterior cortex of the right kidney (cortical cyst?). Thoracic kyphosis has increased. Bridging osteophyte formations are observed in the right anterolateral aspect of the thoracic vertebrae. It is recommended to be evaluated in terms of DISH disease. L1 vertebra large hemangioma is observed. Impression: Cardiomegaly. Calcified atherosclerotic changes in the thoracic aorta and coronary wall.  Left minimal pleural effusion. Sequelae changes in both lungs, mild emphysematous changes. Right renal cyst. Findings consistent with DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1127/valid_1127_a/valid_1127_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2659",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The thyroid parenchyma has a slightly heterogeneous and hypertrophic appearance and contains microcalcifications. USG correlation is recommended for a parenchymal disease. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There are several millimetric calcific atheroma plaques in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the basal segments of the lower lobes of both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There are mild hypertrophic tapering in the vertebral corpus endplates. Impression: Millimetric dependent atelectasis in both lungs . Heterogeneous appearance in the thyroid parenchyma, microcalcifications, clinical laboratory and USG correlation are recommended for a parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1128/valid_1128_a/valid_1128_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2660",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The thyroid parenchyma has a slightly heterogeneous and hypertrophic appearance and contains microcalcifications. USG correlation is recommended for a parenchymal disease. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There are several millimetric calcific atheroma plaques in the aortic arch. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the basal segments of the lower lobes of both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There are mild hypertrophic tapering in the vertebral corpus endplates. Impression: Millimetric dependent atelectasis in both lungs . Heterogeneous appearance in the thyroid parenchyma, microcalcifications, clinical laboratory and USG correlation are recommended for a parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1128/valid_1128_a/valid_1128_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2661",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Liver, gallbladder, spleen, pancreas and both adrenal glands are normal as far as can be observed in the non-contrast examination. No stones were observed in both kidneys. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1129/valid_1129_a/valid_1129_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2662",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Liver, gallbladder, spleen, pancreas and both adrenal glands are normal as far as can be observed in the non-contrast examination. No stones were observed in both kidneys. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1129/valid_1129_a/valid_1129_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2663",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lung parenchyma, subpleural ground-glass densities are observed in the form of bands in the dependent regions of the lower lobe postero-basal. There are subpleural millimetric air cysts in the upper lobe apex of both lungs. There is minimal emphysematous appearance in the upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Millimetric anterior osteophytes are observed in the vertebrae. Impression: Subpleural ground-glass densities in the bilateral lung lower lobes; although there is no specific Covid pneumonia appearance, it is suspicious for the onset."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1130/valid_1130_a/valid_1130_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2664",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lung parenchyma, subpleural ground-glass densities are observed in the form of bands in the dependent regions of the lower lobe postero-basal. There are subpleural millimetric air cysts in the upper lobe apex of both lungs. There is minimal emphysematous appearance in the upper lobe of the right lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Millimetric anterior osteophytes are observed in the vertebrae. Impression: Subpleural ground-glass densities in the bilateral lung lower lobes; although there is no specific Covid pneumonia appearance, it is suspicious for the onset."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1130/valid_1130_a/valid_1130_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2665",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No obstructive pathology was detected. Mediastinal main vascular structures, heart contour, size are normal. Pericardial, pleural effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, no pathologically enlarged lymph nodes were detected in both axillary regions. When examined in the lung parenchyma window; There are areas of increased density consistent with linear atelectasis in both lungs. Significant increases in peribronchial thickness were observed in the center of both lungs. Density increases in ground glass density were observed in both lung lower lobe basal segments, which was considered primarily secondary to the dependent effect. In the upper abdominal organs included in the sections, hyperdense stones measuring 8x5.5 mm in millimetric dimensions were observed in the right kidney upper pole and left kidney lower pole and upper pole in both kidneys, as far as they can be observed within the borders of unenhanced CT in the sections. No intraabdominal free fluid-loculated collection was detected. No lymph node was detected in intraabdominal pathological size and appearance. No lytic-destructive lesion was detected in the bone structures in the study area. Impression:  Millimetrically sized nonspecific nodules and parenchymal changes in both lungs with local sequelae.  Density increases in ground glass density in the lower lobe basal segments of both lungs, primarily considered secondary to the dependent effect.  Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1131/valid_1131_a/valid_1131_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2666",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No obstructive pathology was detected. Mediastinal main vascular structures, heart contour, size are normal. Pericardial, pleural effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, no pathologically enlarged lymph nodes were detected in both axillary regions. When examined in the lung parenchyma window; There are areas of increased density consistent with linear atelectasis in both lungs. Significant increases in peribronchial thickness were observed in the center of both lungs. Density increases in ground glass density were observed in both lung lower lobe basal segments, which was considered primarily secondary to the dependent effect. In the upper abdominal organs included in the sections, hyperdense stones measuring 8x5.5 mm in millimetric dimensions were observed in the right kidney upper pole and left kidney lower pole and upper pole in both kidneys, as far as they can be observed within the borders of unenhanced CT in the sections. No intraabdominal free fluid-loculated collection was detected. No lymph node was detected in intraabdominal pathological size and appearance. No lytic-destructive lesion was detected in the bone structures in the study area. Impression:  Millimetrically sized nonspecific nodules and parenchymal changes in both lungs with local sequelae.  Density increases in ground glass density in the lower lobe basal segments of both lungs, primarily considered secondary to the dependent effect.  Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1131/valid_1131_a/valid_1131_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2667",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Occasionally, calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Density increases in ground glass density were observed in both lung lower lobe basal segments, primarily considered secondary to the dependent effect. In both lungs upper lobe posterior, right lung lower lobe basal and left lung upper lobe lingular segment, occasionally faintly circumscribed centriacinar nodules and accompanying focal consolidation areas are observed. The outlook may be compatible with atypical viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Linear subsegmental atelectatic changes were observed in both lungs. No mass lesion with delineated borders was detected in both lungs. As far as can be seen within the sections; No space occupying lesion was detected in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Occasional calcific atheroma plaques in the aortic arch and coronary arteries  Density increases in ground-glass density in both lower lobe basal segments of both lungs, primarily secondary to the dependent effect.  Findings in both lung parenchyma that may be compatible with atypical viral pneumonia; It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1131/valid_1131_b/valid_1131_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was observed in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Occasionally, calcific atheroma plaques were observed in the aortic arch and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Density increases in ground glass density were observed in both lung lower lobe basal segments, primarily considered secondary to the dependent effect. In both lungs upper lobe posterior, right lung lower lobe basal and left lung upper lobe lingular segment, occasionally faintly circumscribed centriacinar nodules and accompanying focal consolidation areas are observed. The outlook may be compatible with atypical viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Linear subsegmental atelectatic changes were observed in both lungs. No mass lesion with delineated borders was detected in both lungs. As far as can be seen within the sections; No space occupying lesion was detected in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Occasional calcific atheroma plaques in the aortic arch and coronary arteries  Density increases in ground-glass density in both lower lobe basal segments of both lungs, primarily secondary to the dependent effect.  Findings in both lung parenchyma that may be compatible with atypical viral pneumonia; It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1131/valid_1131_b/valid_1131_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2669",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear subsegmental atelectasis areas are observed in the lower lobes of both lungs. There are two subpleural pulmonary nodules, the largest of which is 5 mm in diameter, in the posterior subpleural space in the superior segment of the right lung lower lobe. Non-specific ground glass density is observed in the middle lobe meatial segment of the right lung. In terms of covid 19 pneumonia, evaluation together with clinical and lab findings is recommended. Density decreased in the liver, consistent with hepatosteatosis. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Several nonspecific pulmonary nodules in both lungs.  Areas of subsegmental atelectasis in the lower lobes of both lungs.  Hepatosteatosis.  Non-specific ground glass density is observed in the right lung middle lobe meatial segment. In terms of covid 19 pneumonia, evaluation together with clinical and lab findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1132/valid_1132_a/valid_1132_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2670",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear subsegmental atelectasis areas are observed in the lower lobes of both lungs. There are two subpleural pulmonary nodules, the largest of which is 5 mm in diameter, in the posterior subpleural space in the superior segment of the right lung lower lobe. Non-specific ground glass density is observed in the middle lobe meatial segment of the right lung. In terms of covid 19 pneumonia, evaluation together with clinical and lab findings is recommended. Density decreased in the liver, consistent with hepatosteatosis. Other upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Several nonspecific pulmonary nodules in both lungs.  Areas of subsegmental atelectasis in the lower lobes of both lungs.  Hepatosteatosis.  Non-specific ground glass density is observed in the right lung middle lobe meatial segment. In terms of covid 19 pneumonia, evaluation together with clinical and lab findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1132/valid_1132_a/valid_1132_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; The heart contour size of the mediastinal main vascular structures is normal. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Pericardial-pleural effusion was not observed. When examined in the lung parenchyma window; No active infiltration-mass or nodular lesion was observed in both lung parenchyma. Pleural effusion-thickening was not detected. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected, no free fluid, no loculated collection was observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic or destructive lesion was detected in the bone structures within the image. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1133/valid_1133_a/valid_1133_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2672",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open and no occlusive pathology is detected. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; The heart contour size of the mediastinal main vascular structures is normal. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Pericardial-pleural effusion was not observed. When examined in the lung parenchyma window; No active infiltration-mass or nodular lesion was observed in both lung parenchyma. Pleural effusion-thickening was not detected. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected, no free fluid, no loculated collection was observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic or destructive lesion was detected in the bone structures within the image. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1133/valid_1133_a/valid_1133_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2673",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be optimally evaluated due to the absence of IV contrast in the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal as far as can be observed. Calcified atheroma plaques are observed on the wall of the coronary vascular structures. No pericardial-pleural effusion or increased thickness was detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window; In the lower lobes of both lungs, left lung middle lobe and left lung upper lobe inferior lingular segment and right lung middle lobe and anterior segment of both lungs upper lobes, areas of increase in density consistent with consolidation and indistinct ground glass are observed. Viral pneumonias are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; In the lower lobe of the right kidney, there is a lesion in millimeter sizes with cortical hypodense fluid density. It could not be clearly characterized (cyst?) due to the lack of contrast in the examination. Intraabdominal free liqu- ulated collection is not observed. No lymph node was detected in intraabdominal pathological size and appearance. Compression fracture is observed in the T12 vertebral body. There is significant loss of height in the anterior part. No increase in anterior-posterior diameter was observed. No osseous fragment extending into the spinal canal was detected. Impression:  Findings consistent with viral pneumonia in both lungs; It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia.  Calcified atheromatous plaques in the wall of coronary vascular structures.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Millimetric lesion (cyst?) in hypodense fluid density in the lower pole of the right kidney.  Compression fracture in the T12 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1134/valid_1134_a/valid_1134_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be optimally evaluated due to the absence of IV contrast in the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal as far as can be observed. Calcified atheroma plaques are observed on the wall of the coronary vascular structures. No pericardial-pleural effusion or increased thickness was detected. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window; In the lower lobes of both lungs, left lung middle lobe and left lung upper lobe inferior lingular segment and right lung middle lobe and anterior segment of both lungs upper lobes, areas of increase in density consistent with consolidation and indistinct ground glass are observed. Viral pneumonias are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; In the lower lobe of the right kidney, there is a lesion in millimeter sizes with cortical hypodense fluid density. It could not be clearly characterized (cyst?) due to the lack of contrast in the examination. Intraabdominal free liqu- ulated collection is not observed. No lymph node was detected in intraabdominal pathological size and appearance. Compression fracture is observed in the T12 vertebral body. There is significant loss of height in the anterior part. No increase in anterior-posterior diameter was observed. No osseous fragment extending into the spinal canal was detected. Impression:  Findings consistent with viral pneumonia in both lungs; It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia.  Calcified atheromatous plaques in the wall of coronary vascular structures.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Millimetric lesion (cyst?) in hypodense fluid density in the lower pole of the right kidney.  Compression fracture in the T12 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1134/valid_1134_a/valid_1134_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and both main bronchi. Ground glass area and minimal volume loss are observed in the right lung middle lobe lateral segment. In addition, there is a ground glass area and centriacinar nodules in the lateral right lung lower lobe superior segment. When the two findings were evaluated together, they were first evaluated in favor of infective pathology. There are emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is a pericardial effusion measuring 16mm in its thickest part. Pericardial thickening was not detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions, some with calcifications. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass that can be observed in this examination. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated primarily in favor of infective pathology in the middle lobe and lower lobe of the right lung. Emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary artery, pericardial effusion. Mediastinal and hilar lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1135/valid_1135_a/valid_1135_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2676",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and both main bronchi. Ground glass area and minimal volume loss are observed in the right lung middle lobe lateral segment. In addition, there is a ground glass area and centriacinar nodules in the lateral right lung lower lobe superior segment. When the two findings were evaluated together, they were first evaluated in favor of infective pathology. There are emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is a pericardial effusion measuring 16mm in its thickest part. Pericardial thickening was not detected. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the mediastinum and hilar regions, some with calcifications. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass that can be observed in this examination. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings evaluated primarily in favor of infective pathology in the middle lobe and lower lobe of the right lung. Emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary artery, pericardial effusion. Mediastinal and hilar lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1135/valid_1135_a/valid_1135_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2677",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are atelectasis in the right lung middle lobe and left lung upper lobe lingular segment. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The left atrium is observed to be larger than normal. There is minimal pericardial effusion. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of unenhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs. Atelectasis in both lungs.  Minimal enlargement of the left atrium and minimal pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1136/valid_1136_a/valid_1136_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are atelectasis in the right lung middle lobe and left lung upper lobe lingular segment. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The left atrium is observed to be larger than normal. There is minimal pericardial effusion. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of unenhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric nodules in both lungs. Atelectasis in both lungs.  Minimal enlargement of the left atrium and minimal pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1136/valid_1136_a/valid_1136_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: A hypodense nodule with a diameter of 15 mm is observed in the lower pole of the left thyroid gland, and USG verification is recommended. Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. There is a sliding type hiatal hernia at the lower end. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected, and there are nodules with nonspecific millimetric dimensions, the largest of which is 4.5 mm in the posterobasal segment of the left lower lobe. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: A hypodense nodule is observed in the left thyroid gland and USG verification is recommended.  Sliding hiatal hernia at the lower end of the esophagus . Nonspecific millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1137/valid_1137_a/valid_1137_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Evaluation of mediastinal structures is suboptimal because contrast agent is not given. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No gross mediastinal mass lesion was observed. There is an area of ground glass density in a focal area in the posterobasal segment of the lower lobe of the right lung. It cannot be characterized because it is highly localized and millimetric in size and exists in a single localization. However, there is doubt in favor of early parenchymal involvement of Covid. If clinical follow-up is necessary, radiological confirmation will be appropriate. No mass or nodular space-occupying lesion was observed in the lung parenchyma. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Ground-glass density in a focal area in the right lung lower lobe posterobasal segment cannot be clearly characterized because it is focal. However, there is doubt in favor of early parenchymal involvement of Covid-19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1138/valid_1138_a/valid_1138_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2681",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Evaluation of mediastinal structures is suboptimal because contrast agent is not given. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No gross mediastinal mass lesion was observed. There is an area of ground glass density in a focal area in the posterobasal segment of the lower lobe of the right lung. It cannot be characterized because it is highly localized and millimetric in size and exists in a single localization. However, there is doubt in favor of early parenchymal involvement of Covid. If clinical follow-up is necessary, radiological confirmation will be appropriate. No mass or nodular space-occupying lesion was observed in the lung parenchyma. No feature was observed in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Ground-glass density in a focal area in the right lung lower lobe posterobasal segment cannot be clearly characterized because it is focal. However, there is doubt in favor of early parenchymal involvement of Covid-19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1138/valid_1138_a/valid_1138_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2682",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Millimetric cyst was observed in the liver. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1139/valid_1139_a/valid_1139_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Millimetric cyst was observed in the liver. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1139/valid_1139_a/valid_1139_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2684",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like effusion was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A smear-like effusion was observed in both hemithorax. The major fissure on the right is thickened. Passive atelectatic changes were observed in the dependent parts of the lower lobe basal segment of both lungs. Minimal thickening was observed in the peribronchovascular interstitium in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Placing pericardial-pleural effusion.  Subsegmental atelectatic changes in the dependent segments of the lower lobe basal segment of both lungs.  Slight thickening of the peribronchovascular interstitium in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1140/valid_1140_a/valid_1140_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2685",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like effusion was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A smear-like effusion was observed in both hemithorax. The major fissure on the right is thickened. Passive atelectatic changes were observed in the dependent parts of the lower lobe basal segment of both lungs. Minimal thickening was observed in the peribronchovascular interstitium in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Placing pericardial-pleural effusion.  Subsegmental atelectatic changes in the dependent segments of the lower lobe basal segment of both lungs.  Slight thickening of the peribronchovascular interstitium in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1140/valid_1140_a/valid_1140_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2686",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. The gallbladder was not observed (operated). Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodule in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1141/valid_1141_a/valid_1141_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2687",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are millimetric nonspecific nodules in both lungs. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. The gallbladder was not observed (operated). Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Millimetric nonspecific nodule in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1141/valid_1141_a/valid_1141_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2688",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is observed in normal calibration. The size of the thyroid gland has increased. There are several nodules in the parenchyma, the largest of which is 15 mm in diameter in the right lobe. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. There are a few nonspecific millimetric size (<3 mm) lymph nodes. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Increase in thyroid gland size and nodules in its parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1142/valid_1142_a/valid_1142_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2689",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. The esophagus is observed in normal calibration. The size of the thyroid gland has increased. There are several nodules in the parenchyma, the largest of which is 15 mm in diameter in the right lobe. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. There are a few nonspecific millimetric size (<3 mm) lymph nodes. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Increase in thyroid gland size and nodules in its parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1142/valid_1142_a/valid_1142_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2690",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaque is observed in the aortic arch. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a minimal decrease in liver parenchyma density compatible with adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are narrowed. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric atheroma plaque in the aortic arch . Hepatic steatosis . Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1143/valid_1143_a/valid_1143_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaque is observed in the aortic arch. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a minimal decrease in liver parenchyma density compatible with adiposity. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are narrowed. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Millimetric atheroma plaque in the aortic arch . Hepatic steatosis . Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1143/valid_1143_a/valid_1143_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2692",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures are not evaluated optimally because the heart examination is without IV contrast, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lungs, and nonspecific nodules in millimeter sizes, some of which are calcified, are observed in both lungs. Ventilation of both lungs is natural. A hypodense lesion measuring approximately 20x13 mm in size is observed in the upper abdomen, adjacent to the falciform ligament at the level of liver segment 4B, as far as can be observed within the borders of non-contrast CT in the upper abdomen sections within the image. In the middle zone of the left kidney, a hypodense lesion with a diameter of 5 mm with a cortical location of fat density was observed and was first evaluated in favor of angiomyolipoma. No intraabdominal free fluid or loculated collection was observed. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression: There was no finding in favor of pneumonic infiltration in both lung parenchyma. In both lung parenchyma, nonspecific nodules of millimeter size, some of which are calcified, are observed.  In the middle zone of the right kidney, a hypodense, nodular lesion with millimetric fat density is observed in the cortical location. Firstly, it was evaluated in favor of angiomyolipoma. There is a hypodense lesion that cannot be characterized within the borders of non-contrast CT, adjacent to the falciform ligament at the level of liver segment 4B."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1144/valid_1144_a/valid_1144_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal main vascular structures are not evaluated optimally because the heart examination is without IV contrast, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lungs, and nonspecific nodules in millimeter sizes, some of which are calcified, are observed in both lungs. Ventilation of both lungs is natural. A hypodense lesion measuring approximately 20x13 mm in size is observed in the upper abdomen, adjacent to the falciform ligament at the level of liver segment 4B, as far as can be observed within the borders of non-contrast CT in the upper abdomen sections within the image. In the middle zone of the left kidney, a hypodense lesion with a diameter of 5 mm with a cortical location of fat density was observed and was first evaluated in favor of angiomyolipoma. No intraabdominal free fluid or loculated collection was observed. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression: There was no finding in favor of pneumonic infiltration in both lung parenchyma. In both lung parenchyma, nonspecific nodules of millimeter size, some of which are calcified, are observed.  In the middle zone of the right kidney, a hypodense, nodular lesion with millimetric fat density is observed in the cortical location. Firstly, it was evaluated in favor of angiomyolipoma. There is a hypodense lesion that cannot be characterized within the borders of non-contrast CT, adjacent to the falciform ligament at the level of liver segment 4B."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1144/valid_1144_a/valid_1144_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2694",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Linear atelectasis was observed in the middle lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are millimetric osteophytes in the verteba corpus corners. The neural foramina are open. Impression:  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1145/valid_1145_a/valid_1145_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2695",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. Linear atelectasis was observed in the middle lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are millimetric osteophytes in the verteba corpus corners. The neural foramina are open. Impression:  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1145/valid_1145_a/valid_1145_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2696",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta was observed to be wider than normal with an anterior-posterior diameter of 35 mm. Calibration of other major mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segments. A band atelectatic change was observed in the anterobasal segment of the lower lobe of the right lung, adjacent to the major fissure. A millimetric nonspecific calcific nodule was observed in the posterobasal segment of the left lung lower lobe. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be seen within the sections; hypodense nodular lesions, the largest of which is 9 mm in diameter, were observed in segments 3.7 and 6 of the liver (cyst?). The spleen, gall bladder, both kidneys, both adrenal glands and pancreas appear normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ectasia of the ascending aorta.  Hiatal hernia. Passive atelectatic changes in right lung middle lobe medial and left lung inferior lingular segment. Band atelectasis change in right lung lower lobe anterobasal segment.  Millimetric nonspecific calcific nodule in the posterobasal segment of the lower lobe of the left lung. Nodular hypodense lesions (cyst?) in liver segments 3,7 and 6."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1146/valid_1146_a/valid_1146_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2697",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1147/valid_1147_a/valid_1147_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2698",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: No signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1147/valid_1147_a/valid_1147_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2699",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. A smear-like pericardial effusion is observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A small amount of pleural effusion is observed in the left hemithorax. There is a mosaic attenuation pattern in the basal segment of the lower lobe of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. In the TH5 vertebral corpus, there is a finding consistent with a hemangioma in the first plan, measuring 7 mm in size. Impression: A small amount of pleural effusion is observed in the left hemithorax. There is a mosaic attenuation pattern in the basal segment of the lower lobe of the left lung.  Pericardial effusion in the form of smearing."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1147/valid_1147_b/valid_1147_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2700",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. A smear-like pericardial effusion is observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A small amount of pleural effusion is observed in the left hemithorax. There is a mosaic attenuation pattern in the basal segment of the lower lobe of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. In the TH5 vertebral corpus, there is a finding consistent with a hemangioma in the first plan, measuring 7 mm in size. Impression: A small amount of pleural effusion is observed in the left hemithorax. There is a mosaic attenuation pattern in the basal segment of the lower lobe of the left lung.  Pericardial effusion in the form of smearing."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1147/valid_1147_b/valid_1147_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2701",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Millimetric lymph nodes with a short axis reaching 6 mm were observed in the mediastinum. When examined in the lung parenchyma window; Minimal focal fibrotic densities are seen in both lungs. There is a stable nodule of 6 mm in the superior lobe of the right lung and 6.5 mm in the posterobasal lower lobe. In the right lower lobe posterobasal, a 2.5 mm nodule is observed in the old examination, which cannot be clearly distinguished due to parenchymal changes. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Density loss was observed in the liver entering the cross-sectional area. No space-occupying lesion was detected in other organs. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mediastinal millimetric lymph nodes  Right lung lower lobe superior stable nodule  Millimetric nonspecific nodule in the right lung inferior posterobasel  Fibrotic changes in both lungs  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1148/valid_1148_a/valid_1148_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2702",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Millimetric lymph nodes with a short axis reaching 6 mm were observed in the mediastinum. When examined in the lung parenchyma window; Minimal focal fibrotic densities are seen in both lungs. There is a stable nodule of 6 mm in the superior lobe of the right lung and 6.5 mm in the posterobasal lower lobe. In the right lower lobe posterobasal, a 2.5 mm nodule is observed in the old examination, which cannot be clearly distinguished due to parenchymal changes. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. Density loss was observed in the liver entering the cross-sectional area. No space-occupying lesion was detected in other organs. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Mediastinal millimetric lymph nodes  Right lung lower lobe superior stable nodule  Millimetric nonspecific nodule in the right lung inferior posterobasel  Fibrotic changes in both lungs  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1148/valid_1148_a/valid_1148_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A stable nodule with a size of 6.5 mm in the superior lobe of the right lung and 2.5 mm in the posterior lower lobe is observed. In both lungs, the bronchial walls are diffusely thickened, more prominently in the central. Mosaic density differences are seen in both lungs. Pleural effusion-thickening was not detected. In upper abdominal sections; There is diffuse density loss compatible with hepatosteatosis in the liver. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Stable nodules in the lower lobe of the right lung.  Diffuse bronchial wall thickening and mosaic density differences in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1148/valid_1148_b/valid_1148_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A stable nodule with a size of 6.5 mm in the superior lobe of the right lung and 2.5 mm in the posterior lower lobe is observed. In both lungs, the bronchial walls are diffusely thickened, more prominently in the central. Mosaic density differences are seen in both lungs. Pleural effusion-thickening was not detected. In upper abdominal sections; There is diffuse density loss compatible with hepatosteatosis in the liver. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Stable nodules in the lower lobe of the right lung.  Diffuse bronchial wall thickening and mosaic density differences in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1148/valid_1148_b/valid_1148_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour and size are natural. No pericardial pleural effusion or thickening was detected. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Bilateral hilus examination could not be evaluated optimally due to the lack of contrast. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. When examined in the lung parenchyma window; There are sequela parenchymal changes in the upper lobes of both lungs, accompanied by structural distortion and volume loss at the apex. Millimetrically sized nonspecific nodules are observed in both lungs. There was no finding in favor of active infiltration or mass. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. No free fluid or loculated collection is observed. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. Impression: No finding in favor of active infiltration is observed in both lungs. Structural distortion and sequela parenchymal changes accompanying volume loss are observed more clearly in the bilateral upper lobes and apex of the bilateral lungs, and nonspecific nodules in millimeter sizes are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1149/valid_1149_a/valid_1149_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Peribronchovascular consolidation area was observed in the right lung lower lobe superior segment. Apart from this, focal nodular consolidation areas and millimetrically ground glass density increases were observed in the lower lobes and upper lobes of both lungs. There are frequently reported imaging features of Covid-19 pneumonia. Other pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. Millimetric sized nonspecific parenchymal nodules are observed in both lungs. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Millimeter-sized nonspecific parenchymal nodules in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1150/valid_1150_a/valid_1150_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2707",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Peribronchovascular consolidation area was observed in the right lung lower lobe superior segment. Apart from this, focal nodular consolidation areas and millimetrically ground glass density increases were observed in the lower lobes and upper lobes of both lungs. There are frequently reported imaging features of Covid-19 pneumonia. Other pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. Millimetric sized nonspecific parenchymal nodules are observed in both lungs. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Millimeter-sized nonspecific parenchymal nodules in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1150/valid_1150_a/valid_1150_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are small lymph nodes measuring up to 17 mm in the mediastinum. When examined in the lung parenchyma window; Peripheral ground glass densities are observed in both lungs in a patchy manner. The findings were evaluated in favor of the infectious process. Close monitoring of clinical laboratory correlation is recommended. Upper abdominal organs included in the sections are normal. A change in favor of steatosis is observed in the liver parenchyma entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings described in lung parenchyma. They are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  Lymph nodes measuring up to 17 mm in the mediastinum.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1151/valid_1151_a/valid_1151_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2709",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are small lymph nodes measuring up to 17 mm in the mediastinum. When examined in the lung parenchyma window; Peripheral ground glass densities are observed in both lungs in a patchy manner. The findings were evaluated in favor of the infectious process. Close monitoring of clinical laboratory correlation is recommended. Upper abdominal organs included in the sections are normal. A change in favor of steatosis is observed in the liver parenchyma entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings described in lung parenchyma. They are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  Lymph nodes measuring up to 17 mm in the mediastinum.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1151/valid_1151_a/valid_1151_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the posterobasal segment of the lower lobe of the right lung, there is focal, reticular ground glass density and air bubble appearance. Viral pneumonia? Outlooks may contain possible indications for COVID. Clinical and laboratory evaluation is recommended. There are intrapulmonary lymph nodes in the bilateral major fissure. There are millimetric non-specific nodules in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks may contain possible indications for COVID. Clinical and laboratory evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1152/valid_1152_a/valid_1152_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2711",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In the posterobasal segment of the lower lobe of the right lung, there is focal, reticular ground glass density and air bubble appearance. Viral pneumonia? Outlooks may contain possible indications for COVID. Clinical and laboratory evaluation is recommended. There are intrapulmonary lymph nodes in the bilateral major fissure. There are millimetric non-specific nodules in the bilateral lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks may contain possible indications for COVID. Clinical and laboratory evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1152/valid_1152_a/valid_1152_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Thymic hyperplasia was observed. There is bilateral gynecomastia. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are mild bronchiectatic changes in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thymus appears hyperplastic. Mild bronchiectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1153/valid_1153_a/valid_1153_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2713",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Thymic hyperplasia was observed. There is bilateral gynecomastia. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are mild bronchiectatic changes in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thymus appears hyperplastic. Mild bronchiectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1153/valid_1153_a/valid_1153_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2714",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. There are atelectasis in the medial segment of the middle lobe of the right lung and the lower lobe of the left lung. Nodules were observed in both lungs. The largest of these nodules is observed in the posterobasal segment of the left lung lower lobe in the peripheral area and measures approximately 6x9 mm in size. It is recommended that the patient be evaluated and followed up with previous examinations, if any. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The main pulmonary artery diameter was 38 mm and wider than normal. The diameters of the right and left pulmonary arteries are also larger than normal. Aorta diameter is normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. There is minimal lobulation in the liver contours and minimal hypertrophy in the left lobe. It is recommended to evaluate the patient for liver parenchymal disease. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Nodules in both lungs . Minimal emphysematous changes in both lungs . Atherosclerotic changes in aorta and coronary arteries . Increase in pulmonary artery diameter . Hiatal hernia . Minimal hypertrophy of liver left lobe and lobulation in liver contours"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1154/valid_1154_a/valid_1154_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2715",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. There are atelectasis in the medial segment of the middle lobe of the right lung and the lower lobe of the left lung. Nodules were observed in both lungs. The largest of these nodules is observed in the posterobasal segment of the left lung lower lobe in the peripheral area and measures approximately 6x9 mm in size. It is recommended that the patient be evaluated and followed up with previous examinations, if any. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The main pulmonary artery diameter was 38 mm and wider than normal. The diameters of the right and left pulmonary arteries are also larger than normal. Aorta diameter is normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. There is minimal lobulation in the liver contours and minimal hypertrophy in the left lobe. It is recommended to evaluate the patient for liver parenchymal disease. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Nodules in both lungs . Minimal emphysematous changes in both lungs . Atherosclerotic changes in aorta and coronary arteries . Increase in pulmonary artery diameter . Hiatal hernia . Minimal hypertrophy of liver left lobe and lobulation in liver contours"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1154/valid_1154_a/valid_1154_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2716",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Pulmonary trunk calibration is 29 mm, wider than normal. The aortic arch calibration is 30 mm, wider than normal. Millimetric calcific atheroma plaques are observed in the aortic arch and descending aorta. No lymph nodes with pathological size and configuration were detected at both hilar and mediastinal levels. A subpleural nodule of 8. These findings suggest radiologically interstitial lung disease in the patient with eosinophilic lung disease. However, it does not differ significantly from his previous review. Hiatal hernia is observed in the case. A hypodense nodular formation with a diameter of 8 mm is observed in the lateral crus of the right adrenal gland, and it does not differ significantly from the previous examination. Degenerative changes are observed in the bone structure. Impression: In the case followed up for eosinophilic lung disease, there are findings consistent with interstitial lung disease in both lungs.  8 mm diameter hypodense nodular formation is observed in the lateral crus of the right adrenal gland, and it is significant with the previous examination does not differ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1155/valid_1155_a/valid_1155_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2717",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Pulmonary trunk calibration is 29 mm, wider than normal. The aortic arch calibration is 30 mm, wider than normal. Millimetric calcific atheroma plaques are observed in the aortic arch and descending aorta. No lymph nodes with pathological size and configuration were detected at both hilar and mediastinal levels. A subpleural nodule of 8. These findings suggest radiologically interstitial lung disease in the patient with eosinophilic lung disease. However, it does not differ significantly from his previous review. Hiatal hernia is observed in the case. A hypodense nodular formation with a diameter of 8 mm is observed in the lateral crus of the right adrenal gland, and it does not differ significantly from the previous examination. Degenerative changes are observed in the bone structure. Impression: In the case followed up for eosinophilic lung disease, there are findings consistent with interstitial lung disease in both lungs.  8 mm diameter hypodense nodular formation is observed in the lateral crus of the right adrenal gland, and it is significant with the previous examination does not differ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1155/valid_1155_a/valid_1155_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2718",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. The aortic arch is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Mild sequelae changes are observed at the apical level in both lungs. In both lungs, diffuse and focal ground-glass-like density increases, which are predominantly observed at the base, are observed. It is recommended to be evaluated for Covid pneumonia. Bilateral pleural effusion, pneumothorax were not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Impression: Findings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1156/valid_1156_a/valid_1156_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2719",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. The aortic arch is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Mild sequelae changes are observed at the apical level in both lungs. In both lungs, diffuse and focal ground-glass-like density increases, which are predominantly observed at the base, are observed. It is recommended to be evaluated for Covid pneumonia. Bilateral pleural effusion, pneumothorax were not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Degenerative changes are observed in the bone structure. Impression: Findings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1156/valid_1156_a/valid_1156_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2720",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1156/valid_1156_b/valid_1156_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2721",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1156/valid_1156_b/valid_1156_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2722",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Mediastinal and bilateral hilar lymph nodes were not detected in pathological size and appearance. When both lung parenchyma windows are evaluated; No mass-infiltration was detected in both lung parenchyma. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Sliding hiatal hernia was observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No sign of pneumonia was detected.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Sliding type hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1157/valid_1157_a/valid_1157_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2723",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Mediastinal and bilateral hilar lymph nodes were not detected in pathological size and appearance. When both lung parenchyma windows are evaluated; No mass-infiltration was detected in both lung parenchyma. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Sliding hiatal hernia was observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No sign of pneumonia was detected.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Sliding type hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1157/valid_1157_a/valid_1157_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2724",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Soft tissue density compatible with minimal gynecomastia was observed in the bilateral retroareolar area. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. A nonspecific parenchymal nodule with a diameter of 2.5 mm was observed in the upper lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric sized nonspecific parenchymal nodule in the upper lobe of the right lung ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1158/valid_1158_a/valid_1158_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2725",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Soft tissue density compatible with minimal gynecomastia was observed in the bilateral retroareolar area. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. A nonspecific parenchymal nodule with a diameter of 2.5 mm was observed in the upper lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric sized nonspecific parenchymal nodule in the upper lobe of the right lung ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1158/valid_1158_a/valid_1158_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2726",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Right thyroid lobe sizes increased. It is recommended to be evaluated together with USG. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch and its supraaortic branches. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both hemithorax, more prominent sequela pleural thickening was observed on the right. Linear atelectatic changes were observed in the upper lobe anterior segment of the right lung and the basal segments of the lower lobes of both lungs. Nonspecific ground glass densities were observed in the peripheral subpleural areas in the middle and lower lobes of the right lung, and they were nonspecific. It was evaluated in favor of sequelae in the first plan. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). A subpleural nodule of 7 mm in diameter superposed on the major fissure was observed in the superior segment of the lower lobe of the right lung. It is recommended to be evaluated together with previous examinations, if any. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. The craniocaudal dimension of the liver is above normal with 21 cm as far as can be seen on non-contrast sections. The parenchymal density has decreased significantly in favor of adiposity. The gallbladder, spleen, and both adrenal glands are normal. The head of the pancreas is slightly expanded, and the peripancreatic fatty planes are dirty and hazy. Further examination is recommended for possible pancreatitis. In the lower pole of the right kidney, an exophytic cortical cyst with a diameter of 5.4 cm, lobulated contour, septal and milimetric calcification focus was observed in the septa. Thoracic kyphosis is increased. Widespread degenerative changes were observed in the thoracic vertebrae. Syndes mophytes bridging with each other, consistent with diffuse idiopathic bone hyperostosis, were observed at the mid-thoracic level. Impression: Increase in the size of the right thyroid lobe, it is recommended to be evaluated together with USG. Calcific atheroma plaques in the arcus aorta and supraaortic branches, cardiomegaly . Hiatal hernia . Smooth surface sequelae thickening in the pleura in both hemithorax . Atelectasis changes in the right lung and linear fibroatelectasis in the right lung upper lobe anterior segment sequelae change . Nonspecific ground-glass densities in the peripheral subpleural areas in the middle and lower lobes of the right lung were initially evaluated in favor of sequelae.  Superposed subpleural nodule on the fissure in the superior segment of the lower lobe of the right lung, it is recommended to be evaluated and followed up together with previous examinations, if any. Hepatomegaly, hepatosteatosis . Findings in the head of the pancreas that may be compatible with acute pancreatitis . exophytic cortical cyst . Syndes mophytes bridging each other consistent with increased thoracic kyphosis, degenerative changes, and diffuse idiopathic bone hyperostosis at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1159/valid_1159_a/valid_1159_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2727",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis has increased. Anterior tapering is present in the thoracic vertebrae. Impression:  Increase in thoracic kyphosis and thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1160/valid_1160_a/valid_1160_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2728",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic kyphosis has increased. Anterior tapering is present in the thoracic vertebrae. Impression:  Increase in thoracic kyphosis and thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1160/valid_1160_a/valid_1160_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2729",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Emphysematous changes are observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. There are millimetric stones in both kidneys. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal bronchiectasis in the central segments of both lungs. Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1161/valid_1161_a/valid_1161_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2730",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal bronchiectasis in the central parts of both lungs. Emphysematous changes are observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. There are millimetric stones in both kidneys. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal bronchiectasis in the central segments of both lungs. Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1161/valid_1161_a/valid_1161_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2731",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was not contracted. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Mild cardiomegaly  No sign of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1162/valid_1162_a/valid_1162_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2732",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was not contracted. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Mild cardiomegaly  No sign of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1162/valid_1162_a/valid_1162_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2733",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Mild bronchiectatic changes were observed in both lungs, which became prominent in the center. Minimal pleuroparenchymal sequelae density increases were observed in the lower lobe of the right lung. A nonspecific parenchymal nodule with a diameter of 3 mm was observed in the middle lobe of the right lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections, 4 diameter calculi were observed in the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae changes in both lungs, minimal bronchiectasis in the central. Nonspecific parenchymal nodule in the middle lobe of the right lung.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1163/valid_1163_a/valid_1163_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Mild bronchiectatic changes were observed in both lungs, which became prominent in the center. Minimal pleuroparenchymal sequelae density increases were observed in the lower lobe of the right lung. A nonspecific parenchymal nodule with a diameter of 3 mm was observed in the middle lobe of the right lung. Bilateral pleural thickening-effusion was not detected. In the upper abdominal sections, 4 diameter calculi were observed in the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Sequelae changes in both lungs, minimal bronchiectasis in the central. Nonspecific parenchymal nodule in the middle lobe of the right lung.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1163/valid_1163_a/valid_1163_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2735",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1164/valid_1164_a/valid_1164_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2736",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Patchy ground glass densities are observed in the basal segments of both lung lower lobes. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation is recommended. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1165/valid_1165_a/valid_1165_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2737",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Patchy ground glass densities are observed in the basal segments of both lung lower lobes. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation is recommended. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression:  Findings consistent with Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1165/valid_1165_a/valid_1165_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1166/valid_1166_a/valid_1166_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and both main bronchi. A large mass extending from the superior segment to the posterobasal segment is observed in the lower lobe of the right lung. The mass is irregularly circumscribed and contains calcifications. The longest diameter of the mass was 51 mm at its widest point in the axial plane (series 2 section 185). There is structural distortion and volume loss in the lower lobe of the lung around the described mass. Peribronchial thickening is observed in both lungs, especially in the central parts. There are increases in density, structural distortion and volume loss, which are evaluated in favor of pleuroranchymal sequelae changes in both lung apexes. In addition, there are many millimetric nodules, most of which are calcific, in both lungs and are thought to be sequelae changes. Emphysematous changes in both lungs and air trapping areas evaluated in favor of pneumothorax or blep formations in the right lung are observed. Apart from the nodules described and evaluated in favor of sequelae changes, there is another nodule measuring 5 mm in diameter in the laterobasal segment of the lower lobe of the left lung. It is recommended to follow this nodule as well. Heart contour and size are normal. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the subcarinal region and its short diameter is 9 mm. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a lytic bone lesion on the T11 vertebra superior end plate. Although the described lesion cannot be characterized in this examination, it may metastasize in the presence of primary disease. It is recommended to evaluate the patient together with his previous examinations and to be examined if there is an indication. Apart from this, no lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Malignant mass in the lower lobe of the right lung  Lytic bone lesion (metastasis?) in the T11 vertebra superior end plate  Findings evaluated in favor of sequelae changes in both lungs  Millimetric nodules, most of which are calcified, in both lungs  Minimal pleural effusion on the right  Atheroma in the aorta and coronary arteries plaques"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1167/valid_1167_a/valid_1167_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and both main bronchi. A large mass extending from the superior segment to the posterobasal segment is observed in the lower lobe of the right lung. The mass is irregularly circumscribed and contains calcifications. The longest diameter of the mass was 51 mm at its widest point in the axial plane (series 2 section 185). There is structural distortion and volume loss in the lower lobe of the lung around the described mass. Peribronchial thickening is observed in both lungs, especially in the central parts. There are increases in density, structural distortion and volume loss, which are evaluated in favor of pleuroranchymal sequelae changes in both lung apexes. In addition, there are many millimetric nodules, most of which are calcific, in both lungs and are thought to be sequelae changes. Emphysematous changes in both lungs and air trapping areas evaluated in favor of pneumothorax or blep formations in the right lung are observed. Apart from the nodules described and evaluated in favor of sequelae changes, there is another nodule measuring 5 mm in diameter in the laterobasal segment of the lower lobe of the left lung. It is recommended to follow this nodule as well. Heart contour and size are normal. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the subcarinal region and its short diameter is 9 mm. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a lytic bone lesion on the T11 vertebra superior end plate. Although the described lesion cannot be characterized in this examination, it may metastasize in the presence of primary disease. It is recommended to evaluate the patient together with his previous examinations and to be examined if there is an indication. Apart from this, no lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Malignant mass in the lower lobe of the right lung  Lytic bone lesion (metastasis?) in the T11 vertebra superior end plate  Findings evaluated in favor of sequelae changes in both lungs  Millimetric nodules, most of which are calcified, in both lungs  Minimal pleural effusion on the right  Atheroma in the aorta and coronary arteries plaques"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1167/valid_1167_a/valid_1167_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: A triangular soft tissue density was observed in the anterior mediastinum (remnant thymus?). There are soft tissue densities compatible with gynecomastia in the bilateral retroareolar area. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1168/valid_1168_a/valid_1168_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2742",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: A triangular soft tissue density was observed in the anterior mediastinum (remnant thymus?). There are soft tissue densities compatible with gynecomastia in the bilateral retroareolar area. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Impression: No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1168/valid_1168_a/valid_1168_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2743",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. The heart is larger than normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is minimal hiatal hernia. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In both lungs, there are ground glass densities and subpleural lines that tend to merge with peribronchial and subpleural in all lobes. A few bilateral nodules up to 5 mm in size were observed. In the upper abdominal organs included in the sections, a cortical millimetric hypodense lesion is observed in the upper pole of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Atherosclerosis of the aorta and coronary artery  Findings consistent with viral pneumonia in both lungs  Millimetric nonspecific nodules in both lungs  Hypodense lesion (cyst?) in the upper pole of the left kidney  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1169/valid_1169_a/valid_1169_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. The heart is larger than normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is minimal hiatal hernia. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In both lungs, there are ground glass densities and subpleural lines that tend to merge with peribronchial and subpleural in all lobes. A few bilateral nodules up to 5 mm in size were observed. In the upper abdominal organs included in the sections, a cortical millimetric hypodense lesion is observed in the upper pole of the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Atherosclerosis of the aorta and coronary artery  Findings consistent with viral pneumonia in both lungs  Millimetric nonspecific nodules in both lungs  Hypodense lesion (cyst?) in the upper pole of the left kidney  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1169/valid_1169_a/valid_1169_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2745",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 36 mm, increased and dilated. Pericardial minimal effusion was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Interlobular septal thickening was observed in both lungs. Widespread bronchiectatic changes were observed in both lungs, which became prominent in the center. There are cystic bronchiectatic changes in the middle zone of the right lung and in the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. Branches with buds are seen in both lungs (changes in bronchiolitis sequela?). There are bilateral sequelae pleural thickenings and accompanying millimetric calcifications on the left. There are secretions that show leveling within the dilated bronchi in the lower lobes of both lungs. There is parenchymal fibrosis in the right lung apical causing volume loss and structural distortion. In the upper abdominal sections in the study area; 3 mm diameter calculi is observed in the middle zone of the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Thoracic kyphosis has increased. Impression:  Diffuse bronchiectatic changes in both lungs, cystic bronchiectasis, mucosal secretions leveling within the dilated bronchi in the lower lobes.  Branches with buds in bilateral lung parenchyma, parenchymal fibrosis in the right lung.  Bilateral peribronchial thickenings.  Right nephrolithiasis.  Degenerative changes in bone structure and increase in thoracic kyphosis.  Pericardial effusion.  Dilatation of the pulmonary artery.  Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_a/valid_1170_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 36 mm, increased and dilated. Pericardial minimal effusion was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Interlobular septal thickening was observed in both lungs. Widespread bronchiectatic changes were observed in both lungs, which became prominent in the center. There are cystic bronchiectatic changes in the middle zone of the right lung and in the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. Branches with buds are seen in both lungs (changes in bronchiolitis sequela?). There are bilateral sequelae pleural thickenings and accompanying millimetric calcifications on the left. There are secretions that show leveling within the dilated bronchi in the lower lobes of both lungs. There is parenchymal fibrosis in the right lung apical causing volume loss and structural distortion. In the upper abdominal sections in the study area; 3 mm diameter calculi is observed in the middle zone of the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Thoracic kyphosis has increased. Impression:  Diffuse bronchiectatic changes in both lungs, cystic bronchiectasis, mucosal secretions leveling within the dilated bronchi in the lower lobes.  Branches with buds in bilateral lung parenchyma, parenchymal fibrosis in the right lung.  Bilateral peribronchial thickenings.  Right nephrolithiasis.  Degenerative changes in bone structure and increase in thoracic kyphosis.  Pericardial effusion.  Dilatation of the pulmonary artery.  Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_a/valid_1170_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2747",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 36 mm, increased and dilated. Pericardial minimal effusion was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Interlobular septal thickening was observed in both lungs. Widespread bronchiectatic changes were observed in both lungs, which became prominent in the center. There are cystic bronchiectatic changes in the middle zone of the right lung and in the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. Branches with buds are seen in both lungs (changes in bronchiolitis sequela?). There are bilateral sequelae pleural thickenings and accompanying millimetric calcifications on the left. There are secretions that show leveling within the dilated bronchi in the lower lobes of both lungs. There is parenchymal fibrosis in the right lung apical causing volume loss and structural distortion. In the upper abdominal sections in the study area; 3 mm diameter calculi is observed in the middle zone of the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Thoracic kyphosis has increased. Impression:  Diffuse bronchiectatic changes in both lungs, cystic bronchiectasis, mucosal secretions leveling within the dilated bronchi in the lower lobes.  Branches with buds in bilateral lung parenchyma, parenchymal fibrosis in the right lung.  Bilateral peribronchial thickenings.  Right nephrolithiasis.  Degenerative changes in bone structure and increase in thoracic kyphosis.  Pericardial effusion.  Dilatation of the pulmonary artery.  Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_a/valid_1170_a_3.nii.gz"
        ]
    },
    {
        "id": "report_generation_2748",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 36 mm, increased and dilated. Pericardial minimal effusion was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Interlobular septal thickening was observed in both lungs. Widespread bronchiectatic changes were observed in both lungs, which became prominent in the center. There are cystic bronchiectatic changes in the middle zone of the right lung and in the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. Branches with buds are seen in both lungs (changes in bronchiolitis sequela?). There are bilateral sequelae pleural thickenings and accompanying millimetric calcifications on the left. There are secretions that show leveling within the dilated bronchi in the lower lobes of both lungs. There is parenchymal fibrosis in the right lung apical causing volume loss and structural distortion. In the upper abdominal sections in the study area; 3 mm diameter calculi is observed in the middle zone of the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Thoracic kyphosis has increased. Impression:  Diffuse bronchiectatic changes in both lungs, cystic bronchiectasis, mucosal secretions leveling within the dilated bronchi in the lower lobes.  Branches with buds in bilateral lung parenchyma, parenchymal fibrosis in the right lung.  Bilateral peribronchial thickenings.  Right nephrolithiasis.  Degenerative changes in bone structure and increase in thoracic kyphosis.  Pericardial effusion.  Dilatation of the pulmonary artery.  Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_a/valid_1170_a_4.nii.gz"
        ]
    },
    {
        "id": "report_generation_2749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 36 mm, increased and dilated. Pericardial minimal effusion was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Interlobular septal thickening was observed in both lungs. Widespread bronchiectatic changes were observed in both lungs, which became prominent in the center. There are cystic bronchiectatic changes in the middle zone of the right lung and in the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. Branches with buds are seen in both lungs (changes in bronchiolitis sequela?). There are bilateral sequelae pleural thickenings and accompanying millimetric calcifications on the left. There are secretions that show leveling within the dilated bronchi in the lower lobes of both lungs. There is parenchymal fibrosis in the right lung apical causing volume loss and structural distortion. In the upper abdominal sections in the study area; 3 mm diameter calculi is observed in the middle zone of the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Thoracic kyphosis has increased. Impression:  Diffuse bronchiectatic changes in both lungs, cystic bronchiectasis, mucosal secretions leveling within the dilated bronchi in the lower lobes.  Branches with buds in bilateral lung parenchyma, parenchymal fibrosis in the right lung.  Bilateral peribronchial thickenings.  Right nephrolithiasis.  Degenerative changes in bone structure and increase in thoracic kyphosis.  Pericardial effusion.  Dilatation of the pulmonary artery.  Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_a/valid_1170_a_5.nii.gz"
        ]
    },
    {
        "id": "report_generation_2750",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 36 mm, increased and dilated. Pericardial minimal effusion was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Interlobular septal thickening was observed in both lungs. Widespread bronchiectatic changes were observed in both lungs, which became prominent in the center. There are cystic bronchiectatic changes in the middle zone of the right lung and in the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. Branches with buds are seen in both lungs (changes in bronchiolitis sequela?). There are bilateral sequelae pleural thickenings and accompanying millimetric calcifications on the left. There are secretions that show leveling within the dilated bronchi in the lower lobes of both lungs. There is parenchymal fibrosis in the right lung apical causing volume loss and structural distortion. In the upper abdominal sections in the study area; 3 mm diameter calculi is observed in the middle zone of the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. Thoracic kyphosis has increased. Impression:  Diffuse bronchiectatic changes in both lungs, cystic bronchiectasis, mucosal secretions leveling within the dilated bronchi in the lower lobes.  Branches with buds in bilateral lung parenchyma, parenchymal fibrosis in the right lung.  Bilateral peribronchial thickenings.  Right nephrolithiasis.  Degenerative changes in bone structure and increase in thoracic kyphosis.  Pericardial effusion.  Dilatation of the pulmonary artery.  Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_a/valid_1170_a_6.nii.gz"
        ]
    },
    {
        "id": "report_generation_2751",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are diffuse emphysematous changes in both lungs. In addition, bronchiectasis and peribronchial thickening are observed, most prominently in the lower lobes of both lungs and the middle lobe of the right lung. Bronchiectasis has become cystic in the lower lobes. There are appearances compatible with secretion in bronchiectatic ducts. Bronchiectasis is accompanied by appearances of soft tissue density, structural distortion and volume loss, most prominently in the upper lobe of the right lung. There are budding tree appearances in both lungs. The appearance and distribution of bud tree appearances are not specific. However, when evaluated together with bronchiectasis, it was thought to be due to an infective pathology. It is recommended to evaluate the patient together with clinical and laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The diameter of the aorta is normal. The main pulmonary artery diameter was 36 mm and wider than normal. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 12 mm. There is no pathological wall thickness increase in the esophagus within the sections. There is a stone with a diameter of 4 mm in the lower pole of the right kidney. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Emphysematous changes in both lungs  Diffuse bronchiectasis and peribronchial thickenings in both lungs and sequelae changes sometimes accompanying bronchiectasis  Widespread budding tree appearances in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_b/valid_1170_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2752",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are diffuse emphysematous changes in both lungs. In addition, bronchiectasis and peribronchial thickening are observed, most prominently in the lower lobes of both lungs and the middle lobe of the right lung. Bronchiectasis has become cystic in the lower lobes. There are appearances compatible with secretion in bronchiectatic ducts. Bronchiectasis is accompanied by appearances of soft tissue density, structural distortion and volume loss, most prominently in the upper lobe of the right lung. There are budding tree appearances in both lungs. The appearance and distribution of bud tree appearances are not specific. However, when evaluated together with bronchiectasis, it was thought to be due to an infective pathology. It is recommended to evaluate the patient together with clinical and laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are atheromatous plaques in the aorta and coronary arteries. The diameter of the aorta is normal. The main pulmonary artery diameter was 36 mm and wider than normal. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 12 mm. There is no pathological wall thickness increase in the esophagus within the sections. There is a stone with a diameter of 4 mm in the lower pole of the right kidney. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections. Impression:  Emphysematous changes in both lungs  Diffuse bronchiectasis and peribronchial thickenings in both lungs and sequelae changes sometimes accompanying bronchiectasis  Widespread budding tree appearances in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_b/valid_1170_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2753",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are diffuse emphysematous changes in both lungs. Cylindrical bronchiectasis and peribronchial thickening are observed, most prominently in the lower lobes of both lungs and the middle lobe of the right lung. Bronchiectasis has become cystic in the lower lobes. There is an appearance compatible with secretion within the bronchiectatic ducts. Bronchiectasis is accompanied by appearances of soft tissue density, structural distortion and volume loss, most prominently in the upper lobe of the right lung. There are budding tree appearances in both lungs. The appearance and distribution of bud tree appearances are not specific. However, when evaluated together with bronchiectasis, it was thought to be due to an infective pathology. It is recommended to evaluate the patient together with clinical and laboratory findings. No mass was detected in both lungs. Other findings are stable. Impression:  Emphysematous changes in both lungs, diffuse bronchiectasis and peribronchial thickenings, and sequelae accompanying bronchiectasis.  Widespread budding tree appearance in both lungs; It is recommended to be evaluated together with clinical and laboratory in terms of infective pathologies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_c/valid_1170_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2754",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are diffuse emphysematous changes in both lungs. Cylindrical bronchiectasis and peribronchial thickening are observed, most prominently in the lower lobes of both lungs and the middle lobe of the right lung. Bronchiectasis has become cystic in the lower lobes. There is an appearance compatible with secretion within the bronchiectatic ducts. Bronchiectasis is accompanied by appearances of soft tissue density, structural distortion and volume loss, most prominently in the upper lobe of the right lung. There are budding tree appearances in both lungs. The appearance and distribution of bud tree appearances are not specific. However, when evaluated together with bronchiectasis, it was thought to be due to an infective pathology. It is recommended to evaluate the patient together with clinical and laboratory findings. No mass was detected in both lungs. Other findings are stable. Impression:  Emphysematous changes in both lungs, diffuse bronchiectasis and peribronchial thickenings, and sequelae accompanying bronchiectasis.  Widespread budding tree appearance in both lungs; It is recommended to be evaluated together with clinical and laboratory in terms of infective pathologies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1170/valid_1170_c/valid_1170_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2755",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. There are mild bronchiectatic changes that become prominent in the bilateral central part. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. No lytic-destructive lesion was detected in bone structures. Impression: Substantial bronchiectatic changes in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1171/valid_1171_a/valid_1171_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2756",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. There are mild bronchiectatic changes that become prominent in the bilateral central part. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. No lytic-destructive lesion was detected in bone structures. Impression: Substantial bronchiectatic changes in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1171/valid_1171_a/valid_1171_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2757",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the left anterior descending coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Atheroma plaques in the left anterior descending coronary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1171/valid_1171_b/valid_1171_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2758",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the left anterior descending coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Atheroma plaques in the left anterior descending coronary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1171/valid_1171_b/valid_1171_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2759",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected. No loculated or free fluid was detected in the upper abdominal sections. No feature was observed in the section. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1172/valid_1172_a/valid_1172_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2760",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected. No loculated or free fluid was detected in the upper abdominal sections. No feature was observed in the section. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1172/valid_1172_a/valid_1172_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2761",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. A calcific atheroma plaque is observed in the aortic arch. Calibration of other major mediastinal vascular structures is also natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. No significant bronchiectasis was detected. Both hemithorax are symmetrical. In the proximal part of the trachea, there is a millimetric density projected to the lumen in the right anterolateral aspect (mucus impaction?). A nodule with a diameter of approximately 3 mm is observed deep in the right lung upper lobe anterior segment paramediastinal area. A nonspecific nodule with a diameter of 4 mm is observed in the posterobasal segment of the lower lobe of the left lung. There is a 5x3 mm nonspecific nodule in the left interlobar fissure. There is no significant infiltration, pneumothorax or pleural effusion in both lungs. Upper abdominal organs included in the sections are normal. A millimetric density compatible with calculus is observed in the gallbladder. Sonographic evaluation is recommended. Degenerative changes are observed in the bone structure entering the examination area. Dorsal kyphosis configuration is natural. Density increases and small taperings are observed in the anterior of the vertebra corpus. It is recommended to evaluate the case together with clinical and laboratory findings in terms of possible spondyloarthropathy. Impression: A few nonspecific millimetric nodules formation in both lungs . Millimetric density compatible with calculus in the gallbladder, sonographic evaluation is recommended.  Density increases and small tapering are observed in the anterior of the vertebra corpus. It is recommended to evaluate the case together with clinical and laboratory findings in terms of possible spondyloarthropathy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1173/valid_1173_a/valid_1173_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. A calcific atheroma plaque is observed in the aortic arch. Calibration of other major mediastinal vascular structures is also natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. No significant bronchiectasis was detected. Both hemithorax are symmetrical. In the proximal part of the trachea, there is a millimetric density projected to the lumen in the right anterolateral aspect (mucus impaction?). A nodule with a diameter of approximately 3 mm is observed deep in the right lung upper lobe anterior segment paramediastinal area. A nonspecific nodule with a diameter of 4 mm is observed in the posterobasal segment of the lower lobe of the left lung. There is a 5x3 mm nonspecific nodule in the left interlobar fissure. There is no significant infiltration, pneumothorax or pleural effusion in both lungs. Upper abdominal organs included in the sections are normal. A millimetric density compatible with calculus is observed in the gallbladder. Sonographic evaluation is recommended. Degenerative changes are observed in the bone structure entering the examination area. Dorsal kyphosis configuration is natural. Density increases and small taperings are observed in the anterior of the vertebra corpus. It is recommended to evaluate the case together with clinical and laboratory findings in terms of possible spondyloarthropathy. Impression: A few nonspecific millimetric nodules formation in both lungs . Millimetric density compatible with calculus in the gallbladder, sonographic evaluation is recommended.  Density increases and small tapering are observed in the anterior of the vertebra corpus. It is recommended to evaluate the case together with clinical and laboratory findings in terms of possible spondyloarthropathy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1173/valid_1173_a/valid_1173_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2763",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheroma plaques in the aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1174/valid_1174_a/valid_1174_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheroma plaques in the aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1174/valid_1174_a/valid_1174_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2765",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Both thyroid gland sizes are increased. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The ascending aorta measures 39 mm in diameter and shows slight dilatation. Calibration of other mediastinal major vascular structures is natural. Heart size slightly increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No infiltration was detected in both lung parenchyma. A nonspecific parenchymal nodule with a diameter of 5.5 mm was observed in the medial segment of the right lung middle lobe. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. Atelectatic changes were observed in the lower lobe of the right lung. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). The liver contours are irregular in the upper abdominal sections in the examination area. Left lobe caudate lobe was observed as hypertrophic. It is recommended to be evaluated in terms of chronic liver parenchymal disease. The spleen was not observed (operated). An area of parenchymal calcification, partially entering the examination area, was observed in the upper pole of the left kidney. A suspicious calculus image was observed in the gallbladder. Minimal free fluid was observed in the abdomen. No lytic-destructive lesion was detected in bone structures. Impression:  Mild cardiomegaly.  Increased size of both thyroid glands, US control is recommended.  Slight dilatation of the ascending aorta.  Millimetric nonspecific parenchymal nodule in the right lung.  Sequelae changes-atelectasis in both lungs  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Findings consistent with chronic liver parenchymal disease.  Splenectomized?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1175/valid_1175_a/valid_1175_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Both thyroid gland sizes are increased. US control is recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The ascending aorta measures 39 mm in diameter and shows slight dilatation. Calibration of other mediastinal major vascular structures is natural. Heart size slightly increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No infiltration was detected in both lung parenchyma. A nonspecific parenchymal nodule with a diameter of 5.5 mm was observed in the medial segment of the right lung middle lobe. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. Atelectatic changes were observed in the lower lobe of the right lung. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). The liver contours are irregular in the upper abdominal sections in the examination area. Left lobe caudate lobe was observed as hypertrophic. It is recommended to be evaluated in terms of chronic liver parenchymal disease. The spleen was not observed (operated). An area of parenchymal calcification, partially entering the examination area, was observed in the upper pole of the left kidney. A suspicious calculus image was observed in the gallbladder. Minimal free fluid was observed in the abdomen. No lytic-destructive lesion was detected in bone structures. Impression:  Mild cardiomegaly.  Increased size of both thyroid glands, US control is recommended.  Slight dilatation of the ascending aorta.  Millimetric nonspecific parenchymal nodule in the right lung.  Sequelae changes-atelectasis in both lungs  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Findings consistent with chronic liver parenchymal disease.  Splenectomized?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1175/valid_1175_a/valid_1175_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Sequela parenchymal changes are observed in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment, lower lobe anteromedial, posterior-posterobasal segments. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. In the gallbladder lumen, millimetric hyperdense stones are observed. Intraabdominal free liqu- ulated collection is not observed. No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved. Impression: Active infiltration is not observed in both lungs, and there are sequela parenchymal bands in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment, lower lobe anteromedial and posterior segments. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1176/valid_1176_a/valid_1176_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2768",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Sequela parenchymal changes are observed in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment, lower lobe anteromedial, posterior-posterobasal segments. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. In the gallbladder lumen, millimetric hyperdense stones are observed. Intraabdominal free liqu- ulated collection is not observed. No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved. Impression: Active infiltration is not observed in both lungs, and there are sequela parenchymal bands in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment, lower lobe anteromedial and posterior segments. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1176/valid_1176_a/valid_1176_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2769",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. Linear atelectasis was observed in the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1177/valid_1177_a/valid_1177_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. Linear atelectasis was observed in the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1177/valid_1177_a/valid_1177_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2771",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Several hypodense lesions were observed in the retroareolar area of the left breast, and in the retroareoal area in the inner and outer dark areas, the largest of which was 13x10 mm, showing peripheral calcification. It is recommended to be evaluated together with breast US examination. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment. Sequelae calcifications in the liver were observed in the upper abdominal sections in the examination area. In both anterior diaphragmatic regions, newly appeared lymphadenopathies measuring 26x17 mm on the right and 21x10 mm on the left were observed in the current examination. The gallbladder was not observed (cholecystectomized?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No lytic-destructive lesion was detected in bone structures. Impression:  Stable lesions in the left breast, breast US examination is recommended.  Stable parenchymal nodule in the right lung.  Fibroatelectatic changes in both lungs.  Hepatomegaly.  Newly emerging lymphadenopathies on current examination in both anterior diaphragmatic localizations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1178/valid_1178_a/valid_1178_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2772",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Several hypodense lesions were observed in the retroareolar area of the left breast, and in the retroareoal area in the inner and outer dark areas, the largest of which was 13x10 mm, showing peripheral calcification. It is recommended to be evaluated together with breast US examination. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment. Sequelae calcifications in the liver were observed in the upper abdominal sections in the examination area. In both anterior diaphragmatic regions, newly appeared lymphadenopathies measuring 26x17 mm on the right and 21x10 mm on the left were observed in the current examination. The gallbladder was not observed (cholecystectomized?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No lytic-destructive lesion was detected in bone structures. Impression:  Stable lesions in the left breast, breast US examination is recommended.  Stable parenchymal nodule in the right lung.  Fibroatelectatic changes in both lungs.  Hepatomegaly.  Newly emerging lymphadenopathies on current examination in both anterior diaphragmatic localizations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1178/valid_1178_a/valid_1178_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are nonspecific millimetric nodules in both lungs, the larger of which is calcific. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Aberrant right subclavian artery is observed. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1179/valid_1179_a/valid_1179_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are nonspecific millimetric nodules in both lungs, the larger of which is calcific. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Aberrant right subclavian artery is observed. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1179/valid_1179_a/valid_1179_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2775",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Linear atelectasis is observed in the middle lobe of the right lung. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Atelectasis in the middle lobe of the right lung. Minimal emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1180/valid_1180_a/valid_1180_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Band-passive atelectasis changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. Linear atelectasis were observed in the lower lobes of both lungs. Mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Liver, spleen, pancreas, both adrenal glands, and both kidneys are normal as far as can be observed within the sections. The gallbladder was not observed (operated). Surgical clips were observed in the operation lodge. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia nonspecific parenchymal nodule . Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1181/valid_1181_a/valid_1181_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2777",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Band-passive atelectasis changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. Linear atelectasis were observed in the lower lobes of both lungs. Mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Liver, spleen, pancreas, both adrenal glands, and both kidneys are normal as far as can be observed within the sections. The gallbladder was not observed (operated). Surgical clips were observed in the operation lodge. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia nonspecific parenchymal nodule . Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1181/valid_1181_a/valid_1181_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2778",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1182/valid_1182_a/valid_1182_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2779",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1182/valid_1182_a/valid_1182_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2780",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Coronary arteries have atheromatous plaques. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Liver parenchyma density decreased in line with advanced adiposity. No upper abdominal free fluid-collection was detected in the sections. Vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression: Atherosclerotic changes in the coronary arteries . Advanced hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1183/valid_1183_a/valid_1183_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2781",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural. There are calcified atheromatous plaques in the wall of the aortic arch. Heart contour, size is normal. No pericardial, pleural effusion or increased thickness was detected. No lymph node is observed in pathological size and appearance in the mediastinum. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Ventilation of both lungs is natural. There is a 14 mm thin-walled air cyst located in the peripheral subpleural segment of the right lung lower lobe posteronbasal segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. There is an increase in thoracic kyphosis, loss of height in lower thoracic intervertebral disc distances, Schmorl nodules and sclerosis in end plateaus adjacent to disc distances. Reticular density increases secondary to osteopenia are observed in the vertebral corpuscles. There are osteophytic degenerative changes in the vertebral corpus corners. Impression: There was no finding in favor of pneumonic infiltration in both lungs. There are thin-walled air cysts in the posterobasal segment of the lower lobe of the right lung, calcified atheroma plaques in the aortic arch wall, and degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1184/valid_1184_a/valid_1184_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural. There are calcified atheromatous plaques in the wall of the aortic arch. Heart contour, size is normal. No pericardial, pleural effusion or increased thickness was detected. No lymph node is observed in pathological size and appearance in the mediastinum. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Ventilation of both lungs is natural. There is a 14 mm thin-walled air cyst located in the peripheral subpleural segment of the right lung lower lobe posteronbasal segment. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in the bone structures included in the study area. There is an increase in thoracic kyphosis, loss of height in lower thoracic intervertebral disc distances, Schmorl nodules and sclerosis in end plateaus adjacent to disc distances. Reticular density increases secondary to osteopenia are observed in the vertebral corpuscles. There are osteophytic degenerative changes in the vertebral corpus corners. Impression: There was no finding in favor of pneumonic infiltration in both lungs. There are thin-walled air cysts in the posterobasal segment of the lower lobe of the right lung, calcified atheroma plaques in the aortic arch wall, and degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1184/valid_1184_a/valid_1184_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2783",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases and consolidative changes were observed in the lower lobes of both lungs, which tended to merge in the peripheral subpleural area. The outlook was evaluated as compatible with possible findings of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. An air cyst with a diameter of 16 mm was observed in the posterobasal segment of the lower lobe of the right lung. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Thoracic kyphosis has increased. Reticular density increases due to osteopenia were observed in bone structures. Impression: Possible findings in terms of Covid-19 pneumonia in both lungs, other viral pneumonias can be considered in the differential diagnosis, clinical and laboratory correlation is recommended.  Air cyst in the right lung.  Atherosclerotic changes in the thoracic aorta.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1184/valid_1184_b/valid_1184_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2784",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases and consolidative changes were observed in the lower lobes of both lungs, which tended to merge in the peripheral subpleural area. The outlook was evaluated as compatible with possible findings of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. An air cyst with a diameter of 16 mm was observed in the posterobasal segment of the lower lobe of the right lung. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Thoracic kyphosis has increased. Reticular density increases due to osteopenia were observed in bone structures. Impression: Possible findings in terms of Covid-19 pneumonia in both lungs, other viral pneumonias can be considered in the differential diagnosis, clinical and laboratory correlation is recommended.  Air cyst in the right lung.  Atherosclerotic changes in the thoracic aorta.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1184/valid_1184_b/valid_1184_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2785",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed. Mediastinal and bilateral hilar lymph nodes were not detected in pathological size and appearance. When both lung parenchyma windows are evaluated; An air cyst with a diameter of 16 mm was observed in the lower lobe of the right lung. Minimal pleuroparenchymal sequelae density increases were observed in the middle zone of the right lung and the inferior lingular segment of the left lung. No mass-infiltration was detected in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Thoracic kyphosis has increased. Reticular density increases due to osteopenia were observed in bone structures. Impression:  No sign of pneumonia was detected.  Air cyst in the right lung, sliding type hiatal hernia.  Thoracic aorta and atherosclerotic changes.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1184/valid_1184_c/valid_1184_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed. Mediastinal and bilateral hilar lymph nodes were not detected in pathological size and appearance. When both lung parenchyma windows are evaluated; An air cyst with a diameter of 16 mm was observed in the lower lobe of the right lung. Minimal pleuroparenchymal sequelae density increases were observed in the middle zone of the right lung and the inferior lingular segment of the left lung. No mass-infiltration was detected in both lungs. Bilateral pleural thickening-effusion was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. Thoracic kyphosis has increased. Reticular density increases due to osteopenia were observed in bone structures. Impression:  No sign of pneumonia was detected.  Air cyst in the right lung, sliding type hiatal hernia.  Thoracic aorta and atherosclerotic changes.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1184/valid_1184_c/valid_1184_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1185/valid_1185_a/valid_1185_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2788",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1185/valid_1185_a/valid_1185_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2789",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: A well-circumscribed nodular lesion area of 21x18 mm was observed in the lower inner quadrant of the right breast. It is recommended to be evaluated together with breast USG. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A focal ground glass area extending to the major fissure is observed in the posterior segment of the right lung upper lobe, and the appearance is nonspecific. There is a mosaic attenuation pattern in both lungs. It is recommended to be evaluated together with clinical and laboratory in terms of small airway disease. A nonspecific subpleural nodule with a diameter of 3 mm was observed in both lungs, the largest of which was in the laterobasal segment of the lower lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Well-circumscribed nodular lesion in the lower inner quadrant of the right breast; it is recommended to be evaluated together with breast USG. There is a mosaic attenuation pattern in both lungs. It is recommended to be evaluated together with clinical and laboratory in terms of small airway disease-asthma.  Focal ground-glass area adjacent to the major fissure in the posterior segment of the right lung upper lobe; it is nonspecific. Millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1186/valid_1186_a/valid_1186_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2790",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: A well-circumscribed nodular lesion area of 21x18 mm was observed in the lower inner quadrant of the right breast. It is recommended to be evaluated together with breast USG. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A focal ground glass area extending to the major fissure is observed in the posterior segment of the right lung upper lobe, and the appearance is nonspecific. There is a mosaic attenuation pattern in both lungs. It is recommended to be evaluated together with clinical and laboratory in terms of small airway disease. A nonspecific subpleural nodule with a diameter of 3 mm was observed in both lungs, the largest of which was in the laterobasal segment of the lower lobe of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Well-circumscribed nodular lesion in the lower inner quadrant of the right breast; it is recommended to be evaluated together with breast USG. There is a mosaic attenuation pattern in both lungs. It is recommended to be evaluated together with clinical and laboratory in terms of small airway disease-asthma.  Focal ground-glass area adjacent to the major fissure in the posterior segment of the right lung upper lobe; it is nonspecific. Millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1186/valid_1186_a/valid_1186_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2791",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few small lymph nodes are observed in the mediastinum. When examined in the lung parenchyma window; Multiple patches of ground glass densities and inverted halo signs are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia. Close monitoring of clinical laboratory correlation is recommended. Upper abdominal organs are partially included in the study and there are changes in favor of steatosis in the liver parenchyma. No lytic-destructive lesion was detected in bone structures. Impression: Multiple patchy ground glass densities are observed in both lungs and reverse Halo signs are observed. Findings were evaluated in favor of Covid-19 viral pneumonia. Close follow-up of clinical laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1187/valid_1187_a/valid_1187_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2792",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few small lymph nodes are observed in the mediastinum. When examined in the lung parenchyma window; Multiple patches of ground glass densities and inverted halo signs are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia. Close monitoring of clinical laboratory correlation is recommended. Upper abdominal organs are partially included in the study and there are changes in favor of steatosis in the liver parenchyma. No lytic-destructive lesion was detected in bone structures. Impression: Multiple patchy ground glass densities are observed in both lungs and reverse Halo signs are observed. Findings were evaluated in favor of Covid-19 viral pneumonia. Close follow-up of clinical laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1187/valid_1187_a/valid_1187_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1188/valid_1188_a/valid_1188_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2794",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1188/valid_1188_a/valid_1188_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2795",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-lower paratracheal milimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Suture materials secondary to the operation are observed in the sternum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: No mass, nodule-infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1189/valid_1189_a/valid_1189_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2796",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper-lower paratracheal milimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Suture materials secondary to the operation are observed in the sternum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: No mass, nodule-infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1189/valid_1189_a/valid_1189_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; No appearance that could be compatible with pneumonic infiltration was detected in both lungs. No pulmonary nodule or mass was observed. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density decreased in line with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheroma plaques in the aorta and its walls.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1190/valid_1190_a/valid_1190_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2798",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; No appearance that could be compatible with pneumonic infiltration was detected in both lungs. No pulmonary nodule or mass was observed. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density decreased in line with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Calcific atheroma plaques in the aorta and its walls.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1190/valid_1190_a/valid_1190_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2799",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lungs, a few more subpleural subpleural nodules measuring up to 3 mm are observed in the superior right lung lower lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: A few millimetric nonspecific nodules in both lungs, more prominent on the right, azygos fissure in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1191/valid_1191_a/valid_1191_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2800",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lungs, a few more subpleural subpleural nodules measuring up to 3 mm are observed in the superior right lung lower lobe. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: A few millimetric nonspecific nodules in both lungs, more prominent on the right, azygos fissure in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1191/valid_1191_a/valid_1191_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  An area of increase in density evaluated in favor of atelectasis is observed in the lung parenchyma adjacent to the effusion. Solid-semisolid nodules were observed in a case with primary RCC in both lungs, the size of which was 13 mm in the lower lobe posterobasal segment on the right, and approximately 10 mm in the left upper lobe in the upper lobe inferior lingular segment. It was evaluated in favor of metastasis. Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial, right pleural effusion was not detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a sliding type hiatal hernia at the lower end. Trachea, both main bronchi are open and no occlusive pathology is detected. No lymph node in pathological size and appearance was observed in the mediastinum. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes. Impression: In the lung parenchyma adjacent to the effusion, there is an area of increased density in the lung parenchyma evaluated in favor of compressive atelectasis. No change was detected in their numbers."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1192/valid_1192_a/valid_1192_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  An area of increase in density evaluated in favor of atelectasis is observed in the lung parenchyma adjacent to the effusion. Solid-semisolid nodules were observed in a case with primary RCC in both lungs, the size of which was 13 mm in the lower lobe posterobasal segment on the right, and approximately 10 mm in the left upper lobe in the upper lobe inferior lingular segment. It was evaluated in favor of metastasis. Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial, right pleural effusion was not detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a sliding type hiatal hernia at the lower end. Trachea, both main bronchi are open and no occlusive pathology is detected. No lymph node in pathological size and appearance was observed in the mediastinum. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes. Impression: In the lung parenchyma adjacent to the effusion, there is an area of increased density in the lung parenchyma evaluated in favor of compressive atelectasis. No change was detected in their numbers."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1192/valid_1192_a/valid_1192_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2803",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Massive effusion was observed in the left pleural space. There are air densities in the effusion. Air densities may be secondary to the intervention or may belong to a bronchopleural fistula. In addition, 20 mm deep free effusion is observed in the right pleural space. In the right lung, there are areas of increased density consistent with ground-glass-consolidation accompanied by diffuse interlobular septal thickness increases in all segments. As the findings can be seen in Covid-19 pneumonia, other viral pneumonias cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. A hypodense appearance is observed in the right main bronchus, which is evaluated in favor of mucus plug. Lymphadenopathies with pathological dimensions and appearance were observed in the mediastinum, in the left supraclavicular region, in the right-lower paratracheal region, in the aorticopulmonary window, in the prevascular level, in the subcarinal area and in the right part of the T11-T12 vertebra within the image, in the retrocrural area. There are hypodense lesions that cannot be characterized in this examination, which is observed to increase in number and size according to the previous PET-CT examination. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Massive effusion with air densities in the left pleural space; secondary to the intervention?, pleuroparenchymal fistula?  Right pleural effusion.  Indicated limited consolidation with newly developed interlobular septal thickness increases in all segments of the right lung and density increases in ground glass density on current examination; As it can be seen in Covid-19 pneumonia, other viral pneumonias cannot be excluded.  Hypodense appearance evaluated in favor of mucus plug in the right main bronchus.  Lymphadenopathies of pathological size and appearance in the mediastinum, left supraclavicular region and right retrocrural region.  Hypodense lesions (metastasis?) of the liver that cannot be characterized within the borders of unenhanced CT."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1192/valid_1192_b/valid_1192_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2804",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Massive effusion was observed in the left pleural space. There are air densities in the effusion. Air densities may be secondary to the intervention or may belong to a bronchopleural fistula. In addition, 20 mm deep free effusion is observed in the right pleural space. In the right lung, there are areas of increased density consistent with ground-glass-consolidation accompanied by diffuse interlobular septal thickness increases in all segments. As the findings can be seen in Covid-19 pneumonia, other viral pneumonias cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. A hypodense appearance is observed in the right main bronchus, which is evaluated in favor of mucus plug. Lymphadenopathies with pathological dimensions and appearance were observed in the mediastinum, in the left supraclavicular region, in the right-lower paratracheal region, in the aorticopulmonary window, in the prevascular level, in the subcarinal area and in the right part of the T11-T12 vertebra within the image, in the retrocrural area. There are hypodense lesions that cannot be characterized in this examination, which is observed to increase in number and size according to the previous PET-CT examination. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Massive effusion with air densities in the left pleural space; secondary to the intervention?, pleuroparenchymal fistula?  Right pleural effusion.  Indicated limited consolidation with newly developed interlobular septal thickness increases in all segments of the right lung and density increases in ground glass density on current examination; As it can be seen in Covid-19 pneumonia, other viral pneumonias cannot be excluded.  Hypodense appearance evaluated in favor of mucus plug in the right main bronchus.  Lymphadenopathies of pathological size and appearance in the mediastinum, left supraclavicular region and right retrocrural region.  Hypodense lesions (metastasis?) of the liver that cannot be characterized within the borders of unenhanced CT."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1192/valid_1192_b/valid_1192_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2805",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Normal calibration of the esophagus is observed. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area, malignancy infiltrative involvement, suspicious nodular or mass-occupying lesion were detected. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1193/valid_1193_a/valid_1193_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2806",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Calibration of mediastinal major vascular structures is natural. Pericardial effusion-thickening was not observed. Normal calibration of the esophagus is observed. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area, malignancy infiltrative involvement, suspicious nodular or mass-occupying lesion were detected. No lytic-destructive lesion was detected in the bone structures included in the study area. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1193/valid_1193_a/valid_1193_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2807",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: An appearance compatible with thymic remnant is observed in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are areas of linear atelectasis in both lungs. No mass or infiltrative lesion was observed in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear areas of atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1194/valid_1194_a/valid_1194_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2808",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: An appearance compatible with thymic remnant is observed in the anterior mediastinum. Heart contour and size are normal. No pleural-pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are areas of linear atelectasis in both lungs. No mass or infiltrative lesion was observed in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections. Impression:  Linear areas of atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1194/valid_1194_a/valid_1194_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2809",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Also, a decrease in the dimensions and densities of the ground glass areas is observed in the peripheral subpleural areas of both lungs, especially in the upper lobes. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Also, a decrease in the dimensions and densities of the ground glass areas is observed in the peripheral subpleural areas of both lungs, especially in the upper lobes.  Pathologically enlarged lymph nodes were not detected in the mediastinum and hilar regions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1195/valid_1195_a/valid_1195_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2810",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; calibration of thoracic major vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; 4 mm in diameter, nonspecific parenchymal nodules located subpelvally in the superior and laterobasal segments of the left lung lower lobe were observed. Millimetric sized nonspecific parenchymal nodules were observed in the right lung middle lobe and lower anterobasal segment. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Multiple millimetric nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1196/valid_1196_a/valid_1196_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2811",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; calibration of thoracic major vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; 4 mm in diameter, nonspecific parenchymal nodules located subpelvally in the superior and laterobasal segments of the left lung lower lobe were observed. Millimetric sized nonspecific parenchymal nodules were observed in the right lung middle lobe and lower anterobasal segment. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Multiple millimetric nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1196/valid_1196_a/valid_1196_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2812",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. A lymph node is observed in the mediastinum, the largest of which is measured in the right upper paratracheal area and measures approximately 15x9 mm. No pathologically sized and configured lymph nodes were detected at other levels and at both hilar levels. Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal and their lumens are clear. The thoracic esophagus calibration is normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are consultative areas that show scattered confluence in places and predominantly observed peripherally - there are density increases in the style of ground glass. Bilateral pleural effusion was not detected. In the evaluation of the upper abdominal organs included in the sections; In the liver, mild steatosis and a compatible decrease in density are observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Vertebral corpus heights are preserved. Impression:  CT findings consistent with the anamnesis in the case learned to be Covid positive  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1197/valid_1197_a/valid_1197_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. A lymph node is observed in the mediastinum, the largest of which is measured in the right upper paratracheal area and measures approximately 15x9 mm. No pathologically sized and configured lymph nodes were detected at other levels and at both hilar levels. Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal and their lumens are clear. The thoracic esophagus calibration is normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are consultative areas that show scattered confluence in places and predominantly observed peripherally - there are density increases in the style of ground glass. Bilateral pleural effusion was not detected. In the evaluation of the upper abdominal organs included in the sections; In the liver, mild steatosis and a compatible decrease in density are observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes are observed in the bone structures in the study area. Vertebral corpus heights are preserved. Impression:  CT findings consistent with the anamnesis in the case learned to be Covid positive  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1197/valid_1197_a/valid_1197_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2814",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild bronchiectatic changes were observed in both lungs, which became prominent in the center. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild bronchiectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1198/valid_1198_a/valid_1198_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2815",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild bronchiectatic changes were observed in both lungs, which became prominent in the center. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Mild bronchiectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1198/valid_1198_a/valid_1198_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. The ascending aorta is at the maximal physiological limit. The aortic arch measures 33 mm. It is slightly above normal. Millimetric lymph nodes that do not reach pathological dimensions are observed in the mediastinum. No enlarged lymph nodes in pathological dimensions were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; A subpleural 3 mm diameter nodule is observed in the posterobasal segment of the lower lobe of the right lung. In the right lung upper lobe posterior segment, there is a largely consolidative appearance extending towards the peribronchial area. It is recommended that the case be evaluated in terms of pneumonic infiltration (primarily bacterial) together with clinical and laboratory, but control after treatment is recommended. A nonspecific nodule with a diameter of 2 mm is observed in the upper lobe anterior segment lateral in the left lung. There are pleuroparenchymal density increases consistent with sequelae changes in the inferior lingular segment. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. The gallbladder has a convoluted appearance. There is a hypodense lesion with faint borders in the superior pole of the right kidney (cortical cyst?). Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A subpleural 3 mm diameter nodule is observed in the posterobasal segment of the lower lobe of the right lung. In the posterior segment of the upper lobe of the right lung, there is a largely consolidative appearance extending towards the peribronchial area. The case can be evaluated in terms of pneumonic infiltration (primarily bacterial) together with the clinical and laboratory, but only after the treatment. control is recommended.  A nonspecific nodule with a diameter of 2 mm is observed in the upper lobe anterior segment lateral in the left lung. There are pleuroparenchymal density increases consistent with sequelae changes in the inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1199/valid_1199_a/valid_1199_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2817",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is within normal limits. The ascending aorta is at the maximal physiological limit. The aortic arch measures 33 mm. It is slightly above normal. Millimetric lymph nodes that do not reach pathological dimensions are observed in the mediastinum. No enlarged lymph nodes in pathological dimensions were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; A subpleural 3 mm diameter nodule is observed in the posterobasal segment of the lower lobe of the right lung. In the right lung upper lobe posterior segment, there is a largely consolidative appearance extending towards the peribronchial area. It is recommended that the case be evaluated in terms of pneumonic infiltration (primarily bacterial) together with clinical and laboratory, but control after treatment is recommended. A nonspecific nodule with a diameter of 2 mm is observed in the upper lobe anterior segment lateral in the left lung. There are pleuroparenchymal density increases consistent with sequelae changes in the inferior lingular segment. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. The gallbladder has a convoluted appearance. There is a hypodense lesion with faint borders in the superior pole of the right kidney (cortical cyst?). Surrounding soft tissue plans are natural. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: A subpleural 3 mm diameter nodule is observed in the posterobasal segment of the lower lobe of the right lung. In the posterior segment of the upper lobe of the right lung, there is a largely consolidative appearance extending towards the peribronchial area. The case can be evaluated in terms of pneumonic infiltration (primarily bacterial) together with the clinical and laboratory, but only after the treatment. control is recommended.  A nonspecific nodule with a diameter of 2 mm is observed in the upper lobe anterior segment lateral in the left lung. There are pleuroparenchymal density increases consistent with sequelae changes in the inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1199/valid_1199_a/valid_1199_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2818",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; centralobular emphysematous changes, bronchiectasis, peribronchial thickenings, mostly in the upper lobes, in both lungs, patchy ground glass densities are observed at the described levels, especially in the anterior. Mild thickening of the interlobular septa and mosaic attenuation patterns are observed in both lung lower lobe basal segments. It is recommended to follow up for the continuation of the infectious process in the patient with the above-described findings known to have Covid-19 or pneumonia. Clinical and laboratory correlation and follow-up are recommended. Upper abdominal organs included in the sections are normal. A few small hypodense findings in the liver parenchyma were evaluated in favor of cysts. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A finding consistent with a cyst measuring up to 78x88 mm is observed in the upper pole of the right kidney. Bone structures in the study area are natural. There are hypertrophic osteophytic taperings in the anterior of the vertebra corpus endplate. Impression: Centrilobular emphysematous changes, bronchiectasis, peribronchial thickenings, mostly in the upper lobes of both lungs, are observed at the described levels, and patchy ground glass densities are observed, especially in the anterior. Slight thickening of the interlobular septa and mosaic attenuation patterns are observed in the lower lobe basal segments of both lungs. Clinical, laboratory correlation and follow-up are recommended for the continuation of the infectious process in the patient whose findings are known to be Covid-19 pneumonia.  Cortical cysts in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1200/valid_1200_a/valid_1200_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2819",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; centralobular emphysematous changes, bronchiectasis, peribronchial thickenings, mostly in the upper lobes, in both lungs, patchy ground glass densities are observed at the described levels, especially in the anterior. Mild thickening of the interlobular septa and mosaic attenuation patterns are observed in both lung lower lobe basal segments. It is recommended to follow up for the continuation of the infectious process in the patient with the above-described findings known to have Covid-19 or pneumonia. Clinical and laboratory correlation and follow-up are recommended. Upper abdominal organs included in the sections are normal. A few small hypodense findings in the liver parenchyma were evaluated in favor of cysts. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A finding consistent with a cyst measuring up to 78x88 mm is observed in the upper pole of the right kidney. Bone structures in the study area are natural. There are hypertrophic osteophytic taperings in the anterior of the vertebra corpus endplate. Impression: Centrilobular emphysematous changes, bronchiectasis, peribronchial thickenings, mostly in the upper lobes of both lungs, are observed at the described levels, and patchy ground glass densities are observed, especially in the anterior. Slight thickening of the interlobular septa and mosaic attenuation patterns are observed in the lower lobe basal segments of both lungs. Clinical, laboratory correlation and follow-up are recommended for the continuation of the infectious process in the patient whose findings are known to be Covid-19 pneumonia.  Cortical cysts in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1200/valid_1200_a/valid_1200_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart is in natural appearance. Calcific atheroma plaques were observed in the main vascular structures. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. A fibrotic band is observed at the base of the left lung. The esophagus was evaluated within normal limits. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Liver parenchyma density is decreased ( hepatosteatosis). The gallbladder is operated. Metallic sutures were observed in the lodge. No obvious pathology was detected in bone structures. Impression: Atherosclerosis Hepatosteatosis Cholecystectomy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1201/valid_1201_a/valid_1201_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2821",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The heart is in natural appearance. Calcific atheroma plaques were observed in the main vascular structures. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs. A fibrotic band is observed at the base of the left lung. The esophagus was evaluated within normal limits. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Liver parenchyma density is decreased ( hepatosteatosis). The gallbladder is operated. Metallic sutures were observed in the lodge. No obvious pathology was detected in bone structures. Impression: Atherosclerosis Hepatosteatosis Cholecystectomy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1201/valid_1201_a/valid_1201_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. Pleuroparenchymal sequela changes are observed in both lung apex. There are linear atelectasis in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. There are atheromatous plaques in the aorta and coronary arteries. The anterior-posterior diameter of the ascending aorta is 41 mm and is minimally wider than normal. The diameters of the pulmonary arteries are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are hypertrophic osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Emphysematous changes and sequelae changes in both lungs.  Atelectasis in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1202/valid_1202_a/valid_1202_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are emphysematous changes in both lungs. Pleuroparenchymal sequela changes are observed in both lung apex. There are linear atelectasis in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. There are atheromatous plaques in the aorta and coronary arteries. The anterior-posterior diameter of the ascending aorta is 41 mm and is minimally wider than normal. The diameters of the pulmonary arteries are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are hypertrophic osteophytes in the vertebral corpus corners. The neural foramina are open. Impression:  Emphysematous changes and sequelae changes in both lungs.  Atelectasis in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1202/valid_1202_a/valid_1202_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2824",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The aortic arch calibration is 31 mm wider than normal. Calibration of other major vascular structures is natural. Pericardial effusion-thickening was not observed. There are lymph nodes in the mediastinum in almost all stations, the largest in the aorticopulmonary window and measuring approximately 14x9 mm. There are lymph nodes that cannot reach the pathological size and configuration at the right hilar level. Some have a calcific appearance. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Thickening of the peribronchial sheath is observed. There are findings consistent with diffuse emphysema in both lungs. There are irregular thickenings in the interlobular septa and irregularity in the pleural surfaces. It is recommended to be evaluated together with clinical and laboratory findings in terms of interstitial lung disease. A 2 mm diameter nodule is observed in the anterior segment of the right lung upper lobe. A little more caudally, there is a 4x2 mm nodule in the anterior segment. Sequela pleuroparenchymal density is observed in the lower lobe superior segment. There are sequelae changes in the posterior segment of the right lung upper lobe. A 4x2 mm nodule is observed in the lingular segment of the left lung. A subpleural nodule with a diameter of 3 mm is observed at the posterobasal level of the left lung. A subplebral nodule with a diameter of 3 mm is observed in the superior segment of the lower lobe. No bilateral pleural effusion, pneumothorax or pneumonia was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Findings consistent with emphysema in both lungs; interstitial fibrosis? Clinical laboratory correlation is recommended.  Formation of several nonspecific millimetric nodules in both lungs. "
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1203/valid_1203_a/valid_1203_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2825",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. The aortic arch calibration is 31 mm wider than normal. Calibration of other major vascular structures is natural. Pericardial effusion-thickening was not observed. There are lymph nodes in the mediastinum in almost all stations, the largest in the aorticopulmonary window and measuring approximately 14x9 mm. There are lymph nodes that cannot reach the pathological size and configuration at the right hilar level. Some have a calcific appearance. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. Thickening of the peribronchial sheath is observed. There are findings consistent with diffuse emphysema in both lungs. There are irregular thickenings in the interlobular septa and irregularity in the pleural surfaces. It is recommended to be evaluated together with clinical and laboratory findings in terms of interstitial lung disease. A 2 mm diameter nodule is observed in the anterior segment of the right lung upper lobe. A little more caudally, there is a 4x2 mm nodule in the anterior segment. Sequela pleuroparenchymal density is observed in the lower lobe superior segment. There are sequelae changes in the posterior segment of the right lung upper lobe. A 4x2 mm nodule is observed in the lingular segment of the left lung. A subpleural nodule with a diameter of 3 mm is observed at the posterobasal level of the left lung. A subplebral nodule with a diameter of 3 mm is observed in the superior segment of the lower lobe. No bilateral pleural effusion, pneumothorax or pneumonia was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  Findings consistent with emphysema in both lungs; interstitial fibrosis? Clinical laboratory correlation is recommended.  Formation of several nonspecific millimetric nodules in both lungs. "
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1203/valid_1203_a/valid_1203_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2826",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1204/valid_1204_a/valid_1204_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2827",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1204/valid_1204_a/valid_1204_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2828",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. The gallbladder was not observed (operated). Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1205/valid_1205_a/valid_1205_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2829",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. The gallbladder was not observed (operated). Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1205/valid_1205_a/valid_1205_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1206/valid_1206_a/valid_1206_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1206/valid_1206_a/valid_1206_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight ground-glass densities are observed in the lower lobe basal segments of both lungs, especially on the left side. Clinical laboratory correlation and close follow-up are recommended for suspected early viral pneumonia (Covid-19). No nodular lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Slight ground-glass densities in the lower lobe basal segments of both lungs, especially on the left side. Clinical laboratory correlation and close follow-up for suspected early viral pneumonia (Covid-19) are recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1207/valid_1207_a/valid_1207_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2833",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Slight ground-glass densities are observed in the lower lobe basal segments of both lungs, especially on the left side. Clinical laboratory correlation and close follow-up are recommended for suspected early viral pneumonia (Covid-19). No nodular lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Slight ground-glass densities in the lower lobe basal segments of both lungs, especially on the left side. Clinical laboratory correlation and close follow-up for suspected early viral pneumonia (Covid-19) are recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1207/valid_1207_a/valid_1207_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2834",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Mediastinal main vascular structures are normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious space-occupying lesion is observed in mass or nodular structure. No features were detected in the upper abdomen sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1208/valid_1208_a/valid_1208_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2835",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not observed. Mediastinal main vascular structures are normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious space-occupying lesion is observed in mass or nodular structure. No features were detected in the upper abdomen sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1208/valid_1208_a/valid_1208_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2836",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. There is a significant increase in mediastinal main vascular structures and heart sizes. Diffuse atheroma plaques are observed in the coronary arteries in the aortic arch. Pericardial thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with more than one short axis measuring up to 11 mm are observed in the mediastinum, the largest of which is observed in the carina. When examined in the lung parenchyma window; There are thickenings in the interlobular septa, more prominent in the inferiors, in both lungs. On the right side, fluid localization is observed in the main fissure, measuring up to 44 mm in size. There is a small amount of bilateral smear-like effusion. Diffuse prominent calcification is observed in the pleura on both sides. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific foci are present in both kidneys. It was evaluated in favor of atherosclerotic changes in vascular structures. The oval structure with fluid attenuation measuring 41 mm in the left kidney was evaluated in favor of a cyst. There is a diffuse osteopenic appearance in the bone structures in the examination area, and there are hypertrophic osteophytic taperings in the end plates. Impression: Changes secondary to cardiac stasis, locating fluid in fissure on the right side. Bilateral thickened diffuse calcific pleura. Bilateral small smear-like effusion. Cardiomegaly. Atherosclerosis. Diffuse density reduction in bone structures. Osteopenic appearance, hypertrophic osteophytic tapering in end plates, bridging tendencies.  Small lymph nodes in mediastinum. Cortical cyst in left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1209/valid_1209_a/valid_1209_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2837",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. There is a significant increase in mediastinal main vascular structures and heart sizes. Diffuse atheroma plaques are observed in the coronary arteries in the aortic arch. Pericardial thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with more than one short axis measuring up to 11 mm are observed in the mediastinum, the largest of which is observed in the carina. When examined in the lung parenchyma window; There are thickenings in the interlobular septa, more prominent in the inferiors, in both lungs. On the right side, fluid localization is observed in the main fissure, measuring up to 44 mm in size. There is a small amount of bilateral smear-like effusion. Diffuse prominent calcification is observed in the pleura on both sides. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific foci are present in both kidneys. It was evaluated in favor of atherosclerotic changes in vascular structures. The oval structure with fluid attenuation measuring 41 mm in the left kidney was evaluated in favor of a cyst. There is a diffuse osteopenic appearance in the bone structures in the examination area, and there are hypertrophic osteophytic taperings in the end plates. Impression: Changes secondary to cardiac stasis, locating fluid in fissure on the right side. Bilateral thickened diffuse calcific pleura. Bilateral small smear-like effusion. Cardiomegaly. Atherosclerosis. Diffuse density reduction in bone structures. Osteopenic appearance, hypertrophic osteophytic tapering in end plates, bridging tendencies.  Small lymph nodes in mediastinum. Cortical cyst in left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1209/valid_1209_a/valid_1209_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2838",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Millimetric calcifications are observed in the walls of the trachea and main bronchus (tracheobronkopatia osteochondroplastica). The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the descending aortic arch, ascending aorta and coronary artery walls. Widespread pleural calcification and concomitant pleural thickening are observed in both costals. Stable pleural loculations are observed in the right lung lower lobe superior segment, which were also observed in the previous examination, and also extending to the fistula in the lower lobe anterobasal segment. However, according to previous studies, there is a clear increase in interlobular septal thickening. There are bulla formations in the posterobasal segment of the lower lobe of the right lung, which were also selected in previous examinations. Suture materials secondary to surgery in the sternum are observed. Significant degenerative changes are observed in bone structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Impression:  Cardiomegaly  Bilateral diffuse plaque-shaped pleural calcifications (asbestosis?)  Millimetric calcifications in the walls of the trachea and main bronchus (tracheobronkopatia osteochondroplastica)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1209/valid_1209_b/valid_1209_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2839",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Millimetric calcifications are observed in the walls of the trachea and main bronchus (tracheobronkopatia osteochondroplastica). The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the descending aortic arch, ascending aorta and coronary artery walls. Widespread pleural calcification and concomitant pleural thickening are observed in both costals. Stable pleural loculations are observed in the right lung lower lobe superior segment, which were also observed in the previous examination, and also extending to the fistula in the lower lobe anterobasal segment. However, according to previous studies, there is a clear increase in interlobular septal thickening. There are bulla formations in the posterobasal segment of the lower lobe of the right lung, which were also selected in previous examinations. Suture materials secondary to surgery in the sternum are observed. Significant degenerative changes are observed in bone structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Impression:  Cardiomegaly  Bilateral diffuse plaque-shaped pleural calcifications (asbestosis?)  Millimetric calcifications in the walls of the trachea and main bronchus (tracheobronkopatia osteochondroplastica)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1209/valid_1209_b/valid_1209_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1210/valid_1210_a/valid_1210_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2841",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1210/valid_1210_a/valid_1210_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen: The image of a catheter with the port chamber extending superiorly to both vena cava was observed on the right anterior chest wall. A pacemaker and an electrode extending to the floor of the ventricle were observed on the anterior left chest wall. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. In the tracheal lumen, there is an appearance that may be compatible with inflammatory secretion. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pulmonary artery calibration was 29mm and fusiform dilatation is observed. Heart size has increased (cardiomegaly). Free air images were observed in the right ventricular atrium. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Diffuse mosaic attenuation areas were observed in both lungs (small airway disease? small vessel disease?). Bilateral interlobular septa are prominent (secondary to cardiac pathology?). Band-like sequela fibrotic density increases were observed in the left lung inferior lingular segment and both lung lower lobes. Bilateral pleural effusion was observed. Densities that may be compatible with consolidation were observed in both lung lower lobe posterobasal segments. Between the bilateral pleural leaves, a free pleural effusion measuring 32 mm in thickness on the left and 19 mm on the right was observed. In the upper abdominal organs included in the sections, an accessory spleen with a diameter of 12 mm was observed at the level of the spleen hilus. Diffuse thickening was observed in both adrenal glands. It was evaluated in favor of hyperplasia rather than adenoma. Sternal suture materials were observed on the anterior thorax wall. No lytic-destructive lesion was detected in bone structures. Impression: Dilatation of the pulmonary artery. Cardiomegaly.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary arteries. Mosaic attenuation areas in both lungs (small airway disease? small vessel disease?).  Sequelae changes in both lungs.  Prominence of interlobular septa in both lungs (secondary to cardiac pathology?). Bilateral pleural effusion. Minimal consolidations in the lower lobes of both lungs (infectious process?). Correlation with clinical and laboratory is recommended.  Diffuse thickening of the bilateral adrenal gland was evaluated in favor of hyperplasia rather than adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1211/valid_1211_a/valid_1211_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2843",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen: The image of a catheter with the port chamber extending superiorly to both vena cava was observed on the right anterior chest wall. A pacemaker and an electrode extending to the floor of the ventricle were observed on the anterior left chest wall. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. In the tracheal lumen, there is an appearance that may be compatible with inflammatory secretion. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pulmonary artery calibration was 29mm and fusiform dilatation is observed. Heart size has increased (cardiomegaly). Free air images were observed in the right ventricular atrium. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Diffuse mosaic attenuation areas were observed in both lungs (small airway disease? small vessel disease?). Bilateral interlobular septa are prominent (secondary to cardiac pathology?). Band-like sequela fibrotic density increases were observed in the left lung inferior lingular segment and both lung lower lobes. Bilateral pleural effusion was observed. Densities that may be compatible with consolidation were observed in both lung lower lobe posterobasal segments. Between the bilateral pleural leaves, a free pleural effusion measuring 32 mm in thickness on the left and 19 mm on the right was observed. In the upper abdominal organs included in the sections, an accessory spleen with a diameter of 12 mm was observed at the level of the spleen hilus. Diffuse thickening was observed in both adrenal glands. It was evaluated in favor of hyperplasia rather than adenoma. Sternal suture materials were observed on the anterior thorax wall. No lytic-destructive lesion was detected in bone structures. Impression: Dilatation of the pulmonary artery. Cardiomegaly.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary arteries. Mosaic attenuation areas in both lungs (small airway disease? small vessel disease?).  Sequelae changes in both lungs.  Prominence of interlobular septa in both lungs (secondary to cardiac pathology?). Bilateral pleural effusion. Minimal consolidations in the lower lobes of both lungs (infectious process?). Correlation with clinical and laboratory is recommended.  Diffuse thickening of the bilateral adrenal gland was evaluated in favor of hyperplasia rather than adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1211/valid_1211_a/valid_1211_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2844",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. Subsegmental atelectasis appearances were observed in the right lung middle lobe medial segment and left lingular segment. There are millimetric non-specific nodules in the bilateral lung. There is a 7 mm diameter nodule in the distinctive left lung lingular segment. Follow-up is recommended. In sections passing through the upper part of the west; Liver parenchyma density is decreased. Degenerative osteophytes were observed in the vertebral corpus corners. Impression: Subsegmental atelectasis in right lung middle lobe medial segment and left lingular segment Nodules in bilateral lung It should be known that CT may be false negative in the first few days for COVID. Clinical and laboratory evaluation and, if necessary, control CT would be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1212/valid_1212_a/valid_1212_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2845",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. Subsegmental atelectasis appearances were observed in the right lung middle lobe medial segment and left lingular segment. There are millimetric non-specific nodules in the bilateral lung. There is a 7 mm diameter nodule in the distinctive left lung lingular segment. Follow-up is recommended. In sections passing through the upper part of the west; Liver parenchyma density is decreased. Degenerative osteophytes were observed in the vertebral corpus corners. Impression: Subsegmental atelectasis in right lung middle lobe medial segment and left lingular segment Nodules in bilateral lung It should be known that CT may be false negative in the first few days for COVID. Clinical and laboratory evaluation and, if necessary, control CT would be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1212/valid_1212_a/valid_1212_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2846",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial, pleural effusion-thickening was not observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, lymph nodes with a fusiform configuration, the largest of which was at the level of the aorticopulmonary window, with a short diameter of 8 mm and without pathological size and appearance were observed. In addition, no lymph nodes in pathological size and appearance were detected in both axillary regions and in the supraclavicular fossa. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There is a nodule measuring 5x5.5 mm in the anterior segment of the upper lobe of the right lung (Subpleural lymph node?). Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No active infiltration or mass lesion was detected in both lungs.  In the anterior segment of the upper lobe of the right lung, a millimetric nodule was observed, which was evaluated primarily in favor of the subpleural lymph node."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1213/valid_1213_a/valid_1213_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2847",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial, pleural effusion-thickening was not observed. No pathological increase in wall thickness was detected in the thoracic esophagus. In the mediastinum, lymph nodes with a fusiform configuration, the largest of which was at the level of the aorticopulmonary window, with a short diameter of 8 mm and without pathological size and appearance were observed. In addition, no lymph nodes in pathological size and appearance were detected in both axillary regions and in the supraclavicular fossa. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There is a nodule measuring 5x5.5 mm in the anterior segment of the upper lobe of the right lung (Subpleural lymph node?). Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No active infiltration or mass lesion was detected in both lungs.  In the anterior segment of the upper lobe of the right lung, a millimetric nodule was observed, which was evaluated primarily in favor of the subpleural lymph node."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1213/valid_1213_a/valid_1213_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with a short axis measuring 8 mm in the paratracheal area in the carina, in more than one aorticopulmonary window in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; At the apical level of the left lung upper lobe, a patchy nodular ground-glass density of 6 mm in diameter is observed posteriorly. Mild bronchiectasis are observed at both apical levels. Peribronchial sheaths are present. Findings are recommended for clinical laboratory correlation in terms of the onset of an early infectious process, and for the onset of viral pneumonia due to the current pandemic. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Imaging features can also be seen in early Covid-19 viral pneumonia. Evaluated for the onset of an infectious process. Clinical laboratory correlation and close follow-up are recommended due to the current pandemic.  Lymph nodes with a short axis measuring up to 8 mm in the mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1214/valid_1214_a/valid_1214_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2849",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1214/valid_1214_b/valid_1214_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2850",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Thorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1214/valid_1214_b/valid_1214_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2851",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was observed in both lungs. There are a few millimetric nonspecific nodules in the right lung. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. There are diffuse calcifications in both adrenal glands, more prominent on the left. The described appearances were evaluated in favor of sequelae change. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: A few millimetric nonspecific nodules in the right lung . Appearances evaluated in favor of sequelae calcifications in both adrenal glands"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1215/valid_1215_a/valid_1215_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2852",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was observed in both lungs. There are a few millimetric nonspecific nodules in the right lung. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. There is no discernible mass in the upper abdominal organs within the sections. There are diffuse calcifications in both adrenal glands, more prominent on the left. The described appearances were evaluated in favor of sequelae change. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: A few millimetric nonspecific nodules in the right lung . Appearances evaluated in favor of sequelae calcifications in both adrenal glands"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1215/valid_1215_a/valid_1215_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. KTO is in normal calibration. The aortic arch calibration is 30 mm, slightly above normal. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. There is thymic tissue in the anterior mediastinum, which has no mass effect and is involved with fat. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Millimetric sized lymph nodes are observed in the mediastinum. Pathological size and configuration of lymph nodes were not detected in both hilar levels. When examined in the lung parenchyma window; Mild sequela changes are observed at the apical level. Mild sequelae changes are observed in the inferior lingular segment. Sequelae changes are observed in the linguistic segment. Pleural effusion-pneumonia and pneumothorax were not detected. In the upper abdominal organs included in the sections, a density compatible with 3 calculi is observed, the largest in the middle part and 3 mm in diameter in the right kidney. There is also a density compatible with 2 mm diameter calculi in the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No finding compatible with pneumonia was detected.  Mild sequela changes  Bilateral nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1216/valid_1216_a/valid_1216_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. KTO is in normal calibration. The aortic arch calibration is 30 mm, slightly above normal. Other mediastinal main vascular structures are normal. Pericardial effusion-thickening was not observed. There is thymic tissue in the anterior mediastinum, which has no mass effect and is involved with fat. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Millimetric sized lymph nodes are observed in the mediastinum. Pathological size and configuration of lymph nodes were not detected in both hilar levels. When examined in the lung parenchyma window; Mild sequela changes are observed at the apical level. Mild sequelae changes are observed in the inferior lingular segment. Sequelae changes are observed in the linguistic segment. Pleural effusion-pneumonia and pneumothorax were not detected. In the upper abdominal organs included in the sections, a density compatible with 3 calculi is observed, the largest in the middle part and 3 mm in diameter in the right kidney. There is also a density compatible with 2 mm diameter calculi in the left kidney. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  No finding compatible with pneumonia was detected.  Mild sequela changes  Bilateral nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1216/valid_1216_a/valid_1216_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2855",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is minimal peribronchial thickening in both lungs. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal peribronchial thickening in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1217/valid_1217_a/valid_1217_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is minimal peribronchial thickening in both lungs. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Minimal peribronchial thickening in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1217/valid_1217_a/valid_1217_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2857",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Several millimetric nonspecific nodules in both lungs. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1218/valid_1218_a/valid_1218_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2858",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Irregularly circumscribed patchy-nodular consolidation areas in which air bronchograms are observed are observed in all segments of the right lung and in the lower lobe of the left lung. The largest of the consolidation areas was observed in the subpleural area in the right lung lower lobe basal and measured 102x36 mm. There is a frosted glass halo around some consolidation. The findings described are nonspecific. It may be compatible with fungal-viral infections and less frequently tumor-inflammatory diseases. It is recommended to be evaluated together with clinical and laboratory. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion in favor of metastasis was observed in bone structures. Impression:  Consolidations with air bronchograms in both lungs with a ground-glass halo around them; appearance is nonspecific. It may be compatible with viral-fungal infections, less likely malignancies and inflammatory diseases. It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1219/valid_1219_a/valid_1219_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2859",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Irregularly circumscribed patchy-nodular consolidation areas in which air bronchograms are observed are observed in all segments of the right lung and in the lower lobe of the left lung. The largest of the consolidation areas was observed in the subpleural area in the right lung lower lobe basal and measured 102x36 mm. There is a frosted glass halo around some consolidation. The findings described are nonspecific. It may be compatible with fungal-viral infections and less frequently tumor-inflammatory diseases. It is recommended to be evaluated together with clinical and laboratory. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion in favor of metastasis was observed in bone structures. Impression:  Consolidations with air bronchograms in both lungs with a ground-glass halo around them; appearance is nonspecific. It may be compatible with viral-fungal infections, less likely malignancies and inflammatory diseases. It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1219/valid_1219_a/valid_1219_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Density increases in the form of diffuse ground glass were observed in both lungs with a tendency to merge in the peripheral subpleural area. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. A few calculi were observed in the middle zone and upper pole of the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  There are imaging features frequently reported in Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Sliding type hiatal hernia.  Right nephroliasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1220/valid_1220_a/valid_1220_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2861",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Density increases in the form of diffuse ground glass were observed in both lungs with a tendency to merge in the peripheral subpleural area. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Bilateral pleural thickening-effusion was not detected. Upper abdominal sections entering the examination area are natural. A few calculi were observed in the middle zone and upper pole of the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  There are imaging features frequently reported in Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Sliding type hiatal hernia.  Right nephroliasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1220/valid_1220_a/valid_1220_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2862",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: Mild emphysematous changes were observed in both lungs. There are bilateral peribronchial thickenings and centrally prominent bronchiectatic changes. There are pleuroparenchymal sequelae density increases in the left lung inferior lingular segment and right lung middle lobe. No gallbladder was observed in the upper abdominal sections included in the examination area (cholestectomized). Other upper abdominal sections within the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Bilateral peribronchial thickenings and mild bronchiectatic changes.  Sequelae changes in both lungs.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1221/valid_1221_a/valid_1221_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2863",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: Mild emphysematous changes were observed in both lungs. There are bilateral peribronchial thickenings and centrally prominent bronchiectatic changes. There are pleuroparenchymal sequelae density increases in the left lung inferior lingular segment and right lung middle lobe. No gallbladder was observed in the upper abdominal sections included in the examination area (cholestectomized). Other upper abdominal sections within the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Bilateral peribronchial thickenings and mild bronchiectatic changes.  Sequelae changes in both lungs.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1221/valid_1221_a/valid_1221_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2864",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1222/valid_1222_a/valid_1222_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2865",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1222/valid_1222_a/valid_1222_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2866",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; No mass-infiltration was detected in both lung parenchyma. Nonspecific parenchymal nodules measuring 5 mm in diameter were observed in both lungs, the largest of which was in the lower lobe of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A few millimetric calculi were observed in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric sized nonspecific parenchymal nodules in both lungs. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1223/valid_1223_a/valid_1223_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; No mass-infiltration was detected in both lung parenchyma. Nonspecific parenchymal nodules measuring 5 mm in diameter were observed in both lungs, the largest of which was in the lower lobe of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A few millimetric calculi were observed in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Millimetric sized nonspecific parenchymal nodules in both lungs. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1223/valid_1223_a/valid_1223_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2868",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1224/valid_1224_a/valid_1224_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2869",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node was observed in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1224/valid_1224_a/valid_1224_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A nodule containing coarse calcification is observed in the left thyroid lobe. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, scattered and patchy ground glass densities are observed. The outlook is in favor of viral pneumonia. Findings are one of the frequently observed findings in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. Liver density decreased in line with hepatosteatosis. No space occupying lesion was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia.  Calcific atheroma plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1225/valid_1225_a/valid_1225_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2871",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A nodule containing coarse calcification is observed in the left thyroid lobe. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, scattered and patchy ground glass densities are observed. The outlook is in favor of viral pneumonia. Findings are one of the frequently observed findings in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. Liver density decreased in line with hepatosteatosis. No space occupying lesion was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Typical-probable Covid-19 pneumonia.  Calcific atheroma plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1225/valid_1225_a/valid_1225_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2872",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: As far as can be evaluated in the non-contrast series; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal sequelae changes are observed in bilateral lung apex. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is an upper calyceal stone with a diameter of 4 mm in the right kidney. The spleen is slightly enlarged with 122x67 mm. Paraortal millimetric lymph nodes are observed. When the bone is examined in the window, an increase in trabeculation-osteopenic appearance is observed in the thoracic vertebral column. There is mild impression on the superior end plateau of the T6 vertebral body. Thoracic kyphosis is preserved. No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax. No pathological fracture was observed. Impression: Minimal pleuroparenchymal sequelae changes in bilateral lung apex.  Right nephrolithiasis . Fully appearance in spleen.  Slight impression on thoracic T6 vertebra corpus superior end plateau and osteopenic appearance on thoracic vertebrae.  Paraaortal millimetric lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1226/valid_1226_a/valid_1226_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2873",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: As far as can be evaluated in the non-contrast series; Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleuroparenchymal sequelae changes are observed in bilateral lung apex. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is an upper calyceal stone with a diameter of 4 mm in the right kidney. The spleen is slightly enlarged with 122x67 mm. Paraortal millimetric lymph nodes are observed. When the bone is examined in the window, an increase in trabeculation-osteopenic appearance is observed in the thoracic vertebral column. There is mild impression on the superior end plateau of the T6 vertebral body. Thoracic kyphosis is preserved. No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax. No pathological fracture was observed. Impression: Minimal pleuroparenchymal sequelae changes in bilateral lung apex.  Right nephrolithiasis . Fully appearance in spleen.  Slight impression on thoracic T6 vertebra corpus superior end plateau and osteopenic appearance on thoracic vertebrae.  Paraaortal millimetric lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1226/valid_1226_a/valid_1226_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2874",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More prominent mosaic attenuation is observed in the lower lobes of both lung parenchyma (small airway disease?, small vessel disease?). In the non-contrast sections of the abdomen, there is a hypodense nodular lesion compatible with a 11 mm diameter (segment 2) cyst in the lateral segment of the liver left lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the dorsal localization, left-facing scoliotic angulation is observed. No lytic-destructive lesion was observed in bone structures. Impression: More pronounced mosaic attenuation in the lower lobes in both lung parenchyma (small airway disease?, small vessel disease?) . Hypodense cyst in liver segment 2"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1227/valid_1227_a/valid_1227_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2875",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; More prominent mosaic attenuation is observed in the lower lobes of both lung parenchyma (small airway disease?, small vessel disease?). In the non-contrast sections of the abdomen, there is a hypodense nodular lesion compatible with a 11 mm diameter (segment 2) cyst in the lateral segment of the liver left lobe. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the dorsal localization, left-facing scoliotic angulation is observed. No lytic-destructive lesion was observed in bone structures. Impression: More pronounced mosaic attenuation in the lower lobes in both lung parenchyma (small airway disease?, small vessel disease?) . Hypodense cyst in liver segment 2"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1227/valid_1227_a/valid_1227_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2876",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Subsegmental atelectatic changes were observed in the lower lobe of the left lung. Bilateral minimal peribronchial thickening was observed. No mass-infiltration was detected in both lung parenchyma. A hypodense lesion with a diameter of 7.5 mm was observed at the level of the 4B-5 junction of the liver segment entering the section area. It cannot be characterized in this technique. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Atelectatic changes in the left lung.  Bilateral minimal peribronchial thickenings.  Millimetric sized hypodense lesion in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1228/valid_1228_a/valid_1228_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2877",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Subsegmental atelectatic changes were observed in the lower lobe of the left lung. Bilateral minimal peribronchial thickening was observed. No mass-infiltration was detected in both lung parenchyma. A hypodense lesion with a diameter of 7.5 mm was observed at the level of the 4B-5 junction of the liver segment entering the section area. It cannot be characterized in this technique. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Atelectatic changes in the left lung.  Bilateral minimal peribronchial thickenings.  Millimetric sized hypodense lesion in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1228/valid_1228_a/valid_1228_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Mild atherosclerotic changes are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A small hiatal hernia is observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Slight patchy ground-glass densities in the paravertebral area in both lower lobes of both lungs were evaluated in favor of dependent atelectasis in the first place. Clinical laboratory correlation is recommended for the onset of an infectious process. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression:  Slight patchy ground-glass densities in the lower lobe paravertebral areas of both lungs. It was evaluated in favor of dependent atelectasis in the first plan. Clinical laboratory correlation is recommended to be followed up for an early infectious process.  Mild atherosclerosis.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1229/valid_1229_a/valid_1229_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2879",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Mild atherosclerotic changes are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A small hiatal hernia is observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Slight patchy ground-glass densities in the paravertebral area in both lower lobes of both lungs were evaluated in favor of dependent atelectasis in the first place. Clinical laboratory correlation is recommended for the onset of an infectious process. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression:  Slight patchy ground-glass densities in the lower lobe paravertebral areas of both lungs. It was evaluated in favor of dependent atelectasis in the first plan. Clinical laboratory correlation is recommended to be followed up for an early infectious process.  Mild atherosclerosis.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1229/valid_1229_a/valid_1229_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2880",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Sliding type hiatal hernia was observed. In the mediastinum, in the upper-lower paratracheal region, in the right hilar region, the short axis of the largest is 5 mm, some of which are calcified, millimetric lymph nodes are observed. When both lung parenchyma windows are evaluated; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Mild emphysematous changes were observed in both lungs. A calcified nonspecific parenchymal nodule with a diameter of 7.5 mm was observed in the middle lobe of the right lung. A low-density nonspecific parenchymal nodule with a diameter of 4 mm was observed in the upper lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. Bilateral pleural thickening-effusion was not detected. No gall bladder was observed in the upper abdominal sections that entered the examination area. Cholecystectomy. No lytic-destructive lesion was detected in bone structures. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mediastinal and right hilar, millimetrically sized, some calcified lymph nodes.  Calcified parenchymal nodules, the larger one in the right lung. Sequelae changes in both lungs. Hiatal hernia.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1230/valid_1230_a/valid_1230_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2881",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Sliding type hiatal hernia was observed. In the mediastinum, in the upper-lower paratracheal region, in the right hilar region, the short axis of the largest is 5 mm, some of which are calcified, millimetric lymph nodes are observed. When both lung parenchyma windows are evaluated; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Mild emphysematous changes were observed in both lungs. A calcified nonspecific parenchymal nodule with a diameter of 7.5 mm was observed in the middle lobe of the right lung. A low-density nonspecific parenchymal nodule with a diameter of 4 mm was observed in the upper lobe of the right lung. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. Bilateral pleural thickening-effusion was not detected. No gall bladder was observed in the upper abdominal sections that entered the examination area. Cholecystectomy. No lytic-destructive lesion was detected in bone structures. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Mediastinal and right hilar, millimetrically sized, some calcified lymph nodes.  Calcified parenchymal nodules, the larger one in the right lung. Sequelae changes in both lungs. Hiatal hernia.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1230/valid_1230_a/valid_1230_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Wall nodular calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the trachea, both main bronchi and segmental bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; thoracic aorta calibration is natural. The diameters of the pulmonary trunk right and left pulmonary arteries were measured as 31 mm, 27 mm and 24 mm, respectively. Heart size increased. A small amount of effusion was observed in the pericardial space. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. In the mediastinum, lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No pleural effusion was detected on the right. An effusion reaching 4.4 cm in diameter at its thickest point, extending from the apex to the basal, was observed between the leaves of the pleura on the left. The effusion has entered the fissure. The left lung has a subtotal atelectasis appearance and its volume has decreased. Parenchymal nodules with a diameter of 4.6 mm were observed in the right lung, the largest of which was in the upper lobe posterior segment, adjacent to the fissure. If there is, it is recommended to be evaluated together with previous examinations. No mass lesion with discernible borders was detected in the right lung and the aerated left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric calculi images were observed in the gallbladder lumen. Renal sinus lipomatosis is present in both kidneys. A hyperdense nodular lesion with 11 mm diameter was observed in the middle part of the left kidney (hemorrhagic cyst?). The pancreas is atrophic. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Nodular thickening was observed in the left adrenal gland. Widespread degenerative changes in the bone structures in the examination area, scoliosis with the opening facing left, and osteoporosis-related compression fractures at the middle thoracic level were observed. Impression: Increased diameter of the pulmonary trunk and right pulmonary artery, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries, cardiomegaly, little pericardial effusion. Massive pleural effusion on the left, subtotal atelectasis in the left lung.  Millimetric parenchymal nodules in the right lung; if present, it is recommended to be evaluated together with previous examinations. Cholelithiasis. Bilateral renal sinus lipomatosis compatible with chronic sequelae changes in both kidneys, hemorrhagic cyst in the left kidney. Mild diffuse degenerative changes in bone structures, left-facing scoliosis and collapse fractures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1231/valid_1231_a/valid_1231_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2883",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Wall nodular calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the trachea, both main bronchi and segmental bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; thoracic aorta calibration is natural. The diameters of the pulmonary trunk right and left pulmonary arteries were measured as 31 mm, 27 mm and 24 mm, respectively. Heart size increased. A small amount of effusion was observed in the pericardial space. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. In the mediastinum, lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No pleural effusion was detected on the right. An effusion reaching 4.4 cm in diameter at its thickest point, extending from the apex to the basal, was observed between the leaves of the pleura on the left. The effusion has entered the fissure. The left lung has a subtotal atelectasis appearance and its volume has decreased. Parenchymal nodules with a diameter of 4.6 mm were observed in the right lung, the largest of which was in the upper lobe posterior segment, adjacent to the fissure. If there is, it is recommended to be evaluated together with previous examinations. No mass lesion with discernible borders was detected in the right lung and the aerated left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric calculi images were observed in the gallbladder lumen. Renal sinus lipomatosis is present in both kidneys. A hyperdense nodular lesion with 11 mm diameter was observed in the middle part of the left kidney (hemorrhagic cyst?). The pancreas is atrophic. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Nodular thickening was observed in the left adrenal gland. Widespread degenerative changes in the bone structures in the examination area, scoliosis with the opening facing left, and osteoporosis-related compression fractures at the middle thoracic level were observed. Impression: Increased diameter of the pulmonary trunk and right pulmonary artery, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries, cardiomegaly, little pericardial effusion. Massive pleural effusion on the left, subtotal atelectasis in the left lung.  Millimetric parenchymal nodules in the right lung; if present, it is recommended to be evaluated together with previous examinations. Cholelithiasis. Bilateral renal sinus lipomatosis compatible with chronic sequelae changes in both kidneys, hemorrhagic cyst in the left kidney. Mild diffuse degenerative changes in bone structures, left-facing scoliosis and collapse fractures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1231/valid_1231_a/valid_1231_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1232/valid_1232_a/valid_1232_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2885",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1232/valid_1232_a/valid_1232_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart sizes increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A small amount of pleural effusion is observed in both lungs and atelectasis is observed in the accompanying lung parenchyma. Mosaic lung pattern is observed in both lungs. There are interlobular septal thickenings, especially in the lower lobes. Densities whose ground glass-mosaic attenuation pattern cannot be clearly distinguished are observed in the posterior segment of the upper lobe of the left lung. Soft tissue densities evaluated in favor of sequelae changes are observed in the upper lobe apical segments of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread degenerative changes are observed in the bone structures in the study area. Impression:  Increased heart size, pleural effusion in both lungs, interlobular septal thickening in the lower lobes. When the findings are evaluated together, it may be secondary to loading.  Densities that cannot be clearly differentiated between ground glass and mosaic attenuation are observed in the apicoposterior segment of the left lung upper lobe. It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1233/valid_1233_a/valid_1233_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2887",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Heart sizes increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A small amount of pleural effusion is observed in both lungs and atelectasis is observed in the accompanying lung parenchyma. Mosaic lung pattern is observed in both lungs. There are interlobular septal thickenings, especially in the lower lobes. Densities whose ground glass-mosaic attenuation pattern cannot be clearly distinguished are observed in the posterior segment of the upper lobe of the left lung. Soft tissue densities evaluated in favor of sequelae changes are observed in the upper lobe apical segments of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread degenerative changes are observed in the bone structures in the study area. Impression:  Increased heart size, pleural effusion in both lungs, interlobular septal thickening in the lower lobes. When the findings are evaluated together, it may be secondary to loading.  Densities that cannot be clearly differentiated between ground glass and mosaic attenuation are observed in the apicoposterior segment of the left lung upper lobe. It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1233/valid_1233_a/valid_1233_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2888",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a hypodense nodule with a diameter of 10 mm in the right thyroid lobe. No lymph node was observed in the axilla, in the supraclavicular fossa within the section, and in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No features were detected in the upper abdomen sections. In both lungs, in all segments, slightly more prominent patchy consolidation areas and infiltrative density increases in the form of ground glass opacity are observed in the basals. It is bilaterally asymmetrical and scattered. Findings are consistent with atypical pneumonic infiltration. Radiological findings were evaluated as compatible with Covid pneumonia. No lytic-destructive lesions were detected in bone structures. Impression: Patchy areas of atypical pneumonic infiltration in both lungs in the form of areas of consolidation, more prominent in the basals in all segments, radiological findings are in favor of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1234/valid_1234_a/valid_1234_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2889",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a hypodense nodule with a diameter of 10 mm in the right thyroid lobe. No lymph node was observed in the axilla, in the supraclavicular fossa within the section, and in the mediastinum in pathological size and appearance. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. No features were detected in the upper abdomen sections. In both lungs, in all segments, slightly more prominent patchy consolidation areas and infiltrative density increases in the form of ground glass opacity are observed in the basals. It is bilaterally asymmetrical and scattered. Findings are consistent with atypical pneumonic infiltration. Radiological findings were evaluated as compatible with Covid pneumonia. No lytic-destructive lesions were detected in bone structures. Impression: Patchy areas of atypical pneumonic infiltration in both lungs in the form of areas of consolidation, more prominent in the basals in all segments, radiological findings are in favor of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1234/valid_1234_a/valid_1234_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2890",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. In the superior segment of the left lung lower lobe, there is a 5 mm-sized nodule whose base sits on the fissure and evaluated in favor of the subpleural lymph node. Pleural effusion-thickening was not detected. No pathology was detected in the upper abdominal sections included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area. . Impression: There is a 5 mm sized nodule evaluated in favor of a subpleural lymph node, whose base sits on the fissure, in the superior segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1235/valid_1235_a/valid_1235_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2891",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. In the superior segment of the left lung lower lobe, there is a 5 mm-sized nodule whose base sits on the fissure and evaluated in favor of the subpleural lymph node. Pleural effusion-thickening was not detected. No pathology was detected in the upper abdominal sections included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area. . Impression: There is a 5 mm sized nodule evaluated in favor of a subpleural lymph node, whose base sits on the fissure, in the superior segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1235/valid_1235_a/valid_1235_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal pleuraparenchymal sequelae changes in both lung apexes. In the anteromediobasal segment of the lower lobe of the left lung, a nodule of ground glass density measuring approximately 5 mm in diameter was observed in the peripheral area. The appearance of the described nodule is nonspecific. It is recommended that the patient be evaluated and followed up with clinical and laboratory findings. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: A ground-glass nodule in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1235/valid_1235_b/valid_1235_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2893",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are minimal pleuraparenchymal sequelae changes in both lung apexes. In the anteromediobasal segment of the lower lobe of the left lung, a nodule of ground glass density measuring approximately 5 mm in diameter was observed in the peripheral area. The appearance of the described nodule is nonspecific. It is recommended that the patient be evaluated and followed up with clinical and laboratory findings. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: A ground-glass nodule in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1235/valid_1235_b/valid_1235_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2894",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the mediastinum in pathological size and appearance. There are a few right upper and lower paratracheal mediastinal lymph nodes that do not reach pathological dimensions. No features were detected in the upper abdomen sections. Ground glass opacity and pneumonic infiltration area in the form of centrilobular nodules are observed in the upper lobe of the right lung. Radiological findings were evaluated as compatible with Covid pneumonia. No lytic-destructive lesions were detected in bone structures. Impression: Pneumonic infiltration in the upper lobe of the right lung, radiological findings were evaluated as compatible with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1236/valid_1236_a/valid_1236_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2895",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are linear pleuroparenchymal fibroatelectasis sequela changes in both lungs. It also caused minimal volume loss in the right lung upper lobe posterior and left lung lower lobe superior segment. There are sequelae thickenings in the right lung upper lobe posterior segment and costal pleura in the lower lobe. Millimetric-sized calcified nonspecific parenchymal nodules were observed in both lungs. Centriacinar nodular infiltration areas were observed in the peripheral subpleural areas of the anterior mediobasal segment of the lower lobe of the right lung (distal airway disease?). No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; gall bladder was not observed (operated). A 44x22 mm cortical cyst was observed in the upper pole of the right kidney. Other upper abdominal organs are normal. Degenerative changes were observed in bone structures. Impression:  Multiple calcified nodules in both lungs.  Parenchymal-pleural sequelae changes in both lungs.  Centriacinar nodules in the right lung lower lobe laterobasal segment; distal airway disease?  Cortical cyst in the right kidney.  Minimal degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1237/valid_1237_a/valid_1237_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are linear pleuroparenchymal fibroatelectasis sequela changes in both lungs. It also caused minimal volume loss in the right lung upper lobe posterior and left lung lower lobe superior segment. There are sequelae thickenings in the right lung upper lobe posterior segment and costal pleura in the lower lobe. Millimetric-sized calcified nonspecific parenchymal nodules were observed in both lungs. Centriacinar nodular infiltration areas were observed in the peripheral subpleural areas of the anterior mediobasal segment of the lower lobe of the right lung (distal airway disease?). No mass lesion with distinguishable borders was detected in the lung parenchyma. As far as can be seen within the sections; gall bladder was not observed (operated). A 44x22 mm cortical cyst was observed in the upper pole of the right kidney. Other upper abdominal organs are normal. Degenerative changes were observed in bone structures. Impression:  Multiple calcified nodules in both lungs.  Parenchymal-pleural sequelae changes in both lungs.  Centriacinar nodules in the right lung lower lobe laterobasal segment; distal airway disease?  Cortical cyst in the right kidney.  Minimal degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1237/valid_1237_a/valid_1237_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2897",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Solid nodules, the largest of which is approximately 25 mm in diameter, are observed in the right thyroid lobe. Correlation with US is recommended. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. A nodular appearance of approximately 17 mm in diameter is observed in the corpus of the left adrenal gland included in the examination (adenoma?). In case of clinical necessity, further examination is recommended. Impression:  Nodular lesion (adenoma?) in the left adrenal gland corpus. In case of clinical necessity, further examination is recommended.  Solid nodule in the right thyroid lobe. Correlation with US is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1238/valid_1238_a/valid_1238_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2898",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Solid nodules, the largest of which is approximately 25 mm in diameter, are observed in the right thyroid lobe. Correlation with US is recommended. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. A nodular appearance of approximately 17 mm in diameter is observed in the corpus of the left adrenal gland included in the examination (adenoma?). In case of clinical necessity, further examination is recommended. Impression:  Nodular lesion (adenoma?) in the left adrenal gland corpus. In case of clinical necessity, further examination is recommended.  Solid nodule in the right thyroid lobe. Correlation with US is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1238/valid_1238_a/valid_1238_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are several lymph nodes in the mediastinum with a short axis measuring up to 8 mm. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; In both lungs, there are peripheral and central ground glass densities showing enlargement in the vascular structures around which air sign is observed in a diffuse patch style. Follow-up of clinical and laboratory correlation of findings is recommended in terms of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings evaluated in favor of Covid-19 viral pneumonia  Lymph nodes with a short axis measuring up to 8 mm in the mediastinum and axillary regions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1239/valid_1239_a/valid_1239_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2900",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. There are several lymph nodes in the mediastinum with a short axis measuring up to 8 mm. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; In both lungs, there are peripheral and central ground glass densities showing enlargement in the vascular structures around which air sign is observed in a diffuse patch style. Follow-up of clinical and laboratory correlation of findings is recommended in terms of Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings evaluated in favor of Covid-19 viral pneumonia  Lymph nodes with a short axis measuring up to 8 mm in the mediastinum and axillary regions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1239/valid_1239_a/valid_1239_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: There is a centrally located primary tumoral lesion in the upper lobe of the left lung. Upper lobe segment bronchi caused stenosis in lumen calibrations and obstruction in air passage. Parenchymal extension is observed. Solid component dimensions showing parenchymal extension were also slightly increased. Pleuroparenchymal solid density increases may also belong to the parenchymal fibrotic extensions of the lesion and/or changes secondary to radiotherapy. There was no significant difference in metastatic lymph node dimensions in the left supraclavicular fossa. In the current examination, there is a newly developed mild pericardial effusion, different from the previous examination. Its diameter was measured as 15 mm adjacent to the apex of the vertical. Stents and calcified atheroma plaques are observed in the coronary arteries. There are metastatic lymph nodes in the portal hilus. An increase in the size of lymph nodes is observed. In the current examination, the short diameter of the larger one was 2.5 cm. It is 2 cm in the old examination. The evaluation of soft tissues is suboptimal since only images of the lung parenchyma were taken in thorax CT and no contrast material was given. No pneumonic infiltration was detected in the lung parenchyma. Atelectasis parenchyma is observed in the superior segment of the left lung lower lobe. No newly developed suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. Expansilitis bone lesion dimensions in the right 4th muscle are stable. Impression: Small cell lung Ca, newly developing pericardial effusion, pneumonic infiltration is not detected in the lung parenchyma. There is an increase in the size of the primary lesion, an increase in the size of the mediastinal lymph nodes and metastatic lymph nodules in the portal hilus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1240/valid_1240_a/valid_1240_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2902",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Consolidation is observed in the apicoposterior segment of the left lung upper lobe. There is also a frosted glass area around the described consolidation. This appearance is absent in the previous examination of the patient. Although the presence of the described underlying mass cannot be completely excluded, the described appearance was primarily evaluated in favor of pneumonic infiltration. Apart from this, ground glass areas are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung. Ground glass areas are more prominent in peripheral areas. The manifestations described are of the type often observed in Covid-19 pneumonia. Pleural and pericardial effusion and left pleural effusion were observed. A minimal increase in the amount of pericardial effusion was also observed. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1240/valid_1240_b/valid_1240_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2903",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Consolidation is observed in the apicoposterior segment of the left lung upper lobe. There is also a frosted glass area around the described consolidation. This appearance is absent in the previous examination of the patient. Although the presence of the described underlying mass cannot be completely excluded, the described appearance was primarily evaluated in favor of pneumonic infiltration. Apart from this, ground glass areas are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung. Ground glass areas are more prominent in peripheral areas. The manifestations described are of the type often observed in Covid-19 pneumonia. Pleural and pericardial effusion and left pleural effusion were observed. A minimal increase in the amount of pericardial effusion was also observed. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1240/valid_1240_b/valid_1240_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2904",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal vascular structures could not be evaluated optimally due to the lack of contract of the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal. Minimal pericardial effusion is observed. Bilateral pleural effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph nodes in pathological size and appearance were observed in the mediastinum, supraclavicular fossa, and fusiform lymph nodes with a fatty hilus measuring 11 mm in diameter were observed in both axillary regions, the largest on the left, and a short diameter of 11 mm. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in the parenchyma of both lungs, and mosaic attenuation pattern was noted in the lower lobes of both lungs (small airway disease?small vessel disease?). Areas of increased density consistent with linear atelectasis are observed in the left lingular segment, right lung middle lobe medial segment, and both lung lower lobes. A pleural-based nodule of 7.5x4 mm in size is observed in the posterobasal segment of the lower lobe of the left lung. Follow-up is recommended. No mass was detected in both lung parenchyma. No solid mass was detected within the borders of non-contrast CT in the upper abdomen sections within the image. As far as can be observed, the cholanic loops are observed in the anterior part of the liver (Chilaiditi syndrome). Impression: Minimal pericardial effusion, mosaic attenuation pattern (small airway disease? Pleural-based millimetric nodules in the posterobasal segment of the lower lobe of the lung (follow-up is recommended).  Findings consistent with Chilaiditi syndrome"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1241/valid_1241_a/valid_1241_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2905",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal vascular structures could not be evaluated optimally due to the lack of contract of the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal. Minimal pericardial effusion is observed. Bilateral pleural effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph nodes in pathological size and appearance were observed in the mediastinum, supraclavicular fossa, and fusiform lymph nodes with a fatty hilus measuring 11 mm in diameter were observed in both axillary regions, the largest on the left, and a short diameter of 11 mm. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in the parenchyma of both lungs, and mosaic attenuation pattern was noted in the lower lobes of both lungs (small airway disease?small vessel disease?). Areas of increased density consistent with linear atelectasis are observed in the left lingular segment, right lung middle lobe medial segment, and both lung lower lobes. A pleural-based nodule of 7.5x4 mm in size is observed in the posterobasal segment of the lower lobe of the left lung. Follow-up is recommended. No mass was detected in both lung parenchyma. No solid mass was detected within the borders of non-contrast CT in the upper abdomen sections within the image. As far as can be observed, the cholanic loops are observed in the anterior part of the liver (Chilaiditi syndrome). Impression: Minimal pericardial effusion, mosaic attenuation pattern (small airway disease? Pleural-based millimetric nodules in the posterobasal segment of the lower lobe of the lung (follow-up is recommended).  Findings consistent with Chilaiditi syndrome"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1241/valid_1241_a/valid_1241_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral weighted nodular ground glass densities are observed in both lungs. In addition, a semisolid nodule with a size of 6. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild sclerotic changes are observed in T9-10 vertebral endplates. Impression:  Nodular ground glass densities in both lung parenchyma (common findings in Covid pneumonia).  Semisolid nodule adjacent to major fissure in right lung lower lobe anterobasal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1242/valid_1242_a/valid_1242_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2907",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral weighted nodular ground glass densities are observed in both lungs. In addition, a semisolid nodule with a size of 6. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild sclerotic changes are observed in T9-10 vertebral endplates. Impression:  Nodular ground glass densities in both lung parenchyma (common findings in Covid pneumonia).  Semisolid nodule adjacent to major fissure in right lung lower lobe anterobasal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1242/valid_1242_a/valid_1242_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are localized linear atelectasis and minimal emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are millimetric atheroma plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. It is understood that the patient underwent liver right lobe transplantation. There is an appearance of a stent in the bile ducts. In addition, embolizing material and the artifact it creates are observed in the portal hilus. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Operated HCC at follow-up.  Atelectasis and emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1243/valid_1243_a/valid_1243_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2909",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are localized linear atelectasis and minimal emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. There are millimetric atheroma plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. It is understood that the patient underwent liver right lobe transplantation. There is an appearance of a stent in the bile ducts. In addition, embolizing material and the artifact it creates are observed in the portal hilus. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Operated HCC at follow-up.  Atelectasis and emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1243/valid_1243_a/valid_1243_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1243/valid_1243_b/valid_1243_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2911",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures. Impression: ??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1243/valid_1243_b/valid_1243_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When the lung parenchyma window is examined; In the central part of the right lung middle lobe and lower lobe basal segments, centriacinar nodular infiltrates-budding tree view are present. The findings described are in favor of bronchopneumonia. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration was detected in the lung parenchyma. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bronchopneumonia in the right lung middle and lower lobe basal segment. \u00b7 Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1244/valid_1244_a/valid_1244_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2913",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When the lung parenchyma window is examined; In the central part of the right lung middle lobe and lower lobe basal segments, centriacinar nodular infiltrates-budding tree view are present. The findings described are in favor of bronchopneumonia. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration was detected in the lung parenchyma. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Bronchopneumonia in the right lung middle and lower lobe basal segment. \u00b7 Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1244/valid_1244_a/valid_1244_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; These findings are frequently observed in Covid-19 pneumonia, which is difficult to detect in the left lung, lower lobe posterior segment, upper lobe inferior lingular segment, pleural area. No pleural effusion was detected. In the upper abdominal sections in the study area; A coarse calcification area is observed at the level of segment 2 in the liver. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Difficult to distinguish ground glass opacities that may be compatible with Covid-19 pneumonia. A coarse calcification area is observed at segment 2 level in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1245/valid_1245_a/valid_1245_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2915",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; These findings are frequently observed in Covid-19 pneumonia, which is difficult to detect in the left lung, lower lobe posterior segment, upper lobe inferior lingular segment, pleural area. No pleural effusion was detected. In the upper abdominal sections in the study area; A coarse calcification area is observed at the level of segment 2 in the liver. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression: Difficult to distinguish ground glass opacities that may be compatible with Covid-19 pneumonia. A coarse calcification area is observed at segment 2 level in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1245/valid_1245_a/valid_1245_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2916",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. The gastric fundus is herniated from the hiatus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nodular thickening is observed at the level of the major fissure in the anterior lower lobe of the right lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is left-facing scoliosis in the thoracic cavity. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Aortic and coronary artery atherosclerosis.  Millimetric nodular thickening at the level of the major fissure in the right lung.  Hiatal hernia.  Thoracic scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1246/valid_1246_a/valid_1246_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. The gastric fundus is herniated from the hiatus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nodular thickening is observed at the level of the major fissure in the anterior lower lobe of the right lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is left-facing scoliosis in the thoracic cavity. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Aortic and coronary artery atherosclerosis.  Millimetric nodular thickening at the level of the major fissure in the right lung.  Hiatal hernia.  Thoracic scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1246/valid_1246_a/valid_1246_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2918",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma. There are nonspecific nodules measuring 5.5 mm in size in both lungs, the largest of which is in the lateral right lower lobe. Pleural effusion-thickening was not detected. Hepatosteatosis, a 2.5 mm stone in the lower pole of the right kidney, and a hypodense lesion of 10 mm diameter with a cortical location in the upper pole of the upper abdomen were observed in the upper abdominal sections included in the sections. (cyst?) No lytic or destructive lesion was detected in the bone structures within the examination area. Impression: There are nonspecific nodules measuring 5.5 mm in size in the lateral right lower lobe in both lungs. Hepatosteatosis, a 2.5 mm stone in the lower pole of the right kidney and a hypodense lesion with a diameter of 10 mm in the upper pole of the cortical fluid density were observed in the upper abdominal sections included in the sections. (cyst? )"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1247/valid_1247_a/valid_1247_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2919",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma. There are nonspecific nodules measuring 5.5 mm in size in both lungs, the largest of which is in the lateral right lower lobe. Pleural effusion-thickening was not detected. Hepatosteatosis, a 2.5 mm stone in the lower pole of the right kidney, and a hypodense lesion of 10 mm diameter with a cortical location in the upper pole of the upper abdomen were observed in the upper abdominal sections included in the sections. (cyst?) No lytic or destructive lesion was detected in the bone structures within the examination area. Impression: There are nonspecific nodules measuring 5.5 mm in size in the lateral right lower lobe in both lungs. Hepatosteatosis, a 2.5 mm stone in the lower pole of the right kidney and a hypodense lesion with a diameter of 10 mm in the upper pole of the cortical fluid density were observed in the upper abdominal sections included in the sections. (cyst? )"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1247/valid_1247_a/valid_1247_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2920",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, there are areas of ground glass in the peripheral and central areas and minimal interlobular septal thickenings accompanying the ground glass areas and small consolidations in places. The described findings are more pronounced in peripheral areas. These findings are frequently observed in Covid-19 pneumonia. No mass was detected in both lungs. Pleural and pericardial effusion was not observed. In liver parenchyma density, there is a decrease in density compatible with advanced adiposity. Impression: Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1247/valid_1247_b/valid_1247_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2921",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. In both lungs, there are areas of ground glass in the peripheral and central areas and minimal interlobular septal thickenings accompanying the ground glass areas and small consolidations in places. The described findings are more pronounced in peripheral areas. These findings are frequently observed in Covid-19 pneumonia. No mass was detected in both lungs. Pleural and pericardial effusion was not observed. In liver parenchyma density, there is a decrease in density compatible with advanced adiposity. Impression: Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1247/valid_1247_b/valid_1247_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2922",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathologically enlarged lymph nodes were detected in the pretracheal area, paravascular, subcarinal and axillary areas. Since the examination is unenhanced in the hilum of the right lung, it cannot be clearly distinguished, but several lymph nodes with a short axis of approximately 1 cm are observed. Traction bronchiectasis is observed in both hilum. A 14 mm diameter solid pulmonary nodule containing coarse calcification is observed in the superior segment of the right lung lower lobe. In the same segment, a peripherally located hyperdense area with a diameter of 4 mm with a base on the pleura is observed and was evaluated in favor of sequelae. In the posterobasal region of the lower lobe of the left lung, subpleural patchy nodular areas and ground glass densities are observed around these areas. In the described area, air bronchograms drew attention from place to place. Typical-probable outlook for COVID-19 Pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Involvement in the left lung that may be compatible with Covid pneumonia . Solid pulmonary nodule in the superior segment of the lower lobe of the right lung . Areas of emphysema in the centrilobular style . Suspicious appearance in terms of enlarged lymph node in the right hilum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1248/valid_1248_a/valid_1248_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2923",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathologically enlarged lymph nodes were detected in the pretracheal area, paravascular, subcarinal and axillary areas. Since the examination is unenhanced in the hilum of the right lung, it cannot be clearly distinguished, but several lymph nodes with a short axis of approximately 1 cm are observed. Traction bronchiectasis is observed in both hilum. A 14 mm diameter solid pulmonary nodule containing coarse calcification is observed in the superior segment of the right lung lower lobe. In the same segment, a peripherally located hyperdense area with a diameter of 4 mm with a base on the pleura is observed and was evaluated in favor of sequelae. In the posterobasal region of the lower lobe of the left lung, subpleural patchy nodular areas and ground glass densities are observed around these areas. In the described area, air bronchograms drew attention from place to place. Typical-probable outlook for COVID-19 Pneumonia. No nodular lesions were detected in both lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Involvement in the left lung that may be compatible with Covid pneumonia . Solid pulmonary nodule in the superior segment of the lower lobe of the right lung . Areas of emphysema in the centrilobular style . Suspicious appearance in terms of enlarged lymph node in the right hilum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1248/valid_1248_a/valid_1248_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2924",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Centrilobular nodular consolidation areas are observed in the anterior segment of the right lung upper lobe. The finding favors bronchopneumonic infiltration. It is more suggestive of bacterial pneumonia. Bacterial-Covid pneumonia distinction could not be made with this examination. The patient has a history of close contact with Covid +. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Bronchopneumonic infiltration in the right lung upper lobe anterior segment, bronchial wall thickness increase in segment bronchi, radiological pattern is mostly compatible with bacterial pneumonia. However, the presence of Covid could not be excluded in the case with a history of close contact with Covid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1249/valid_1249_a/valid_1249_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2925",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lymph node in pathological pathological size and appearance was observed in the mediastinum. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Centrilobular nodular consolidation areas are observed in the anterior segment of the right lung upper lobe. The finding favors bronchopneumonic infiltration. It is more suggestive of bacterial pneumonia. Bacterial-Covid pneumonia distinction could not be made with this examination. The patient has a history of close contact with Covid +. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression: Bronchopneumonic infiltration in the right lung upper lobe anterior segment, bronchial wall thickness increase in segment bronchi, radiological pattern is mostly compatible with bacterial pneumonia. However, the presence of Covid could not be excluded in the case with a history of close contact with Covid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1249/valid_1249_a/valid_1249_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2926",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of mediastinal vascular structures, heart contour and size are normal as far as can be observed. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the mediastinum, fusiform lymph nodes, the largest of which were measured at the precarinal and subcarinal level and the shortest diameter of the largest were approximately 9 mm, were not pathological in size and appearance. In addition, no lymph nodes in pathological size and appearance were observed in the mediastinum, bilateral supraclavicular fossae. In the examination made in the lung parenchyma window; In the right lung upper lobe posterior segment, there is diffuse mild ectasia in the bronchial structures accompanying peribronchial diffuse mild ectasia. In the current examination, an area of increase in density compatible with consolidation with an uncertain margin is observed in its vicinity and it suggests pneumonic infiltration in its etiology. There are sequela parenchymal changes in the left lung lower lobe superior, upper lobe inferior lingular segment, lower lobe laterobasal and posterobasal segment. No mass was detected in both lungs. No pathology was detected in the upper abdominal sections. No lytic-destructive lesion was observed in the bone structures within the image. Impression:  Bronchiectasis in the right lung upper lobe posterior segment, increased peribronchial thickness and an area of increased density in its vicinity, which is consistent with consolidation, which is evaluated in favor of newly developed pneumonic infiltration in the current examination, apart from this, sequelae in the left lung lower lobe superior, lower lobe laterobasal and posterobasal segment, and upper lobe inferior lingular segment parenchymal changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1250/valid_1250_a/valid_1250_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2927",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of mediastinal vascular structures, heart contour and size are normal as far as can be observed. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the mediastinum, fusiform lymph nodes, the largest of which were measured at the precarinal and subcarinal level and the shortest diameter of the largest were approximately 9 mm, were not pathological in size and appearance. In addition, no lymph nodes in pathological size and appearance were observed in the mediastinum, bilateral supraclavicular fossae. In the examination made in the lung parenchyma window; In the right lung upper lobe posterior segment, there is diffuse mild ectasia in the bronchial structures accompanying peribronchial diffuse mild ectasia. In the current examination, an area of increase in density compatible with consolidation with an uncertain margin is observed in its vicinity and it suggests pneumonic infiltration in its etiology. There are sequela parenchymal changes in the left lung lower lobe superior, upper lobe inferior lingular segment, lower lobe laterobasal and posterobasal segment. No mass was detected in both lungs. No pathology was detected in the upper abdominal sections. No lytic-destructive lesion was observed in the bone structures within the image. Impression:  Bronchiectasis in the right lung upper lobe posterior segment, increased peribronchial thickness and an area of increased density in its vicinity, which is consistent with consolidation, which is evaluated in favor of newly developed pneumonic infiltration in the current examination, apart from this, sequelae in the left lung lower lobe superior, lower lobe laterobasal and posterobasal segment, and upper lobe inferior lingular segment parenchymal changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1250/valid_1250_a/valid_1250_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2928",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Structural distortion and bronchiectasis accompanying volume loss were observed in the posterior segment of the right lung upper lobe. There is an increase in thickness in the peribronchial area. In the current examination, there are newly developed areas of indistinct, ground-glass density increase in the left lung lower lobe superior, posterobasal segment, right lung lower lobe mediobasal and lower lobe superior segment. Viral pneumonias (Covid-19 pneumonia is considered) in the etiology of the findings. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1250/valid_1250_b/valid_1250_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2929",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  Structural distortion and bronchiectasis accompanying volume loss were observed in the posterior segment of the right lung upper lobe. There is an increase in thickness in the peribronchial area. In the current examination, there are newly developed areas of indistinct, ground-glass density increase in the left lung lower lobe superior, posterobasal segment, right lung lower lobe mediobasal and lower lobe superior segment. Viral pneumonias (Covid-19 pneumonia is considered) in the etiology of the findings. Other findings are stable. Impression: Not given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1250/valid_1250_b/valid_1250_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2930",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1251/valid_1251_a/valid_1251_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2931",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1251/valid_1251_a/valid_1251_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 38 mm, which is wider than normal. Other mediastinal vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centriacinar paraseptal emphysema areas are observed in both upper lobe and lower lobe superior segments of both lungs. Density increases in reticulonodular fibrotic sequelae causing parenchymal distortion were observed in both lung apexes. A few subcentimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. When the upper abdominal organs included in the sections were evaluated; 2 mm diameter calculi in the upper pole of the right kidney and minimal dilatation in the pelvis were observed. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fusiform ectasia in the ascending aorta. Areas of paraseptal-centracinar emphysema in the superior segments of both lungs, upper and lower lobes. Reticulonodular sequela fibrotic density increases causing structural distortion in both lung apexes. Several subcentimetric nonspecific nodules in both lungs.  Left nephrolithiasis, minimal dilatation of the left renal pelvis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1252/valid_1252_a/valid_1252_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2933",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 38 mm, which is wider than normal. Other mediastinal vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Centriacinar paraseptal emphysema areas are observed in both upper lobe and lower lobe superior segments of both lungs. Density increases in reticulonodular fibrotic sequelae causing parenchymal distortion were observed in both lung apexes. A few subcentimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. When the upper abdominal organs included in the sections were evaluated; 2 mm diameter calculi in the upper pole of the right kidney and minimal dilatation in the pelvis were observed. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fusiform ectasia in the ascending aorta. Areas of paraseptal-centracinar emphysema in the superior segments of both lungs, upper and lower lobes. Reticulonodular sequela fibrotic density increases causing structural distortion in both lung apexes. Several subcentimetric nonspecific nodules in both lungs.  Left nephrolithiasis, minimal dilatation of the left renal pelvis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1252/valid_1252_a/valid_1252_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2934",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  A mass with an unclear border extending from the left lobe of the thyroid gland to the esophagus is observed. At this level, the esophagus wall is markedly thickened and the lumen is closed. In addition, there is a slight indentation from the left and posterior to the trachea at this level by the mass and the esophagus. No significant difference was found in these findings. In addition, a newly developed diffuse thickening was observed in the wall of the esophagus up to the middle part. Heart contour, size is normal. Pericardial effusion-thickening was not observed. In the mediastinum, the ascending aorta is 46 mm and is ectatic. Calcific atheroma plaques were observed in the aorta and coronary arteries. Lymph nodes with increasing size (13x10 mm, the largest) reaching 24x17 mm, especially located in the right paratracheal area, were observed. When examined in the lung parenchyma window; There is a diffuse emphysematous appearance, more prominent in the upper lobes of both lungs. Band atelectasis is observed in the anterior upper lobe on the right. In the parenchyma of both lungs, multiple nodules with predominantly irregular borders are observed, the largest of which is 13 mm in the mediobasal segment in the right lower lobe and 15 mm in the left upper lobe. Thickening of the bronchial walls of both lower lobes and band atelectasis in the peribromchial area on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Low-density malignant mass with thyroid gland extending towards the esophagus in the left lobe and whose border cannot be clearly distinguished from the esophagus in a patient who was followed up and treated for thyroid Ca, minimally indented appearance to the trachea from the left at this level, diffuse thickening of the esophageal wall up to the middle esophagus, most prominent at the level adjacent to the thyroid. Invasion by the mass could not be excluded. Other levels of wall thickening may be due to RT.  LAPs with increased mediastinal size  Aortic and coronary artery atherosclerosis, ascending aorta ectasia  Diffuse emphysema and chronic bronchitis findings in both lungs, diffuse band atelectasis  Multiple nodules with irregular borders, metastasis in both lungs?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1253/valid_1253_a/valid_1253_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2935",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  A mass with an unclear border extending from the left lobe of the thyroid gland to the esophagus is observed. At this level, the esophagus wall is markedly thickened and the lumen is closed. In addition, there is a slight indentation from the left and posterior to the trachea at this level by the mass and the esophagus. No significant difference was found in these findings. In addition, a newly developed diffuse thickening was observed in the wall of the esophagus up to the middle part. Heart contour, size is normal. Pericardial effusion-thickening was not observed. In the mediastinum, the ascending aorta is 46 mm and is ectatic. Calcific atheroma plaques were observed in the aorta and coronary arteries. Lymph nodes with increasing size (13x10 mm, the largest) reaching 24x17 mm, especially located in the right paratracheal area, were observed. When examined in the lung parenchyma window; There is a diffuse emphysematous appearance, more prominent in the upper lobes of both lungs. Band atelectasis is observed in the anterior upper lobe on the right. In the parenchyma of both lungs, multiple nodules with predominantly irregular borders are observed, the largest of which is 13 mm in the mediobasal segment in the right lower lobe and 15 mm in the left upper lobe. Thickening of the bronchial walls of both lower lobes and band atelectasis in the peribromchial area on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Low-density malignant mass with thyroid gland extending towards the esophagus in the left lobe and whose border cannot be clearly distinguished from the esophagus in a patient who was followed up and treated for thyroid Ca, minimally indented appearance to the trachea from the left at this level, diffuse thickening of the esophageal wall up to the middle esophagus, most prominent at the level adjacent to the thyroid. Invasion by the mass could not be excluded. Other levels of wall thickening may be due to RT.  LAPs with increased mediastinal size  Aortic and coronary artery atherosclerosis, ascending aorta ectasia  Diffuse emphysema and chronic bronchitis findings in both lungs, diffuse band atelectasis  Multiple nodules with irregular borders, metastasis in both lungs?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1253/valid_1253_a/valid_1253_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2936",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Focal consolidation area with crazy paving pattern and vascular enlargement is observed in a focal area in the right lung lower lobe mediobasal segment, and the appearance is suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Focal density increase was also observed in the peripheral subpleural area in the left lung lower lobe laterobasal segment. The outlook may be sequelae or again compatible with Covid-19 pneumonia. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. As far as can be seen on non-contrast sections, a well-defined hypodense lesion area of 40x34 mm was observed at the junction of liver segments 8-5 (cyst?). Gallbladder, spleen, pancreas, both kidneys, and both adrenal glands were normal, and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Suspicious finding for Covid-19 pneumonia in the right lung lower lobe mediobasal segment; It is recommended to be evaluated together with clinical and laboratory.  Well-circumscribed hypodense lesion (cyst?) at the junction of liver segments 8-5."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1254/valid_1254_a/valid_1254_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Focal consolidation area with crazy paving pattern and vascular enlargement is observed in a focal area in the right lung lower lobe mediobasal segment, and the appearance is suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Focal density increase was also observed in the peripheral subpleural area in the left lung lower lobe laterobasal segment. The outlook may be sequelae or again compatible with Covid-19 pneumonia. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. As far as can be seen on non-contrast sections, a well-defined hypodense lesion area of 40x34 mm was observed at the junction of liver segments 8-5 (cyst?). Gallbladder, spleen, pancreas, both kidneys, and both adrenal glands were normal, and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Suspicious finding for Covid-19 pneumonia in the right lung lower lobe mediobasal segment; It is recommended to be evaluated together with clinical and laboratory.  Well-circumscribed hypodense lesion (cyst?) at the junction of liver segments 8-5."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1254/valid_1254_a/valid_1254_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2938",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. There was no finding compatible with pneumonia. No pleural effusion or pneumothorax was observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1255/valid_1255_a/valid_1255_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2939",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial-pleural effusion was not observed. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window: In both lung parenchyma, multilobar consolidation mostly located in the peripheral subpleural and density increases in the ground glass density were observed. In the lower lobes of both lungs, areas of increased density consistent with consolidation are accompanied by increases in interlobular septal thickness. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. No mass was detected in both lungs. In the upper abdominal sections within the image, free fluid, loculated collection was not detected as far as can be observed within the borders of non-contrast CT. No lymph node was detected in intraabdominal pathological size and appearance. No pathology was detected in the intra-abdominal parenchymal organs within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Findings consistent with viral pneumonia in both lungs.  Sliding type hiatal hernia at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1256/valid_1256_a/valid_1256_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial-pleural effusion was not observed. There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. In the evaluation made in the lung parenchyma window: In both lung parenchyma, multilobar consolidation mostly located in the peripheral subpleural and density increases in the ground glass density were observed. In the lower lobes of both lungs, areas of increased density consistent with consolidation are accompanied by increases in interlobular septal thickness. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. No mass was detected in both lungs. In the upper abdominal sections within the image, free fluid, loculated collection was not detected as far as can be observed within the borders of non-contrast CT. No lymph node was detected in intraabdominal pathological size and appearance. No pathology was detected in the intra-abdominal parenchymal organs within the borders of non-contrast CT. No lytic or destructive lesions were detected in the bone structures within the image. Impression:  Findings consistent with viral pneumonia in both lungs.  Sliding type hiatal hernia at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1256/valid_1256_a/valid_1256_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral ground glass areas and consolidations accompanying ground glass areas and band-like linear density increases are observed in the right lung. There is a similar appearance in a small area in the peripheral area in the medial part of the left lung upper lobe apicoposterior segment. Although unilateral involvement is not very typical for Covid-19 pneumonia, the findings were evaluated primarily in favor of Covid-19 pneumonia. There are minimal emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed, the heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. In liver parenchyma density, there is a decrease in density compatible with advanced adiposity. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1257/valid_1257_a/valid_1257_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2942",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peripheral ground glass areas and consolidations accompanying ground glass areas and band-like linear density increases are observed in the right lung. There is a similar appearance in a small area in the peripheral area in the medial part of the left lung upper lobe apicoposterior segment. Although unilateral involvement is not very typical for Covid-19 pneumonia, the findings were evaluated primarily in favor of Covid-19 pneumonia. There are minimal emphysematous changes in both lungs. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed, the heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. In liver parenchyma density, there is a decrease in density compatible with advanced adiposity. No lytic-destructive lesions were detected in the bone structures within the sections. Impression:  Findings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1257/valid_1257_a/valid_1257_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2943",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are seen in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae changes and emphysematous appearances are present in the upper lobe apex of both lungs. Irregularly circumscribed nodular densities are observed in all lobes of both lungs, the largest of which reaches 10 mm in diameter. A soft tissue density of 28x8 mm is observed within the sequela fibrotic band in the anterior upper lobe of the left lung. In the upper abdominal organs included in the sections, a 19 mm hypodense lesion was observed in the liver segment 8. Bone structures in the study area are degenerative. Impression:  Aortic and coronary artery atherosclerosis.  Sequelae changes and emphysema in both lungs.  Parenchymal nodules with irregular borders in both lungs (aspergillosis?)  Soft tissue density in the left lung upper lobe anterior, mass in the scar tissue cannot be excluded.  Hypodense lesion in segment 8 of the liver, which cannot be characterized in this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1258/valid_1258_a/valid_1258_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2944",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific plaques are seen in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae changes and emphysematous appearances are present in the upper lobe apex of both lungs. Irregularly circumscribed nodular densities are observed in all lobes of both lungs, the largest of which reaches 10 mm in diameter. A soft tissue density of 28x8 mm is observed within the sequela fibrotic band in the anterior upper lobe of the left lung. In the upper abdominal organs included in the sections, a 19 mm hypodense lesion was observed in the liver segment 8. Bone structures in the study area are degenerative. Impression:  Aortic and coronary artery atherosclerosis.  Sequelae changes and emphysema in both lungs.  Parenchymal nodules with irregular borders in both lungs (aspergillosis?)  Soft tissue density in the left lung upper lobe anterior, mass in the scar tissue cannot be excluded.  Hypodense lesion in segment 8 of the liver, which cannot be characterized in this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1258/valid_1258_a/valid_1258_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2945",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs. The size of the nodular lesion in the anterior upper lobe of the left lung has decreased and is seen as two separate lesions, the largest of which is 13x7 mm. Apart from this, there is a decrease in the size of some of the nodules in both lungs. No newly developed lesion was observed. Sequela fibrotic changes are observed in the apex of the right lung upper lobe. On upper abdominal sections, the hypodense lesion in segment 8 of the liver is stable. Other upper abdominal organs included in the sections are normal. Minimal thickening is observed in the left adrenal gland. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Aortic and coronary artery atherosclerosis, sequelae changes in both lungs and emphysema.  Decreased size of the nodular lesion in the anterior upper lobe of the left lung, irregularly circumscribed nodules in both lungs, some with minimal reduction in size.  Minimal thickening of the left adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1258/valid_1258_b/valid_1258_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2946",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs. The size of the nodular lesion in the anterior upper lobe of the left lung has decreased and is seen as two separate lesions, the largest of which is 13x7 mm. Apart from this, there is a decrease in the size of some of the nodules in both lungs. No newly developed lesion was observed. Sequela fibrotic changes are observed in the apex of the right lung upper lobe. On upper abdominal sections, the hypodense lesion in segment 8 of the liver is stable. Other upper abdominal organs included in the sections are normal. Minimal thickening is observed in the left adrenal gland. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Aortic and coronary artery atherosclerosis, sequelae changes in both lungs and emphysema.  Decreased size of the nodular lesion in the anterior upper lobe of the left lung, irregularly circumscribed nodules in both lungs, some with minimal reduction in size.  Minimal thickening of the left adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1258/valid_1258_b/valid_1258_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2947",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: Mild emphysematous changes were observed in both lungs. Two nonspecific parenchymal nodules measuring 6.5 mm in diameter were observed at the fissure level and subpleural localization in the middle lobe of the right lung. Minimal bronchiectatic changes were observed in the central part of both lungs. Bilateral pleural thickening-effusion was not detected. Millimetric sized coarse calcifications were observed in the left lobe of the liver. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Minimal central bronchiectatic changes in both lungs.  Two millimetrically sized nonspecific parenchymal nodules in the right lung.  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1259/valid_1259_a/valid_1259_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2948",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: Mild emphysematous changes were observed in both lungs. Two nonspecific parenchymal nodules measuring 6.5 mm in diameter were observed at the fissure level and subpleural localization in the middle lobe of the right lung. Minimal bronchiectatic changes were observed in the central part of both lungs. Bilateral pleural thickening-effusion was not detected. Millimetric sized coarse calcifications were observed in the left lobe of the liver. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures. Impression:  Minimal central bronchiectatic changes in both lungs.  Two millimetrically sized nonspecific parenchymal nodules in the right lung.  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1259/valid_1259_a/valid_1259_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1260/valid_1260_a/valid_1260_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2950",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric nonspecific nodules in both lungs. There was no finding in favor of infection-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1261/valid_1261_a/valid_1261_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2951",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Millimetric nonspecific nodules in both lungs. There was no finding in favor of infection-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1261/valid_1261_a/valid_1261_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2952",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. There are calcific atheroma plaques in the proximal coronary arteries. Pericardial effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There are bilateral bronchial, subcarinal localized mediastinal lymph nodes with nonspecific diameters less than 1 cm. When examined in the lung parenchyma window; In both lungs, there are patchy areas of infiltration in the form of ground glass opacity predominantly located in the subpleural region, which becomes prominent towards the lower lobes in all segments. Radiological findings are compatible with Covid pneumonia. In the right lung lower lobe superior segment, density increases in the form of consolidation are also accompanied. Radiological findings support Covid pneumonia. No features were detected in the upper abdominal sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: Areas of pneumonic infiltration in both lung parenchyma. Radiological findings are consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1262/valid_1262_a/valid_1262_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2953",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Heart dimensions and compartments appear natural. There are calcific atheroma plaques in the proximal coronary arteries. Pericardial effusion was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There are bilateral bronchial, subcarinal localized mediastinal lymph nodes with nonspecific diameters less than 1 cm. When examined in the lung parenchyma window; In both lungs, there are patchy areas of infiltration in the form of ground glass opacity predominantly located in the subpleural region, which becomes prominent towards the lower lobes in all segments. Radiological findings are compatible with Covid pneumonia. In the right lung lower lobe superior segment, density increases in the form of consolidation are also accompanied. Radiological findings support Covid pneumonia. No features were detected in the upper abdominal sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesions were detected in bone structures. Impression: Areas of pneumonic infiltration in both lung parenchyma. Radiological findings are consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1262/valid_1262_a/valid_1262_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2954",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 39 mm and was above normal. Calibration of other mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; both lungs in the upper lobe and lower lobe superior segments; More extensive centriacinar-paraseptal emphysematous changes were observed in the right lung apical segment. Band-linear pleuroparenchymal atelectatic changes were observed in the lower lobes of both lungs, lingular upper lobe of the left lung, and middle lobe of the right lung. Sequelae thickening was observed in the posterior costal pleura adjacent to the lower lobe basal segments in both hemithorax. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Sequelae thickening Upper abdominal organs included in the sections are normal. The liver, spleen, both adrenal glands and pancreas entering the section area are normal. Two calculi were ringing in the upper pole of the right kidney, the largest of which was 2 mm in diameter and the largest in the upper pole of the left kidney, with a diameter of 3 mm. A hypodense nodular lesion with a diameter of 2.5 mm was observed in the middle part of the left kidney (cyst? ). Two stones, the size of which reached 2 cm, were observed in the gallbladder lumen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fusiform dilatation of the ascending aorta, calcific atheromatous plaques in the coronary arteries. Hiatal hernia.  Paraseptal-centriacinar emphysematous changes in the upper lobes of both lungs. Band-linear atelectatic changes in both lungs, sequelae thickening of the posterior costal pleura in both hemithoraxes.  Cholelithiasis.  Bilateral nephrolithiasis.  Hypodense nodular lesion (cyst?) in the middle part of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1263/valid_1263_a/valid_1263_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2955",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 39 mm and was above normal. Calibration of other mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; both lungs in the upper lobe and lower lobe superior segments; More extensive centriacinar-paraseptal emphysematous changes were observed in the right lung apical segment. Band-linear pleuroparenchymal atelectatic changes were observed in the lower lobes of both lungs, lingular upper lobe of the left lung, and middle lobe of the right lung. Sequelae thickening was observed in the posterior costal pleura adjacent to the lower lobe basal segments in both hemithorax. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Sequelae thickening Upper abdominal organs included in the sections are normal. The liver, spleen, both adrenal glands and pancreas entering the section area are normal. Two calculi were ringing in the upper pole of the right kidney, the largest of which was 2 mm in diameter and the largest in the upper pole of the left kidney, with a diameter of 3 mm. A hypodense nodular lesion with a diameter of 2.5 mm was observed in the middle part of the left kidney (cyst? ). Two stones, the size of which reached 2 cm, were observed in the gallbladder lumen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Fusiform dilatation of the ascending aorta, calcific atheromatous plaques in the coronary arteries. Hiatal hernia.  Paraseptal-centriacinar emphysematous changes in the upper lobes of both lungs. Band-linear atelectatic changes in both lungs, sequelae thickening of the posterior costal pleura in both hemithoraxes.  Cholelithiasis.  Bilateral nephrolithiasis.  Hypodense nodular lesion (cyst?) in the middle part of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1263/valid_1263_a/valid_1263_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2956",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a mosaic attenuation pattern in both lungs, more prominent in the lower lobes (small airway disease? small vessel disease?). Occasionally, atelectasis is observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No upper abdominal free fluid - collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Mosaic attenuation pattern in both lungs. Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1264/valid_1264_a/valid_1264_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2957",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is a mosaic attenuation pattern in both lungs, more prominent in the lower lobes (small airway disease? small vessel disease?). Occasionally, atelectasis is observed in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No upper abdominal free fluid - collection or pathologically enlarged lymph nodes were observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Mosaic attenuation pattern in both lungs. Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1264/valid_1264_a/valid_1264_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2958",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma, nonspecific nodules of micrometric dimensions, some of which were calcified, were observed. Sequelae of atelectasis accompanied by structural distortion, loss of volume and saccular bronchiectasis structures in the inferior lingular segment of the left lung have attracted attention. Also, an area of millimetric nodular lesion with a bud tree appearance of approximately 10x14 mm in the posterobasal segment of the left lower lobe has been noted, and infective pathology is considered in its etiology. Clinic and lab. verification and post-treatment control is recommended. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Nonspecific nodules, some of which are calcified in mimetric sizes, in the evaluation of both lung parenchyma . Structural distortion, volume loss and atelectasis formation accompanied by saccular bronchiectatic structures in the left lung inferior lingular segment. area has attracted attention and infective pathology is considered in its etiology.Clinical and laboratory verification and follow-up after treatment are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1265/valid_1265_a/valid_1265_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological increase in wall thickness was observed in the esophagus. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma, nonspecific nodules of micrometric dimensions, some of which were calcified, were observed. Sequelae of atelectasis accompanied by structural distortion, loss of volume and saccular bronchiectasis structures in the inferior lingular segment of the left lung have attracted attention. Also, an area of millimetric nodular lesion with a bud tree appearance of approximately 10x14 mm in the posterobasal segment of the left lower lobe has been noted, and infective pathology is considered in its etiology. Clinic and lab. verification and post-treatment control is recommended. No pathology was detected in the sections passing through the upper part of the abdomen. No lytic or destructive lesions were detected in bone structures. Impression: Nonspecific nodules, some of which are calcified in mimetric sizes, in the evaluation of both lung parenchyma . Structural distortion, volume loss and atelectasis formation accompanied by saccular bronchiectatic structures in the left lung inferior lingular segment. area has attracted attention and infective pathology is considered in its etiology.Clinical and laboratory verification and follow-up after treatment are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1265/valid_1265_a/valid_1265_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2960",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal examination is suboptimal due to lack of contrast. In the bilateral hemithorax, 39 mm effusion on the right and 45 mm on the left and atelectasis adjacent to this effusion are observed. When examined in the lung parenchyma window; Multiple nodules are observed in both lung parenchyma, the largest of which is 11 mm in diameter in the anterior upper lobe of the left lung. There are also 11 mm diameter nodules that sit on the pleura at the level of the left lingula. Upper abdominal organs partially enter the field of view. As far as can be evaluated, there are two newly emerging lymph nodes with a short axis of 8 mm located in the perihepatic area. Metastatic lesions with undetectable borders are observed in the liver. The mass at the level of the tail of the pancreas partially enters the cross-sectional area. No significant size difference was observed in the measurement made from the same level as the previous examination of the mass. Impression:  Patient followed up for pancreatic malignant neoplasm;  Bilateral pleural effusion and atelectasis due to effusion in the lower lobes, accompanying consolidations (aspiration?).  Metastatic nodules in both lungs.  Primary mass partially penetrating the section located in the tail of the pancreas, metastatic lesions in the liver.  Newly developed nodular lesions located in the prehepatic area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1266/valid_1266_a/valid_1266_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2961",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:  Mediastinal examination is suboptimal due to lack of contrast. In the bilateral hemithorax, 39 mm effusion on the right and 45 mm on the left and atelectasis adjacent to this effusion are observed. When examined in the lung parenchyma window; Multiple nodules are observed in both lung parenchyma, the largest of which is 11 mm in diameter in the anterior upper lobe of the left lung. There are also 11 mm diameter nodules that sit on the pleura at the level of the left lingula. Upper abdominal organs partially enter the field of view. As far as can be evaluated, there are two newly emerging lymph nodes with a short axis of 8 mm located in the perihepatic area. Metastatic lesions with undetectable borders are observed in the liver. The mass at the level of the tail of the pancreas partially enters the cross-sectional area. No significant size difference was observed in the measurement made from the same level as the previous examination of the mass. Impression:  Patient followed up for pancreatic malignant neoplasm;  Bilateral pleural effusion and atelectasis due to effusion in the lower lobes, accompanying consolidations (aspiration?).  Metastatic nodules in both lungs.  Primary mass partially penetrating the section located in the tail of the pancreas, metastatic lesions in the liver.  Newly developed nodular lesions located in the prehepatic area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1266/valid_1266_a/valid_1266_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2962",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:  The dimensions of the left lobe of the thyroid gland increased, and a hypodense nodule was observed in the left lobe. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A large number of lymph nodes with a short axis smaller than 1 cm persist in the pretracheal area, prevascular area, subcarinal area, and bilateral hilar region. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In both lungs, scattered density increases in ground glass density and consolidation areas were observed in the anterior segment of the left lung upper lobe and the left lower lobe superior segment of the left lung. There are mild bronchiectatic changes in both lungs. Hepatosplenomegaly was observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. There is calcification in the anterior corners of the vertebral corpus in the thoracic region. Impression: Multiple lymph nodes persist in mediastinal bilateral hilar regions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1267/valid_1267_a/valid_1267_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2963",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:  The dimensions of the left lobe of the thyroid gland increased, and a hypodense nodule was observed in the left lobe. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A large number of lymph nodes with a short axis smaller than 1 cm persist in the pretracheal area, prevascular area, subcarinal area, and bilateral hilar region. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. In both lungs, scattered density increases in ground glass density and consolidation areas were observed in the anterior segment of the left lung upper lobe and the left lower lobe superior segment of the left lung. There are mild bronchiectatic changes in both lungs. Hepatosplenomegaly was observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved. There is calcification in the anterior corners of the vertebral corpus in the thoracic region. Impression: Multiple lymph nodes persist in mediastinal bilateral hilar regions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1267/valid_1267_a/valid_1267_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2964",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  A central hypodense nodule with a diameter of 24 mm was observed in the left thyroid gland. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are bilateral axillary upper, lower paratracheal, anterior prevascular, aortopulmonary, subcarinal, bilateral hilar, paraesophageal multiple lymph nodes, the largest of which is 22.5x14 mm in size. When examined in the lung parenchyma window; There are diffuse ground glass areas in both lungs, miliary and centriacinar nodular infiltrates at this level. Centriacinar nodular infiltrates tend to coalesce with each other and occasionally to form focal consolidation. Focal consolidation of 24x19 mm (15x13 mm in the previous examination) was observed in the paramediastinal area in the anteromediobasal segment of the lower lobe of the left lung. Subsegmental atelectatic changes were observed in the medial segment of the right lung middle lobe. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. The size of the liver and spleen entering the cross-sectional area has increased. At the level of liver segment II, an area of hypodense space-occupying subcapsular lesion with a diameter of 28 mm with faint borders was observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved. Impression: The infection has a progressive appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1267/valid_1267_b/valid_1267_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:  A central hypodense nodule with a diameter of 24 mm was observed in the left thyroid gland. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are bilateral axillary upper, lower paratracheal, anterior prevascular, aortopulmonary, subcarinal, bilateral hilar, paraesophageal multiple lymph nodes, the largest of which is 22.5x14 mm in size. When examined in the lung parenchyma window; There are diffuse ground glass areas in both lungs, miliary and centriacinar nodular infiltrates at this level. Centriacinar nodular infiltrates tend to coalesce with each other and occasionally to form focal consolidation. Focal consolidation of 24x19 mm (15x13 mm in the previous examination) was observed in the paramediastinal area in the anteromediobasal segment of the lower lobe of the left lung. Subsegmental atelectatic changes were observed in the medial segment of the right lung middle lobe. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. The size of the liver and spleen entering the cross-sectional area has increased. At the level of liver segment II, an area of hypodense space-occupying subcapsular lesion with a diameter of 28 mm with faint borders was observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved. Impression: The infection has a progressive appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1267/valid_1267_b/valid_1267_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:  There is a hypodense nodule of approximately 24x22 mm in the left thyroid gland. USG verification is recommended. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. There is a catheter in the superior vena cava. Calibration of mediastinal vascular structures is natural. There is an increase in the cardiothoracic ratio in favor of the heart, and an effusion measuring 9 mm in the deepest part of the pericardial area is observed. Trachea and both main bronchi are open and no obstructive pathology is detected. No pathological increase in wall thickness was observed in the esophagus. Multiple lymph nodes are observed in the mediastinal area at the bilateral hilus level, the largest of which is 8 mm in diameter. There are lymph nodes in both axillary regions with a fatty hilus and no prominent fatty hilum in the left axillary region, but with a fusiform configuration. Minimal effusion in subcentimetric dimensions is observed in the bilateral pleural area. In the posterobasal segment of the lower lobe of the left lung, a significant regression is observed in the size of the nodule with a peripheral halo around it, which was observed in the old CT scan, and the size of the nodule was measured as approximately 7x6 mm. No gross pathology was detected in the upper abdominal organs included in the sections, and there was a significant increase in spleen size. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Significant regression is observed in bilateral pleural effusion.  Multiple lymph nodes in the mediastinal area and bilateral hilus level that are not in pathological size and appearance.  Fully appearance in the spleen in the abdominal sections within the image.  Hypodense nodule in the left thyroid gland; USG verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1267/valid_1267_c/valid_1267_c_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2967",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:  There is a hypodense nodule of approximately 24x22 mm in the left thyroid gland. USG verification is recommended. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. There is a catheter in the superior vena cava. Calibration of mediastinal vascular structures is natural. There is an increase in the cardiothoracic ratio in favor of the heart, and an effusion measuring 9 mm in the deepest part of the pericardial area is observed. Trachea and both main bronchi are open and no obstructive pathology is detected. No pathological increase in wall thickness was observed in the esophagus. Multiple lymph nodes are observed in the mediastinal area at the bilateral hilus level, the largest of which is 8 mm in diameter. There are lymph nodes in both axillary regions with a fatty hilus and no prominent fatty hilum in the left axillary region, but with a fusiform configuration. Minimal effusion in subcentimetric dimensions is observed in the bilateral pleural area. In the posterobasal segment of the lower lobe of the left lung, a significant regression is observed in the size of the nodule with a peripheral halo around it, which was observed in the old CT scan, and the size of the nodule was measured as approximately 7x6 mm. No gross pathology was detected in the upper abdominal organs included in the sections, and there was a significant increase in spleen size. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Significant regression is observed in bilateral pleural effusion.  Multiple lymph nodes in the mediastinal area and bilateral hilus level that are not in pathological size and appearance.  Fully appearance in the spleen in the abdominal sections within the image.  Hypodense nodule in the left thyroid gland; USG verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1267/valid_1267_c/valid_1267_c_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2968",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There is a 2 mm diameter nonspecific nodule at the posterobasal level of the lower lobe of the left lung. There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  No obvious pathology was observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1268/valid_1268_a/valid_1268_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2969",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Lumens are clear. There is a 2 mm diameter nonspecific nodule at the posterobasal level of the lower lobe of the left lung. There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure. Impression:  No obvious pathology was observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1268/valid_1268_a/valid_1268_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2970",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Bilateral peribronchial diffuse mild thickness increase was observed. No active infiltration or mass lesion was detected in both lungs. A few millimetric nodules measuring approximately 4 mm in diameter were observed in both lungs, the largest of which was in the posterior upper lobe of the right lung. There are minimal emphysematous changes in both lungs. There are sequela parenchymal changes in the superior segment of the lower lobe of the left lung, apex of both lungs. No active infiltration or mass lesion was detected in both lungs. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. Free fluid, loculated collection is not observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression:  Several millimetric nonspecific nodules in both lungs.  Peribronchial diffuse mild increase in thickness in both lungs.  Sequela parenchymal changes in the apex of both lungs and in the superior segment of the left lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1269/valid_1269_a/valid_1269_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no obstructive pathology is observed. No pathological increase in wall thickness was detected in the thoracic esophagus. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Bilateral peribronchial diffuse mild thickness increase was observed. No active infiltration or mass lesion was detected in both lungs. A few millimetric nodules measuring approximately 4 mm in diameter were observed in both lungs, the largest of which was in the posterior upper lobe of the right lung. There are minimal emphysematous changes in both lungs. There are sequela parenchymal changes in the superior segment of the lower lobe of the left lung, apex of both lungs. No active infiltration or mass lesion was detected in both lungs. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. Free fluid, loculated collection is not observed. No lymph node was detected in intraabdominal pathological size and appearance. No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Impression:  Several millimetric nonspecific nodules in both lungs.  Peribronchial diffuse mild increase in thickness in both lungs.  Sequela parenchymal changes in the apex of both lungs and in the superior segment of the left lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1269/valid_1269_a/valid_1269_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2972",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: CTO is normal. Calibration of mediastinal major vascular structures is natural. Thymic tissue with trigonal configuration is observed in the anterior mediastinum, which does not show any mass effect. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No lymph node with pathological size and configuration was detected in the mediastinum. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Sequelae changes are observed at the level of the lingular segment on the left. There is a slight ground-glass-like density increase in the posterobasal level of the left lung lower lobe and in the superior segment. No significant consolidation or ground-glass density increase was detected in other areas. Pleural effusion or pneumothorax is not observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Minimal degenerative changes are observed in the bone structures entering the examination area. Impression: ? Slight subpleural icy cma-like density increases in the lower lobe segments of the left lung. The outlook is not typical for Corona virus. Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1270/valid_1270_a/valid_1270_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Tracheostomy is observed. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. The ascending aorta was measured 39 mm and the descending aorta 30 mm. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Dependent atelectasis is present in the lower lobes of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific foci are observed in the partially observed right kidney. Suspected nephrolithiasis. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Dependent atelectasis at posterior levels of both lungs.  Mild dilatation is observed in the ascending and descending aorta.  Millimetric calcific foci are observed in the partially observed right kidney. Suspected nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1271/valid_1271_a/valid_1271_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Trachea, both main bronchi, lobar and segmental bronchi, air passage open. In the evaluation of the lung parenchyma, parenchymal findings are observed in favor of the sequelae of primary tbc in the upper lobe apical segment. Although parenchymal involvement in the right lung upper lobe posterior segment is not accompanied by calcification, it was thought that sequelae may belong to a change. Bilateral diffuse mosaic attenuation pattern is observed in the lung parenchyma. Clinical evaluation for reactive airway involvement is recommended. No pneumonic consolidation area was observed in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No pleural effusion was detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Findings in favor of sequelae of tbc in the apical segment of the left lung upper lobe were thought to primarily belong to the sequelae in parenchymal changes in the right lung upper lobe posterior segment. If available, it is recommended to compare with previous examinations.  Mosaic attenuation pattern in lung parenchyma. It is recommended to evaluate for reactive airway diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1272/valid_1272_a/valid_1272_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are natural. Trachea, both main bronchi, lobar and segmental bronchi, air passage open. In the evaluation of the lung parenchyma, parenchymal findings are observed in favor of the sequelae of primary tbc in the upper lobe apical segment. Although parenchymal involvement in the right lung upper lobe posterior segment is not accompanied by calcification, it was thought that sequelae may belong to a change. Bilateral diffuse mosaic attenuation pattern is observed in the lung parenchyma. Clinical evaluation for reactive airway involvement is recommended. No pneumonic consolidation area was observed in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. No pleural effusion was detected. No features were detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures. Impression:  Findings in favor of sequelae of tbc in the apical segment of the left lung upper lobe were thought to primarily belong to the sequelae in parenchymal changes in the right lung upper lobe posterior segment. If available, it is recommended to compare with previous examinations.  Mosaic attenuation pattern in lung parenchyma. It is recommended to evaluate for reactive airway diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1272/valid_1272_a/valid_1272_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2976",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance is observed in the supraclavicular fossa, axilla and mediastinum. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No lymph node in pathological size and appearance was observed in the mediastinum. Trachea, both main bronchi, lobar and segmental bronchi, air passage open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Depanden atelectasis areas are observed in the basal segments adjacent to the pleura. Centriacinar millimetric ground glass nodules are observed in the upper lobes. It was evaluated in favor of bronchiolitis. No pleural effusion was detected. No emphysema was detected. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. Two nonspecific nodular densities below 3 mm in diameter were observed in the right lung. Liver sizes have increased in upper abdominal sections, there is advanced fat in the parenchyma. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Findings consistent with respiratory bronchiolitis in the upper lobes of both lungs.  Advanced hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1273/valid_1273_a/valid_1273_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2977",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: No lymph node in pathological size and appearance is observed in the supraclavicular fossa, axilla and mediastinum. Heart dimensions and compartments are of normal width. Pericardial effusion was not detected. Calibrations of mediastinal major vascular structures are normal. No lymph node in pathological size and appearance was observed in the mediastinum. Trachea, both main bronchi, lobar and segmental bronchi, air passage open. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Depanden atelectasis areas are observed in the basal segments adjacent to the pleura. Centriacinar millimetric ground glass nodules are observed in the upper lobes. It was evaluated in favor of bronchiolitis. No pleural effusion was detected. No emphysema was detected. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. Two nonspecific nodular densities below 3 mm in diameter were observed in the right lung. Liver sizes have increased in upper abdominal sections, there is advanced fat in the parenchyma. No lytic-destructive space-occupying lesion was detected in bone structures. Impression:  Findings consistent with respiratory bronchiolitis in the upper lobes of both lungs.  Advanced hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1273/valid_1273_a/valid_1273_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. A triangular density is observed secondary to the thymic remnant in the anterior mediastinum. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Linear pleuroparenchymal sequelae are observed in both lung apex. No mass nodule infiltration was detected in both lung parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was observed in bone structures. Schmorl nodules are observed in the middle T5-T6, T6-T7, T7-T8, T8-T9 endplates in the dorsal localization. Impression: No mass, nodule or infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1274/valid_1274_a/valid_1274_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2979",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. A triangular density is observed secondary to the thymic remnant in the anterior mediastinum. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Linear pleuroparenchymal sequelae are observed in both lung apex. No mass nodule infiltration was detected in both lung parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was observed in bone structures. Schmorl nodules are observed in the middle T5-T6, T6-T7, T7-T8, T8-T9 endplates in the dorsal localization. Impression: No mass, nodule or infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1274/valid_1274_a/valid_1274_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. There are linear atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. Emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules, some of which are calcific, are observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. In particular, both atria are observed to be larger than normal. The vena cava is wider than normal in the inferior and hepatic veins. There are calcifications in the mitral valve. Calcific atheroma plaques are also observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and it was minimally wider than normal. There are millimetric lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. Sliding type hiatal hernia is observed at the lower end of the esophagus. The caudate lobe and left lobe are hypertrophic, and the liver contours are irregular. It is recommended that the patient be evaluated for chronic liver parenchymal disease. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Pleural effusion on the right . Emphysematous changes in both lungs . Localized ateletasis in both lungs . Nodules in both lungs . Cardiomegaly, atherosclerotic changes in aorta and coronary arteries, increase in main pulmonary artery diameter, increase in vena cava inferior diameter . Liver in left lobe and caudate lobe hypertrophy, irregularity in liver contours (recommended to evaluate for chronic liver parenchymal disease)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1275/valid_1275_a/valid_1275_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. There are linear atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. Emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules, some of which are calcific, are observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. In particular, both atria are observed to be larger than normal. The vena cava is wider than normal in the inferior and hepatic veins. There are calcifications in the mitral valve. Calcific atheroma plaques are also observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and it was minimally wider than normal. There are millimetric lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. Sliding type hiatal hernia is observed at the lower end of the esophagus. The caudate lobe and left lobe are hypertrophic, and the liver contours are irregular. It is recommended that the patient be evaluated for chronic liver parenchymal disease. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections. Impression: Pleural effusion on the right . Emphysematous changes in both lungs . Localized ateletasis in both lungs . Nodules in both lungs . Cardiomegaly, atherosclerotic changes in aorta and coronary arteries, increase in main pulmonary artery diameter, increase in vena cava inferior diameter . Liver in left lobe and caudate lobe hypertrophy, irregularity in liver contours (recommended to evaluate for chronic liver parenchymal disease)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1275/valid_1275_a/valid_1275_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or axillary pathological dimensions were detected. Small lymph nodes are observed in the right hilar region. When examined in the lung parenchyma window; There are patchy ground glass densities in both lungs and atelectatic changes in the lower lobe basal segment of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Covid-19 pneumonia has imaging features that are commonly reported. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease can cause a similar appearance.  Right hilar millimetric lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1276/valid_1276_a/valid_1276_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or axillary pathological dimensions were detected. Small lymph nodes are observed in the right hilar region. When examined in the lung parenchyma window; There are patchy ground glass densities in both lungs and atelectatic changes in the lower lobe basal segment of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Covid-19 pneumonia has imaging features that are commonly reported. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease can cause a similar appearance.  Right hilar millimetric lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1276/valid_1276_a/valid_1276_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: The anterior-posterior diameter of the ascending aorta is 40 mm, above normal. Calibration of other vascular structures of the mediastinum is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Millimetric calcific atheroma plaques were observed in the thoracic aorta and RCA root. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Prevascular, right upper-lower paratracheal, subcarinal or bilateral hilar, calcific lymph nodes with aortopulmonary short axes less than 1 cm were observed. When examined in the lung parenchyma window; Right lung and left lung upper lobe lingular and basal segments have central-peripheral crazy paving pattern and linear subsegmentary atelectatic changes with signs of vascular enlargement, and patchy-nodular ground glass consolidations accompanied by subpleural lines were observed, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory. No mass lesion with delineated borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder was not observed. An increase in nodular density was observed in the foliage of the gallbladder (calculus?surgical material?) Calcific atheroma plaques were observed in the abdominal aorta. There are spur formations bridging each other in the right anterolateral corner of the thoracic vertebra. Thoracic kyphosis is increased. Height losses were observed in T4, T5, T6 and T7 vertebral upper endplates, most prominently at T5. Impression: Fusiform aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the thoracic aorta and RCA root. Calcific lymph nodes in the mediastinum that do not reach pathological dimensions.  Findings consistent with Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with the clinic and laboratory.  Height losses in the upper endplate of T4, T5, T6 and T7 vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1277/valid_1277_a/valid_1277_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: The anterior-posterior diameter of the ascending aorta is 40 mm, above normal. Calibration of other vascular structures of the mediastinum is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Millimetric calcific atheroma plaques were observed in the thoracic aorta and RCA root. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Prevascular, right upper-lower paratracheal, subcarinal or bilateral hilar, calcific lymph nodes with aortopulmonary short axes less than 1 cm were observed. When examined in the lung parenchyma window; Right lung and left lung upper lobe lingular and basal segments have central-peripheral crazy paving pattern and linear subsegmentary atelectatic changes with signs of vascular enlargement, and patchy-nodular ground glass consolidations accompanied by subpleural lines were observed, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory. No mass lesion with delineated borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder was not observed. An increase in nodular density was observed in the foliage of the gallbladder (calculus?surgical material?) Calcific atheroma plaques were observed in the abdominal aorta. There are spur formations bridging each other in the right anterolateral corner of the thoracic vertebra. Thoracic kyphosis is increased. Height losses were observed in T4, T5, T6 and T7 vertebral upper endplates, most prominently at T5. Impression: Fusiform aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the thoracic aorta and RCA root. Calcific lymph nodes in the mediastinum that do not reach pathological dimensions.  Findings consistent with Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with the clinic and laboratory.  Height losses in the upper endplate of T4, T5, T6 and T7 vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1277/valid_1277_a/valid_1277_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2986",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibrotic densities are observed in both lung apical segments. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-sclerotic lesions were detected in the bone structures within the study area. Impression: Sequelae of fibrotic densities in both lung apical segments."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1278/valid_1278_a/valid_1278_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2987",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Sequelae fibrotic densities are observed in both lung apical segments. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-sclerotic lesions were detected in the bone structures within the study area. Impression: Sequelae of fibrotic densities in both lung apical segments."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1278/valid_1278_a/valid_1278_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2988",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Subpleural sequela fibrotic notching is observed in the posterior of the right lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Subpleural sequela fibrotic notching in the posterior right lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1279/valid_1279_a/valid_1279_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Subpleural sequela fibrotic notching is observed in the posterior of the right lung upper lobe. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Subpleural sequela fibrotic notching in the posterior right lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1279/valid_1279_a/valid_1279_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Thyroid parenchyma is hypertrophic. Clinical lab in terms of parenchymal disease. blind. recommended. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal. On the right side, at the level of the 2nd and 3rd costovertebral junctions, degenerative changes, which are thought to be secondary to fractures, are observed in the bone structures in the first place. Clinical correlation and follow-up in case of doubt are recommended. Impression: The thyroid parenchyma is observed to be hypertrophic. Clinical laboratory cor. is recommended for parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1280/valid_1280_a/valid_1280_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2991",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. There are calcific atheroma plaques in the coronary arteries and aortic arch. Pericardial effusion-thickening was not observed. The thyroid parenchyma is smaller than normal and a 12 mm suspicious nodule is observed on the left side. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Multiple lymph nodes measuring up to 29x18 mm are observed in the upper mediastinum, pratarakeal area and carina. There is an effusion measuring 34 mm in thickness in the right hemithorax. When examined in the lung parenchyma window; There is volume loss in the lower lobe of the right lung, and there is a consolidation area accompanied by air bronchogram signs at the described level. Thickening is observed in the interlobular septa. The right thoracic wall is partially observed, and the subcutaneous fatty tissues are hyperemic, voluminous and edematous. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density reduction in bone structures. Hypertrophic-osteophytic taperings are observed in the end plates. Impression:  Findings consistent with an infectious process accompanied by cardiac stasis; clinical laboratory correlation is recommended.  More than one lymph nodes in the mediastinum with a long axis measuring up to 29 mm and a short axis up to 18 mm.  Cardiomegaly.  Atherosclerosis.  Effusion measuring up to 34 mm in the right hemithorax. The right thoracic wall is partially observed, subcutaneous fatty tissues are hyperemic, voluminous and edematous, clinical correlation is recommended in terms of subcutaneous effusion.  Thyroid parenchyma is smaller than normal and 12 mm suspicious nodule on the left side.  Diffuse density reduction in bone structures, hypertrophic-osteophytic tapering in end plates"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1281/valid_1281_a/valid_1281_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2992",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. There are calcific atheroma plaques in the coronary arteries and aortic arch. Pericardial effusion-thickening was not observed. The thyroid parenchyma is smaller than normal and a 12 mm suspicious nodule is observed on the left side. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Multiple lymph nodes measuring up to 29x18 mm are observed in the upper mediastinum, pratarakeal area and carina. There is an effusion measuring 34 mm in thickness in the right hemithorax. When examined in the lung parenchyma window; There is volume loss in the lower lobe of the right lung, and there is a consolidation area accompanied by air bronchogram signs at the described level. Thickening is observed in the interlobular septa. The right thoracic wall is partially observed, and the subcutaneous fatty tissues are hyperemic, voluminous and edematous. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density reduction in bone structures. Hypertrophic-osteophytic taperings are observed in the end plates. Impression:  Findings consistent with an infectious process accompanied by cardiac stasis; clinical laboratory correlation is recommended.  More than one lymph nodes in the mediastinum with a long axis measuring up to 29 mm and a short axis up to 18 mm.  Cardiomegaly.  Atherosclerosis.  Effusion measuring up to 34 mm in the right hemithorax. The right thoracic wall is partially observed, subcutaneous fatty tissues are hyperemic, voluminous and edematous, clinical correlation is recommended in terms of subcutaneous effusion.  Thyroid parenchyma is smaller than normal and 12 mm suspicious nodule on the left side.  Diffuse density reduction in bone structures, hypertrophic-osteophytic tapering in end plates"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1281/valid_1281_a/valid_1281_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2993",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. Lymph nodes with short axes not exceeding 1 cm are observed in the pretracheal, aortopulmonary and both hilar regions. Sliding type hiatal hernia is observed in the lower sections of the thorax included in the examination. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When the lung parenchyma is examined in the window, nodular opacities are observed in the posterior part of the right lung upper lobe in the form of a budding tree view. The outlook may be compatible with pneumonia. It is appropriate to evaluate the patient with clinical and laboratory findings. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nodular opacities (Pneumonia?) in the apical and posterior segment of the upper lobe of the right lung in the style of a budding tree view. Post-treatment follow-up examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1282/valid_1282_a/valid_1282_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2994",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. Lymph nodes with short axes not exceeding 1 cm are observed in the pretracheal, aortopulmonary and both hilar regions. Sliding type hiatal hernia is observed in the lower sections of the thorax included in the examination. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When the lung parenchyma is examined in the window, nodular opacities are observed in the posterior part of the right lung upper lobe in the form of a budding tree view. The outlook may be compatible with pneumonia. It is appropriate to evaluate the patient with clinical and laboratory findings. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Nodular opacities (Pneumonia?) in the apical and posterior segment of the upper lobe of the right lung in the style of a budding tree view. Post-treatment follow-up examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1282/valid_1282_a/valid_1282_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2995",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectatic changes were observed in the medial segment of the right lung middle lobe. There is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia. Mosaic attenuation pattern in both lungs, (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1283/valid_1283_a/valid_1283_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2996",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Linear atelectatic changes were observed in the medial segment of the right lung middle lobe. There is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Hiatal hernia. Mosaic attenuation pattern in both lungs, (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1283/valid_1283_a/valid_1283_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2997",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: On the right, a catheter image extending to the port chamber and superior-right atrium junction of the vena cava and anterior chest wall is observed. Round-shaped lymph nodes are observed in the left cervical chain, submandibular and submental regions, and supraclavicular regions. Lymph nodes measuring 8.3 mm in the short axis of the largest (11.6 mm in the previous examination) were observed in the left retropectoral region. In the left axilla, there are lymph nodes less than 1 cm in short axes with nodular configuration. Asymmetric cortical thickening was observed in one of the lymph nodes. It is recommended to be evaluated together with US. No lymph node was observed in the left retropectoral region and left axilla in pathological size and appearance. No occlusive pathology was observed in the lumen of the trachea and both main bronchi. In the mediastinal intrusion, several nodular lymph nodes with short axes less than 1 cm were observed in the right upper paratracheal area. No lymph node in pathological size and appearance was observed in other mediastinal regions. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Heart contour, size is normal. A loculated pericardial effusion was observed in the anterior of the pericardium. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Pleural effusion reaching 16 mm in thickness was observed in the left hemithorax. It is new in current review. No pleural effusion was observed on the right. There are minimal emphysematous changes in both lungs. Passive atelectatic changes were observed in the right lung middle and lower lobe basal segments of both lungs. In the right lower lobe mediobasal, left lung apicoposterior segment, and lower lobe superior segment, centrally located peribronchial budded tree view was observed, and the current study is new. It was thought to be compatible with infective processes-bronchiolitis. It is recommended to be evaluated together with clinical and laboratory. A stable nodule was observed in the apicoposterior segment of the upper lobe of the left lung. A slightly irregular bordered nodule, which was observed in the left lung lower lobe laterobasal segment in the previous examination, could not be observed in the current examination secondary to atelectasis. In the current examination, no newly emerged nodule-mass was observed in the lung parenchyma. As far as can be seen in non-contrast sections; liver, spleen, pancreas are normal. The right adrenal gland is normal. Diffuse thickening was observed in the medial crus of the left adrenal gland. It is stable. A stone was observed in the gallbladder lumen. The most prominent free fluid was observed in the perihepatic area in the abdomen. Thickening of the omentum and increases in reticulondular density in the left upper quadrant and minimal thickening of the parietal peritoneum were observed. Findings were new in the current review and were initially thought to be compatible with peritoneal carcinomatosis. It is recommended to be evaluated together with clinical and laboratory. No lytic-destructive lesion in favor of metastasis was observed in bone structures. Degenerative changes were observed in bone structures. Impression:  Significantly reduced lymph nodes in the left cervical chain, submandibular, submental and supraclavicular regions, left axilla and retropectoral region.  Lymph node with mild asymmetric cortical thickening in the left axilla; It is recommended to be evaluated together with US.  Stable nodule, passive atelectatic changes in the apicoposterior segment of the left lung upper lobe.  Infective processes in the right lung middle lobe mediobasal and left lung upper lobe apicoposterior and lower lobe superior segment-appearance that may be compatible with bronchiolitis; It is recommended to be evaluated together with clinical and laboratory.  Left pleural effusion; new to current review.  Free intra-abdominal fluid, thickening and density increases in the left upper quadrant omentum; new to current review. It was thought to be compatible with peritoneal carcinomatosis. It is recommended to be evaluated together with clinical and laboratory and further examination.  Other findings are stable. "
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1284/valid_1284_a/valid_1284_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_2998",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: On the right, a catheter image extending to the port chamber and superior-right atrium junction of the vena cava and anterior chest wall is observed. Round-shaped lymph nodes are observed in the left cervical chain, submandibular and submental regions, and supraclavicular regions. Lymph nodes measuring 8.3 mm in the short axis of the largest (11.6 mm in the previous examination) were observed in the left retropectoral region. In the left axilla, there are lymph nodes less than 1 cm in short axes with nodular configuration. Asymmetric cortical thickening was observed in one of the lymph nodes. It is recommended to be evaluated together with US. No lymph node was observed in the left retropectoral region and left axilla in pathological size and appearance. No occlusive pathology was observed in the lumen of the trachea and both main bronchi. In the mediastinal intrusion, several nodular lymph nodes with short axes less than 1 cm were observed in the right upper paratracheal area. No lymph node in pathological size and appearance was observed in other mediastinal regions. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Heart contour, size is normal. A loculated pericardial effusion was observed in the anterior of the pericardium. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Pleural effusion reaching 16 mm in thickness was observed in the left hemithorax. It is new in current review. No pleural effusion was observed on the right. There are minimal emphysematous changes in both lungs. Passive atelectatic changes were observed in the right lung middle and lower lobe basal segments of both lungs. In the right lower lobe mediobasal, left lung apicoposterior segment, and lower lobe superior segment, centrally located peribronchial budded tree view was observed, and the current study is new. It was thought to be compatible with infective processes-bronchiolitis. It is recommended to be evaluated together with clinical and laboratory. A stable nodule was observed in the apicoposterior segment of the upper lobe of the left lung. A slightly irregular bordered nodule, which was observed in the left lung lower lobe laterobasal segment in the previous examination, could not be observed in the current examination secondary to atelectasis. In the current examination, no newly emerged nodule-mass was observed in the lung parenchyma. As far as can be seen in non-contrast sections; liver, spleen, pancreas are normal. The right adrenal gland is normal. Diffuse thickening was observed in the medial crus of the left adrenal gland. It is stable. A stone was observed in the gallbladder lumen. The most prominent free fluid was observed in the perihepatic area in the abdomen. Thickening of the omentum and increases in reticulondular density in the left upper quadrant and minimal thickening of the parietal peritoneum were observed. Findings were new in the current review and were initially thought to be compatible with peritoneal carcinomatosis. It is recommended to be evaluated together with clinical and laboratory. No lytic-destructive lesion in favor of metastasis was observed in bone structures. Degenerative changes were observed in bone structures. Impression:  Significantly reduced lymph nodes in the left cervical chain, submandibular, submental and supraclavicular regions, left axilla and retropectoral region.  Lymph node with mild asymmetric cortical thickening in the left axilla; It is recommended to be evaluated together with US.  Stable nodule, passive atelectatic changes in the apicoposterior segment of the left lung upper lobe.  Infective processes in the right lung middle lobe mediobasal and left lung upper lobe apicoposterior and lower lobe superior segment-appearance that may be compatible with bronchiolitis; It is recommended to be evaluated together with clinical and laboratory.  Left pleural effusion; new to current review.  Free intra-abdominal fluid, thickening and density increases in the left upper quadrant omentum; new to current review. It was thought to be compatible with peritoneal carcinomatosis. It is recommended to be evaluated together with clinical and laboratory and further examination.  Other findings are stable. "
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1284/valid_1284_a/valid_1284_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_2999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Diffuse ground glass areas are observed in both lungs. The views described are nonspecific. However, appearances can be observed in viral pneumonia. It is recommended that the patient be evaluated from this point of view. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. Atheroma plaques are observed in the aorta. There are millimetric lymph nodes in the mediastinum and hilar regions. At the lower end of the esophagus, there is a sliding type hiatal hernia. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Impression: Findings that may be compatible with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1285/valid_1285_a/valid_1285_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1286/valid_1286_a/valid_1286_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3001",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Esophagus is within normal limits. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances were observed in both lungs. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No obvious pathology was detected in bone structures. Impression: Viral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1286/valid_1286_a/valid_1286_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy ground glass densities are observed in the right lung upper lobe anterior segment, paramediastinal area, lower lobe superior and mediobasal segment, peripherally located lower lobe superior segment, left lung lower lobe laterobasal segment and upper lobe anterior segment. It is seen that the central of the ground glass density observed in the paramediastinal localization in the superior and medial basal segment of the right lung lower lobe becomes more consolidated. In the sections passing through the upper part of the west; Metallic clips are observed in the gallbladder lodge. Bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Stable patch-style ground glass densities located peripherally in the segments of both lungs, typical imaging findings for Covid 19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1286/valid_1286_b/valid_1286_b_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3003",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy ground glass densities are observed in the right lung upper lobe anterior segment, paramediastinal area, lower lobe superior and mediobasal segment, peripherally located lower lobe superior segment, left lung lower lobe laterobasal segment and upper lobe anterior segment. It is seen that the central of the ground glass density observed in the paramediastinal localization in the superior and medial basal segment of the right lung lower lobe becomes more consolidated. In the sections passing through the upper part of the west; Metallic clips are observed in the gallbladder lodge. Bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression: Stable patch-style ground glass densities located peripherally in the segments of both lungs, typical imaging findings for Covid 19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1286/valid_1286_b/valid_1286_b_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3004",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No nodule-infiltration was detected in both lungs. Minimal pleuroparenchymal sequelae density increases were observed in both lungs apical. No pleural effusion was detected. In the upper abdominal sections in the study area; 3 mm diameter calculus was observed in the right kidney. No lytic-destructive lesion was detected in bone structures. Impression:  Right nephrolithiasis.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1287/valid_1287_a/valid_1287_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No nodule-infiltration was detected in both lungs. Minimal pleuroparenchymal sequelae density increases were observed in both lungs apical. No pleural effusion was detected. In the upper abdominal sections in the study area; 3 mm diameter calculus was observed in the right kidney. No lytic-destructive lesion was detected in bone structures. Impression:  Right nephrolithiasis.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1287/valid_1287_a/valid_1287_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Fixation material is observed in the thoracic vertebrae included in the study area. Metallic body artifact is observed on the left anterior chest wall. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1288/valid_1288_a/valid_1288_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Fixation material is observed in the thoracic vertebrae included in the study area. Metallic body artifact is observed on the left anterior chest wall. Impression: Examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1288/valid_1288_a/valid_1288_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3008",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. There are millimetric atheroma plaques in the aorta. The main pulmonary artery diameter was 30 mm and wider than normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners. The neural foramina are open. Impression: Emphysematous changes in both lungs. Minimal atherosclerotic changes in the aorta and coronary arteries.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1289/valid_1289_a/valid_1289_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobes of both lungs, peripherally located, faintly circumscribed, barely distinguishable subpleural ground-glass areas are observed. Appearance is one of the frequently observed findings in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical - probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1290/valid_1290_a/valid_1290_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3010",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the lower lobes of both lungs, peripherally located, faintly circumscribed, barely distinguishable subpleural ground-glass areas are observed. Appearance is one of the frequently observed findings in Covid-19 pneumonia. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Typical - probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1290/valid_1290_a/valid_1290_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3011",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea is in the midline and both main bronchi are open. Calibration of mediastinal major vascular structures is normal. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophageal wall thickness is normal. There are lymph nodes with short axes not exceeding 1 cm in the mediastinal area. When examined in the lung parenchyma window; There are pleural thickness increases with sequelae calcifications in the lateral located left lung lower lobe superior segment pleura, more prominently in the left lung upper lobe pleura. There are ground-glass densities in both lungs, which are scattered and subpleural predominance. The outlook is in favor of Covid-19 pneumonia. Upper abdominal organs included in the examination; liver density was diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Covid-19 pneumonia.  Sequelae of pleural thickness increases with calcifications in the left lung.  Calcific plaques in the aortic coronary arteries.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1291/valid_1291_a/valid_1291_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3012",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: The trachea is in the midline and both main bronchi are open. Calibration of mediastinal major vascular structures is normal. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophageal wall thickness is normal. There are lymph nodes with short axes not exceeding 1 cm in the mediastinal area. When examined in the lung parenchyma window; There are pleural thickness increases with sequelae calcifications in the lateral located left lung lower lobe superior segment pleura, more prominently in the left lung upper lobe pleura. There are ground-glass densities in both lungs, which are scattered and subpleural predominance. The outlook is in favor of Covid-19 pneumonia. Upper abdominal organs included in the examination; liver density was diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Covid-19 pneumonia.  Sequelae of pleural thickness increases with calcifications in the left lung.  Calcific plaques in the aortic coronary arteries.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1291/valid_1291_a/valid_1291_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3013",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Tracheostomy cannula ending 5 cm proximal to the carina was observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. A nasogastric tube is available. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, more common central-peripheral crazy paving pattern was observed in the lower lobes, nodular form in the upper lobes, patchy form in the lower lobes, irregular consolidation areas with ground glass areas were observed around it. Consolidation areas are accompanied by linear atelectasis in the lower lobes. The outlook is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1292/valid_1292_a/valid_1292_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3014",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings: Tracheostomy cannula ending 5 cm proximal to the carina was observed. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. A nasogastric tube is available. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both lungs, more common central-peripheral crazy paving pattern was observed in the lower lobes, nodular form in the upper lobes, patchy form in the lower lobes, irregular consolidation areas with ground glass areas were observed around it. Consolidation areas are accompanied by linear atelectasis in the lower lobes. The outlook is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Findings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1292/valid_1292_a/valid_1292_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3015",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in the right lung. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. The left renal collecting system is minimally dilated. However, since the kidney and ureteropelvic junction were not included in the sections, no comment could be made about the occlusive pathology. There are millimetric stones in the upper pole of the left kidney. Further investigation is recommended for the verification and characterization of the dilatation in the left kidney upper pole collecting system. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression:  Several millimetric nodules in the right lung.  Left nephrolithiasis, minimal dilatation of the left renal collecting system (further investigation is recommended for verification and characterization of the appearance)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1293/valid_1293_a/valid_1293_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There are several millimetric nonspecific nodules in the right lung. Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pleural or pericardial effusion. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. The left renal collecting system is minimally dilated. However, since the kidney and ureteropelvic junction were not included in the sections, no comment could be made about the occlusive pathology. There are millimetric stones in the upper pole of the left kidney. Further investigation is recommended for the verification and characterization of the dilatation in the left kidney upper pole collecting system. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open. Impression:  Several millimetric nodules in the right lung.  Left nephrolithiasis, minimal dilatation of the left renal collecting system (further investigation is recommended for verification and characterization of the appearance)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1293/valid_1293_a/valid_1293_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3017",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. There are calcific atheromatous plaques in the aorta and coronary arteries. The ascending aorta has an ectatic appearance. Measured at 40mm. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Calcific lymph nodes, some of which do not exceed 1 cm in short axis, are observed in the mediastinum and hilar levels. A few reactive lymph nodes with a short axis not exceeding 5 mm are observed in the mediastinal area. No lymph nodes in pathological size and appearance were observed in either axilla. When examined in the lung parenchyma window; In the right hemithorax, there are sequelae calcific plaques in the pleura. There is pleural effusion reaching 3.5 cm at its widest point in the right lung and compression atelectasis in the parenchyma accompanying it. Sequelae thickness increases are observed in the inferior-posterior part of the left lung and in the pleura adjacent to the mediastinal area. There is a mosaic attenuation pattern in both lungs, which may be compatible with small airway-small vessel disease, which is more prominent on the right. Peribronchial thickness increases are observed in the right lung. There are areas of linear atelectasis in the upper and middle lobe segments of the right lung. The right diaphragm is elevated, and the bronchi to the lower lobe of the right lung are narrowed secondary to diaphragmatic compression. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Increased heart size, calcific plaques in the aorta and coronary arteries.  Linear subsegmental atelectasis areas in both lungs, especially in the right lung, pleural effusion in the right lung, nonspecific sequelae thickening in the pleura of both lungs, calcific in the right lung, compression secondary to diaphragm elevation in the lower lobe bronchi of the right lung, an appearance in favor of active infiltration or consolidation not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1294/valid_1294_a/valid_1294_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. There are calcific atheromatous plaques in the aorta and coronary arteries. The ascending aorta has an ectatic appearance. Measured at 40mm. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Calcific lymph nodes, some of which do not exceed 1 cm in short axis, are observed in the mediastinum and hilar levels. A few reactive lymph nodes with a short axis not exceeding 5 mm are observed in the mediastinal area. No lymph nodes in pathological size and appearance were observed in either axilla. When examined in the lung parenchyma window; In the right hemithorax, there are sequelae calcific plaques in the pleura. There is pleural effusion reaching 3.5 cm at its widest point in the right lung and compression atelectasis in the parenchyma accompanying it. Sequelae thickness increases are observed in the inferior-posterior part of the left lung and in the pleura adjacent to the mediastinal area. There is a mosaic attenuation pattern in both lungs, which may be compatible with small airway-small vessel disease, which is more prominent on the right. Peribronchial thickness increases are observed in the right lung. There are areas of linear atelectasis in the upper and middle lobe segments of the right lung. The right diaphragm is elevated, and the bronchi to the lower lobe of the right lung are narrowed secondary to diaphragmatic compression. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Increased heart size, calcific plaques in the aorta and coronary arteries.  Linear subsegmental atelectasis areas in both lungs, especially in the right lung, pleural effusion in the right lung, nonspecific sequelae thickening in the pleura of both lungs, calcific in the right lung, compression secondary to diaphragm elevation in the lower lobe bronchi of the right lung, an appearance in favor of active infiltration or consolidation not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1294/valid_1294_a/valid_1294_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3019",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is 39 mm and ectatic. Other mediastinal main vascular structures, heart contour, size are normal. The thoracic aorta is ectatic. Calcific atheroma plaques are present in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with short axes reaching 9 mm are observed in the right paratracheal area and right hilar region within the mediastinum. There is an increase in density in the mediastinal fat tissue in the right paratracheal area. There is a low-density lesion (lymph node?) of approximately 25x20 mm in the scalene region on the right, which partially penetrates the section. When examined in the lung parenchyma window; A soft tissue mass partially accompanied by atelectasis is observed in the upper lobe of the right lung, with an AP diameter of 79 mm at its widest point. Peribronchial reticular densities and mosaic densities are present in bilateral lung parenchyma, more prominently on the right and in the upper lobe. Emphysematous appearance is present in both lungs. In addition, irregularly circumscribed nodules are observed in both lung parenchyma, the largest of which is 7 mm in diameter in the posterobasal region of the left lower lobe. In the upper abdominal sections, low-density nodular lesions are observed, measuring 22x13 mm in the genus of the right adrenal gland and 14x13 mm in the genu of the left adrenal gland. Other upper abdominal organs included in the sections are normal. There are degenerative changes in the vertebrae. Impression:  A mass in the upper lobe of the right lung with minimal atelectasis.  Mediastinal lymph nodes, right scalene level nodular lesion (lymph node?).  Nodules with millimetric irregular borders in both lungs. Metastasis or infective process cannot be differentiated.  Bilateral diffuse emphysema  Peribronchial diffuse reticular opacities (lymphangitic dissemination? Infective process? Pulmonary edema?), more prominent on the bilateral right side.  Millimetric nonspecific some calcific nodules in both lungs.  Aortic and coronary artery atherosclerosis.  Ectasia in the ascending aorta and thoracic aorta.  Nodular lesions (adenoma?) in both adrenal glands.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1295/valid_1295_a/valid_1295_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is 39 mm and ectatic. Other mediastinal main vascular structures, heart contour, size are normal. The thoracic aorta is ectatic. Calcific atheroma plaques are present in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with short axes reaching 9 mm are observed in the right paratracheal area and right hilar region within the mediastinum. There is an increase in density in the mediastinal fat tissue in the right paratracheal area. There is a low-density lesion (lymph node?) of approximately 25x20 mm in the scalene region on the right, which partially penetrates the section. When examined in the lung parenchyma window; A soft tissue mass partially accompanied by atelectasis is observed in the upper lobe of the right lung, with an AP diameter of 79 mm at its widest point. Peribronchial reticular densities and mosaic densities are present in bilateral lung parenchyma, more prominently on the right and in the upper lobe. Emphysematous appearance is present in both lungs. In addition, irregularly circumscribed nodules are observed in both lung parenchyma, the largest of which is 7 mm in diameter in the posterobasal region of the left lower lobe. In the upper abdominal sections, low-density nodular lesions are observed, measuring 22x13 mm in the genus of the right adrenal gland and 14x13 mm in the genu of the left adrenal gland. Other upper abdominal organs included in the sections are normal. There are degenerative changes in the vertebrae. Impression:  A mass in the upper lobe of the right lung with minimal atelectasis.  Mediastinal lymph nodes, right scalene level nodular lesion (lymph node?).  Nodules with millimetric irregular borders in both lungs. Metastasis or infective process cannot be differentiated.  Bilateral diffuse emphysema  Peribronchial diffuse reticular opacities (lymphangitic dissemination? Infective process? Pulmonary edema?), more prominent on the bilateral right side.  Millimetric nonspecific some calcific nodules in both lungs.  Aortic and coronary artery atherosclerosis.  Ectasia in the ascending aorta and thoracic aorta.  Nodular lesions (adenoma?) in both adrenal glands.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1295/valid_1295_a/valid_1295_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3021",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Minimal calcific atherosclerotic changes were observed in the pulmonary artery wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass densities of subpleural millimetric nodules were observed in the posterobasal segment of both lower lobes of the lungs. The appearance may belong to dependent intensity increases. However, early-stage Covid-19 pneumonia cannot be ruled out due to the pandemic. Clinical laboratory correlation is recommended. no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. No lytic-destructive lesion was detected in bone structures. L3 vertebra right transverse prosthesis fracture was observed. Impression: Nonspecific ground-glass density increases in the lower lobes of both lungs. Early-stage Covid-19 pneumonia cannot be excluded because the appearance is a pandemic. Clinical laboratory correlation is recommended.  Minimal calcific atherosclerotic changes in the pulmonary artery wall . Hepatosteatosis. L3 vertebra right transverse prosthesis fracture."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1296/valid_1296_a/valid_1296_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Minimal calcific atherosclerotic changes were observed in the pulmonary artery wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass densities of subpleural millimetric nodules were observed in the posterobasal segment of both lower lobes of the lungs. The appearance may belong to dependent intensity increases. However, early-stage Covid-19 pneumonia cannot be ruled out due to the pandemic. Clinical laboratory correlation is recommended. no mass nodule-infiltration was detected in both lung parenchyma. No pleural effusion was detected. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. No lytic-destructive lesion was detected in bone structures. L3 vertebra right transverse prosthesis fracture was observed. Impression: Nonspecific ground-glass density increases in the lower lobes of both lungs. Early-stage Covid-19 pneumonia cannot be excluded because the appearance is a pandemic. Clinical laboratory correlation is recommended.  Minimal calcific atherosclerotic changes in the pulmonary artery wall . Hepatosteatosis. L3 vertebra right transverse prosthesis fracture."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1296/valid_1296_a/valid_1296_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3023",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral, patchy ground glass densities are observed in the lower lobe apexes and more prominently in the upper lobes of both lungs. When the upper abdominal organs included in the sections are examined; gallbladder is operated. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Peripheral patchy ground glass densities in bilateral lungs, predominantly in the upper parts (Covid pneumonia? Chlamydia pneumonia in a patient with a bird feeding history for three months?).  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1297/valid_1297_a/valid_1297_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3024",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Peripheral, patchy ground glass densities are observed in the lower lobe apexes and more prominently in the upper lobes of both lungs. When the upper abdominal organs included in the sections are examined; gallbladder is operated. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Peripheral patchy ground glass densities in bilateral lungs, predominantly in the upper parts (Covid pneumonia? Chlamydia pneumonia in a patient with a bird feeding history for three months?).  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1297/valid_1297_a/valid_1297_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the lower lobe of the right lung, there is a nodule with spiculated contours and measuring up to 8 mm in size in series 2 image 174. Comparing with previous examinations, if any, close follow-up is recommended after exclusion of infectious processes due to the current pandemic. There are atelectatic changes in the left lung upper lobe inferior lingula. A few millimetric, nonspecific calcific nodules are observed in both lungs. In the upper abdominal organs, including sections; liver parenchyma has an appearance compatible with stratosis. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Comparing the contours described in the lower lobe of the right lung with previous examinations of a spiculated nodular lesion, if any, and close follow-up after exclusion of infectious processes are recommended for the differential diagnosis of space-occupying findings.  Atelectatic changes in the left lung upper lobe inferior lingula.  Several millimetric, nonspecific calcific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1298/valid_1298_a/valid_1298_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; In the lower lobe of the right lung, there is a nodule with spiculated contours and measuring up to 8 mm in size in series 2 image 174. Comparing with previous examinations, if any, close follow-up is recommended after exclusion of infectious processes due to the current pandemic. There are atelectatic changes in the left lung upper lobe inferior lingula. A few millimetric, nonspecific calcific nodules are observed in both lungs. In the upper abdominal organs, including sections; liver parenchyma has an appearance compatible with stratosis. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression:  Comparing the contours described in the lower lobe of the right lung with previous examinations of a spiculated nodular lesion, if any, and close follow-up after exclusion of infectious processes are recommended for the differential diagnosis of space-occupying findings.  Atelectatic changes in the left lung upper lobe inferior lingula.  Several millimetric, nonspecific calcific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1298/valid_1298_a/valid_1298_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3027",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is ectatic (45 mm). Calcific atheroma plaques are observed in the aortic arch. Apart from this, mediastinal main vascular structures, heart contour and size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Emphysematous changes in both lung parenchyma, thin and thick honeycomb findings, subpleural air cysts are observed in the lower lobe posteriors, more prominent on the right. Patchy subpleural ground glass densities with no clear borders are observed bilaterally, especially in the posteriors. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The gallbladder is operated. Spleen size increased (131 mm). Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a slight increase in dorsal kyphosis, and osteophytic formations that tend to merge anteriorly are observed in the vertebrae. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ectasia of the ascending aorta. Atherosclerosis of the aorta.  Emphysematous findings, interstitial density increases and honeycomb appearances in both lungs. Ground-glass densities in both lungs (not specific to Covid pneumonia, but clinical correlation is recommended in this respect).  Cholecystectomy. Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1299/valid_1299_a/valid_1299_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3028",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea, both main bronchi are open. The ascending aorta is ectatic (45 mm). Calcific atheroma plaques are observed in the aortic arch. Apart from this, mediastinal main vascular structures, heart contour and size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Emphysematous changes in both lung parenchyma, thin and thick honeycomb findings, subpleural air cysts are observed in the lower lobe posteriors, more prominent on the right. Patchy subpleural ground glass densities with no clear borders are observed bilaterally, especially in the posteriors. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The gallbladder is operated. Spleen size increased (131 mm). Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a slight increase in dorsal kyphosis, and osteophytic formations that tend to merge anteriorly are observed in the vertebrae. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Ectasia of the ascending aorta. Atherosclerosis of the aorta.  Emphysematous findings, interstitial density increases and honeycomb appearances in both lungs. Ground-glass densities in both lungs (not specific to Covid pneumonia, but clinical correlation is recommended in this respect).  Cholecystectomy. Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1299/valid_1299_a/valid_1299_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1300/valid_1300_a/valid_1300_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pleural or pericardial effusion was detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are preserved. The neural foramina are open. There are no lytic-destructive lesions in the bone structures within the sections. Impression: Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1300/valid_1300_a/valid_1300_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected. Ventilation of both lung parenchyma is natural. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Intraabdominal free liqu- ulated collection is not observed. No lytic or destructive lesions were detected in the bone structures within the image, and the vertebral body heights were preserved. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1301/valid_1301_a/valid_1301_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour, size are natural. No pericardial-pleural effusion or increased thickness was detected. No pathological increase in wall thickness is observed in the thoracic esophagus. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected. Ventilation of both lung parenchyma is natural. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Intraabdominal free liqu- ulated collection is not observed. No lytic or destructive lesions were detected in the bone structures within the image, and the vertebral body heights were preserved. Impression: Findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1301/valid_1301_a/valid_1301_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3033",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Peripheral and peribronchial patch-like ground-glass densities and consolidation areas are observed in both lungs, which are more prominent on the right. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression:  In the evaluation of both lung parenchyma; peripheral and peribronchial patch-like ground-glass densities and consolidation areas in both lungs, more prominent on the right; Typical findings for Covid-19 pneumonia in the presence of a pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1302/valid_1302_a/valid_1302_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings: Trachea and main bronchi are open. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Peripheral and peribronchial patch-like ground-glass densities and consolidation areas are observed in both lungs, which are more prominent on the right. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion was detected in bone structures. Impression:  In the evaluation of both lung parenchyma; peripheral and peribronchial patch-like ground-glass densities and consolidation areas in both lungs, more prominent on the right; Typical findings for Covid-19 pneumonia in the presence of a pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1302/valid_1302_a/valid_1302_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and major vascular structures is suboptimal due to the lack of contrast of the examination. The trachea is in the midline and both main bronchi are open. Calcific atheroma plaques are observed in the aorta and coronary arteries. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Mediastinal area: Lymph nodes are observed at the aortopulmonary level, pretracheal area, and subcarinal area. The largest of these lymph nodes is in the paratracheal area and its short axis is measured as 20 mm. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the descending aorta was 32 mm at its widest point. Thoracic esophageal wall thickness is normal. When examined in the lung parenchyma window; Large-scale emphysematous changes are observed, which is more prominent in the upper lobes of both lungs. Again, there are paraseptal emphysema in the lower lobes of both lungs, which are more prominent in the subpleural areas. Bronchiectasis and peribronchial thickness increases are observed in both lungs. There are sequelae pleuroparenchymal band formations in the lungs. A mosaic lung pattern, which is more prominent in the lower lobes of both lungs, is observed. Sequela fibrotic densities are observed in the left lung upper lobe lingular segment. Nonspecific pulmonary nodules are observed in both lungs, some of which are located in the subpleural region, the largest of which is 5 mm in diameter in the lateral segment of the right lung middle lobe. Upper abdominal sections included in the examination are normal. The diameter of the thoracic aorta at the inferior level was 29 mm. No fractures or lytic-sclerotic lesions were observed in bone structures. Anterior osteophytes, which tend to merge in the vertebrae, especially in the upper thoracic region, are observed. Impression:  Emphysematous changes, bronchiectatic changes, peribronchial thickness increases, linear fibrotic densities, which affect more prominently in the diffuse upper lobes, were primarily evaluated in favor of sequela changes related to the COPD process.  Density increases in depandant zones in both lungs.  Mosaic lung pattern is observed in the lower lobes of both lungs.  Thoracic aortic diameter was measured as 29 mm."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1303/valid_1303_a/valid_1303_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: Evaluation of solid organs and major vascular structures is suboptimal due to the lack of contrast of the examination. The trachea is in the midline and both main bronchi are open. Calcific atheroma plaques are observed in the aorta and coronary arteries. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Mediastinal area: Lymph nodes are observed at the aortopulmonary level, pretracheal area, and subcarinal area. The largest of these lymph nodes is in the paratracheal area and its short axis is measured as 20 mm. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the descending aorta was 32 mm at its widest point. Thoracic esophageal wall thickness is normal. When examined in the lung parenchyma window; Large-scale emphysematous changes are observed, which is more prominent in the upper lobes of both lungs. Again, there are paraseptal emphysema in the lower lobes of both lungs, which are more prominent in the subpleural areas. Bronchiectasis and peribronchial thickness increases are observed in both lungs. There are sequelae pleuroparenchymal band formations in the lungs. A mosaic lung pattern, which is more prominent in the lower lobes of both lungs, is observed. Sequela fibrotic densities are observed in the left lung upper lobe lingular segment. Nonspecific pulmonary nodules are observed in both lungs, some of which are located in the subpleural region, the largest of which is 5 mm in diameter in the lateral segment of the right lung middle lobe. Upper abdominal sections included in the examination are normal. The diameter of the thoracic aorta at the inferior level was 29 mm. No fractures or lytic-sclerotic lesions were observed in bone structures. Anterior osteophytes, which tend to merge in the vertebrae, especially in the upper thoracic region, are observed. Impression:  Emphysematous changes, bronchiectatic changes, peribronchial thickness increases, linear fibrotic densities, which affect more prominently in the diffuse upper lobes, were primarily evaluated in favor of sequela changes related to the COPD process.  Density increases in depandant zones in both lungs.  Mosaic lung pattern is observed in the lower lobes of both lungs.  Thoracic aortic diameter was measured as 29 mm."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1303/valid_1303_a/valid_1303_a_2.nii.gz"
        ]
    },
    {
        "id": "report_generation_3037",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings: A well-defined lesion area of 25x22 mm was observed in the middle-lower inner quadrant of the right breast, and its verification with USG is recommended. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Bilateral pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits except for a well-defined space-occupying lesion in the middle-lower inner quadrant of the right breast."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1304/valid_1304_a/valid_1304_a_1.nii.gz"
        ]
    },
    {
        "id": "report_generation_3038",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings: A well-defined lesion area of 25x22 mm was observed in the middle-lower inner quadrant of the right breast, and its verification with USG is recommended. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Bilateral pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. Impression: Thorax CT examination within normal limits except for a well-defined space-occupying lesion in the middle-lower inner quadrant of the right breast."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_nii/valid/valid_1304/valid_1304_a/valid_1304_a_2.nii.gz"
        ]
    }
]