conversations listlengths 3 3 | source stringclasses 1
value | stack stringclasses 1
value |
|---|---|---|
[
{
"from": "system",
"value": "___-year-old female with chest pain and mitral valve prolapse."
},
{
"from": "human",
"value": "No acute intrathoracic abnormality."
},
{
"from": "gpt",
"value": "PA and lateral chest radiograph demonstrates clear lungs bilaterally.\n Cardiomediastinal a... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with cough, SOB, COPD // r/o PNA"
},
{
"from": "human",
"value": "Multiple subtle abnormalities as described above, none of which are diagnostic\n for pneumonia. Repeat radiographs including bilateral oblique views may be\n helpful to determine i... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man with DM2, CKD stage III,and PAD, with known R\n foot non-healing ulcers, s/p multiple interventions now s/p R BKpop-DP bypass\n w/ GSV // Labored breathing and pulmonary edema"
},
{
"from": "human",
"value": "Moderate pulmonary edema is increased f... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with presyncope"
},
{
"from": "human",
"value": "No acute cardiopulmonary abnormality."
},
{
"from": "gpt",
"value": "Heart size is normal. The mediastinal and hilar contours are normal. The\n pulmonary vasculature is normal. Lungs are cle... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___M with chest pain // eval heart and lungs"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation. No pleural effusion or\n pneumothorax is seen. Card... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man POD 1 LUL lobectomy with hypotension and\n increasing chest tube output. Please evaluate for hemothorax, interval change.\n Chest tube to suction. // *** Please perform 7:30 AM. Interval change,\n evolving hemothorax?"
},
{
"from": "human",
"value"... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with immunosuppression s/p kidney pancrease\n transplant, pulmonary cryptococcus presenting with encephalopathy, weakness. \n Evaluate for pneumonia."
},
{
"from": "human",
"value": "Interval improvement in the right basilar opacity compatible wit... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with palpitations, JVD // ?cpd"
},
{
"from": "human",
"value": "Significantly aneurysmal and tortuous thoracic aorta. Small left pleural\n effusion."
},
{
"from": "gpt",
"value": "There is blunting of the left lateral costophrenic angle thought to... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with acute onset left sided chest pain //\n pneumothorax?"
},
{
"from": "human",
"value": "Left base atelectasis. Blunting of the left costophrenic angle, trace pleural\n effusion not excluded. Underlying consolidation difficult to exclude. No\n pn... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Abdominal pain along with AFib/RVR. Evaluate for pneumonia.\n \n SINGLE AP CHEST"
},
{
"from": "human",
"value": "Massive cardiomegaly, most consistent with a large pericardial\n effusion. No evidence of pulmonary edema. Left basilar opacity could reflect\n atelec... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Interval changes evaluation."
},
{
"from": "human",
"value": "Status quo"
},
{
"from": "gpt",
"value": "Compared to prior examination, there are no interval changes. \n Persistent right base opacification and left base atelectasis. Heart is\n mildly enl... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with cp and sob and sudden onset HA. Recent cold. \n // cardiopulmonary process"
},
{
"from": "human",
"value": "No acute intrathoracic abnormality. No evidence of pneumonia."
},
{
"from": "gpt",
"value": "PA and lateral chest radiograph d... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man with cryptogenic cirrhosis and worsening ascites.\n // PNA R/o"
},
{
"from": "human",
"value": "No evidence of pneumonia."
},
{
"from": "gpt",
"value": "Heart size is normal. The mediastinal and hilar contours are normal. The\n pulmonar... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with pneumonia. // F/U"
},
{
"from": "human",
"value": "No evidence of pneumonia."
},
{
"from": "gpt",
"value": "The lungs are clear.The cardiomediastinal contours are normal and a\n moderate-sized hiatal hernia is again appreciated.N... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with mechanical fall down stairs, endorses hitting head and\n landing on L chest. Tenderness to palpation along L ribs 5,6,7 //"
},
{
"from": "human",
"value": "No acute cardiopulmonary process. A 1 cm left upper lobe nodular opacity for\n which apical lordot... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with HCV cirrhosis, presenting with hematemsis\n and leukocytosis // please assess for consolidation"
},
{
"from": "human",
"value": "1. No evidence of pneumonia.\n 2. ETT is at the carina and appears to be entering the right mainstem\n bronchus... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___M with altered mental status"
},
{
"from": "human",
"value": "No acute cardiopulmonary abnormality. Anterior superior mediastinal mass\n compatible with thyroid goiter."
},
{
"from": "gpt",
"value": "Mild enlargement of the cardiac silhouett... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man with h/o r chest tubes // Evaluate stability of\n hydro and pneumothorax"
},
{
"from": "human",
"value": "No significant change in right loculated hydropneumothorax."
},
{
"from": "gpt",
"value": "Compared with prior radiographs on ___, ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with s/p CABG, MVr- returned with chylothorax-\n bilateral CTs have been d/c'd // f/u chylothorax s/p removal of right CT"
},
{
"from": "human",
"value": "Stable pleural effusions with adjacent atelectasis."
},
{
"from": "gpt",
"value... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with dyspnea. Evaluate for infiltrate."
},
{
"from": "human",
"value": "Moderate bibasilar atelectasis, however no evidence of pneumonia or heart\n failure."
},
{
"from": "gpt",
"value": "The lungs demonstrate linear streaky opacities at the bases b... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "High-dose steroids with acute abdominal pain. Evaluate for\n pleural effusion or pneumonia."
},
{
"from": "human",
"value": "Subdiaphragmatic free air warrants further evaluation with CT and\n surgical consult.\n \n These results were telephoned to Dr. ___ by Dr. _... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with severe back pain"
},
{
"from": "human",
"value": "No acute cardiopulmonary abnormality. No displaced fractures are identified.\n If there is continued concern for rib fracture, consider a dedicated rib\n series."
},
{
"from": "gpt",
... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with pleural effusion // eval"
},
{
"from": "human",
"value": "Stable blunting of the bilateral costophrenic angles, possibly tiny pleural\n effusions or thickening."
},
{
"from": "gpt",
"value": "The lungs are hyper expanded and clea... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___M with electrical injury // evaluate for\n pneumothorax, fractures"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation. No pleural effusion or\n p... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___-year-old woman with a history of CHF and concern for discitis\n or osteomyelitis at T9. Evaluate for pulmonary edema."
},
{
"from": "human",
"value": "Improvement in pulmonary vascular congestion."
},
{
"from": "gpt",
"value": "Chronic elevation of ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man with CHF, IABP in place. Evaluate IABP position."
},
{
"from": "human",
"value": "1. Intra-aortic balloon pump tip terminates at the level of the left main\n bronchus, 3.5 cm below the aortic knob apex.\n \n 2. Improved right basilar atelectasis.\n ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___M with chst pain // chest pain"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation. No pleural effusion or\n pneumothorax is seen. The cardiac and... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with fever // r/o pna"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation. No pleural effusion or\n pneumothorax is seen. The cardiac and medias... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with dyspnea on exertion // please evaluate for acute\n abnormality"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without consolidation, effusion, or edema. The\n cardiomedias... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___M with ESRD, vomiting, // evaluate for fluid overload"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation. No pleural effusion or\n pneumothorax i... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with chest pain // ? pna"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are grossly clear. Cardiac silhouette is enlarged but given\n differences in positioning is not significantly chan... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with wheezing and sob // eval for pul edema,\n atelectasis, effusions"
},
{
"from": "human",
"value": "Improved pulmonary vascular congestion. Removal of various tubes as\n described. ."
},
{
"from": "gpt",
"value": "Swan-Ganz cathe... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___-year-old with new NG placement."
},
{
"from": "human",
"value": "NG tube with tip in the GE junction. Advancement is recommended."
},
{
"from": "gpt",
"value": "This film is centered in the thoracoabdominal region to assess the\n placement of the NG... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with ETT // f/u x-ray"
},
{
"from": "human",
"value": "Volume overload is increased, given the increasing pulmonary vascular\n congestion and bilateral pleural effusions."
},
{
"from": "gpt",
"value": "ET tube terminates 3.2 cm above ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ y/o female in veg state with trach collar and presents with\n increased secretions // Eval for PNA vs edema"
},
{
"from": "human",
"value": "Low lung volumes with atelectasis. No obvious consolidation to suggest\n pneumonia."
},
{
"from": "gpt",
"v... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man with dysphagia and hypernatremia to 166 and\n hypoxic respiratory distress // evaluate for pulmonary edema, pna"
},
{
"from": "human",
"value": "Resolving bibasilar opacities, possibly representing clinically suspect\n aspiration. Continued radiog... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man POD ___ medulla lesion, s/p dobhoff placement //\n Evaluate NGT placement"
},
{
"from": "human",
"value": "1. The Dobbhoff tube tip is now in the stomach.\n \n 2. Otherwise normal chest radiograph unchanged from prior."
},
{
"from": "gpt"... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___-year-old male patient with cardiac amyloid and pleural\n effusion, evaluate size of pleural effusion."
},
{
"from": "human",
"value": "Bilateral pleural effusions, slightly increasing and suggestive\n of CHF. Left-sided retrocardiac atelectasis persists and pos... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Chest pain. Evaluate for pneumonia."
},
{
"from": "human",
"value": "No acute cardiac or pulmonary findings. However, persistent\n pulmonary opacities in the lower lungs may indicate underlying interstitial\n disease, a possibility which could be considered clinic... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man s/p fall from ___ft, anoxic brain injury; more\n agitated w/ inc trach secretions // r/o pulmonary etiology"
},
{
"from": "human",
"value": "Interval development of an airspace opacity at the right lung base suspicious\n for right middle lobe conso... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___-year-old female with alcoholic hepatitis, status post\n antibiotic therapy for pneumonia and new Dobbhoff placement, here to evaluate\n position of Dobbhoff tube and interval changes in right lower lobe opacity."
},
{
"from": "human",
"value": "1. Dobbhoff feed... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___M with fever, HA, cough, + IVDU. Evaluate for septic emboli."
},
{
"from": "human",
"value": "Low lung volumes with bibasilar atelectasis."
},
{
"from": "gpt",
"value": "Low lung volumes with bibasilar atelectasis. No evidence of pneumonia.The\n car... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with chest pain after security restrained patient upstairs\n and she fell onto the ground // eval for rib fractures, acute process"
},
{
"from": "human",
"value": "No acute findings."
},
{
"from": "gpt",
"value": "AP portable upright view of the ch... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with 60lb weight loss // mass? mass?"
},
{
"from": "human",
"value": "Overall cardiac and mediastinal contours are within normal limits. No focal\n airspace consolidation, pulmonary edema, pleural effusions or pneumothorax.\n Degenerative c... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___M with midsternal chest pain with radiation to back for 18\n hours"
},
{
"from": "human",
"value": "Bibasilar atelectasis. Otherwise unremarkable."
},
{
"from": "gpt",
"value": "PA and lateral views of the chest provided. Lung volumes are low with... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with chest pain // ?ptx"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation. No pleural effusion or\n pneumothorax is seen. The cardiac and medi... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Altered mental status."
},
{
"from": "human",
"value": "No evidence of acute disease. However, there is a new nodular focus in the\n right lower lung, likely a form of atelectasis; short-term follow-up\n radiographs are recommended to show resolution."
},
{
... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___-year-old female with possible right pleural effusion and\n left-sided pleuritic chest pain. Evaluate effusions."
},
{
"from": "human",
"value": "1. Hyperinflated lungs suggestive of COPD. No definite pleural effusion.\n 2. Age-indeterminate compression defor... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "*** CODE CORD *** History: ___M with pre-op // pre-op"
},
{
"from": "human",
"value": "Low lung volumes. Moderate cardiomegaly, age indeterminate."
},
{
"from": "gpt",
"value": "Lung volumes are slightly decreased. Atelectasis is noted at the left lung\... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with AMS. Hx of lung ca. // PNA?"
},
{
"from": "human",
"value": "Known underlying parenchymal opacities and nodules not clearly delineated. No\n evidence of superimposed acute cardiopulmonary process, no new consolidation."
},
{
"from": "gpt",
"v... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Left-sided chest pain."
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "PA and lateral chest radiographs. The lungs are clear. There is\n no pleural effusion or pneumothorax. The cardiomediastinal silho... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___M with chest pain"
},
{
"from": "human",
"value": "New bilateral pleural effusions, moderate on the right and small on the left,\n with bibasilar airspace opacities potentially reflecting compressive\n atelectasis, but infection is not excluded. Possibl... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Myeloma with fever."
},
{
"from": "human",
"value": "No acute cardiopulmonary process; specifically, no evidence of\n pneumonia. Moderate-to-large hiatal hernia."
},
{
"from": "gpt",
"value": "The cardiomediastinal silhouette and hilar contours are stab... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with increased WOB s/p IVF // ?volume overload"
},
{
"from": "human",
"value": "Apart from lower lung volumes, there is no significant interval change since\n the prior study."
},
{
"from": "gpt",
"value": "Low bilateral lung volumes.... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Worsening seizures."
},
{
"from": "human",
"value": "Low lung volumes. Clear lungs."
},
{
"from": "gpt",
"value": "A single portable view of the chest demonstrates low lung volumes. There is\n no pleural effusion, focal consolidation or pneumothorax. ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___M with epigastric pain // r/o infiltrate"
},
{
"from": "human",
"value": "No acute intrathoracic process."
},
{
"from": "gpt",
"value": "The cardiomediastinal silhouette and pulmonary vasculature are normal. The\n lungs are clear. There is no pleur... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Urinary tract infection with sepsis."
},
{
"from": "human",
"value": "1. Unchanged left retrocardiac opacity and small left pleural effusion,\n reflecting possible consolidation.\n 2. No new pulmonary opacity."
},
{
"from": "gpt",
"value": "A right IJ ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Patient with recent tracheal resection, to look for interval\n changes."
},
{
"from": "human",
"value": "Clear lungs. No evidence of aspiration or pneumonia or\n atelectasis."
},
{
"from": "gpt",
"value": "Both lungs are well expanded and without any op... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman s/p R IJ line pulled back // assess for line\n placement"
},
{
"from": "human",
"value": "1. Right internal jugular central venous line is in appropriate position,\n terminating in the low SVC.\n 2. Improved aeration of the right lung base since t... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man with multifocal pneumonia, with worsening left\n lower lobe opacity seen on prior radiograph, interval assessment."
},
{
"from": "human",
"value": "Right PICC now coils within the brachiocephalic vein and ends in the upper\n SVC. Slight improvement ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___-year-old woman with chest pain, dyspnea, evaluate for\n pneumonia."
},
{
"from": "human",
"value": "No evidence of pneumonia."
},
{
"from": "gpt",
"value": "PA and lateral views of the chest were obtained. Heart is normal size and\n cardiomediastina... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Fever. Question consolidation."
},
{
"from": "human",
"value": "No evidence of acute cardiopulmonary disease."
},
{
"from": "gpt",
"value": "The cardiac, mediastinal and hilar contours appear unchanged including mild\n cardiomegaly. There is similar el... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ y/o M s/p fall, R hemopneumothorax, s/p CT placement.\n currently to suction // interval change- please obtain film at 6:00 AM on\n ___"
},
{
"from": "human",
"value": "Stable right-sided small hemopneumothorax."
},
{
"from": "gpt",
"value": "As com... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with cough and chest discomfort for a week. No\n fever // r/o infiltrate"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear of airspace or interstitial opacity. The\n... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man s/p CABG with SOB // eval for effusion"
},
{
"from": "human",
"value": "Increased right and stable left pleural effusions.\n Stable mild pulmonary edema.\n Stable bibasilar subsegmental atelectasis.\n Stable cardiomegaly."
},
{
"from": "gpt... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with vertigo, diplopia."
},
{
"from": "human",
"value": "No acute cardiopulmonary abnormality."
},
{
"from": "gpt",
"value": "Heart size is normal. The mediastinal and hilar contours are normal. The\n pulmonary vasculature is normal. ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with R shoulder pain, chest pain s/p MVC // eval\n for pneumothorax"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation. No pleural effusion or\... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with cough"
},
{
"from": "human",
"value": "No acute cardiopulmonary abnormality."
},
{
"from": "gpt",
"value": "Cardiac silhouette size is borderline enlarged. Mediastinal and hilar\n contours are normal. Pulmonary vasculature is normal.... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old man s/p ICD placement, new RV lead // ptx, leads \n ptx, leads"
},
{
"from": "human",
"value": "The ICD leads are intact, no pneumothorax."
},
{
"from": "gpt",
"value": "Satisfactory RV lead placement is seen, no pneumothorax. Mild cardi... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with SOB and chills. // Please assess for PNA.\n Please assess for PNA."
},
{
"from": "human",
"value": "Overall cardiac and mediastinal contours are stable. Lungs appear well\n inflated without evidence of focal airspace consolidation to sugges... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with O2 sat low ___'s tachycardic s/p\n laparoscopic surgery for endometrial cancer // please eval for e/o\n consolidation, effusion, pulm edema"
},
{
"from": "human",
"value": "No airspace consolidation.\n There is elevation of the left hemidiap... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with acute mono, pharyngitis, LAD, CXR\n yesterday with possible PNA vs breast tissue // eval for interval change and\n true presence of PNA taking into account breast tissue and previous CXR"
},
{
"from": "human",
"value": "Asymmetry in soft tis... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Fall with trauma and pain over chest."
},
{
"from": "human",
"value": "No acute intrathoracic process."
},
{
"from": "gpt",
"value": "Chest PA and lateral radiograph demonstrates unremarkable\n mediastinal, hilar and cardiac contours. Lungs are clear. ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with recent pneumonia ?LUL // Have infiltrates\n resolved (INITIAL FILM NOT AVAILABLE)"
},
{
"from": "human",
"value": "No evidence of pneumonia."
},
{
"from": "gpt",
"value": "Lungs are fully expanded and clear. Pectus deformity is ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___-year-old woman with a chest tube, evaluate chest tube\n placement."
},
{
"from": "human",
"value": "1. Trace right apical pneumothorax status post right-sided chest tube removal.\n 2. Unchanged moderate left and small right pleural effusion with adjacent\n bibas... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F on plaquenil with cough and fever. Evaluate for infiltrate."
},
{
"from": "human",
"value": "Clear lungs."
},
{
"from": "gpt",
"value": "The lungs are clear without focal opacity, pulmonary edema, pleural effusion\n or pneumothorax. The cardiac an... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with basilar artery occlusion, intubated // ?\n ETT placement"
},
{
"from": "human",
"value": "Endotracheal tube tip in good position."
},
{
"from": "gpt",
"value": "Endotracheal tube tip is 1.6 cm above carina. Enteric tube tip is w... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with preop // acut eprocess"
},
{
"from": "human",
"value": "Top-normal to mildly enlarged cardiac silhouette. No focal consolidation."
},
{
"from": "gpt",
"value": "No focal consolidation is seen. There is no pleural effusion or pneumot... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with bilateral submandibular gland swelling. \n // Eval for any pulmonary pathology"
},
{
"from": "human",
"value": "Bibasilar atelectasis, but no focal consolidations.\n Moderate enlargement of the mediastinal silhouette, likely due to a tortuous... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with l ant cp with cough x weeks, // r/o\n pneumonia"
},
{
"from": "human",
"value": "Probable background COPD.\n \n Possible subtle chronic interstitial changes. No definite superimposed\n infiltrate."
},
{
"from": "gpt",
"value": "... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with pleuritic chest pain, cough x 3 weeks. \n Evaluate for pneumonia."
},
{
"from": "human",
"value": "Bilateral small pleural effusions, left larger than right, with associated\n atelectasis. Recommend radiographic follow-up."
},
{
"fro... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with R empyema s/p VATS decortication and chest\n tube placement // eval chest tube placement, effusion"
},
{
"from": "human",
"value": "1. Mild generalized interstitial edema, improved on the right.\n 2. Stable positioning of the right-sided che... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with fall last week, right rib pain. Evaluate for fracture,\n contusion."
},
{
"from": "human",
"value": "1. COPD without evidence for acute cardiopulmonary abnormalities.\n 2. The ribs are not well assessed."
},
{
"from": "gpt",
"value": "The lungs... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___M with weakness"
},
{
"from": "human",
"value": "No acute cardiopulmonary abnormality."
},
{
"from": "gpt",
"value": "Cardiac silhouette size is normal. The aorta is mildly tortuous and\n demonstrates mild atherosclerotic calcifications of t... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Evaluate for infiltrate in a patient with metastatic melanoma\n presenting with confusion."
},
{
"from": "human",
"value": "Subtly increased opacity projecting over the left mid lung, concerning for\n early pneumonia."
},
{
"from": "gpt",
"value": "Front... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___M with fall c/o rib pain, rib fracture or pneumonia."
},
{
"from": "human",
"value": "1. No acute cardiopulmonary process.\n 2. No rib fracture is seen on this non-dedicated study."
},
{
"from": "gpt",
"value": "The cardiomediastinal silhouette is unr... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old male with a history of coarctation repair, aortic\n valve repair and ultimately AVR , now with shortness of breath // to rule out\n any acute intrapulmonary process Surg: ___ (AVR)"
},
{
"from": "human",
"value": "1. Worsening moderate to severe pulmo... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "History: ___F with leukocytosis and fever // Pneumonia"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation. No pleural effusion or\n pneumothorax is seen. The... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___-year-old female with new endotracheal tube. Evaluate for tube\n placement."
},
{
"from": "human",
"value": "1. Severe acute pulmonary edema.\n 2. Endotracheal tube ending 4.3 cm above the carina. NG tube with tip and\n side port below the diaphragm, but not ... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Patient who underwent CABG. Evaluation for pneumothorax after\n removal of chest tubes."
},
{
"from": "human",
"value": "No pneumothorax after removal of two chest tubes."
},
{
"from": "gpt",
"value": "Portable AP chest radiograph. Median sternotomy wi... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with L temporal headache // acute process?"
},
{
"from": "human",
"value": "Normal chest x-ray."
},
{
"from": "gpt",
"value": "Lungs are clear. The cardiomediastinal silhouette is within normal limits. No\n acute osseous abnormalities identified."
... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with syncope with headstrike. normal mental status // fx\n bleed"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear without focal consolidation, effusion, or edema. Linear\n opacit... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___M with chf, sob // eval for pulm edema"
},
{
"from": "human",
"value": "Mild pulmonary edema."
},
{
"from": "gpt",
"value": "The lungs are well-expanded. There is mild pulmonary edema. No focal\n consolidations. No pleural effusion or pneumothorax... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___F with hx of recent ischemic strokes transferred to ___ ED\n from rehab with cough, nausea, vomiting // Any evidence of pneumonia or\n consolidation?"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "Pr... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with tachypnea // eval int change"
},
{
"from": "human",
"value": "Slight interval improvement in the previously demonstrated airspace opacities\n likely reflects resolving pulmonary edema. Persistent left lower lobe and\n left mid lung atelecta... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___M with dyspnea // eval heart and lungs"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear.The cardiac, hilar and mediastinal contours are normal.No\n pleural abnormality is seen. Lef... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with asthmatic bronchitis. Non smoker. Rule out\n pneumonia."
},
{
"from": "human",
"value": "No evidence of pneumonia."
},
{
"from": "gpt",
"value": "Normal heart, mediastinum, hila, and pleural surfaces. The lungs are clear\n without... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "Patient presenting with a probable old stroke. Evaluation for\n thoracic process."
},
{
"from": "human",
"value": "Normal chest radiograph."
},
{
"from": "gpt",
"value": "Frontal and lateral chest radiographs demonstrate no focal\n consolidation, pleura... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___M with productive cough // eval for pneumonia"
},
{
"from": "human",
"value": "No acute cardiopulmonary process."
},
{
"from": "gpt",
"value": "The lungs are clear. The cardiomediastinal silhouette is within normal\n limits. No acute osseous abnorm... | MIMIC-medical-report | chosen |
[
{
"from": "system",
"value": "___ year old woman with lung abscess. S/p CT placement, which fell\n out. // Eval PTX after CT fell out"
},
{
"from": "human",
"value": "1. Minimal right apical pneumothorax may be present.\n 2. Slight worsening of bilateral atelectasis.\n 3. New right chest wal... | MIMIC-medical-report | chosen |
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