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{
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"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray image shows no evidence of acute cardiopulmonary process. The lungs are clear with no focal consolidation, no pleural effusion or pneumothorax, and no evidence of pneumomediastinum or free air beneath the diaphragms. The cardiac and mediastinal silhouettes are unremarkable. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
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{
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"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows no lobar consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal, with intact bony structures, and no free air below the right hemidiaphragm. The overall impression suggests no definite signs of pneumonia. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": "0.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
85a4eb29-9f3c2946-76ae9a0f-b1d42837-647c60d3.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows a dilated and tortuous thoracic aorta, with a widened and enlarged mediastinum. No evidence of pneumonia, pleural effusion, or pneumothorax is seen. The heart size is normal, and there is no focal consolidation. A cervical rib is noted on the right, and right axillary clips are again seen, as well... | {
"Enlarged Cardiomediastinum": "1.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": "0.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
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{
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"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows no acute cardiopulmonary process. The image reveals trace left effusion and blunting of the posterior costophrenic angle on the left. The lungs are clear of consolidation. There is mid thoracic dextroscoliosis, and surgical clips are observed over the right axilla as well as posterior lumbar fixat... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
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"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
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"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": nul... |
6e86b8e7-e9252099-f0c6aa17-691dc687-d2975858.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray image indicates hyperinflated lungs without focal consolidation, moderately enlarged cardiac silhouette, partially calcified pleural-based opacity, and a single lead pacing device noted in the right ventricular apex. Mid thoracic dextroscoliosis is also observed. The overall impression suggests hyperinf... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": null,
"Lung Lesion": null,
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"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": nul... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows normal heart size with unremarkable cardiomediastinal silhouette and hilar contour. The lungs are clear without focal consolidation, effusion, or pneumothorax. The spleen is not enlarged. The impression is a normal chest radiograph without evidence of intrathoracic malignancy or infection. | {
"Enlarged Cardiomediastinum": "0.0",
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"Consolidation": "0.0",
"Pneumonia": "0.0",
"Atelectasis": null,
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"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices"... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. The impression is that there is no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": "0.0",
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"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
b162d61e-ace89529-e3ee629d-1309cd53-ae359eff.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows well-expanded and clear lungs without focal consolidation, pleural effusion, or pneumothorax, except for mild right basilar atelectasis. The heart size, mediastinal, and hilar contours are normal. The impression is that there is no pneumonia, edema, or effusion. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
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"Edema": "0.0",
"Consolidation": "0.0",
"Pneumonia": "0.0",
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices... |
7aa41cdd-146ade09-59ad5bbd-56598e6e-bdbcbee8.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | There is a tracheostomy tube and NG tube observed on the chest x-ray. The right subclavian PICC line is positioned near the SVC/RA junction. There is an interval improvement in the retrocardiac opacity, but residual patchy opacity is still present. Minimal pleural effusions are also observed. No overt CHF is observed o... | {
"Enlarged Cardiomediastinum": null,
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"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1... |
3a3e2a21-83164af9-f80930f8-3860e051-de097bab.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | A tracheostomy and gastric tubes are present on the chest x-ray. The right PICC line tip projects over the upper right atrium. The findings show increasing opacity at the left lung base, which may reflect atelectasis or pneumonia. A small layering pleural effusion is also suspected on the left side. The cardiomediastin... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": "-1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Device... |
a56a10cc-f7cb7b11-01394959-9e6ad950-e1897bc5.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Increased solid aeration in the right lower lobe and retrocardiac density are observed in the chest x-ray. The ET tube is placed above the carina, and the right PICC line is in the lower SVC while the left PICC line is removed. Right lower lobe opacity is increased and requires further evaluation. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1.0... |
8cb057eb-a8cdc5f1-b9c34b6a-40ec0b98-d2a8469f.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows the right PICC line extending to the upper right atrium, an unchanged left central venous catheter projecting within the azygos vein, an endotracheal tube projecting 2.2 cm from the carina, and a feeding tube extending into the stomach. There is improved aeration of both lungs but mild pulmonary e... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": "-1.0",
"Pneumonia": "-1.0",
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "-1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devi... |
fb6fa05f-a43c8c4c-aeb1e357-484194a8-0ec7bee2.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows a right peripherally inserted central catheter (PICC) with its tip in the right atrium, which could be retracted 3 cm for proper positioning at the cavoatrial junction. The left-sided central venous catheter appears to have its tip in the azygos vein. The endotracheal tube is 2.4 cm from the carin... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1.0... |
8953bd76-df36ec98-f88d527c-2382ef85-17b7c015.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows an appropriately positioned endotracheal tube, but a malpositioned nasogastric tube that needs repositioning. Extensive pulmonary airspace consolidation is observed, more confluent in the right lung, which raises concern for pneumonia and/or pulmonary edema. No large effusions are seen, and bony s... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "-1.0",
"Consolidation": "1.0",
"Pneumonia": "-1.0",
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
8267c783-a060c8eb-5555d11c-f2c358e7-56b394b9.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Small left and trace right pleural effusions are noted with faint retrocardiac atelectasis. The lungs are hyper-expanded without focal consolidation. The heart is normal in size with normal mediastinal and hilar contours. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
a97150c5-f408fb98-e082a3ac-dc327aac-7b5a9230.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Bilateral perihilar opacification and mild edema are unchanged. The right internal jugular central venous catheter still ends in mid SVC, and the endotracheal tube is in the standard position, 5.5cm above the carina. An upper enteric tube passes into the stomach and out of view. No large pleural effusion or pneumothora... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "... |
23113299-cd341fa5-1d5e8c7e-9ce22077-d7b3870f.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The lungs are well-expanded, with no focal airspace consolidation, pneumothorax, or pleural effusion identified. The cardio mediastinal silhouette is stable. The impression is no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
35a7ee22-2ddb5d75-5d4f6129-22a03ea4-4f1d3c50.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The lungs are well-expanded, with no focal airspace consolidation, pneumothorax, or pleural effusion identified. The cardio mediastinal silhouette is stable. The impression is no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
2b60e556-6a643748-5eeca1a8-7bdd3f19-2238112d.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows no focal consolidation, pleural effusion, or pneumothorax. There are unchanged linear opacities at the bases that may represent atelectasis or scarring, and interstitial markings with scarring at the apices, worse at the right. The cardiomediastinal silhouette is unchanged, and osseous structures ... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": "-1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices... |
c622bd70-f4525d0b-fcb60728-765d135f-28778a2c.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows no focal consolidation, pleural effusion, or pneumothorax. There are unchanged linear opacities at the bases that may represent atelectasis or scarring, and interstitial markings with scarring at the apices, worse at the right. The cardiomediastinal silhouette is unchanged, and osseous structures ... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": "-1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices... |
6a79884a-28c8191c-98fbf12f-b4e89445-33468a13.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows mildly hypoinflated lungs, clear right lung, and a new small pleural effusion on the left side. No focal opacity is observed, and the heart size is normal. Additionally, the mediastinal contour and hila are unremarkable, and the upper abdomen assessment is unremarkable. The impression is a new sma... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": "0.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
9055c8de-1400b556-7de439ff-8d668884-122246cd.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | There are increasing opacities in both lungs, with prominent confluent opacity in the right upper and mid zones and left perihilar region, as well as in the retrocardiac region. The differential diagnosis remains similar, including asymmetric CHF related to or independent of mitral valve or papillary muscle abnormaliti... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "-1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": "1.0",
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
6156007e-2ca3e4f5-ea3998d6-ff65d710-8f3e6aac.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The cardiomediastinal and hilar contours are within normal limits. Calcifications are seen along the aortic knob. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. Overall impression suggests no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
599e5be8-eb142c69-14f0a146-3963a128-e5565b5e.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray image reveals a new multifocal opacity in the right hemithorax, which is concerning for pneumonia. There is also a stable moderate left pleural effusion, with associated compressive atelectasis. The cardiomediastinal silhouette appears stable, and there is no pneumothorax present. | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "1.0",
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices"... |
3c7841ce-8cb72d6b-f199f6f2-7c72fe79-f07b333a.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows interval removal of the left PICC line, no new consolidation, normal hila and pulmonary vasculature with stable cardiomediastinal silhouette. Unchanged left pleural effusion is noted, and there is no evidence of pneumothorax. The patient has diffuse vertebral sclerotic changes consistent with myel... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": "0.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Shallow inspiration accentuates heart size and pulmonary vascularity in this chest x-ray image. The findings suggest stable bilateral perihilar opacities, which may indicate edema. Additionally, there is a mildly worsened right apical opacity, which is also likely due to edema and could indicate pneumonitis. The patien... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "-1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": "1.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
ccbff440-f5aa6cd7-ad46a577-60e5e3ca-357c15b0.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Extensive patchy opacities present in both lungs, most pronounced in the right upper and mid zones, but also seen at the right and left bases and left perihilar region, along with possible minimal improvement in the right upper/suprahilar zones. No pneumothorax or gross effusion detected. Cardiomediastinal silhouette u... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "1.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
574fd5c3-cedae441-72e38aa6-c69d567a-4a9597a5.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows increased opacification in the right lower lung with some focal obscuration of the right hemidiaphragm. Also, there is increased opacification in the right upper lobe and left upper lobe. These multifocal opacifications may indicate an ongoing multifocal pneumonia or more likely a new developing p... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
fb148f79-ddef3c5c-dc75ccf1-d02138ff-18666778.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Mild to moderate interstitial pulmonary edema and asymmetric right upper lobe opacity are observed on the chest X-ray. A small left pleural effusion with adjacent basal atelectasis is also noted. No pneumothorax is detected and the heart size is top-normal. The impression suggests that the moderate interstitial edema m... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": "1.0",
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices"... |
3601aeac-d6ba03d6-9d73b5eb-96aa3e9f-8b871312.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Mild left pleural effusion has worsened. Left basilar consolidation, likely atelectasis, consider pneumonitis in the appropriate clinical setting. Increased pulmonary vascularity. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "1.0",
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": nu... |
aadb24cc-b7032a03-8acdd903-f895e9e5-a29b4469.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The heart is mildly enlarged with the mediastinal and hilar contours being similar. The hila are enlarged bilaterally, indicating pulmonary arterial enlargement, but the pulmonary vasculature is not engorged. Patchy opacities in the right upper and lower lung field can be seen, which may suggest areas of infection, but... | {
"Enlarged Cardiomediastinum": "1.0",
"Cardiomegaly": "1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "1.0",
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices"... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows a slight increase in left-sided pleural effusion with fluid extending into the left major fissure. Left lower lobe atelectasis remains similar and may have a superimposed infection. No other concerning areas of lower per consolidation are identified. The visualized bony structures appear somewhat ... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": "-1.0",
"Atelectasis": "1.0",
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
bf154228-5d192219-5f565ac7-f760f8cc-08d23c90.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax, and no free intraperitoneal air is observed. Unremarkable chest radiographic examination shows no evidence of subdiaphragmatic free air. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": nu... |
23bd45a3-dffe04e5-677fed13-31569596-f87d30c9.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest X-ray image shows a normal cardiac size, hyperinflated and clear lungs, unremarkable osseous structures, and no evidence of pneumothorax or pleural effusion. The impression suggests a tortuous and elongated aorta, and possibility of ectasia at the ascending aorta. Overall, there are no acute cardiopulmonary a... | {
"Enlarged Cardiomediastinum": "1.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
04569728-ba7e3bbb-3aabf540-aca1ce28-090a445b.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The endotracheal tube has been retracted with the tip now 2 cm from the carina. The enteric tube terminates in the left upper quadrant with the proximal side port at the gastroesophageal junction. Heart size and mediastinal contours are normal. Lungs are clear except for basilar atelectasis, and there is no evidence of... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "0.0",
"Pneumothorax": "0.0",
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": "... |
0736fc57-f09a09f1-394c2775-25e19448-0f8294f3.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | There are bibasilar opacities which could be due to atelectasis given low lung volumes. The lungs are clear elsewhere with a stable cardiomediastinal silhouette. No displaced acute fractures identified, but old anterolateral left rib fractures are noted. The impression suggests bibasilar opacities, most likely atelecta... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": "1.0",
"Support Devices": ... |
3de4cf67-251d68df-3a067a08-30868327-07e4ec03.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows an endotracheal tube entering the right mainstem bronchus, indicating right mainstem bronchus intubation. The chest x-ray also shows mild left basal atelectasis, and otherwise clear lungs with no evidence of effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal l... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": "0.0",
"Support Devices": ... |
97358e22-47ccc935-603ae2b8-6639f9d6-091656f4.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows an endotracheal tube entering the right mainstem bronchus, indicating right mainstem bronchus intubation. The chest x-ray also shows mild left basal atelectasis, and otherwise clear lungs with no evidence of effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal l... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": "0.0",
"Support Devices": ... |
3b6333c7-feece851-6e5c9a64-7dd0fbed-ce01383c.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray findings demonstrate stable cardiomediastinal and hilar contours with unfolding the thoracic aorta. No pleural effusion or pneumothorax is present, and the lungs are mildly underinflated but clear. Pulmonary vasculature is within normal limits. The impression indicates no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
64fc2910-371a0930-6e28fc28-bb4ea7cd-c65c40b4.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows a subtle opacity in the left lower lobe, more pronounced on the lateral view, without any effusion or pneumothorax. The cardiac and mediastinal contours are normal. The impression suggests that the opacity could be due to overlapping shadows or early pneumonia. Further evaluation and clinical corr... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices"... |
263b4b13-76c3e951-40aa48c8-c0931d80-480ffe94.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Bilateral perihilar opacities and small-to-moderate layering pleural effusions have increased, suggesting worsening pulmonary edema, aspiration, or pneumonia. An indentation of the right trachea indicates the possibility of a thyroid mass. No other significant findings were noted. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
0f8db786-ebc11070-023cb015-98c17759-c51645e7.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Diffuse pulmonary opacities with a predominantly reticulonodular configuration, hilar congestion, and small layering bilateral pleural effusions were observed on the chest X-ray. The heart size is within normal limits, and the mediastinal contour is unremarkable. The bony structures are intact. Based on these findings,... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
9bd3b93a-b4d08c4a-0109a851-0f560c8f-abebf0f7.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray findings reveal no focal consolidation, pleural effusion, or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. The impression is that there is no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
4a0da828-b20878f8-1ec6a164-3f5cc0ca-ba60074b.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows normal findings with well-inflated and clear lungs. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are all normal. However, cervical spine hardware is noted. The impression is that there's no acute cardiopulmonary pr... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1... |
995136a5-4111b0b9-ce0880a7-6b8cbb35-add36802.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Possible pneumonia detected in the right lower lobe, based on a subtle perihilar consolidation seen on chest x-ray. No evidence of pulmonary edema or pleural effusion. Cardiac, mediastinal, and hilar contours are within normal limits. Bones are unremarkable. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": "1.0",
"Pneumonia": "-1.0",
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices"... |
a23476bc-69197253-40979bff-f43b044b-3e4f53c2.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows clear and well-expanded lungs with unremarkable cardiomediastinal and hilar contours. There is no evidence of pneumothorax, pleural effusion, or consolidation. The impression is that there is no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
2d76d707-b607818b-65e36a9e-393fcac9-040a1f73.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Severe cardiomegaly with a globular contour suggestive of pericardial effusion is observed on the chest x-ray. There is no evidence of pulmonary edema, focal lung consolidation, pneumothorax or pleural effusion. | {
"Enlarged Cardiomediastinum": "1.0",
"Cardiomegaly": "1.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
8e051060-db4abdad-f3ab218d-3acacd01-240213e4.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray image shows no evidence of pneumothorax. The left pleural catheter is unchanged in position. The cardiac size is normal, and the lungs are clear without any pleural effusion. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1... |
00a59f26-0f00dbcf-65ad52ab-35403e94-043c133a.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | There is an endobronchial valve seen in the left hilar region. The left lung has been re-expanded, and there is no appreciable pneumothorax. The right lung is clear with no pleural effusion or pneumothorax. Bilateral coarse interstitial markings at the bases suggest chronic interstitial changes. The impression is the i... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1.... |
9a023b95-1a7f1acc-70e9c302-d42c4f62-cc00ba88.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | There is a moderate left pneumothorax without evidence of tension. Left apical lateral pneumothorax measures up to 3.4 cm in largest dimension. There is no appreciable right pneumothorax. The left lung base shows atelectasis with elevation of the left hemidiaphragm. Left upper lobe shows re-expansion in the chest radio... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "1.0",
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": nu... |
206ba2e3-a088b058-0963a216-6c019caf-80fedd47.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows hyperinflated lungs with flattening of the diaphragms, consistent with chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen, and the cardiac and mediastinal silhouettes are unremarkable. The impression is COPD with no acute cardiopulm... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest X-ray revealed a small, left apical pneumothorax and extensive subcutaneous emphysema unchanged on the left side. The right lung is clear and there are no cardiopulmonary abnormalities. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "1.0",
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": null... |
7ac6d138-95a0ada7-1f3a2484-f6a247cc-14750eda.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The cardiomediastinal and hilar contours are stable, and there is no pneumothorax or pleural effusion. Postoperative changes in the left hemi-thorax and left upper lobe collapse are present, but the aeration of the left lung has improved significantly. The right lung continues to be hyperinflated. An endobronchial valv... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
f6e7f190-eb0f30cc-32e58926-72a3cda8-05a08bd2.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The findings of the chest x-ray reveal a small left pleural effusion and mild mediastinal shift to the left. The right lung appears clear. There is moderate left-sided subcutaneous emphysema. The overall impression is a decreased left pneumothorax. No information is given about the view of the chest X-ray or any prior ... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "1.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": nul... |
ff2a9e92-df5ff794-3ef2ae14-f93187b2-d2f1af52.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray findings show no sign of pneumothorax, consolidation, or pleural effusion. The left-sided chest tube and endobronchial bowel are unchanged with associated collapse of the left upper lobe. The impression is that there is no significant interval change. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "... |
5b72be38-141b8021-ad613c12-75c5281b-d96384a1.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows a small left-sided pneumothorax that is probably unchanged with no significant short-term change. Impression suggests a probably unchanged small left-sided pneumothorax. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "1.0",
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": null... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The cardiac silhouette size is normal, mediastinal and hilar contours are unchanged, and there is no pulmonary vascular congestion. The lungs are hyperinflated with marked upper lobe predominant emphysema. The left upper lobe atelectasis is re-demonstrated. No focal consolidation, pleural effusion, or pneumothorax is p... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices... |
4a2355ca-1d9306c3-77a15170-90474ce4-4c0968e1.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Extensive left upper lobe atelectasis and trace left-sided pleural effusion (possibly unchanged) with mild volume loss in the left hemithorax. Widespread subcutaneous emphysema and a chest tube in place on the left side. No notable changes seen in endobronchial valves along the left hilum. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1.... |
521945d2-04844acb-965ad04f-013120a6-a9b44011.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows hyperexpanded lungs, left upper lobe collapse expected due to an endobronchial valve projecting over the left hilum, persistent herniation of the right lung leftward, normal heart size, normal mediastinal and hilar contours, and no pneumothorax or pleural effusion. The impression is COPD. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
0e41fb4e-a3d658c8-85ac8cec-b39ff9a8-4ca15493.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray reveals stable appearance without any new focal consolidation, pleural effusion, or pneumothorax. The impression indicates no significant change and no pneumothorax is seen. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "-1.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "-1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
f668f9bd-3d4d4c14-3ae1fb7f-03a6f1b2-c70f327d.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Left upper lobe collapse with no evidence of pneumothorax. New metallic densities observed in the left upper lobe along with tracheal deviation to the left performed secondary to volume loss. No pleural effusion was noted, and the cardiomediastinal silhouette remained unchanged. Severe emphysematous changes were also n... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
29666d6a-e58134be-0f81e6cd-6fe3f9fc-6dd23a23.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray revealed left upper pigtail pleural drainage catheters unchanged in position. No appreciable pneumothorax was observed. The exam showed persistent left upper lobe collapse responsible for leftward anterior mediastinal shift, with hyperinflated lungs and without focal consolidation. Additionally, a tiny ... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "... |
8fc47b54-a08b43aa-78930203-7eb9c921-54dd68c5.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows no pneumothorax, pleural effusion, or consolidation. There is an endobronchial valve present in the left hilar region along with the left upper lobe collapse, resulting in the luftsichel sign around the aortic knob. The impression is that there is no significant interval change in comparison to pr... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "... |
2943a8c3-89793336-6786f538-11fe7337-cc6e4ecc.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows an unremarkable cardiomediastinal silhouette and pulmonary vasculature. Endobronchial valves and left upper lobe atelectasis are visible. No focal consolidation, pleural effusion or pneumothorax is identified. The mid thoracic spine has vertebral body height loss. The impression is that there is n... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
be03898b-e987a410-ef4ccb10-b978876b-d0e1fed8.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Increased volume loss and opacification at the base of the left chest suggests atelectasis. There is a trace suspected pneumothorax on the left, but it is not well visualized and not increased. The impression is increased opacity at the left lung base with volume loss and poor visualization of trace suspected pneumotho... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": "1.0",
"Pneumothorax": "-1.0",
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
d5853658-2862e86d-f03d7bd3-52ac6fa4-cbb51d6b.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | A stable small pneumothorax has been observed on the left side of the chest x-ray. The left-sided chest tube appears unchanged. The distance between the pleural edge and the inner chest wall on this study measures up to 14 mm which is unchanged, indicating no definite change. Therefore, the impression of the chest x-ra... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "1.0",
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1.0... |
897f918f-581e8482-27359b4a-70211e9e-7cf28dbd.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows no significant interval change. The endobronchial valve projects over the left hilum, and there is persistent herniation of the right lung leftward. The cardiac and mediastinal silhouettes are stable, and no pleural effusion or pneumothorax is seen. No pulmonary edema is visible. | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
eb2b757a-cb0af0c9-25aa4d1b-e8e1e794-cf277503.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | There are some findings from the chest x-ray that show improvement in the lungs after the apparent revision of the chest tube. There is still moderate subcutaneous emphysema. The impression noted is trace pneumothorax. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "1.0",
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1.0... |
5f29d6bb-248e1d85-6a3f5a8f-9db5637a-b61f0c65.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows a normal heart size, mediastinal and hilar contours, and pulmonary vasculature without pleural effusion or pneumothorax. However, multifocal opacities in the right lower lobe and a small area of increased density on the left are observed. The impression is that these opacities may represent pneumo... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": "1.0",
"Lung Lesion": "1.0",
"Edema": null,
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices... |
bfe192b3-c50e1563-a1198f35-31cf4c17-0ac947df.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows a normal heart size, mediastinal and hilar contours, and pulmonary vasculature without pleural effusion or pneumothorax. However, multifocal opacities in the right lower lobe and a small area of increased density on the left are observed. The impression is that these opacities may represent pneumo... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": "1.0",
"Lung Lesion": "1.0",
"Edema": null,
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices... |
d9009394-c1aa8ac3-d2c63c1b-d75c2090-d23c7f7d.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows faint ground-glass diffuse opacities that have minimally improved. There are no new lung abnormalities, pneumothorax, or pleural effusion. Cardiac size is top-normal, and the port a cath tip is in the lower SVC. The impression is improved pulmonary edema. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
fbe00d81-91d8d007-187c3428-5a588b36-dd93a258.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Increased opacification in the left retrocardiac region and right lower lobe with a slight blunting of the left costophrenic angle is consistent with multifocal pneumonia. The cardiomediastinal and hilar contours are normal and no pneumothorax observed. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "1.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
41f1d201-dbac2a3d-6c2c2a4c-ad299394-be2b2da0.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows normal cardiac, mediastinal and hilar contours, with the right-sided Port-A-Cath terminating in the mid SVC. Mild atherosclerotic calcifications are present in the aortic knob. The pulmonary vasculature appears normal, while patchy opacities are noted in the lung bases. No pleural effusion, focal ... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": "-1.0",
"Atelectasis": "-1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Device... |
9657e2f7-0599225a-5292f84f-0c62d2e4-b8a1dfd0.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The lungs appear clear and the heart is normal in size. Mediastinal structures are otherwise unremarkable, and the bony thorax is grossly intact. A Port-A-Cath remains in place. The impression is that there is no active pulmonary disease, and the port-a-cath is in place. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1.... |
999ef282-f78a4af3-2e8ecea8-614d5203-9c55194a.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The lungs appear clear and the heart is normal in size. Mediastinal structures are otherwise unremarkable, and the bony thorax is grossly intact. A Port-A-Cath remains in place. The impression is that there is no active pulmonary disease, and the port-a-cath is in place. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": "1.... |
29bfb45c-e6c95b77-09002df1-cdb8607b-66313f14.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray findings reveal no signs of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits, and there is no acute osseous abnormality. The overall impression from the chest x-ray is that there are no acute cardiopulmonary processes. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray findings reveal no signs of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits, and there is no acute osseous abnormality. The overall impression from the chest x-ray is that there are no acute cardiopulmonary processes. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Lower lung volumes with crowding of the bronchovascular markings and left base opacity, potentially due to atelectasis, although infection is not entirely excluded. Linear left retrocardiac opacity is seen. There is no effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormality is identified. | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": "1.0",
"Pneumothorax": null,
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices"... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows clear and well-expanded lungs with no pleural abnormalities. The heart size is within normal limits, and mediastinal and hilar contours are unremarkable. Overall, there is no acute cardiopulmonary abnormality detected on the imaging. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": null,
"Fracture": null,
"Support Devices": nul... |
a7c92d8d-16cd9f11-488593a9-762ad5f3-9d4d9a0e.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest X-ray shows a normal cardiomediastinal silhouette and well-aerated lungs that are clear. There is no pleural effusion or pneumothorax noted. The impression is a normal chest radiograph. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": nu... |
ed08d8e9-70b70a19-6b5d7e55-a632625f-be2ef5a3.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows clear lungs, normal heart size, and no abnormalities in the pleura or bones. The impression is that there is no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": null,
"Pleural Other": "-1.0",
"Fracture": null,
"Support Devices": nu... |
cd5ad579-2e3f4531-88538dd5-09ba8400-4794a4ff.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows clear, well-expanded lungs without evidence of metastatic disease, pneumothorax, or pleural effusion. The aorta is slightly tortuous, but the cardiomediastinal silhouette and osseous structures are unremarkable. The impression is a normal chest radiograph with no evidence of metastatic disease det... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": "0.0",
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
a7bf1b56-e2e9bac2-f0c42f05-e5ac6f08-8bd66a33.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | There are diffuse interstitial and alveolar space opacities with associated Kerley B lines, bilateral hilar prominence, and small pleural effusions. There is mild-to-moderate cardiomegaly. No pneumothorax is seen. An endotracheal tube is placed with its tip 4.3 cm above the carina. An NG tube can be seen ending in the ... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
6d307a14-5761d61d-8d584d26-5cc361c1-2dfe61d9.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Slight opacification above the minor fissure is present on the chest x-ray, which could suggest a developing consolidation. However, it is not seen on the lateral image. No pneumothorax or pleural effusion is present. The cardiomediastinal silhouette is unchanged. A right-sided dialysis catheter is also seen, with the ... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": "-1.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices"... |
1727d3f4-7a9d025f-3ae207e2-f0b4d325-9dfccc18.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows clear lungs bilaterally with no focal consolidation, pneumothorax or pleural effusion noted. There is no evidence of pulmonary edema. Cardiomediastinal and hilar contours are within normal limits, and pulmonary vasculature is unremarkable. Blunting at the left costophrenic angle may reflect pleura... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": "-1.0",
"Fracture": null,
"Support Devices"... |
62e3e15d-bc3aab26-5a0e1a63-3b047b2b-706a6ff6.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows decreased lung volumes and coarse interstitial markings. The cardiomediastinal silhouette is mildly enlarged, but there is no evidence of new pneumonia, large pleural effusion, or pneumothorax. There are also no acute osseous findings aside from general osteopenia. | {
"Enlarged Cardiomediastinum": "1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "0.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
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{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The lungs are hyperinflated, suggestive of emphysema. Vascular congestion and interstitial pulmonary edema are present, more prominent in both lower lobes, along with coarse interstitial thickening in the left lower lobe. The impression is that there is cardiomegaly with worsening of the vascular congestion and interst... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": "1.0",
"Support Devices": ... |
2c467dc6-88acb6b6-3ea1324e-df701e62-63b824ab.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The upper abdomen is unremarkable. The impression is that there is no acute cardiopulmonary process. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "0.0",
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
022f6d5b-a648c95f-11574009-b1d90d93-8c243421.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows normal heart size, mediastinal and hilar contours, and pulmonary vasculature. Lungs are clear, with no pleural effusion or pneumothorax. There are also no acute osseous abnormalities. The impression is that there are no acute cardiopulmonary abnormalities. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
c6166a17-4bd70b3d-1e60ca07-c92a32c2-61bb784d.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Heart size, mediastinal and hilar contours, and pulmonary vasculature are normal, with no acute osseous abnormalities. Lungs are clear without pleural effusion or pneumothorax. Thus, there is no acute cardiopulmonary abnormality indicated. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
b9c25ee9-2b5345d2-a567db9c-a7f338ce-e76a94d6.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray showed an ETT terminating approximately 4.5 cm above the carina. A right IJ catheter terminates in the low SVC. An NG tube is in place, but does not appear to course below the diaphragm. There is moderate to severe pulmonary edema and a probable small left pleural effusion. The heart is top-normal in si... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "... |
f38fc06a-82eb62a6-cf49a0fc-3e7a33de-4bd6084b.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray showed an ETT terminating approximately 4.5 cm above the carina. A right IJ catheter terminates in the low SVC. An NG tube is in place, but does not appear to course below the diaphragm. There is moderate to severe pulmonary edema and a probable small left pleural effusion. The heart is top-normal in si... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": "1.0",
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": "... |
4159e607-dbf3f243-3f4e9d08-bc360c7f-8c6f8b88.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray reveals a right-sided dual chamber pacemaker device with leads terminating in the right atrium and right ventricle, mild to moderate heart enlargement, tortuous aorta with diffuse atherosclerotic calcifications, low lung volumes, and probable mild pulmonary vascular congestion. Additionally, there are b... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "-1.0",
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": "-1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devic... |
70c7a7dc-7685b6f5-3a228b4e-e3585182-8f5fa5a8.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray reveals a right-sided dual chamber pacemaker device with leads terminating in the right atrium and right ventricle, mild to moderate heart enlargement, tortuous aorta with diffuse atherosclerotic calcifications, low lung volumes, and probable mild pulmonary vascular congestion. Additionally, there are b... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": "-1.0",
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": "-1.0",
"Pneumothorax": "0.0",
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devic... |
50622ecc-dbba010b-4b975654-c43da615-f91309a7.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The cardiac, mediastinal, and hilar contours are unchanged, and there are no pleural effusions or pneumothorax. The lungs appear clear, and no evidence of acute cardiopulmonary disease is detected. | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
532f38ed-a73ac185-60aad809-bee6db4f-6999d5fa.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The cardiac silhouette size is mildly enlarged, but there is no acute cardiopulmonary abnormality detected on the chest x-ray. The lungs, pulmonary vascularity, mediastinal and hilar contours are normal, and there are no signs of pleural effusion or pneumothorax. There is no subdiaphragmatic free air or acute osseous a... | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "1.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
1b00cf80-2f40e0d0-d038db1d-d9c0f326-4cbeddbe.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The lung volumes are low, while the heart and osseous structures are normal. The mediastinal and hilar contours are within normal limits, and there are no signs of pleural effusion or pneumothorax. The lungs appear clear, indicating no evidence of acute disease. | {
"Enlarged Cardiomediastinum": "0.0",
"Cardiomegaly": "0.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": n... |
9f39a11e-9e768651-e2bd3de4-67c1f122-8629746d.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Patchy left lower lung opacities are seen on the chest x-ray, concerning for an infectious process such as pneumonia. No abnormalities are seen on the right lung or in the cardiac and mediastinal silhouettes. No pleural effusion or pneumothorax is detected. Follow-up is recommended to monitor the resolution of the opac... | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": null,
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "1.0",
"Atelectasis": null,
"Pneumothorax": "0.0",
"Pleural Effusion": "0.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices":... |
1d571b1b-b2617a4d-74b68d32-5cebdcbd-c328b57e.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | Likely bilateral layering pleural effusions without lobar consolidation. Lung volumes are low, and the heart appears enlarged. There is increased density along the left heart border, possibly due to a patulous esophagus. Haziness is present over bilateral lower lobes. Mediastinal and hilar contours are stable. | {
"Enlarged Cardiomediastinum": "-1.0",
"Cardiomegaly": "1.0",
"Lung Opacity": null,
"Lung Lesion": null,
"Edema": null,
"Consolidation": "0.0",
"Pneumonia": null,
"Atelectasis": null,
"Pneumothorax": null,
"Pleural Effusion": "1.0",
"Pleural Other": null,
"Fracture": null,
"Support Devices": ... |
dc5bc4d9-5e212eb6-54ea9d5d-b55f653a-9e9494d5.jpg | [
{
"from": "human",
"value": "<image>\nYou are an expert radiologist. Your task is to analyze the given chest X-ray image, write a detailed finding, and then provide a structured summary of your finding.\n\nYou must follow this two-step process:\n1. First, enclose your detailed, free-text radiology findings... | The chest x-ray shows shallow inspiration accentuating heart size, mild pulmonary vascularity, no pleural effusion, and minimal patchy basilar opacities with a strand of atelectasis or fibrosis at the lung base. Mild pectus excavatum is also observed. Overall impression indicates a possibility of minimal patchy basilar... | {
"Enlarged Cardiomediastinum": null,
"Cardiomegaly": "-1.0",
"Lung Opacity": "1.0",
"Lung Lesion": null,
"Edema": null,
"Consolidation": null,
"Pneumonia": "-1.0",
"Atelectasis": "1.0",
"Pneumothorax": null,
"Pleural Effusion": "0.0",
"Pleural Other": "-1.0",
"Fracture": null,
"Support Device... |
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