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The dataset generation failed because of a cast error
Error code:   DatasetGenerationCastError
Exception:    DatasetGenerationCastError
Message:      An error occurred while generating the dataset

All the data files must have the same columns, but at some point there are 3 new columns ({'end_index', 'split_number', 'start_index'}) and 3 missing columns ({'id', 'image', 'conversations'}).

This happened while the json dataset builder was generating data using

hf://datasets/PwwSeniorProj/CT-RATE_RAPTOR_DINOV3_Embedded_Valid/split_valid.json (at revision 7fd1e7932567562aaff71c6089fd648af73714ae)

Please either edit the data files to have matching columns, or separate them into different configurations (see docs at https://hf.co/docs/hub/datasets-manual-configuration#multiple-configurations)
Traceback:    Traceback (most recent call last):
                File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1831, in _prepare_split_single
                  writer.write_table(table)
                File "/usr/local/lib/python3.12/site-packages/datasets/arrow_writer.py", line 714, in write_table
                  pa_table = table_cast(pa_table, self._schema)
                             ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
                File "/usr/local/lib/python3.12/site-packages/datasets/table.py", line 2272, in table_cast
                  return cast_table_to_schema(table, schema)
                         ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
                File "/usr/local/lib/python3.12/site-packages/datasets/table.py", line 2218, in cast_table_to_schema
                  raise CastError(
              datasets.table.CastError: Couldn't cast
              split_number: int64
              start_index: int64
              end_index: int64
              -- schema metadata --
              pandas: '{"index_columns": [], "column_indexes": [], "columns": [{"name":' + 457
              to
              {'id': Value('string'), 'image': Value('string'), 'conversations': List({'from': Value('string'), 'type': Value('string'), 'value': Value('string')})}
              because column names don't match
              
              During handling of the above exception, another exception occurred:
              
              Traceback (most recent call last):
                File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1339, in compute_config_parquet_and_info_response
                  parquet_operations = convert_to_parquet(builder)
                                       ^^^^^^^^^^^^^^^^^^^^^^^^^^^
                File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 972, in convert_to_parquet
                  builder.download_and_prepare(
                File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 894, in download_and_prepare
                  self._download_and_prepare(
                File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 970, in _download_and_prepare
                  self._prepare_split(split_generator, **prepare_split_kwargs)
                File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1702, in _prepare_split
                  for job_id, done, content in self._prepare_split_single(
                                               ^^^^^^^^^^^^^^^^^^^^^^^^^^^
                File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1833, in _prepare_split_single
                  raise DatasetGenerationCastError.from_cast_error(
              datasets.exceptions.DatasetGenerationCastError: An error occurred while generating the dataset
              
              All the data files must have the same columns, but at some point there are 3 new columns ({'end_index', 'split_number', 'start_index'}) and 3 missing columns ({'id', 'image', 'conversations'}).
              
              This happened while the json dataset builder was generating data using
              
              hf://datasets/PwwSeniorProj/CT-RATE_RAPTOR_DINOV3_Embedded_Valid/split_valid.json (at revision 7fd1e7932567562aaff71c6089fd648af73714ae)
              
              Please either edit the data files to have matching columns, or separate them into different configurations (see docs at https://hf.co/docs/hub/datasets-manual-configuration#multiple-configurations)

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id
string
image
string
conversations
list
long_answer_0
valid_1_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings in the lung parenchyma of the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "A few millimetric nonspecific nodules and mild recessions are observed in the upper lobe and lower lobe of the right lung." }, { "from": "human", "type": "free_response", "value": "What is the aeration status of the lung parenchyma in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Aeration of both lung parenchyma is normal." }, { "from": "human", "type": "free_response", "value": "Are there any space-occupying lesions detected in the lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "No infiltrative lesion is detected in the lung parenchyma." } ]
long_answer_1
valid_1_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the lung nodules observed in the Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "A few millimetric nonspecific nodules are observed in the upper lobe and lower lobe of the right lung." }, { "from": "human", "type": "description", "value": "What is the nature of the lung recessions observed in the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Mild recessions are observed in the upper lobe and lower lobe of the right lung." }, { "from": "human", "type": "description", "value": "Are there any other abnormalities detected in the lung parenchyma?<long_answer>" }, { "from": "gpt", "type": null, "value": "No infiltrative lesion is detected in the lung parenchyma, and aeration of both lung parenchyma is normal." } ]
multiple_choice_0
valid_1_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following findings are present in the right lung of this Chest CT image? (a) Normal aeration (b) A few millimetric nonspecific nodules (c) Enlarged lymph nodes (d) Infiltrative lesion<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) A few millimetric nonspecific nodules" }, { "from": "human", "type": "multiple_choice", "value": "What is the status of the lung recessions observed in the Chest CT image? (a) Severe recessions (b) Mild recessions (c) Normal lung tissue (d) No recessions<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Mild recessions" }, { "from": "human", "type": "multiple_choice", "value": "Is the aeration of the lung parenchyma normal in this Chest CT image? (a) No, reduced aeration (b) Yes, normal aeration (c) No, increased aeration (d) No, no aeration<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Yes, normal aeration" } ]
long_answer_3
valid_1_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings related to the lung parenchyma in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The lung parenchyma shows a few millimetric nonspecific nodules and mild recessions in the upper lobe and lower lobe of the right lung." }, { "from": "human", "type": "free_response", "value": "Describe the abnormalities observed in the lung fields of this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "A few millimetric nonspecific nodules and mild recessions are observed in the upper lobe and lower lobe of the right lung." }, { "from": "human", "type": "free_response", "value": "Are there any lung parenchymal lesions detected in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "No, no infiltrative lesion is detected in the lung parenchyma." } ]
long_answer_4
valid_1_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the right lung in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The right lung shows a few millimetric nonspecific nodules and mild recessions in the upper lobe and lower lobe." }, { "from": "human", "type": "description", "value": "What is the impression of the lung parenchyma in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "A few millimetric nonspecific nodules and slight recessions in the upper lobe and lower lobe of the right lung." }, { "from": "human", "type": "description", "value": "Are there any abnormalities observed in the lung fields of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "A few millimetric nonspecific nodules and mild recessions are observed in the upper lobe and lower lobe of the right lung." } ]
multiple_choice_1
valid_1_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is true about the lung parenchyma in this Chest CT image? (a) Normal (b) A few millimetric nonspecific nodules and mild recessions (c) No abnormalities (d) Infiltrative lesion<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) A few millimetric nonspecific nodules and mild recessions" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the right lung in this Chest CT image? (a) Normal (b) A few millimetric nonspecific nodules and mild recessions (c) Enlarged lymph nodes (d) Space-occupying lesion<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) A few millimetric nonspecific nodules and mild recessions" }, { "from": "human", "type": "multiple_choice", "value": "Are there any lung parenchymal lesions detected in this Chest CT image? (a) Yes, infiltrative lesion (b) Yes, space-occupying lesion (c) No, normal (d) No, no lesions detected<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) No, normal" } ]
long_answer_6
valid_2_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings regarding the thyroid glands in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Both thyroid glands have increased in size and their parenchyma is heterogeneous, US control is recommended." }, { "from": "human", "type": "free_response", "value": "What is the size and shape of the thoracic aorta in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "No dilatation was detected in the thoracic aorta." }, { "from": "human", "type": "free_response", "value": "Describe the appearance of the parenchymal nodules in both lungs in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Multiple parenchymal nodules of stable size and number, which were initially evaluated in favor of metastasis." } ]
long_answer_7
valid_2_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings shown in the subcutaneous fatty planes in the left axillary region in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Heterogeneous density increases were observed in the subcutaneous fatty planes in the left axillary region (secondary to post-treatment?)." }, { "from": "human", "type": "description", "value": "Describe the appearance of the pleura in the upper lobe of the left lung in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Contour irregularities were observed in the pleura in the upper lobe of the left lung." }, { "from": "human", "type": "description", "value": "Describe the findings regarding the pericardial space in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Pericardial thickening-effusion was not detected." } ]
multiple_choice_2
valid_2_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following abnormalities are present in the thyroid glands in this Chest CT image? (a) Normal size and appearance (b) Increased in size with heterogeneous parenchyma (c) Calcified (d) Not visible<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Increased in size with heterogeneous parenchyma" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following findings is present in the thoracic aorta in this Chest CT image? (a) Dilatation (b) Normal size and shape (c) Calcification (d) Not visible<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Normal size and shape" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following findings is present in the subcutaneous fatty planes in the left axillary region in this Chest CT image? (a) Normal density (b) Heterogeneous density increases (c) Calcification (d) Not visible<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Heterogeneous density increases" } ]
long_answer_9
valid_2_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the size and description of the stable soft tissue mass observed in the chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "A stable soft tissue mass of approximately 5x4x5." }, { "from": "human", "type": "free_response", "value": "What is the recommended course of action for the thyroid glands, which have increased in size and have heterogeneous parenchyma?<long_answer>" }, { "from": "gpt", "type": null, "value": "US control is recommended." }, { "from": "human", "type": "free_response", "value": "Describe the findings observed in the lung parenchyma window, specifically the contour irregularities in the pleura of the upper lobe of the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "Contour irregularities were observed in the pleura in the upper lobe of the left lung, posttreatment was evaluated in favor of secondary changes." } ]
long_answer_10
valid_2_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance and size of the thyroid glands in the chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The thyroid glands have increased in size and their parenchyma is heterogeneous." }, { "from": "human", "type": "description", "value": "Describe the findings observed in the subcutaneous fatty planes in the left axillary region?<long_answer>" }, { "from": "gpt", "type": null, "value": "Heterogeneous density increases were observed in the subcutaneous fatty planes in the left axillary region (secondary to post-treatment?)." }, { "from": "human", "type": "description", "value": "Describe the appearance of the bilateral adrenal glands in the chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected." } ]
multiple_choice_3
valid_2_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhat is the recommended course of action for the thyroid glands, which have increased in size and have heterogeneous parenchyma?<multiple_choice>" }, { "from": "gpt", "type": null, "value": "US control is recommended (a) CT control (b) US control (c) MRI control (d) No further action" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the thoracic aorta in the chest CT image?<multiple_choice>" }, { "from": "gpt", "type": null, "value": "No dilatation was detected in the thoracic aorta (a) Dilatation was detected in the thoracic aorta (b) Normal calibration (c) Thickening was detected in the thoracic aorta (d) No information is available" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the bilateral peribronchial thickenings in the chest CT image?<multiple_choice>" }, { "from": "gpt", "type": null, "value": "Bilateral peribronchial thickenings were observed (a) No peribronchial thickenings were observed (b) Unilateral peribronchial thickenings were observed (c) No information is available (d) Pleural effusion was detected" } ]
long_answer_12
valid_3_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the location and appearance of the nodular images observed in the right lung on the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Intrapulmonary lymph nodes located on the major fissure, with a size of 6x2.5 mm." }, { "from": "human", "type": "free_response", "value": "Describe the findings suggestive of ultra-early Covid-19 pneumonia in the Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Focal nodular opacity with vascular enlargement observed in multiple lung lobes, suspicious for ultra-early Covid-19 pneumonia." }, { "from": "human", "type": "free_response", "value": "What is the recommended course of action for the findings suggestive of ultra-early Covid-19 pneumonia?<long_answer>" }, { "from": "gpt", "type": null, "value": "Evaluation together with clinical and laboratory findings is recommended." } ]
long_answer_13
valid_3_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the mediastinal main vascular structures, heart contour, and size in the Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinal main vascular structures, heart contour, and size are normal." }, { "from": "human", "type": "description", "value": "Describe the presence and appearance of the hiatal hernia in the Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "A sliding type hiatal hernia was observed at the lower end of the esophagus." }, { "from": "human", "type": "description", "value": "Describe the findings suggestive of intrapulmonary lymph nodes in the Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Nodular images with a size of 6x2.5 mm, superposed on the major fissure, were observed and initially evaluated in favor of intrapulmonary lymph nodes." } ]
multiple_choice_4
valid_3_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is the recommended course of action for the findings suggestive of ultra-early Covid-19 pneumonia? (a) Evaluation together with clinical and laboratory findings (b) Surgical intervention (c) Antibiotic therapy (d) No further action needed<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) Evaluation together with clinical and laboratory findings" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the mediastinum in the non-contrast examination? (a) Normal (b) Optimal evaluation (c) Not evaluable (d) Abnormal<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Not evaluable" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the bone structures in the study area? (a) Abnormal (b) Natural (c) Fractured (d) Deformed<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Natural" } ]
long_answer_15
valid_3_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings related to the lung parenchyma in the right lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "Intrapulmonary lymph node, focal nodular opacity with vascular enlargement suspicious for ultra-early Covid-19 pneumonia." }, { "from": "human", "type": "free_response", "value": "What are the locations of the focal nodular opacities in the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "Lower lobe basal segment and lower lobe superior segment." }, { "from": "human", "type": "free_response", "value": "What is the impression of the findings in both lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "Hiatal hernia, appearance in both lungs that may be compatible with ultra-early Covid-19 pneumonia." } ]
long_answer_16
valid_3_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings related to the major fissure in the right lung.<long_answer>" }, { "from": "gpt", "type": null, "value": "Nodular images with a size of 6x2.5 mm, superposed on the major fissure, initially evaluated in favor of the intrapulmonary lymph node." }, { "from": "human", "type": "description", "value": "Describe the findings related to the mediastinum in the non-contrast examination.<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinum could not be evaluated optimally due to the non-contrast examination." }, { "from": "human", "type": "description", "value": "Describe the findings related to the esophagus in the thoracic region.<long_answer>" }, { "from": "gpt", "type": null, "value": "Sliding type hiatal hernia was observed at the lower end of the esophagus, and thoracic esophagus calibration was normal." } ]
multiple_choice_5
valid_3_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following findings were observed in the right lung?\n(a) Intrapulmonary lymph node\n(b) Focal nodular opacity with vascular enlargement suspicious for ultra-early Covid-19 pneumonia\n(c) Hiatal hernia\n(d) Sliding type hiatal hernia<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Focal nodular opacity with vascular enlargement suspicious for ultra-early Covid-19 pneumonia" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following locations were affected by focal nodular opacities in the left lung?\n(a) Upper lobe\n(b) Right middle lobe\n(c) Lower lobe basal segment and lower lobe superior segment\n(d) Right lung lower lobe mediobasal segment<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Lower lobe basal segment and lower lobe superior segment" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following impressions was made based on the findings in both lungs?\n(a) Hiatal hernia\n(b) Intrapulmonary lymph node\n(c) Ultra-early Covid-19 pneumonia\n(d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" } ]
long_answer_18
valid_4_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the description of the malignant mass observed in the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "A malignant mass is observed around the lower lobe bronchi of the left lung." }, { "from": "human", "type": "free_response", "value": "What are the appearances observed in the lower lobe of the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "Ground glass areas, millimetric nodules, and atelectasis are observed in the lower lobe of the left lung." } ]
long_answer_19
valid_4_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nWhat is the appearance of the ground glass areas observed in the lower lobe of the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "The appearance of the described frosted glass areas is not specific, with ground glass areas observed in the lower lobe of the left lung, especially in the peripheral areas." }, { "from": "human", "type": "description", "value": "Describe the findings regarding the malignant mass in the pulmonary hilus?<long_answer>" }, { "from": "gpt", "type": null, "value": "The described appearances evaluated together with the mass in the pulmonary hilus were primarily evaluated in favor of a pneumonic infiltration." } ]
multiple_choice_6
valid_4_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is a finding in the middle lobe of the right lung? (a) Malignant mass (b) Atelectasis (c) Pleural effusion (d) Ground glass areas<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Atelectasis" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is a characteristic of the ground glass areas observed in the lower lobe of the left lung? (a) Specific appearance (b) Not specific appearance (c) Peripheral distribution (d) Central distribution<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Not specific appearance" } ]
long_answer_21
valid_4_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the status of the pleural effusion in the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "No pleural effusion was detected on the left." }, { "from": "human", "type": "free_response", "value": "Describe the findings in the middle and lower lobes of the right lung.<long_answer>" }, { "from": "gpt", "type": null, "value": "Atelectasis is observed in the middle lobe and lower lobe of the right lung." }, { "from": "human", "type": "free_response", "value": "What is the appearance of the described frosted glass areas in the lower lobe of the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "The appearance of the described frosted glass areas is not specific." } ]
long_answer_22
valid_4_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the malignant mass observed in the left lung.<long_answer>" }, { "from": "gpt", "type": null, "value": "A malignant mass is observed around the lower lobe bronchi of the left lung." }, { "from": "human", "type": "description", "value": "Describe the findings in the anteromediobasal segment of the lower lobe of the left lung.<long_answer>" }, { "from": "gpt", "type": null, "value": "Atelectasis is observed in the anteromediobasal segment of the lower lobe of the left lung." }, { "from": "human", "type": "description", "value": "Describe the findings in the pulmonary hilus of the left lung.<long_answer>" }, { "from": "gpt", "type": null, "value": "The described appearances evaluated together with the mass in the pulmonary hilus were primarily evaluated in favor of a pneumonic infiltration." } ]
multiple_choice_7
valid_4_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following findings is present in the right lung? (a) Atelectasis (b) Pleural effusion (c) Malignant mass (d) Ground glass areas<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) Atelectasis" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following findings is present in the left lung? (a) Atelectasis (b) Malignant mass (c) Pleural effusion (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the millimetric nodules observed in the lower lobe of the left lung? (a) Specific (b) Not specific (c) Diffuse (d) Focal<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Not specific" } ]
long_answer_24
valid_4_b_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the impression of the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The impression of the Chest CT image is a stable mass surrounding the bronchi of the lower lobe of the left lung, pleuroparenchymal opacities with bronchial pleural extension in the bilateral lower lobes, thickening of the bronchial wall, nonspecific ground glass densities, and right pleural effusion, multiple mass lesions in the liver suspicious for metastases and hepatomegaly, suspected right adrenal metastatic lesion, and stable lymph nodes in the mediastinum." }, { "from": "human", "type": "free_response", "value": "What are the findings in the mediastinum of the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinal main vascular structures, heart contour, size are normal, and lymph nodes with a short axis reaching 1 cm appear stable." }, { "from": "human", "type": "free_response", "value": "What is the appearance of the right adrenal gland in the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "A 28x17 mm lesion suspicious for metastasis is present in the right adrenal gland." } ]
long_answer_25
valid_4_b_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings in the lung parenchyma window of the Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Pleurroparenchymal opacities starting from the central and extending to the pleura in the lower lobes of both lungs, significant thickening of the bronchial wall, and the mass appearance of the left lower lobe bronchi are stable." }, { "from": "human", "type": "description", "value": "Describe the findings in the liver of the Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Hypodense lesions suspicious for liver metastasis and increased size in the liver entering the cross-section area have a stable appearance." }, { "from": "human", "type": "description", "value": "Describe the findings in the right pleural space of the Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "A right pleural effusion is present and is stable." } ]
multiple_choice_8
valid_4_b_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following abnormalities are present in the mediastinum of this Chest CT image? (a) Mediastinal lymphadenopathy (b) Mediastinal mass (c) Normal mediastinal main vascular structures (d) Mediastinal pleural effusion<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Normal mediastinal main vascular structures" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is a finding in the lung parenchyma window of this Chest CT image? (a) Pleural effusion (b) Pulmonary embolism (c) Pleuroparenchymal opacities (d) Pneumothorax<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Pleuroparenchymal opacities" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is a finding in the liver of this Chest CT image? (a) Hepatomegaly (b) Liver cyst (c) Hypodense lesions suspicious for liver metastasis (d) Liver abscess<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Hypodense lesions suspicious for liver metastasis" } ]
long_answer_27
valid_4_b_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings in the mediastinal region of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Normal mediastinal main vascular structures, heart contour, size, and no pericardial effusion-thickening were observed, with stable lymph nodes in the mediastinum with a short axis reaching 1 cm." }, { "from": "human", "type": "free_response", "value": "What are the abnormalities present in the lung fields of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Pleurroparenchymal opacities starting from the central and extending to the pleura in the lower lobes of both lungs, significant thickening of the bronchial wall, and the mass appearance of the left lower lobe bronchi are stable." }, { "from": "human", "type": "free_response", "value": "What is the impression of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Stable mass surrounding the bronchi of the lower lobe of the left lung, pleuroparenchymal opacities with bronchial pleural extension in the bilateral lower lobes, thickening of the bronchial wall, nonspecific ground glass densities, and right pleural effusion, multiple mass lesions in the liver suspicious for metastases and hepatomegaly, suspected right adrenal metastatic lesion, and stable lymph nodes in the mediastinum." } ]
long_answer_28
valid_4_b_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings in the pleural region of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Pleurroparenchymal opacities starting from the central and extending to the pleura in the lower lobes of both lungs, significant thickening of the bronchial wall, and the mass appearance of the left lower lobe bronchi are stable, and right pleural effusion is present." }, { "from": "human", "type": "description", "value": "Describe the findings in the liver region of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Hypodense lesions suspicious for liver metastasis and increased size in the liver entering the cross-section area have a stable appearance, with multiple mass lesions in the liver suspicious for metastases and hepatomegaly." }, { "from": "human", "type": "description", "value": "Describe the findings in the adrenal gland region of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The left adrenal glands were normal and no space-occupying lesion was detected, while a 28x17 mm lesion suspicious for metastasis is present in the right adrenal gland, which is stable." } ]
multiple_choice_9
valid_4_b_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following mediastinal findings were observed in this Chest CT image? (a) Pericardial effusion-thickening (b) Normal mediastinal main vascular structures (c) Thickening of the bronchial wall (d) Pleural effusion<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Normal mediastinal main vascular structures" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following lung parenchyma findings were observed in this Chest CT image? (a) Pleuroparenchymal opacities (b) Thickening of the bronchial wall (c) Nonspecific ground glass densities (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following liver findings were observed in this Chest CT image? (a) Normal liver size (b) Multiple mass lesions in the liver suspicious for metastases (c) Hepatomegaly (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" } ]
long_answer_30
valid_5_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the size and appearance of the lymph nodes in the axilla?<long_answer>" }, { "from": "gpt", "type": null, "value": "The lymph nodes in the axilla are not observed in pathological size and appearance." }, { "from": "human", "type": "free_response", "value": "What is the condition of the lung parenchyma?<long_answer>" }, { "from": "gpt", "type": null, "value": "No pneumonic infiltration or consolidation area was detected in the lung parenchyma." }, { "from": "human", "type": "free_response", "value": "What is the presence of lymph nodes in the mediastinum?<long_answer>" }, { "from": "gpt", "type": null, "value": "No lymph node reaching pathological dimensions was observed in the mediastinum." } ]
long_answer_31
valid_5_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the mediastinal structures.<long_answer>" }, { "from": "gpt", "type": null, "value": "The evaluation of mediastinal structures is suboptimal since no contrast material is given, but calibrations of mediastinal major vascular structures are normal." }, { "from": "human", "type": "description", "value": "Describe the findings in the liver parenchyma.<long_answer>" }, { "from": "gpt", "type": null, "value": "Upper abdominal sections show moderate fat in the liver parenchyma." }, { "from": "human", "type": "description", "value": "Describe the presence of lymph nodes in the chest.<long_answer>" }, { "from": "gpt", "type": null, "value": "No lymph node was observed in the axilla in pathological size and appearance, and no lymph node reaching pathological dimensions was observed in the mediastinum." } ]
multiple_choice_10
valid_5_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is the condition of the mediastinal structures? (a) Optimal (b) Suboptimal (c) Normal (d) Abnormal<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Suboptimal" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is present in the liver parenchyma? (a) Moderate inflammation (b) Severe fibrosis (c) Moderate fat (d) No abnormality<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Moderate fat" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following was not detected in the lung parenchyma? (a) Pneumonic infiltration (b) Pleural effusion (c) Consolidation area (d) Pneumonia<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) Pneumonia" } ]
long_answer_33
valid_5_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the size and appearance of the lymph nodes observed in the axilla?<long_answer>" }, { "from": "gpt", "type": null, "value": "No lymph node was observed in the axilla in pathological size and appearance." }, { "from": "human", "type": "free_response", "value": "What is the condition of the mediastinal structures in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Suboptimal since no contrast material is given." }, { "from": "human", "type": "free_response", "value": "What is the impression of the findings in the lung parenchyma?<long_answer>" }, { "from": "gpt", "type": null, "value": "No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Pneumonia was not detected." } ]
long_answer_34
valid_5_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings related to the liver parenchyma in the upper abdominal sections.<long_answer>" }, { "from": "gpt", "type": null, "value": "Moderate fat is observed in the liver parenchyma." }, { "from": "human", "type": "description", "value": "Describe the condition of the air passages in the trachea, main bronchi, and lobar and segmental bronchi.<long_answer>" }, { "from": "gpt", "type": null, "value": "Trachea, both main bronchi, lobar and segmental bronchi, air passages are open." }, { "from": "human", "type": "description", "value": "Describe the findings related to the mediastinum in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "No lymph node reaching pathological dimensions was observed in the mediastinum. Calibrations of mediastinal major vascular structures are normal." } ]
multiple_choice_11
valid_5_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following conditions is present in the mediastinal structures? (a) Optimal (b) Suboptimal (c) Normal (d) Abnormal <multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Suboptimal" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following findings is observed in the liver parenchyma? (a) Normal fat (b) Moderate fat (c) Excessive fat (d) No fat <multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Moderate fat" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following conditions is not detected in the lung parenchyma? (a) Pneumonic infiltration (b) Consolidation area (c) Pleural effusion (d) Pneumonia <multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) Pneumonia" } ]
long_answer_36
valid_6_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat abnormalities are present in the lung fields of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment." } ]
long_answer_37
valid_6_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings related to the mediastinum in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinal structures cannot be evaluated optimally because contrast material is not given. However, as far as can be observed, the heart contour and size are normal, and there is no pleural or pericardial effusion. Additionally, the widths of the mediastinal main vascular structures are normal, and there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions." }, { "from": "human", "type": "description", "value": "Describe the findings related to the esophagus in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "No pathological increase in wall thickness was detected in the esophagus within the sections." }, { "from": "human", "type": "description", "value": "Describe the findings related to the thoracic spine in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Thoracic vertebral corpus heights, alignments and densities are normal. The neural foramina are open." } ]
multiple_choice_12
valid_6_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following abnormalities are present in this Chest CT image? (a) Tracheal occlusion (b) Linear atelectasis (c) Mediastinal lymphadenopathy (d) Esophageal wall thickening<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Linear atelectasis" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is NOT present in this Chest CT image? (a) Linear atelectasis (b) Mediastinal lymphadenopathy (c) Esophageal wall thickening (d) Normal heart contour and size<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Esophageal wall thickening" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following findings is related to the mediastinum in this Chest CT image? (a) Normal heart contour and size (b) Mediastinal lymphadenopathy (c) Esophageal wall thickening (d) Thoracic vertebral corpus heights, alignments and densities are normal<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Mediastinal lymphadenopathy" } ]
long_answer_39
valid_6_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings regarding the trachea and main bronchi in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Trachea and both main bronchi are open with no occlusive pathology detected." }, { "from": "human", "type": "free_response", "value": "What is the presence of atelectasis in the lungs in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Linear atelectasis is present in the right lung middle lobe medial segment and left lung upper lobe lingular segment." }, { "from": "human", "type": "free_response", "value": "What is the impression of the overall findings in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Linear atelectasis in both lungs." } ]
long_answer_40
valid_6_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings regarding the mediastinal structures in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinal structures cannot be evaluated optimally because contrast material is not given, but as far as can be observed, the heart contour and size are normal, and there is no pleural or pericardial effusion, and the widths of the mediastinal main vascular structures are normal, and there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions." }, { "from": "human", "type": "description", "value": "Describe the findings regarding the esophagus in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "No pathological increase in wall thickness was detected in the esophagus within the sections." }, { "from": "human", "type": "description", "value": "Describe the findings regarding the thoracic vertebral corpus in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The thoracic vertebral corpus heights, alignments, and densities are normal, and the neural foramina are open." } ]
multiple_choice_13
valid_6_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is true about the trachea and main bronchi in this Chest CT image? (a) Occlusive pathology is present (b) Trachea and both main bronchi are open (c) Trachea is occluded (d) Main bronchi are not visible<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Trachea and both main bronchi are open" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is true about the lungs in this Chest CT image? (a) No atelectasis is present (b) Linear atelectasis is present in both lungs (c) Bilateral infiltrative lesions are present (d) Left lung is larger than right lung<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Linear atelectasis is present in both lungs" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is true about the mediastinal structures in this Chest CT image? (a) Mediastinal structures are normal (b) Mediastinal structures cannot be evaluated optimally because contrast material is not given (c) Mediastinal structures are pathologically enlarged (d) Mediastinal structures are not visible<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Mediastinal structures cannot be evaluated optimally because contrast material is not given" } ]
long_answer_42
valid_7_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the sizes of the lymph nodes observed in the aorticopulmonary window, upper-lower paratracheal area, and hilar region?<long_answer>" }, { "from": "gpt", "type": null, "value": "Short diameter of 9 mm in the aorticopulmonary window, upper-lower paratracheal area, and hilar region, with no pathological size and configuration lymph nodes detected at the pathological level." }, { "from": "human", "type": "free_response", "value": "Describe the pattern of ground-glass-like density increases observed in both lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "Ground-glass-like density increases and a mosaic attenuation pattern are observed in both lungs, which are more prominent at the basal level." }, { "from": "human", "type": "free_response", "value": "What is the size and location of the ground-glass-like nodule observed in the right lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "5 mm diameter nodule in the anterior-posterior segment transition of the upper lobe of the right lung." } ]
long_answer_43
valid_7_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings of the mediastinal main vascular structures, heart contour, and size?<long_answer>" }, { "from": "gpt", "type": null, "value": "Mediastinal main vascular structures, heart contour, and size are normal." }, { "from": "human", "type": "description", "value": "Describe the appearance of the gallbladder and its contents?<long_answer>" }, { "from": "gpt", "type": null, "value": "Density compatible with a 3.5 mm diameter calculus is observed at the fundus level in the gallbladder." }, { "from": "human", "type": "description", "value": "Describe the appearance of the adrenal glands, spleen, and pancreas?<long_answer>" }, { "from": "gpt", "type": null, "value": "Both adrenal glands, spleen, and pancreas are normal." } ]
multiple_choice_14
valid_7_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following lymph node sizes were observed in the aorticopulmonary window, upper-lower paratracheal area, and hilar region? (a) 5 mm (b) 6 mm (c) 9 mm (d) 10 mm<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) 9 mm" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following patterns of ground-glass-like density increases were observed in both lungs? (a) Diffuse and uniform (b) Ground-glass-like density increases and a mosaic attenuation pattern (c) Patchy and irregular (d) No ground-glass-like density increases<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Ground-glass-like density increases and a mosaic attenuation pattern" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following sizes and locations of the ground-glass-like nodule in the right lung are correct? (a) 3 mm diameter nodule in the posterior segment of the upper lobe of the right lung (b) 5 mm diameter nodule in the anterior-posterior segment transition of the upper lobe of the right lung (c) 6 mm diameter nodule in the anterior segment of the left lung upper lobe (d) 8 mm diameter nodule in the left lung lower lobe laterobasal segment<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) 5 mm diameter nodule in the anterior-posterior segment transition of the upper lobe of the right lung" } ]
long_answer_45
valid_7_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the sizes of the lymph nodes observed in the aorticopulmonary window and the upper-lower paratracheal area?<long_answer>" }, { "from": "gpt", "type": null, "value": "Short diameter of 9 mm" }, { "from": "human", "type": "free_response", "value": "What is the diameter of the ground-glass-like nodule observed in the anterior-posterior segment transition of the upper lobe of the right lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "5 mm diameter" }, { "from": "human", "type": "free_response", "value": "What is the size of the subpleural nodule observed in the left lung lower lobe laterobasal segment?<long_answer>" }, { "from": "gpt", "type": null, "value": "8x5 mm" } ]
long_answer_46
valid_7_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the pattern of density increases observed in both lungs in the parenchyma window.<long_answer>" }, { "from": "gpt", "type": null, "value": "Ground-glass-like density increases and a mosaic attenuation pattern are observed in both lungs, which are more prominent at the basal level." }, { "from": "human", "type": "description", "value": "Describe the appearance of the gallbladder at the fundus level.<long_answer>" }, { "from": "gpt", "type": null, "value": "Density compatible with a 3.5 mm diameter calculus is observed at the fundus level in the gallbladder." }, { "from": "human", "type": "description", "value": "Describe the appearance of the liver hilum at the level of the liver hilum.<long_answer>" }, { "from": "gpt", "type": null, "value": "Density of approximately 2 mm is observed, which may be compatible with the cystic duct, but whose clear relationship cannot be evaluated." } ]
multiple_choice_15
valid_7_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following abnormalities are present in this Chest CT image? (a) Pathological lymph nodes in the mediastinum (b) Ground-glass-like density increases in both lungs (c) A 5 mm diameter nodule in the right lung upper lobe (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the gallbladder at the fundus level? (a) Normal (b) Density compatible with a 3.5 mm diameter calculus (c) Thickening of the gallbladder wall (d) Gallbladder inflammation<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Density compatible with a 3.5 mm diameter calculus" }, { "from": "human", "type": "multiple_choice", "value": "What is the size of the subpleural nodule observed in the left lung lower lobe laterobasal segment? (a) 5x2 mm (b) 8x5 mm (c) 6x4 mm (d) 9 mm<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) 8x5 mm" } ]
long_answer_48
valid_7_b_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the sizes of the largest pulmonary nodules observed in both lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "The largest pulmonary nodule is 7 mm in diameter in the anterior segment of the left lung upper lobe and 6 mm in diameter in the posterior segment of the right lung upper lobe." }, { "from": "human", "type": "free_response", "value": "What is the appearance of the pulmonary nodules observed in both lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "The pulmonary nodules have a suspicious appearance and are generally subpleural in localization." }, { "from": "human", "type": "free_response", "value": "What is the recommendation for further evaluation of the pulmonary nodules?<long_answer>" }, { "from": "gpt", "type": null, "value": "Further examination of the patient is appropriate if necessary." } ]
long_answer_49
valid_7_b_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the pulmonary nodules observed in both lungs.<long_answer>" }, { "from": "gpt", "type": null, "value": "The pulmonary nodules have several lobulated contours and are generally subpleural in localization." }, { "from": "human", "type": "description", "value": "What is the significance of the presence of gallstones in the gallbladder lumen?<long_answer>" }, { "from": "gpt", "type": null, "value": "Gallstones are observed in the gallbladder lumen, but no further information is provided regarding their significance." }, { "from": "human", "type": "description", "value": "What is the overall impression of the findings in the lung parenchyma?<long_answer>" }, { "from": "gpt", "type": null, "value": "Irregular contoured nodules in both lungs, described on the left, should be evaluated together with the clinic, and further examination if necessary." } ]
multiple_choice_16
valid_7_b_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is true about the pulmonary nodules observed in both lungs? (a) They are well-defined and smooth (b) They are lobulated and subpleural (c) They are larger than 1 cm in diameter (d) They are not visible in the lung parenchyma window.<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) They are lobulated and subpleural" }, { "from": "human", "type": "multiple_choice", "value": "What is the size of the thoracic aorta diameter? (a) Increased (b) Normal (c) Decreased (d) Not evaluable.<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Normal" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is not observed in the lung parenchyma? (a) Pulmonary nodules (b) Gallstones (c) Bone structures (d) Vertebral corpus heights.<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) Vertebral corpus heights" } ]
long_answer_51
valid_7_b_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the sizes of the largest pulmonary nodules observed in both lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "The largest pulmonary nodule in the left lung is 7 mm in diameter, and the largest pulmonary nodule in the right lung is 6 mm in diameter." }, { "from": "human", "type": "free_response", "value": "What is the typical localization of the observed pulmonary nodules?<long_answer>" }, { "from": "gpt", "type": null, "value": "The pulmonary nodules are generally subpleural in localization." }, { "from": "human", "type": "free_response", "value": "What is the recommended course of action for the observed pulmonary nodules?<long_answer>" }, { "from": "gpt", "type": null, "value": "Further examination of the patient is appropriate if necessary, and evaluation should be done together with the clinic." } ]
long_answer_52
valid_7_b_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the pulmonary nodules observed in both lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "The pulmonary nodules have several lobulated contours and a suspicious appearance." }, { "from": "human", "type": "description", "value": "Describe the overall impression of the observed findings?<long_answer>" }, { "from": "gpt", "type": null, "value": "Irregular contoured nodules in both lungs should be evaluated together with the clinic, and further examination if necessary." } ]
multiple_choice_17
valid_7_b_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following statements is true about the mediastinum in this examination?\n(a) The mediastinum was evaluated optimally.\n(b) The mediastinum could not be evaluated optimally.\n(c) The mediastinum showed abnormal findings.\n(d) The mediastinum was not visible.<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) The mediastinum could not be evaluated optimally." }, { "from": "human", "type": "multiple_choice", "value": "What is the typical appearance of the thoracic esophagus in this examination?\n(a) Significantly thickened wall\n(b) Normal calibration\n(c) Enlarged diameter\n(d) Irregular contour<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Normal calibration" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following statements is true about the vertebral corpus heights in this examination?\n(a) They are significantly reduced\n(b) They are preserved\n(c) They are enlarged\n(d) They are irregular<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) They are preserved" } ]
long_answer_54
valid_8_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the sizes of the small lymph nodes observed in the mediastinum?<long_answer>" }, { "from": "gpt", "type": null, "value": "Up to 5 mm in the short axis" }, { "from": "human", "type": "free_response", "value": "What is the cause of the diffuse density decrease in the bone structures in the examination area?<long_answer>" }, { "from": "gpt", "type": null, "value": "Degenerative height losses in the vertebral corpuscles and fractures" }, { "from": "human", "type": "free_response", "value": "What is the recommended clinical correlation for the findings in the lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "Clinical laboratory correlation for the onset of an infectious process" } ]
long_answer_55
valid_8_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings of the lymph nodes in the mediastinum.<long_answer>" }, { "from": "gpt", "type": null, "value": "The lymph nodes are small and oval, with a short axis measuring up to 5 mm, especially at the aorticopulmonary window and at the level of the trachea carina." }, { "from": "human", "type": "description", "value": "Describe the appearance of the bone structures in the examination area.<long_answer>" }, { "from": "gpt", "type": null, "value": "There is a diffuse density decrease in the bone structures, with degenerative height losses in the vertebral corpuscles and fractures, leading to an osteoporotic appearance." }, { "from": "human", "type": "description", "value": "Describe the findings in the lungs, particularly the mosaic attenuation pattern and ground-glass densities.<long_answer>" }, { "from": "gpt", "type": null, "value": "There is a mosaic attenuation pattern of thickenings in the interlobular septa in both lungs, with slightly patchy ground-glass densities in the apical level of the upper lobe of the right lung and the lateral part of the middle lobe of the right lung." } ]
multiple_choice_18
valid_8_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhat is the size of the largest nonspecific nodule observed in the lung parenchyma?<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) 1 mm (b) 2 mm (c) 4 mm (d) 6 mm" } ]
long_answer_57
valid_8_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the primary impression of the findings in the lungs based on the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Thickening of interlobular septa in both lungs, mosaic attenuation pattern, and slightly patchy ground-glass densities in the right lung." }, { "from": "human", "type": "free_response", "value": "What is the recommended course of action for the findings in the lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "Clinical laboratory correlation is recommended for the onset of an infectious process." }, { "from": "human", "type": "free_response", "value": "What is the appearance of the bone structures in the examination area?<long_answer>" }, { "from": "gpt", "type": null, "value": "A diffuse density decrease in the bone structures and degenerative height losses in the vertebral corpuscles." } ]
long_answer_58
valid_8_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the mediastinal main vascular structures and heart contour on the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinal main vascular structures and heart contour are normal in size." }, { "from": "human", "type": "description", "value": "Describe the appearance of the lung parenchyma window on the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "A mosaic attenuation pattern of thickenings in the interlobular septa in both lungs is observed, along with slightly patchy ground glass densities in the right lung and a few millimetric nonspecific nodules in both lungs." }, { "from": "human", "type": "description", "value": "Describe the appearance of the vertebral corpuscles on the Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "There are degenerative height losses in the vertebral corpuscles, with a diffuse density decrease in the bone structures." } ]
multiple_choice_19
valid_8_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is a normal finding on the Chest CT image?\n(a) Enlarged mediastinal lymph nodes\n(b) Normal size mediastinal main vascular structures and heart contour\n(c) Mosaic attenuation pattern of thickenings in the interlobular septa\n(d) Slightly patchy ground glass densities in the right lung<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Normal size mediastinal main vascular structures and heart contour" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the lung parenchyma window in the right lung?\n(a) Normal\n(b) Mosaic attenuation pattern of thickenings in the interlobular septa\n(c) Slightly patchy ground glass densities\n(d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the vertebral corpuscles in the examination area?\n(a) Normal\n(b) Degenerative height losses\n(c) Diffuse density decrease\n(d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" } ]
long_answer_60
valid_9_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings regarding the thyroid gland in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Increased size with a heterogeneous appearance, and the left thyroid lobe extending through the vascular structures to the mediastinal inlet, causing tracheal narrowing in the superior part." }, { "from": "human", "type": "free_response", "value": "What is the recommended evaluation for the thyroid gland?<long_answer>" }, { "from": "gpt", "type": null, "value": "US evaluation is recommended in conjunction with the Chest CT findings." }, { "from": "human", "type": "free_response", "value": "What are the lung findings in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Patchy consolidation area with a crazy paving pattern and vascular enlargement in the distal peribronchial area in the middle lobe of the right lung, consistent with Covid-19 pneumonia, and a few millimetric nonspecific pulmonary nodules in both lungs." } ]
long_answer_61
valid_9_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the thyroid gland in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The thyroid gland has increased in size and has a heterogeneous appearance, with the left thyroid lobe extending through the vascular structures to the mediastinal inlet, causing tracheal narrowing in the superior part." }, { "from": "human", "type": "description", "value": "Describe the lung findings in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "A patchy consolidation area with a crazy paving pattern and vascular enlargement was observed in the distal peribronchial area in the middle lobe of the right lung, consistent with Covid-19 pneumonia, and a few millimetric nonspecific pulmonary nodules were seen in both lungs." }, { "from": "human", "type": "description", "value": "Describe the mediastinal findings in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinum could not be evaluated optimally in the non-contrast examination, but the mediastinal main vascular structures, heart contour, and size appear normal." } ]
multiple_choice_20
valid_9_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhat is the appearance of the thyroid gland in this Chest CT image? (a) Normal size and homogeneous (b) Increased size with a heterogeneous appearance (c) Diffuse hypodense nodules (d) Tracheal narrowing in the superior part only<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Increased size with a heterogeneous appearance" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following lung findings is consistent with Covid-19 pneumonia? (a) Patchy consolidation area with a crazy paving pattern (b) Vascular enlargement (c) Nonspecific pulmonary nodules (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" }, { "from": "human", "type": "multiple_choice", "value": "What is the recommended evaluation for the thyroid gland? (a) MRI (b) US (c) CT (d) None of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) US" } ]
long_answer_63
valid_9_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the appearance of the thyroid gland in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The size of the thyroid gland has increased and has a heterogeneous appearance, with the left thyroid lobe extending through the vascular structures to the mediastinal inlet." }, { "from": "human", "type": "free_response", "value": "What is the relationship between the trachea and the thyroid gland in this image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The trachea is narrowed in the superior part secondary to thyroid compression." }, { "from": "human", "type": "free_response", "value": "What is the recommended course of action for the thyroid gland findings in this image?<long_answer>" }, { "from": "gpt", "type": null, "value": "It is recommended to be evaluated together with US." } ]
long_answer_64
valid_9_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the lung parenchyma in the middle lobe of the right lung in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "A patchy consolidation area with a crazy paving pattern and vascular enlargement was observed in the distal peribronchial area in the middle lobe of the right lung, consistent with Covid-19 pneumonia." }, { "from": "human", "type": "description", "value": "What is the significance of the few millimetric nonspecific pulmonary nodules observed in both lungs?<long_answer>" }, { "from": "gpt", "type": null, "value": "A few millimetric nonspecific pulmonary nodules with a diameter of 3.5 mm were observed in both lungs, the largest of which was in the anterior segment of the right lung upper lobe, without distinguishable borders or space-occupying lesions." }, { "from": "human", "type": "description", "value": "Describe the overall appearance of the mediastinum in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinum could not be evaluated optimally in the non-contrast examination, but the mediastinal main vascular structures, heart contour, and size appear normal, with no pericardial effusion-thickening observed." } ]
multiple_choice_21
valid_9_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following abnormalities are present in this Chest CT image? (a) Increased thyroid gland size (b) Covid-19 pneumonia (c) Pericardial effusion (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the lung parenchyma in the middle lobe of the right lung consistent with? (a) Bacterial pneumonia (b) Covid-19 pneumonia (c) Tuberculosis (d) Lung cancer<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Covid-19 pneumonia" }, { "from": "human", "type": "multiple_choice", "value": "What is the significance of the few millimetric nonspecific pulmonary nodules observed in both lungs? (a) Space-occupying lesions (b) Nonspecific parenchymal nodules (c) Enlarged lymph nodes (d) Mass lesions<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Nonspecific parenchymal nodules" } ]
long_answer_66
valid_10_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings related to the lung parenchyma in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Mild emphysema, nonspecific nodular density on the right minor fissure, linear density consistent with band atelectasis in the left inferior lingular segment, and nonspecific density increases in the lower lobes of both lungs." }, { "from": "human", "type": "free_response", "value": "What is the significance of the nonspecific nodular density observed on the right minor fissure?<long_answer>" }, { "from": "gpt", "type": null, "value": "This is a nonspecific finding and its significance cannot be determined without further evaluation or follow-up imaging." } ]
long_answer_67
valid_10_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings related to the lung parenchyma in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Mild emphysema, nonspecific nodular density on the right minor fissure, linear density consistent with band atelectasis in the left inferior lingular segment, and nonspecific density increases in the lower lobes of both lungs are observed in the lung parenchyma." }, { "from": "human", "type": "description", "value": "Describe the appearance of the liver on this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The liver shows a decrease in density, which is compatible with steatosis." }, { "from": "human", "type": "description", "value": "Describe the findings related to the bone structures in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Degenerative changes are observed in the bone structures in the study area, and there is narrowing of the spinal canal at the dorso-lumbar level." } ]
multiple_choice_22
valid_10_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following findings are observed in the lung parenchyma on this Chest CT image? (a) Mild emphysema (b) Nonspecific nodular density on the right minor fissure (c) Linear density consistent with band atelectasis in the left inferior lingular segment (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is the cause of the decrease in density observed in the liver? (a) Steatosis (b) Cirrhosis (c) Liver cancer (d) None of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) Steatosis" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following findings are observed in the perinephric areas on this Chest CT image? (a) Vascular density (b) Lymphadenopathy (c) Renal cysts (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) Vascular density" } ]
long_answer_69
valid_10_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the size and configuration of the lymph nodes in the mediastinum and hilar levels?<long_answer>" }, { "from": "gpt", "type": null, "value": "The lymph nodes in the mediastinum and hilar levels are not detected in pathological size and configuration." }, { "from": "human", "type": "free_response", "value": "What is the cause of the density reduction observed in the lung parenchyma?<long_answer>" }, { "from": "gpt", "type": null, "value": "The density reduction is compatible with mild emphysema." }, { "from": "human", "type": "free_response", "value": "What are the findings observed in the perinephric areas?<long_answer>" }, { "from": "gpt", "type": null, "value": "Bilateral irregular density increases are observed in the perinephric areas." } ]
long_answer_70
valid_10_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings observed in the lung parenchyma window.<long_answer>" }, { "from": "gpt", "type": null, "value": "Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Density reduction compatible with mild emphysema is observed." }, { "from": "human", "type": "description", "value": "Describe the findings observed in the perinephric areas.<long_answer>" }, { "from": "gpt", "type": null, "value": "Bilateral irregular density increases are observed in the perinephric areas." }, { "from": "human", "type": "description", "value": "Describe the findings observed in the liver.<long_answer>" }, { "from": "gpt", "type": null, "value": "A decrease in density is observed in the liver, which is compatible with steatosis." } ]
multiple_choice_23
valid_10_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following vascular structures are within the normal range?<multiple_choice>" }, { "from": "gpt", "type": null, "value": "CTO is within the normal range." }, { "from": "human", "type": "multiple_choice", "value": "What is the cause of the nonspecific nodular density observed in the right lung?<multiple_choice>" }, { "from": "gpt", "type": null, "value": "The nonspecific nodular density is superposed on the minor fissure." }, { "from": "human", "type": "multiple_choice", "value": "What is the appearance of the spleen?<multiple_choice>" }, { "from": "gpt", "type": null, "value": "The spleen is ventral and caudally lobulated in the contour, but no significant density difference was detected." } ]
long_answer_72
valid_11_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings regarding the trachea and main bronchi in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Occlusion in the trachea and both main bronchi are present." }, { "from": "human", "type": "free_response", "value": "What is the general impression of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Not given." }, { "from": "human", "type": "free_response", "value": "Are the findings in the trachea and main bronchi normal or abnormal?<long_answer>" }, { "from": "gpt", "type": null, "value": "Abnormal, as occlusion is present." } ]
long_answer_73
valid_11_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the trachea and main bronchi in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The trachea and both main bronchi show occlusion." } ]
multiple_choice_24
valid_11_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhat is the appearance of the trachea and main bronchi in this Chest CT image? (a) Normal (b) Occlusion (c) Stenosis (d) Dilatation<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Occlusion" }, { "from": "human", "type": "multiple_choice", "value": "What is the general impression of this Chest CT image? (a) Not given (b) Normal (c) Abnormal (d) Benign<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) Not given" }, { "from": "human", "type": "multiple_choice", "value": "Are the findings in the trachea and main bronchi normal or abnormal? (a) Normal (b) Abnormal (c) Possibly abnormal (d) Cannot be determined<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Abnormal" } ]
long_answer_75
valid_11_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the appearance of the trachea and main bronchi in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "They are normal." }, { "from": "human", "type": "free_response", "value": "Are there any abnormalities in the trachea and main bronchi?<long_answer>" }, { "from": "gpt", "type": null, "value": "Yes, there is an occlusion." }, { "from": "human", "type": "free_response", "value": "Can you describe the occlusion in the trachea and main bronchi?<long_answer>" }, { "from": "gpt", "type": null, "value": "It is present in both the trachea and main bronchi." } ]
long_answer_76
valid_11_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings of the trachea and main bronchi in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The trachea and main bronchi are occluded." }, { "from": "human", "type": "description", "value": "What are the characteristics of the occlusion in the trachea and main bronchi?<long_answer>" }, { "from": "gpt", "type": null, "value": "The occlusion is present in both the trachea and main bronchi." }, { "from": "human", "type": "description", "value": "Can you summarize the findings of the trachea and main bronchi?<long_answer>" }, { "from": "gpt", "type": null, "value": "The trachea and main bronchi are occluded and normal in appearance, but occluded." } ]
multiple_choice_25
valid_11_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following describes the appearance of the trachea and main bronchi in this Chest CT image? (a) Normal (b) Occluded (c) Abnormal (d) Not visualized<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Occluded" }, { "from": "human", "type": "multiple_choice", "value": "What is the presence of in the trachea and main bronchi? (a) Calcification (b) Occlusion (c) Mass (d) Fluid<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Occlusion" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is a characteristic of the trachea and main bronchi in this Chest CT image? (a) Dilated (b) Occluded (c) Narrowed (d) Enlarged<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Occluded" } ]
long_answer_78
valid_12_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the reason for the suboptimal evaluation of the mediastinal structures in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The examination was unenhanced." }, { "from": "human", "type": "free_response", "value": "What is the possible cause of the interlobular septal thickenings and alveolar consolidation areas observed in the upper lobe of the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "Cardiac pathology or an infectious process." }, { "from": "human", "type": "free_response", "value": "What is the recommended course of action for the patient based on the findings in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Clinical laboratory correlation and post-treatment control are recommended." } ]
long_answer_79
valid_12_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the lung parenchyma in the upper lobe of the left lung.<long_answer>" }, { "from": "gpt", "type": null, "value": "The lung parenchyma shows interlobular septal thickenings and alveolar consolidation areas." }, { "from": "human", "type": "description", "value": "What are the findings in the pleural spaces?<long_answer>" }, { "from": "gpt", "type": null, "value": "Bilateral pleural effusion with a thickness of 24 mm on the right and 37 mm on the left, and atelectatic changes in the adjacent lung parenchyma." }, { "from": "human", "type": "description", "value": "Describe the appearance of the gallbladder in the upper abdominal sections.<long_answer>" }, { "from": "gpt", "type": null, "value": "A few dense 6 mm diameter calculi were observed in the gallbladder lumen." } ]
multiple_choice_26
valid_12_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following abnormalities are present in the mediastinal structures? (a) Occlusive pathology (b) Calcified lymph nodes (c) Suboptimal evaluation due to unenhanced examination (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Suboptimal evaluation due to unenhanced examination" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is a possible cause of the interlobular septal thickenings and alveolar consolidation areas observed in the upper lobe of the left lung? (a) Pulmonary embolism (b) Cardiac pathology or infectious process (c) Chronic obstructive pulmonary disease (d) Asthma<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Cardiac pathology or infectious process" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following findings were observed in the lung parenchyma? (a) Only ground glass density increases (b) Only parenchymal nodules (c) Both ground glass density increases and parenchymal nodules (d) Neither ground glass density increases nor parenchymal nodules<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Both ground glass density increases and parenchymal nodules" } ]
long_answer_81
valid_12_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings in the mediastinal structures on this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Suboptimal evaluation due to unenhanced examination, with no occlusive pathology detected in the trachea and lumen of both main bronchi." }, { "from": "human", "type": "free_response", "value": "What are the possible causes of the interlobular septal thickenings and alveolar consolidation areas observed in the upper lobe of the left lung?<long_answer>" }, { "from": "gpt", "type": null, "value": "Cardiac pathology or an infectious process." }, { "from": "human", "type": "free_response", "value": "What is the impression of the pleural effusion observed in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Bilateral pleural effusion with atelectatic changes in the adjacent lung parenchyma." } ]
long_answer_82
valid_12_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings in the lung parenchyma window of this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Patches of ground glass density increases in both lungs, a few parenchymal nodules in the right lung, interlobular septal thickenings and alveolar consolidation areas in the upper lobe of the left lung." }, { "from": "human", "type": "description", "value": "What are the findings in the thoracic aorta on this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Calcified atherosclerotic changes in the wall of the thoracic aorta." }, { "from": "human", "type": "description", "value": "Describe the findings in the gallbladder lumen on this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "A few dense 6 mm diameter calculi in the gallbladder lumen." } ]
multiple_choice_27
valid_12_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following abnormalities are present in the mediastinal structures on this Chest CT image? (a) Occlusive pathology in the trachea and lumen of both main bronchi (b) Suboptimal evaluation due to unenhanced examination (c) Cardiac pathology (d) Infectious process<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Suboptimal evaluation due to unenhanced examination" }, { "from": "human", "type": "multiple_choice", "value": "What is the finding in the thoracic esophagus on this Chest CT image? (a) Significant pathological wall thickening (b) Normal calibration (c) Calcified lymph nodes (d) Pleural effusion<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Normal calibration" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is a possible cause of the interlobular septal thickenings and alveolar consolidation areas observed in the upper lobe of the left lung? (a) Cardiac pathology (b) Infectious process (c) Atherosclerotic changes in the thoracic aorta (d) Degenerative changes in bone structures<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) Cardiac pathology" } ]
long_answer_84
valid_13_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the reason for the suboptimal evaluation of mediastinal vascular structures and cardiac examination in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Lack of IV contrast" }, { "from": "human", "type": "free_response", "value": "What type of calcification is observed in the pleura of the right lung upper lobe?<long_answer>" }, { "from": "gpt", "type": null, "value": "Plaque-like linear calcification" }, { "from": "human", "type": "free_response", "value": "What is the impression of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Plaque-like linear calcification in the pleura in the apical segment of the upper lobe of the right lung and sequela parenchymal changes in the adjacent lung parenchyma" } ]
long_answer_85
valid_13_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings observed in the lung parenchyma window of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Plaque-like linear calcification in the pleura is observed in the apical segment of the right lung upper lobe, adjacent to the mediastinum, and there are sequelae parenchymal changes in the adjacent lung parenchyma" }, { "from": "human", "type": "description", "value": "Describe the appearance of the thoracic esophagus in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "No pathological increase in wall thickness was observed in the thoracic esophagus" }, { "from": "human", "type": "description", "value": "Describe the findings observed in the upper abdominal sections of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "No pathology was detected as far as it can be observed within the borders of non-contrast CT" } ]
multiple_choice_28
valid_13_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is the reason for the suboptimal evaluation of mediastinal vascular structures and cardiac examination in this Chest CT image? (a) Lack of IV contrast (b) Motion artifacts (c) Incorrect slice thickness (d) Insufficient radiation dose<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) Lack of IV contrast" }, { "from": "human", "type": "multiple_choice", "value": "What type of calcification is observed in the pleura of the right lung upper lobe? (a) Nodular calcification (b) Plaque-like linear calcification (c) Dystrophic calcification (d) Heterogeneous calcification<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Plaque-like linear calcification" }, { "from": "human", "type": "multiple_choice", "value": "What is the impression of this Chest CT image? (a) Malignant mass in the right lung (b) Plaque-like linear calcification in the pleura in the apical segment of the upper lobe of the right lung and sequela parenchymal changes in the adjacent lung parenchyma (c) Pneumothorax in the right lung (d) Lytic lesion in the vertebral body<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Plaque-like linear calcification in the pleura in the apical segment of the upper lobe of the right lung and sequela parenchymal changes in the adjacent lung parenchyma" } ]
long_answer_87
valid_13_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the limitations of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Optimal evaluation of mediastinal vascular structures and cardiac examination could not be performed due to the lack of IV contrast." }, { "from": "human", "type": "free_response", "value": "What is the significance of the absence of IV contrast in this CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The absence of IV contrast limits the ability to evaluate the mediastinal vascular structures and cardiac examination optimally." }, { "from": "human", "type": "free_response", "value": "What is the finding in the apical segment of the right lung upper lobe?<long_answer>" }, { "from": "gpt", "type": null, "value": "Plaque-like linear calcification in the pleura." } ]
long_answer_88
valid_13_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the appearance of the trachea and main bronchi on this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The trachea and both main bronchi are open and no occlusive pathology is detected." }, { "from": "human", "type": "description", "value": "What is the appearance of the thoracic esophagus on this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "No pathological increase in wall thickness was observed in the thoracic esophagus." }, { "from": "human", "type": "description", "value": "Describe the findings in the mediastinum on this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "No lymph nodes were detected in pathological size and appearance in both axillary regions, and the mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast." } ]
multiple_choice_29
valid_13_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is a finding in the apical segment of the right lung upper lobe? (a) Plaque-like linear calcification in the pleura (b) Sequelae parenchymal changes in the adjacent lung parenchyma (c) Pneumothorax (d) Lytic or destructive lesion in the bone structure<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) Plaque-like linear calcification in the pleura" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is a finding in the mediastinum on this Chest CT image? (a) Pathological lymph nodes in both axillary regions (b) Optimal evaluation of mediastinal vascular structures and cardiac examination (c) No lymph nodes in pathological size and appearance in both axillary regions (d) Lytic or destructive lesion in the bone structure<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) No lymph nodes in pathological size and appearance in both axillary regions" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is a finding in the thoracic esophagus on this Chest CT image? (a) Pathological increase in wall thickness (b) Optimal evaluation of mediastinal vascular structures and cardiac examination (c) No pathological increase in wall thickness (d) Lytic or destructive lesion in the bone structure<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) No pathological increase in wall thickness" } ]
long_answer_90
valid_14_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat is the primary abnormality observed in the lung fields of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The primary abnormality observed is ground-glass appearances in both lungs, especially in the lower lobes, especially in the peripheral areas." }, { "from": "human", "type": "free_response", "value": "What is the possible cause of the ground-glass appearances observed in the lung fields?<long_answer>" }, { "from": "gpt", "type": null, "value": "The possible cause is Covid-19 pneumonia, as the described findings are frequently observed in this condition." }, { "from": "human", "type": "free_response", "value": "What is the size of the largest lymph node observed in the subcarinal area?<long_answer>" }, { "from": "gpt", "type": null, "value": "The size of the largest lymph node is 14 mm in short diameter." } ]
long_answer_91
valid_14_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings of the trachea and main bronchi in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The trachea and both main bronchi are open, with no occlusive pathology detected." }, { "from": "human", "type": "description", "value": "Describe the findings of the mediastinal structures in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinal structures cannot be evaluated optimally because contrast material is not given, and diffuse atheroma plaques are observed in the aorta and coronary arteries." }, { "from": "human", "type": "description", "value": "Describe the findings of the lymph nodes in the mediastinum and hilar regions in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Lymph nodes are observed in the mediastinum and hilar regions, with the largest node being 14 mm in short diameter in the subcarinal area." } ]
multiple_choice_30
valid_14_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following abnormalities are present in this Chest CT image? (a) Tracheal occlusion (b) Ground-glass appearances in both lungs (c) Mediastinal lymphadenopathy (d) All of the above<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(d) All of the above" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is the possible cause of the ground-glass appearances observed in the lung fields? (a) Bacterial pneumonia (b) Viral pneumonia (c) Tuberculosis (d) Lung cancer<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Viral pneumonia" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is observed in the aorta and coronary arteries in this Chest CT image? (a) Calcification (b) Atheroma plaques (c) Aneurysm (d) Dissection<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Atheroma plaques" } ]
long_answer_93
valid_14_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the common findings in the lung fields of this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Ground-glass appearances and linear density increases in peripheral areas parallel to the pleura, which are consistent with Covid-19 pneumonia." }, { "from": "human", "type": "free_response", "value": "What are the possible causes of the larger-than-normal heart size observed in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Increased cardiac workload or cardiac disease, which could be secondary to viral pneumonia or other underlying conditions." }, { "from": "human", "type": "free_response", "value": "What is the significance of the diffuse atheroma plaques observed in the aorta and coronary arteries?<long_answer>" }, { "from": "gpt", "type": null, "value": "They are indicative of atherosclerotic disease, which can increase the risk of cardiovascular events." } ]
long_answer_94
valid_14_a_2.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings in the trachea and main bronchi of this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The trachea and both main bronchi are open, and no occlusive pathology was detected in these structures." }, { "from": "human", "type": "description", "value": "Describe the appearance of the lymph nodes in the mediastinum and hilar regions.<long_answer>" }, { "from": "gpt", "type": null, "value": "Lymph nodes are present in these regions, with the largest node observed in the subcarinal area measuring 14 mm in short diameter." }, { "from": "human", "type": "description", "value": "Describe the findings in the esophagus and upper abdominal regions of this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "No pathological wall thickness increase in the esophagus, and no upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed." } ]
multiple_choice_31
valid_14_a_2.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is a common finding in the lung fields of this Chest CT image? (a) Alveolar consolidation (b) Ground-glass appearances (c) Linear density increases (d) Mass lesion<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) Ground-glass appearances" }, { "from": "human", "type": "multiple_choice", "value": "What is the significance of the diffuse atheroma plaques observed in the aorta and coronary arteries? (a) They are indicative of atherosclerotic disease (b) They are a sign of viral pneumonia (c) They are a sign of cardiac disease (d) They are a sign of pulmonary embolism<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(a) They are indicative of atherosclerotic disease" }, { "from": "human", "type": "multiple_choice", "value": "What is the size of the largest lymph node observed in the subcarinal area? (a) 10 mm (b) 12 mm (c) 14 mm (d) 16 mm<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) 14 mm" } ]
long_answer_96
valid_15_a_1.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings regarding the main bronchi in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "No abnormalities were detected, both main bronchi are open." }, { "from": "human", "type": "free_response", "value": "What is the impression of the thoracic CT examination?<long_answer>" }, { "from": "gpt", "type": null, "value": "The thoracic CT examination is within normal limits." }, { "from": "human", "type": "free_response", "value": "Are there any nodular or infiltrative lesions detected in the lung parenchyma?<long_answer>" }, { "from": "gpt", "type": null, "value": "No, the aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected." } ]
long_answer_97
valid_15_a_1.nii.gz
[ { "from": "human", "type": "description", "value": "<image>\nDescribe the findings regarding the thoracic aorta diameter in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The thoracic aorta diameter is normal." }, { "from": "human", "type": "description", "value": "Describe the findings regarding the pleural effusion-thickening in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "Pleural effusion-thickening was not detected." }, { "from": "human", "type": "description", "value": "Describe the findings regarding the vertebral corpus heights in this Chest CT image.<long_answer>" }, { "from": "gpt", "type": null, "value": "The vertebral corpus heights are preserved." } ]
multiple_choice_32
valid_15_a_1.nii.gz
[ { "from": "human", "type": "multiple_choice", "value": "<image>\nWhich of the following is true regarding the main bronchi in this Chest CT image? (a) Both main bronchi are closed (b) One main bronchus is open (c) Both main bronchi are open (d) The bronchi are not visualized<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(c) Both main bronchi are open" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is true regarding the thoracic CT examination? (a) The thoracic CT examination is abnormal (b) The thoracic CT examination is within normal limits (c) The thoracic CT examination is inconclusive (d) The thoracic CT examination is pending<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) The thoracic CT examination is within normal limits" }, { "from": "human", "type": "multiple_choice", "value": "Which of the following is true regarding the lung parenchyma in this Chest CT image? (a) The aeration of both lung parenchyma is abnormal (b) No nodular or infiltrative lesion is detected (c) A nodular or infiltrative lesion is detected (d) The lung parenchyma is not visualized<multiple_choice>" }, { "from": "gpt", "type": null, "value": "(b) No nodular or infiltrative lesion is detected" } ]
long_answer_99
valid_15_a_2.nii.gz
[ { "from": "human", "type": "free_response", "value": "<image>\nWhat are the findings regarding the mediastinal main vascular structures and heart contour in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "The mediastinal main vascular structures and heart contour are normal in size." }, { "from": "human", "type": "free_response", "value": "Are there any enlarged lymph nodes in the prevascular, pre-paratracheal, subcarinal, or bilateral hilar-axillary regions in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "No enlarged lymph nodes were detected in the mentioned regions." }, { "from": "human", "type": "free_response", "value": "What are the findings regarding the lung parenchyma in this Chest CT image?<long_answer>" }, { "from": "gpt", "type": null, "value": "Aeration of both lung parenchyma is normal, and no nodular or infiltrative lesion is detected." } ]
End of preview.