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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 1 new columns ({'image_id'})

This happened while the json dataset builder was generating data using

hf://datasets/akemiH/SemiHVision/PMC_Instruct.json (at revision 071935bcb3d4c8d68909dd2609211b7488178c11)

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 "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1869, in _prepare_split_single
                  writer.write_table(table)
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/arrow_writer.py", line 580, in write_table
                  pa_table = table_cast(pa_table, self._schema)
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2292, in table_cast
                  return cast_table_to_schema(table, schema)
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2240, in cast_table_to_schema
                  raise CastError(
              datasets.table.CastError: Couldn't cast
              image_id: string
              conversations: list<item: struct<from: string, value: string>>
                child 0, item: struct<from: string, value: string>
                    child 0, from: string
                    child 1, value: string
              image: string
              -- schema metadata --
              pandas: '{"index_columns": [], "column_indexes": [], "columns": [{"name":' + 450
              to
              {'conversations': [{'from': Value(dtype='string', id=None), 'value': Value(dtype='string', id=None)}], 'image': Value(dtype='string', id=None)}
              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 1387, in compute_config_parquet_and_info_response
                  parquet_operations, partial, estimated_dataset_info = stream_convert_to_parquet(
                File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 980, in stream_convert_to_parquet
                  builder._prepare_split(
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1740, in _prepare_split
                  for job_id, done, content in self._prepare_split_single(
                File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1871, 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 1 new columns ({'image_id'})
              
              This happened while the json dataset builder was generating data using
              
              hf://datasets/akemiH/SemiHVision/PMC_Instruct.json (at revision 071935bcb3d4c8d68909dd2609211b7488178c11)
              
              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)

Need help to make the dataset viewer work? Make sure to review how to configure the dataset viewer, and open a discussion for direct support.

conversations
list
image
string
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Abdominal contrast-enhanced computed tomography (CT) scan demonstrates multiple findings:\n\n1. The liver appears enlarged with heterogeneous enhancement patterns indicating possible hepatomegaly. There are areas of differing densities suggesting uneven perfusion, which could imply the presence of parenchymal disease or lesions.\n\n2. Both kidneys are well delineated and show no evidence of hydronephrosis or significant masses.\n\n3. The spleen appears normal in size and density, with no focal lesions identified.\n\n4. There is no evidence of free intraperitoneal air or fluid.\n\n5. Retroperitoneal structures, including the aorta and inferior vena cava, are within normal limits and show no significant abnormalities.\n\nThis analysis indicates that attention should be given to the heterogeneous enhancement patterns in the liver, warranting further imaging or histological evaluation to rule out hepatic pathology." }, { "from": "human", "value": "What anatomical structures are visible in this CT scan?" }, { "from": "gpt", "value": "The anatomical structures visible in this CT scan include the kidneys, liver, spleen, vertebral column, and part of the stomach and intestines." }, { "from": "human", "value": "Are there any noticeable abnormalities or significant findings in the CT scan?" }, { "from": "gpt", "value": "There appears to be a highlighted area with a green box around it, which could potentially indicate an area of interest for the radiologist. However, without additional information or context, a specific abnormality cannot be definitively identified here. Further evaluation by a medical professional is required to determine its significance." } ]
DeepLesion/Key_slices/002988_03_01_313.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial section of an abdominal CT scan reveals the following findings:\n\n- The liver appears normal in size with homogenous attenuation and no focal lesions detected.\n- Gallbladder is not distended and no gallstones or thickening of the wall is noted.\n- The pancreas has a normal appearance with no evidence of masses or cystic lesions.\n- Spleen and both kidneys display normal morphology and enhancement patterns, with no signs of masses, cysts, or hydronephrosis.\n- The abdominal aorta and major branches are of normal caliber without evidence of aneurysm or dissection.\n- There are no signs of free fluid or free air in the peritoneal cavity.\n- The bowel loops appear normal with no signs of obstruction, abnormal dilation, or thickening of the walls.\n- There is no evidence of lymphadenopathy in the visualized regions.\n- The visualized vertebrae show no signs of significant abnormalities, such as fractures or lytic lesions.\n\nOverall, the CT scan of the abdomen shows no significant abnormalities." }, { "from": "human", "value": "What anatomical structures are primarily visible in this CT scan slice?" }, { "from": "gpt", "value": "The primary anatomical structures visible in this CT scan slice are:\n - Kidneys\n - Vertebral column (spine)\n - Surrounding abdominal soft tissues and organs" }, { "from": "human", "value": "What is the significance of the highlighted area marked by the green box in the provided CT scan?" }, { "from": "gpt", "value": "The significance of the highlighted area marked by the green box in the provided CT scan could potentially indicate a region of interest, such as a lesion, abnormality, or a specific anatomical structure requiring further analysis. A detailed examination by a radiologist is necessary to determine the exact nature and importance of this area." } ]
DeepLesion/Key_slices/003040_04_02_378.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The axial CT scan image of the abdomen shows an observed abnormality in the left lobe of the liver. A hypodense lesion is present, as indicated by the green box. This lesion exhibits a lower attenuation compared to the surrounding liver tissue, which may suggest a cystic, necrotic, or fatty component. Surrounding liver parenchyma appears normal without evidence of significant hepatomegaly or other focal lesions.\n\nOther abdominal organs, including the kidneys, adrenal glands, spleen, and portions of the bowel, are visible without discernible abnormalities. No evidence of intra-abdominal free fluid or significant lymphadenopathy is noted in the visualized sections.\n\nBone structures, including the visualized vertebrae and lower ribs, appear intact and show no signs of fractures or lytic lesions. The intervertebral discs show no significant degeneration or herniation at the visualized level." }, { "from": "human", "value": "What abdominal organs are visible in this CT scan image?" }, { "from": "gpt", "value": "The visible abdominal organs in this CT scan image include the kidneys, spinal vertebrae, and sections of the intestines." }, { "from": "human", "value": "Is there any noticeable abnormality indicated in the provided CT scan image? If so, describe its location." }, { "from": "gpt", "value": "Yes, there is an abnormality indicated by the highlighted area (green square/box) near the center of the image, which is positioned anterior to the spinal vertebrae and likely associated with the intestines. Further clinical correlation and additional imaging might be necessary to determine the exact nature of this abnormality." } ]
DeepLesion/Key_slices/003503_03_02_367.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial contrast-enhanced computed tomography (CT) scan of the abdomen shows:\n\n1. Normal appearance of the kidneys with no evidence of hydronephrosis, masses, or stones.\n2. Presence of contrast material in the gastrointestinal tract indicating recent ingestion or administration of contrast agent.\n3. No significant enlargement or abnormality observed in the major abdominal vessels.\n4. The liver, spleen, and pancreas appear within normal limits without focal lesions or masses.\n5. Multiple loops of bowel are visualized with normal distribution and no evidence of obstruction or dilation.\n6. No free air or fluid collections are noted within the peritoneal cavity to suggest perforation or active intra-abdominal bleeding.\n\nOverall, the abdominal structures appear normal with no acute findings on this section of the CT scan." }, { "from": "human", "value": "What type of imaging modality is used in the provided images?" }, { "from": "gpt", "value": "The imaging modality used in the provided images is a CT (Computed Tomography) scan." }, { "from": "human", "value": "Which anatomical area is being represented in the images?" }, { "from": "gpt", "value": "The anatomical area represented in the images is the abdominal region." }, { "from": "human", "value": "Can any abnormalities be identified in the given CT scan images?" }, { "from": "gpt", "value": "Yes, there appears to be an abnormality marked by a green box; further evaluation by a radiologist is necessary to determine the exact nature of the abnormality." } ]
DeepLesion/Key_slices/000382_01_01_069.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial contrast-enhanced computed tomography (CT) scan of the abdomen reveals a heterogeneous, hyperdense lesion located within the right renal parenchyma. The lesion demonstrates irregular margins and measures approximately 5.1 cm along its maximum dimension. Adjacent renal structures appear unremarkable without evidence of significant compression or displacement. There is no observable perinephric fat stranding or lymphadenopathy. Normal enhancement patterns are evident in the renal cortex and pelvis. Surrounding abdominal structures, including the liver, spleen, and gastrointestinal tract, appear within normal limits, barring any other notable pathologies or abnormalities. The visualized portions of the osseous structures show no acute abnormalities." }, { "from": "human", "value": "What organ or structure is primarily visible and highlighted within the green box in the CT scan image?" }, { "from": "gpt", "value": "The organ or structure primarily visible and highlighted within the green box is part of the kidney." }, { "from": "human", "value": "What anatomical landmarks are visible in the provided CT scan slice?" }, { "from": "gpt", "value": "The anatomical landmarks visible in the provided CT scan slice include the vertebral body, surrounding musculature, portions of the intestines, and both kidneys." }, { "from": "human", "value": "What are the dimensions of the highlighted structure?" }, { "from": "gpt", "value": "The dimensions of the highlighted structure, as indicated by the red and blue lines, show the largest diameter (likely the length) and the perpendicular diameter (likely the width) of the structure. The exact numerical values are not provided in the image, but visually, the red line appears longer than the blue line, indicating the length is greater than the width." } ]
DeepLesion/Key_slices/001082_02_01_027.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan of the abdomen demonstrates the presence of a cross-sectional abdominal view showing the liver, aorta, vertebral column, and surrounding structures. Significant findings include:\n\n1. **Liver:** The liver appears heterogeneous with mixed hypo- and hyper-dense areas suggestive of varied perfusion or potential lesions. However, no distinct mass lesions are definitively identified within this single slice.\n\n2. **Aorta:** The abdominal aorta is visualized in its transverse section. There is no evidence of aneurysmal dilation or dissection within this image.\n\n3. **Vertebral Column:** No significant abnormalities are noted in the vertebral bodies visible in this section. Structural integrity appears to be maintained.\n\n4. **Surrounding Soft Tissues:** There are no overt masses or abnormal fluid collections evident in the surrounding soft tissues of the abdomen.\n\nFurther assessment with additional imaging slices, clinical correlation, and potentially contrast-enhanced studies would be necessary for a comprehensive evaluation. \n\nThis preliminary assessment highlights the need for a detailed review of the contiguous CT slices to fully characterize any underlying pathology." }, { "from": "human", "value": "What organ is primarily visible in this CT scan image?" }, { "from": "gpt", "value": "The liver is primarily visible in this CT scan image." }, { "from": "human", "value": "Is there any abnormality indicated by the highlighted area in the CT scan?" }, { "from": "gpt", "value": "Yes, the highlighted area suggests a potential abnormality that requires further evaluation by a medical professional." } ]
DeepLesion/Key_slices/000059_02_01_044.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided computed tomography (CT) scan image depicts an axial slice of the upper thorax. The following observations are noted:\n\n- The mediastinum appears within normal limits for this axial slice.\n- The lungs show areas of hyperdensity and hypodensity which could suggest the presence of a differential pattern. These could indicate regions of pathology or artifacts due to the imaging technique.\n- The trachea and major bronchi are patent without any evident luminal narrowing.\n- The visualized bones, including the clavicles, show no apparent fractures or significant abnormalities.\n- There is an area highlighted within a green box which appears to show the presence of an abnormal mass or lesion. The precise nature and composition of this lesion require further investigation, but its demarcation suggests it is of clinical interest.\n\nAdditional information such as contrast enhancement, patient history, and further slices from the CT scan are critical for comprehensive assessment and diagnosis." }, { "from": "human", "value": "What anatomical region is this CT scan image representing?" }, { "from": "gpt", "value": "This CT scan image is representing the upper thoracic region, specifically around the level of the clavicles and the upper mediastinum." }, { "from": "human", "value": "What is the significance of the marked area within the green square?" }, { "from": "gpt", "value": "The marked area within the green square could represent a region of clinical interest, potentially indicating a lesion, mass, or abnormality that requires further investigation." }, { "from": "human", "value": "What additional imaging might be suggested to further evaluate the area of interest identified in this CT scan?" }, { "from": "gpt", "value": "Additional imaging that might be suggested could include a contrast-enhanced CT scan for better differentiation of the structures, an MRI for detailed tissue characterization, or a PET scan if a malignancy is suspected to assess metabolic activity." } ]
DeepLesion/Key_slices/003317_02_01_028.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan image presents a transverse section of the thoracic region. The scan reveals the following observations:\n\n1. **Lung Fields**: The lung parenchyma shows areas of increased attenuation in the right middle lobe, suggestive of possible consolidation or atelectasis. No significant pleural effusion or pneumothorax is noted.\n\n2. **Mediastinum and Heart**: The mediastinal structures, including the heart, appear centrally located with no obvious enlargement or displacement. There is no evidence of mediastinal mass or lymphadenopathy.\n\n3. **Bone Structures**: The thoracic vertebrae, ribs, and sternum show no obvious fractures, lytic lesions, or other significant abnormalities. The cortical margins are intact.\n\n4. **Soft Tissues**: No abnormal soft tissue masses or collections are observed within the thoracic skin and subcutaneous fat layer.\n\n5. **Great Vessels**: The aorta and pulmonary arteries appear within normal caliber, with no evidence of dissection or significant aneurysmal dilation.\n\nThe scan does not reveal any prominent abnormalities; however, the noted area of increased attenuation in the right middle lobe warrants further clinical correlation to rule out infection or other pulmonary pathology." }, { "from": "human", "value": "Is there any visible lesion or abnormality in the lung fields?" }, { "from": "gpt", "value": "Yes, there appears to be a lesion or abnormality in the lung field on the right side of the image (left side anatomically)." }, { "from": "human", "value": "What anatomical structure is visible in the center of the scan?" }, { "from": "gpt", "value": "The anatomical structure visible in the center of the scan is the spine." }, { "from": "human", "value": "Are there any signs of fluid collection in the pleural spaces?" }, { "from": "gpt", "value": "No, there are no visible signs of significant fluid collection in the pleural spaces." } ]
DeepLesion/Key_slices/001039_04_01_100.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the chest reveals a soft tissue density lesion within the anterior mediastinum. The lesion exhibits heterogeneous enhancement and appears to be well-circumscribed. Adjacent structures, including the lungs, pleura, and major vascular structures, appear unaffected with no evident signs of invasion or compression. There is no indication of pleural effusion or lymphadenopathy. The visualized bony structures, including the ribs and thoracic spine, do not show any abnormality. The pulmonary parenchyma is clear with no evidence of masses, consolidation, or ground-glass opacities. \n\nOverall, the findings are consistent with a well-defined soft tissue mass in the anterior mediastinum, necessitating further evaluation to determine its nature and potential clinical significance." }, { "from": "human", "value": "What abnormality is visible in the provided CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows an abnormality in the form of a highlighted structure or lesion in the thoracic region." }, { "from": "human", "value": "In which anatomical region of the body is this CT scan taken?" }, { "from": "gpt", "value": "This CT scan is taken from the chest (thoracic) region." }, { "from": "human", "value": "What might be the significance of the highlighted area in the CT scan?" }, { "from": "gpt", "value": "The highlighted area could indicate a potential lesion or mass that may require further evaluation for conditions such as an infection, tumor, or other pathological findings." } ]
DeepLesion/Key_slices/001634_02_02_090.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Abdominal computed tomography (CT) scan reveals a well-circumscribed, hypodense lesion within the liver parenchyma, suggestive of a hepatic cyst or potentially a hepatic abscess depending on the clinical context. Adjacent liver tissue appears homogenous without notable perfusion defects. The gallbladder appears distended with homogeneous fluid, and no calcified gallstones are visible. The pancreas, spleen, and other surrounding organs and structures appear unremarkable. No obvious signs of lymphadenopathy or abnormal fluid collections are noted in the intra-abdominal cavity. The bony structures, including the vertebral bodies, demonstrate no pathological fractures or lesions." }, { "from": "human", "value": "What anatomical region is being shown in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows a transverse section of the abdomen." }, { "from": "human", "value": "What might be the significance of a hyperdense area within the liver as seen in this CT scan?" }, { "from": "gpt", "value": "A hyperdense area within the liver might indicate the presence of a pathological condition such as a tumor, abscess, or calcification." }, { "from": "human", "value": "What is the possible structure that appears to have a closed circular shape located in the right part of the image?" }, { "from": "gpt", "value": "The circular structure in the right part of the image is likely to be the gallbladder, possibly filled with contrast material or gallstones." } ]
DeepLesion/Key_slices/004110_02_01_077.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT scan of the chest reveals the following findings:\n\n1. The bilateral lung fields demonstrate the presence of a large, centrally located soft tissue mass occupying a significant portion of the mediastinum. This mass appears to compress adjacent vascular structures, including the superior vena cava and the great vessels originating from the aortic arch.\n \n2. There are regions of atelectasis or consolidation noted in both lungs, particularly in the lower lobes, possibly secondary to compression by the mediastinal mass.\n\n3. Mild pleural effusion is observed bilaterally, which may be reactive or associated with the underlying pathology.\n\n4. The cardiovascular structures, including the heart and great vessels, are mildly displaced by the mediastinal mass, though no significant signs of invasion into these structures are apparent in this slice.\n\n5. The visualized osseous structures, including the thoracic vertebrae, ribs, and clavicles, do not show any abnormal lesions or fractures at this level.\n\n6. The observed mediastinal lymph nodes appear to be enlarged, indicating possible lymphadenopathy.\n\n7. The subcutaneous tissues and musculoskeletal structures of the thoracic wall do not display any significant abnormalities.\n\nOverall, the presence of a large mediastinal mass with associated atelectasis, pleural effusion, and lymphadenopathy is notable." }, { "from": "human", "value": "What anatomical structures are primarily visible in the CT scan image?" }, { "from": "gpt", "value": "The anatomical structures primarily visible in the CT scan image are the lungs, the heart, parts of the ribs, and the spinal column." }, { "from": "human", "value": "Are there any abnormalities or noteworthy findings in the CT scan image?" }, { "from": "gpt", "value": "One noteworthy finding is a highlighted area marked with a green box near the body surface which might indicate the presence of a port or catheter. Further analysis is required to determine if any abnormalities are associated with it." }, { "from": "human", "value": "What is the orientation and plane of the CT scan image provided?" }, { "from": "gpt", "value": "The CT scan image is an axial view (transverse plane), cutting horizontally through the patient's body." } ]
DeepLesion/Key_slices/002090_04_02_104.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Abdominal contrast-enhanced computed tomography (CT) scan reveals the presence of a well-circumscribed, slightly hyperdense lesion located in the left kidney, indicative of a possible renal cyst or mass. The surrounding renal parenchyma appears otherwise unremarkable. No significant lymphadenopathy is detected. Both adrenal glands appear normal without any evident masses. The abdominal aorta and its major branches are without evident aneurysms or significant atherosclerotic changes. \n\nThe liver, spleen, and pancreas demonstrate normal size and morphology, with homogeneous enhancement patterns and no discrete lesions identified. No free intraperitoneal fluid or extraluminal gas is observed. The visualized bowel segments show no signs of obstruction, wall thickening, or abnormal dilation. \n\nThe included sections of the bones of the spine and pelvis do not show evidence of lytic or blastic lesions. Overall, the observed findings suggest a renal lesion that warrants further evaluation." }, { "from": "human", "value": "What anatomical structures are visible in this axial CT scan image?" }, { "from": "gpt", "value": "The anatomical structures visible in this axial CT scan image include the vertebral column, portions of the small intestine, portions of the large intestine, and the abdominal aorta. The kidneys and renal pelvis are also visible." }, { "from": "human", "value": "What abnormalities, if any, can be identified in this CT scan image?" }, { "from": "gpt", "value": "The image shows a highlighted region, potentially indicating an area of interest for further investigation, such as a mass, lesion, or other abnormality. The nature of the abnormality cannot be precisely determined from this image alone and would require further analysis by a radiologist." }, { "from": "human", "value": "Describe the significance of utilizing contrast in this CT scan image." }, { "from": "gpt", "value": "Utilizing contrast in CT scans helps enhance the visibility of blood vessels, organs, and other tissues, making abnormalities such as tumors, blood clots, or areas of inflammation more distinct. Contrast differentiation is especially useful in identifying and characterizing pathological regions." } ]
DeepLesion/Key_slices/001300_03_02_064.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan images reveal the following findings:\n\n- Identification of a nodule or mass in the right lung, located peripherally in the anterior segment of the right upper lobe. The nodule is well-circumscribed and appears to be of moderate density.\n- There is no evidence of pleural effusion or pneumothorax.\n- The mediastinum appears to be unremarkable, with no signs of lymphadenopathy.\n- Normal anatomical structures of the heart and major vessels are noted, with no apparent abnormalities.\n- Both lungs exhibit scattered areas of ground-glass opacities, particularly in the lower lobes, suggestive of possible inflammatory or infectious processes.\n- No significant abnormalities are observed in the diaphragm, thoracic spine, or surrounding soft tissues.\n\nThe aforementioned findings necessitate further clinical correlation and potential follow-up imaging to assess the significance and nature of the identified nodule and ground-glass opacities." }, { "from": "human", "value": "What anatomical region is visible in the CT scan image provided?" }, { "from": "gpt", "value": "The anatomical region visible in the CT scan image provided is the thoracic cavity, primarily showing the lungs and parts of the heart." }, { "from": "human", "value": "What could be the significance of the area highlighted in the green box?" }, { "from": "gpt", "value": "The area highlighted in the green box could signify an abnormality or a focal point that needs closer examination, such as a potential lesion, nodule, or other abnormalities in the lung tissue." }, { "from": "human", "value": "What structures can be identified in the CT scan?" }, { "from": "gpt", "value": "In the CT scan, the structures that can be identified include the left and right lungs, parts of the heart, ribs, and vertebrae." } ]
DeepLesion/Key_slices/000308_01_01_145.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided computed tomography (CT) scan of the thorax reveals the following observations:\n\n1. The lungs show the presence of multiple bilateral pulmonary nodules, varying in size and distribution, which are noteworthy for their density and patterning throughout the lung fields.\n2. The pulmonary parenchyma appears to exhibit areas of ground-glass opacity and interstitial thickening, suggestive of possible underlying interstitial lung disease or inflammatory process.\n3. There is no evident pleural effusion or pneumothorax.\n4. The heart and pericardium are within normal limits, with no visible signs of pericardial effusion.\n5. The mediastinum shows no significant lymphadenopathy or masses.\n6. The thoracic aorta and great vessels are unremarkable without signs of aneurysm or dissection.\n7. The bony thorax, including the ribs, sternum, and vertebral bodies, appears intact without obvious fractures or osteolytic lesions.\n\nFurther correlation with clinical findings and consideration of additional imaging or diagnostic tests may be warranted to elucidate the nature of the pulmonary abnormalities observed." }, { "from": "human", "value": "What anatomical section of the body is shown in the provided CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows a cross-sectional view of the chest." }, { "from": "human", "value": "What main organs or structures can be observed in this CT scan image?" }, { "from": "gpt", "value": "The main structures visible in this CT scan image include the lungs, parts of the heart, and the vertebrae." } ]
DeepLesion/Key_slices/003637_01_01_157.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided thoracic CT scan image reveals the following observations:\n\n- **Pulmonary Findings:** There are multiple small, rounded opacities scattered throughout the lung fields bilaterally, suggestive of pulmonary nodules. These nodules vary in size and distribution.\n\n- **Mediastinum:** The mediastinum appears to be of normal width with no evident lymphadenopathy. The major vascular structures are maintained within their typical anatomical parameters.\n\n- **Cardiac Silhouette:** The cardiac silhouette is unremarkable with no indicators of cardiomegaly.\n\n- **Pleural Spaces:** There is no evidence of pleural effusion or pleural thickening. The costophrenic angles are clear.\n\n- **Bony Structures:** The bony thorax is intact with no fractures or destructive lesions noted.\n\n- **Soft Tissue:** No abnormalities are visible within the soft tissues of the thoracic wall.\n\nFurther comparison with prior imaging and clinical correlation is recommended to assess the nature and progression of the pulmonary nodules.\n\n" }, { "from": "human", "value": "What part of the body is shown in the CT scan image?" }, { "from": "gpt", "value": "The provided CT scan image shows a transverse (axial) view of the thorax (chest)." }, { "from": "human", "value": "What types of tissue or structures are visible in the scan?" }, { "from": "gpt", "value": "The visible tissues and structures in the scan include the lungs, heart, spine, ribcage, and blood vessels." }, { "from": "human", "value": "Identify any abnormalities observed in the CT scan image." }, { "from": "gpt", "value": "A notable abnormality in the scan is a small nodule or lesion indicated by the green box on the left lung (right side of the image)." } ]
DeepLesion/Key_slices/000500_04_02_161.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided axial CT scan without contrast reveals the following findings:\n\n1. Pulmonary Parenchyma: There is no evidence of focal lung parenchymal opacities, masses, or nodules. The lung fields appear clear.\n \n2. Mediastinal Structures: The mediastinum is unremarkable. There are no signs of lymphadenopathy or masses.\n \n3. Cardiac Silhouette: The heart appears within normal limits in size and contour.\n\n4. Vascular Structures: There is no evidence of vascular abnormalities, including aneurysms or significant atherosclerotic changes.\n\n5. Bones and Musculoskeletal Structures: The vertebral bodies and ribs appear intact without signs of fractures or lytic lesions. The adjacent soft tissues do not show any concerning abnormalities.\n\n6. Other Observations: The image slice shows incidental note of adipose tissue and surrounding musculature without signs of abnormality.\n\nIn summary, the CT scan does not exhibit any significant pathological findings within the chest at the level of this image slice." }, { "from": "human", "value": "What area of the body is shown in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows a cross-sectional view of the abdominal region." }, { "from": "human", "value": "Are there any noticeable abnormalities in this CT scan image?" }, { "from": "gpt", "value": "There appear to be no noticeable abnormalities in this CT scan image. However, a detailed analysis by a radiologist is necessary for an accurate assessment." }, { "from": "human", "value": "What key structures can be identified in this CT scan image?" }, { "from": "gpt", "value": "Key structures that can be identified in this CT scan image include the abdominal muscles, vertebral column, and parts of the digestive and vascular systems (such as the intestines and blood vessels)." } ]
DeepLesion/Key_slices/002877_01_02_066.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided axial CT scan demonstrates the presence of a large, centrally located, well-defined lesion with heterogeneous attenuation values within the liver. There is notable peri-lesional hypoattenuation and partial encasement of the adjacent hepatic parenchyma. Adjacent structures, including the spleen, stomach, and surrounding vasculature, are compressed but not infiltrated by the lesion. The lesion's characteristics suggest a possible neoplastic process, warranting further evaluation. No other abnormal findings are identifiable within the scanned field." }, { "from": "human", "value": "What organs are visible in the provided CT scan image?" }, { "from": "gpt", "value": "The organs visible in the provided CT scan image include the liver, stomach, spleen, and portion of the spinal column." }, { "from": "human", "value": "Are there any noticeable abnormalities or lesions in the visible organs?" }, { "from": "gpt", "value": "There appears to be an abnormal mass or lesion in the liver, indicated by a contrast difference in the region." }, { "from": "human", "value": "What is the significance of the highlighted area with red and blue lines in the scan?" }, { "from": "gpt", "value": "The highlighted area with red and blue lines likely represents a region of interest (ROI) for measurement, suggesting a medical professional has identified it for closer inspection, possibly due to the presence of an abnormality or lesion." } ]
DeepLesion/Key_slices/000114_02_01_234.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT scan of the pelvis reveals a mass lesion located centrally within the pelvic cavity. The lesion appears to be well-defined with a heterogeneous attenuation pattern, suggestive of possible necrosis or hemorrhage within the mass. Notable displacement and compression of surrounding pelvic structures are observed, including the bladder and the rectum. Bilateral iliac bones appear intact without evidence of cortical breach. Adjacent soft tissue planes are preserved. No evidence of free intraperitoneal air or fluid collection. The visualized bowel loops do not exhibit any signs of obstruction or abnormal distension." }, { "from": "human", "value": "What anatomical structures are prominently visible in this CT scan image?" }, { "from": "gpt", "value": "The prominently visible anatomical structures in the CT scan image include portions of the pelvic bones (likely the iliac bones), sections of the intestines, and surrounding soft tissue." }, { "from": "human", "value": "What is the most likely location of the scan within the body based on the structures observed?" }, { "from": "gpt", "value": "The most likely location of the scan within the body is the lower abdominal/pelvic region, based on the visibility of the pelvic bones and positioning of the intestines." }, { "from": "human", "value": "Are there any noticeable abnormalities or pathologies visible in the CT scan image provided?" }, { "from": "gpt", "value": "Based on the provided image, there are no immediately noticeable abnormalities or pathologies. However, a detailed evaluation by a radiologist is necessary for an accurate diagnosis." } ]
DeepLesion/Key_slices/000269_01_01_103.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided thoracic CT scan demonstrates multiple areas of ground-glass opacities and consolidations in the right lung, indicating possible infection or inflammation. There is also bilateral peripheral reticulation and diffuse interstitial thickening observed, particularly evident in the lower lobes, which may suggest an underlying interstitial lung disease or fibrosis. No pleural effusion or pneumothorax is noted. The mediastinal structures appear within normal limits and no visible lymphadenopathy is observed. Additionally, there is no significant abnormality observed in the osseous structures." }, { "from": "human", "value": "What anatomical region is depicted in the CT scan images?" }, { "from": "gpt", "value": "The anatomical region depicted in the CT scan images is the thorax, specifically a cross-sectional slice through the lungs." }, { "from": "human", "value": "Identify any notable abnormalities or lesions observable in the images." }, { "from": "gpt", "value": "The images show an area of increased opacity in the left lung, which is highlighted by the green square, indicating a potential lesion or abnormality." }, { "from": "human", "value": "What might be a potential diagnosis based on the CT scan findings?" }, { "from": "gpt", "value": "A potential diagnosis based on the CT scan findings could include a lung nodule or mass, which may require further investigation to determine if it is benign or malignant." } ]
DeepLesion/Key_slices/003024_02_02_145.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT imaging of the abdomen reveals a heterogeneous mass located in the retroperitoneal space, adjacent to the superior mesenteric artery. The mass demonstrates mixed attenuation with areas of both hyperdensity and hypodensity, suggesting the possibility of internal necrosis or hemorrhage within the lesion. The surrounding fat planes appear effaced, indicating a potentially invasive process. Mild perinephric stranding is noted on the left side, raising the concern for adjacent organ involvement or inflammatory response. The vertebral bodies and intervertebral discs appear intact, and there is no evident bony erosion. Contrast enhancement patterns are suggestive of a vascularized lesion, necessitating further correlation with clinical findings and potentially additional imaging modalities for comprehensive evaluation." }, { "from": "human", "value": "What anatomical region is being depicted in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image depicts a cross-sectional view of the abdominal region." }, { "from": "human", "value": "Identify the vertebral structure visible in the CT scan." }, { "from": "gpt", "value": "The vertebral structure visible in the CT scan is likely a lumbar vertebra." }, { "from": "human", "value": "Based on the CT scan, what could be the highlighted area indicated by the colored outline?" }, { "from": "gpt", "value": "The highlighted area indicated by the colored outline appears to be a specific organ or structure in the abdominal cavity, potentially the area surrounding the pancreas or a portion of the intestine. Further clinical correlation and analysis would be necessary for an accurate diagnosis." } ]
DeepLesion/Key_slices/002445_01_02_377.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial non-contrast computed tomography (CT) scan of the abdomen demonstrates a cross-sectional view at the level of the lower abdominal and pelvic regions. There is a noticeable presence of the psoas muscles, vertebral bodies, and pelvic bones. The bowel gas pattern appears relatively unremarkable, and no significant distension of the bowel loops is observed. There is no evidence of free intraperitoneal air or fluid collections. The urinary bladder is visible centrally, appearing unremarkable in size and configuration without any conspicuous intraluminal abnormalities. Bilateral iliac vasculature is observed without gross enlargement or evidence of thrombosis. No obvious lymphadenopathy is noted within the visualized sections. The surrounding soft tissues and musculature do not show any abnormal masses or lesions. Overall, no acute pathological findings are identified in the provided image." }, { "from": "human", "value": "What anatomical structures can be identified in this CT scan?" }, { "from": "gpt", "value": "The anatomical structures visible in this CT scan include the vertebra, spinal cord, ribs, muscle tissues, and parts of the digestive and urinary system." }, { "from": "human", "value": "Are there any abnormalities visible in this CT scan?" }, { "from": "gpt", "value": "There are no obvious abnormalities visible in this CT scan based on the data provided. However, a thorough analysis by a medical professional is necessary for an accurate diagnosis." } ]
DeepLesion/Key_slices/000063_05_01_045.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided axial CT scan image of the abdomen demonstrates the following observations:\n\n1. **Liver**: The liver parenchyma appears to possess a homogeneous attenuation, with no evidence of focal hepatic lesions, masses, or areas of abnormal enhancement.\n\n2. **Gallbladder and Biliary Tree**: The scan does not show any signs of gallbladder distention, wall thickening, or calcified gallstones. The common bile duct appears within normal limits without dilatation.\n\n3. **Spleen**: The spleen is visualized with homogenous density, with no focal lesions or abnormal enlargement noted.\n\n4. **Pancreas**: The pancreas exhibits normal morphology and density. There are no signs of pancreatic masses, cysts, or inflammation.\n\n5. **Kidneys**: Both kidneys are observed in the scan. They appear to be of normal size and shape, with no evidence of renal masses, cysts, or abnormal enhancement. The peri-renal fat planes are preserved, and no hydronephrosis is present.\n\n6. **Gastrointestinal Tract**: There is no apparent bowel distension, thickening, or obstruction. The stomach and visible intestinal segments do not show any abnormal dilation or wall thickening.\n\n7. **Major Vessels**: The abdominal aorta and inferior vena cava are visualized without evidence of aneurysm, dissection, or abnormal dilatation.\n\n8. **Other Observations**: The visualized portions of the lungs and lower thorax do not show any major abnormalities. No free intraperitoneal air or fluid collections are observed.\n\nOverall, the provided scan does not demonstrate any significant pathological findings that could suggest acute or chronic abnormalities." }, { "from": "human", "value": "What specific organs can be clearly identified in the provided CT scan image?" }, { "from": "gpt", "value": "In the provided CT scan image, the organs that can be clearly identified include the liver, spleen, kidneys, and a portion of the spinal column." }, { "from": "human", "value": "Are there any abnormal findings that can be observed within the highlighted region of the scan?" }, { "from": "gpt", "value": "The highlighted region in the scan needs to be analyzed further for any abnormalities such as masses, lesions, or other pathologies that might be present. Without additional context, it is challenging to determine the exact nature of any abnormalities." } ]
DeepLesion/Key_slices/000392_02_01_079.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the abdomen and pelvis displays the following observations:\n\n1. There is a well-circumscribed, hyperdense area within the left kidney, suggestive of a renal calculus. \n2. The surrounding renal parenchyma appears normal, without evidence of hydronephrosis or significant renal cortical thinning.\n3. The liver and spleen display homogeneous enhancement, with no apparent lesions or abnormalities.\n4. The intra-abdominal fat planes are preserved, and there is no evidence of free fluid or pneumoperitoneum.\n5. The bowel gas pattern appears unremarkable, and there is no evidence of bowel obstruction or intramural gas.\n6. The pancreas appears with normal contours and homogeneous enhancement, without focal lesions.\n7. No significant lymphadenopathy is noted in the scanned sections.\n\nInterpretation of these findings suggests the presence of a left renal calculus with otherwise unremarkable abdominal CT findings." }, { "from": "human", "value": "Which anatomical structures can be identified in this axial CT scan of the abdomen?" }, { "from": "gpt", "value": "The anatomical structures that can be identified in this axial CT scan of the abdomen include the liver, kidneys, intestines, spine, and abdominal muscles." }, { "from": "human", "value": "Based on the image, can you identify any signs of abnormalities or pathology?" }, { "from": "gpt", "value": "No obvious signs of abnormalities or pathology can be identified in this image based on the information provided here. A more detailed examination by a radiologist would be necessary to make a definitive diagnosis." }, { "from": "human", "value": "What is the significance of the green bounding box in the CT scan?" }, { "from": "gpt", "value": "The green bounding box appears to be highlighting a specific area of interest in the scan, which could be a focus for further detailed examination or a marker for a particular structure or potential abnormality." } ]
DeepLesion/Key_slices/001394_02_01_333.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial view of an abdominal computed tomography (CT) scan reveals the presence of an ovoid, hypodense lesion located in the mid-abdomen with approximate dimensions demarcated by the red and blue lines. The lesion appears well-circumscribed and relatively homogeneous, suggesting the possibility of a fluid-filled cystic structure or a neoplastic mass. Surrounding structures, including the bowel and adjacent organs, do not exhibit any significant signs of direct invasion or compression by the lesion. The visualized segments of the bowel show no evidence of obstruction or acute inflammation. Additional notable findings include preserved renal structure and no significant hydronephrosis. Bone structures appear intact without detectable fractures or lytic lesions. \n\nFurther imaging and diagnostic correlation are essential for a definitive evaluation and characterization of the identified lesion." }, { "from": "human", "value": "What anatomical region is captured in this CT scan image?" }, { "from": "gpt", "value": "The anatomical region captured in this CT scan image is the abdomen." }, { "from": "human", "value": "What could be the potential reason for measuring the structure indicated within the green box?" }, { "from": "gpt", "value": "The potential reason for measuring the structure indicated within the green box could be to assess the size, shape, or any abnormalities in the structure, which might suggest pathology such as a tumor, cyst, or other lesions." }, { "from": "human", "value": "What organs can be observed in this image?" }, { "from": "gpt", "value": "The organs that can be observed in this image include the kidneys, parts of the intestines, and surrounding fat and muscle tissue. The vertebral column can also be seen in the center." } ]
DeepLesion/Key_slices/003263_01_01_061.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided axial CT scan of the chest demonstrates the following findings:\n\n1. **Parenchymal Nodules**: There are multiple small nodules visible in both lung fields, suggesting possible granulomas or metastatic disease.\n2. **No Consolidation**: No evidence of consolidation or ground-glass opacities is noted.\n3. **Aortic Configuration**: The aorta appears within normal limits concerning size and shape, with no aneurysmal dilatation or dissection noted.\n4. **Cardiac Silhouette**: The cardiac silhouette is within normal size parameters without significant abnormalities in contour or size.\n5. **Mediastinal Structures**: The mediastinal structures, including lymph nodes, do not exhibit significant enlargement.\n6. **Pleural Spaces**: No pleural effusion or pneumothorax is observed.\n7. **Bone Structures**: Ribs and thoracic vertebrae appear intact, with no evident fractures or lesions.\n\nThese observations require correlation with clinical history, physical examination, and possibly further diagnostic studies to ascertain the clinical significance of the identified pulmonary nodules." }, { "from": "human", "value": "What anatomical structures are prominently visible in the provided CT scan image?" }, { "from": "gpt", "value": "The prominently visible anatomical structures in the provided CT scan image include the heart, lungs, major blood vessels (such as the aorta and pulmonary arteries), and sections of the ribs and vertebrae." }, { "from": "human", "value": "What could be a possible clinical indication for this CT scan based on the anatomical area shown?" }, { "from": "gpt", "value": "A possible clinical indication for this CT scan could be to evaluate the cardiovascular system, detect pulmonary conditions such as infections, tumors, or interstitial lung disease, and to assess the anatomy and pathology of the thoracic cavity." }, { "from": "human", "value": "Are there any visible abnormalities or notable features present in this CT scan image?" }, { "from": "gpt", "value": "No visible abnormalities or notable features are present in this CT scan image based on the provided image. However, detailed analysis by a radiologist is essential for accurate diagnosis." } ]
DeepLesion/Key_slices/002137_01_01_213.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan image is a cross-sectional view of the thorax. The image reveals the presence of a significant radiodense mass within the left upper quadrant of the thoracic cavity. The mass exhibits inhomogeneous density and appears to be encroaching upon the adjacent mediastinal structures. \n\nAdditionally, there is evidence of mediastinal lymphadenopathy characterized by multiple enlarged lymph nodes surrounding the central airways and great vessels. The lung parenchyma on the contralateral side appears unremarkable without visible infiltrates or consolidation. \n\nThere also appears to be some pleural effusion along the left side, indicated by the presence of fluid collection layering dependently within the pleural space. \n\nNo obvious evidence of pneumothorax or significant bony abnormalities of the ribs, spine, or thoracic cage is noted on this scan.\n\nFurther evaluation with a full description of the mass and assessment of its impact on surrounding structures is necessary to fully understand the underlying pathology." }, { "from": "human", "value": "What type of imaging modality is depicted in the provided image?" }, { "from": "gpt", "value": "The imaging modality depicted in the provided image is a CT (Computed Tomography) scan." }, { "from": "human", "value": "Which anatomical region is being shown in the CT scan?" }, { "from": "gpt", "value": "The anatomical region being shown in the CT scan is the chest (thorax), specifically at the level where both lungs and central mediastinal structures are visible." }, { "from": "human", "value": "Identify the highlighted area in the CT scan and hypothesize its significance." }, { "from": "gpt", "value": "The highlighted area in the CT scan appears to be a lesion or mass and its significance could be related to a pathological entity such as a tumor, an enlarged lymph node, or another abnormality requiring further medical evaluation." } ]
DeepLesion/Key_slices/000758_02_01_024.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided computed tomography (CT) scan of the abdomen reveals a transversal slice showcasing various abdominal structures. Notable observations from the scan include:\n\n1. Hepatic Observation: The liver appears to be of normal size with no discernible lesions, masses, or irregularities in the parenchymal structure.\n\n2. Splenic Observation: The spleen demonstrates standard morphology without any evident focal lesions, enlargement, or abnormalities.\n\n3. Renal Observation: Both kidneys are visualized and are within the normal size range. The renal parenchyma appears homogeneous with no signs of hydronephrosis, masses, or cysts.\n\n4. Pancreatic Observation: The pancreas is partially visualized and appears to possess normal texture and structure without any focal pancreatic masses or abnormally dilated pancreatic ducts noticeable.\n\n5. Gastrointestinal Observation: No apparent abnormalities are noted within the visualized sections of the stomach, small intestine, or large intestine. There are no signs of significant bowel dilation or wall-thickening indicating obstruction or inflammation.\n\n6. Lymphadenopathy: There are no visible signs of enlarged lymph nodes within the scan parameters.\n\n7. Vasculature: The abdominal aorta and its major branches appear of normal caliber without evidence of aneurysm, dissection, or significant atherosclerotic changes.\n\n8. Soft Tissue and Musculature: Soft tissues and muscular structures surrounding the abdomen appear unremarkable with no abnormal masses or swelling.\n\n9. Ascites: No evidence of free fluid within the peritoneal cavity suggesting ascites is present based on this scan slice.\n\nOverall, the CT scan does not reveal any significant pathological findings within the provided slice. Further clinical correlation and comprehensive imaging analysis may be necessary to confirm these observations." }, { "from": "human", "value": "What central anatomical structure appears prominently in the highlighted area of this CT scan?" }, { "from": "gpt", "value": "The highlighted area appears to be centered around the pancreas." }, { "from": "human", "value": "What might be a reason for the notable variation in density within the highlighted region?" }, { "from": "gpt", "value": "The variation in density within the highlighted region could indicate the presence of a pancreatic mass, cyst, or inflammation, such as a tumor or pancreatitis. Further clinical correlation and analysis are required to determine the exact cause." } ]
DeepLesion/Key_slices/001294_01_02_261.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided computed tomography (CT) scan of the chest shows a transverse section through the thorax at a level just below the carina. The scan illustrates the following:\n\n1. Lungs: Both lungs demonstrate diffuse, bilateral, increased attenuation with a ground-glass opacity pattern. There is no evidence of consolidation, cavitation, or significant pleural effusion.\n \n2. Airways: The central airways, including the trachea and mainstem bronchi, appear patent without evidence of significant stenosis, mass, or obstruction.\n\n3. Mediastinum: There are no overtly enlarged mediastinal lymph nodes visible in this section. The heart and great vessels appear within normal limits for this imaging level.\n\n4. Bony Structures: The visualized portions of the ribs, thoracic vertebrae, and sternum do not show any obvious lytic or blastic lesions on this scan.\n\n5. Other: There is no evident pericardial or pleural effusion. The subcutaneous and muscular tissues of the thoracic wall appear grossly unremarkable.\n\nConclusion: The CT findings demonstrate diffuse bilateral ground-glass opacities involving both lungs. This pattern can be associated with various pulmonary conditions including, but not limited to, interstitial lung disease, pulmonary edema, or infectious processes.\n\n" }, { "from": "human", "value": "What type of medical imaging modality is used in the provided image?" }, { "from": "gpt", "value": "The provided image is a CT (Computed Tomography) scan." }, { "from": "human", "value": "What part of the body is depicted in this CT scan image?" }, { "from": "gpt", "value": "The CT scan image depicts the thoracic region (chest), including the lungs and possibly parts of the heart." }, { "from": "human", "value": "Are there any signs of abnormality visible in the lung tissues in this CT scan image?" }, { "from": "gpt", "value": "Yes, there appears to be a small highlighted (in green) region in the lung tissues, which might suggest an abnormality. Further analysis by a radiologist would be required to determine the nature of this finding." } ]
DeepLesion/Key_slices/003470_01_01_003.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the chest demonstrates a well-circumscribed, round, hyperdense lesion within the anterior mediastinum. The lesion exhibits homogeneous enhancement and appears to be in close proximity to the adjacent great vessels. Surrounding mediastinal structures and lung parenchyma do not display any notable abnormalities. No evidence of lymphadenopathy or pleural effusion is observed in the section captured. The osseous structures and soft tissues of the chest wall are unremarkable. In summary, the imaging findings are consistent with a likely benign anterior mediastinal mass." }, { "from": "human", "value": "What is highlighted in the provided CT scan image with a green rectangular annotation?" }, { "from": "gpt", "value": "The green rectangular annotation highlights a specific area or structure within the thoracic cavity that needs further evaluation for diagnostic purposes." }, { "from": "human", "value": "What anatomical region is shown in this CT scan image?" }, { "from": "gpt", "value": "The CT scan image displays a cross-sectional view of the thoracic cavity, including the lungs, part of the heart, and surrounding structures." } ]
DeepLesion/Key_slices/004435_01_01_144.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the abdomen demonstrates the following significant findings:\n\n- A circumscribed, hyperattenuating lesion is noted in the left superolateral aspect of the abdominal cavity, consistent with a well-defined mass.\n- Surrounding structures, including bilateral psoas muscles, appear symmetric and exhibit no signs of mass effect or abnormal enhancement.\n- The kidneys display normal size, shape, and cortical enhancement without evidence of hydronephrosis or focal lesions.\n- The lumbar vertebrae appear intact with no apparent lytic or blastic lesions.\n- No free intraperitoneal or retroperitoneal air is identified.\n\nThe findings suggest further evaluation to elucidate the nature of the hyperattenuating lesion in the left superolateral abdomen." }, { "from": "human", "value": "What region of the body is shown in the CT scan image provided?" }, { "from": "gpt", "value": "The CT scan image shows an axial (transverse) section of the lower abdomen/pelvis region." }, { "from": "human", "value": "What is the significance of the highlighted (green) area in the CT scan?" }, { "from": "gpt", "value": "The highlighted (green) area in the CT scan could indicate an area of interest, possibly a lesion, abnormality, or a specific anatomical feature that requires further evaluation." }, { "from": "human", "value": "What anatomical structures are visible in this CT scan image?" }, { "from": "gpt", "value": "Visible anatomical structures in this CT scan image include the pelvic bones (iliac wings), parts of the colon, and sections of surrounding muscles and fatty tissues." } ]
DeepLesion/Key_slices/002116_01_01_116.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the chest demonstrates the presence of a solitary pulmonary nodule (SPN) in the right upper lobe near the intrapulmonary region. The nodule measures approximately 1 cm in diameter and exhibits a well-defined margin without associated calcification or cavitation.\n\nThere is also a noted irregular mass located adjacent to the thoracic wall. The mass appears hyperdense on the image and is enclosed within a green bounding rectangle in the scanning field. This mass could potentially involve the soft tissues of the chest wall.\n\nNo significant lymphadenopathy or other parenchymal abnormalities are observed in the scan's field of view. The bony structures and mediastinal contours are unremarkable with no evident fractures or dislocations.\n\nOverall, the findings are consistent with a solitary pulmonary nodule and an associated thoracic wall mass. These observations warrant further diagnostic investigation to determine the etiology and clinical significance of the detected abnormalities." }, { "from": "human", "value": "What anatomical region is depicted in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image depicts a transverse section of the thoracic region, particularly at the level of the upper chest." }, { "from": "human", "value": "What abnormality can be observed in the highlighted region?" }, { "from": "gpt", "value": "The highlighted region shows a lesion in the right lung, which could be indicative of a pathological mass or tumor." }, { "from": "human", "value": "What possible clinical significance can be inferred from the abnormality in the highlighted region?" }, { "from": "gpt", "value": "The presence of a mass or lesion in the thoracic region, particularly in the lung, could be clinically significant and suggestive of potential lung cancer, metastasis, or a benign lung condition that requires further investigation and diagnosis through additional tests and clinical correlation." } ]
DeepLesion/Key_slices/000678_01_01_015.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT scan of the chest shows evidence of bilateral pulmonary nodules. The nodules are variably-sized and distributed in both lungs, predominantly in the peripheral and subpleural regions. There is no evidence of significant mediastinal lymphadenopathy. Lung parenchyma exhibits normal attenuation without evidence of ground-glass opacity or consolidative changes. The central airways, including the trachea and mainstem bronchi, appear patent and normal in caliber.\n\nThe bones of the thoracic cage show no signs of fracture or lytic lesions. There is no pleural effusion observed. \n\nThe heart and major vascular structures are within normal limits for size and contour. \n\nOverall, the presence of bilateral pulmonary nodules requires further evaluation to assess etiology, including consideration of infectious, inflammatory, or neoplastic processes." }, { "from": "human", "value": "What anatomical area is being depicted in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image depicts a cross-sectional view of the chest or thoracic region." }, { "from": "human", "value": "Are there any noticeable abnormalities or regions of interest in the CT scan image?" }, { "from": "gpt", "value": "The CT scan highlights a specific area (marked by a green box), which may suggest an abnormality or area of interest to be further evaluated." }, { "from": "human", "value": "What might the highlighted area in the CT scan image indicate?" }, { "from": "gpt", "value": "The highlighted area in the CT scan image might indicate an abnormal finding such as a lesion, nodule, or another pathological condition that warrants further investigation." } ]
DeepLesion/Key_slices/002630_03_01_138.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the abdomen demonstrates the following findings:\n\n- There is the presence of a large, well-circumscribed, hypodense lesion in the liver, most likely involving the right hepatic lobe, indicative of a possible hepatic cyst or hypovascular liver lesion. \n- The lesion demonstrates no significant contrast enhancement, consistent with a benign nature; however, further characterization may be required to rule out atypical presentations.\n- The surrounding liver parenchyma appears homogeneously perfused without evidence of infiltrative disease or additional focal lesions.\n- The gallbladder and intrahepatic bile ducts appear unremarkable with no evidence of obstruction.\n- The visualized portions of the kidneys, spleen, and pancreas demonstrate no abnormalities. The aorta and major vasculature appear of normal caliber, without evidence of aneurysm or dissection.\n- There is no visible lymphadenopathy or fluid collections within the scanned area.\n- The osseous structures are within normal limits, and no lytic or blastic lesions are observed.\n\nOverall, the primary finding is the presence of a large liver lesion, likely a cyst or hypovascular lesion, in an otherwise unremarkable abdominal scan." }, { "from": "human", "value": "What anatomical structures are visible in the provided CT scan image?" }, { "from": "gpt", "value": "The provided CT scan image shows several anatomical structures including sections of the liver, stomach, kidneys, spine, and some major blood vessels." }, { "from": "human", "value": "What abnormalities can be observed in the CT scan image?" }, { "from": "gpt", "value": "There is a visible lesion or abnormal mass in the liver area as indicated by the green crosshairs." }, { "from": "human", "value": "What additional diagnostic tests could be recommended based on the CT scan findings?" }, { "from": "gpt", "value": "Further diagnostic tests that could be recommended include an MRI for better tissue contrast, a biopsy of the lesion for histopathological examination, and blood tests to check for liver function and tumor markers." } ]
DeepLesion/Key_slices/003717_01_01_055.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the abdomen demonstrates the following findings:\n\n- The liver and spleen appear normal in size and attenuation, with no evidence of focal lesions.\n- The kidneys exhibit symmetric enhancement with no signs of hydronephrosis, calculi, or masses. Both adrenal glands are unremarkable.\n- The depicted sections of the gastrointestinal tract do not show any abnormal dilatation, wall thickening, or intraluminal masses.\n- There is evidence of an incidental finding of a simple renal cyst located in the left kidney.\n- Noted perinephric stranding on the right side, potentially suggestive of mild inflammatory changes or early perinephric fat stranding.\n- The pancreas and biliary system appear normal in the imaged regions, with no ductal dilation or focal lesions.\n- The visualized parts of the abdominal aorta and inferior vena cava are patent without aneurysm or thrombosis.\n- There is no evidence of free intraperitoneal or retroperitoneal air, fluid collections, or lymphadenopathy.\n- Visualized bony structures do not show any acute fractures or significant degenerative changes.\n\nBased on the findings, the overall assessment of the imaging is largely unremarkable with an incidental simple left renal cyst and minor right perinephric stranding." }, { "from": "human", "value": "What notable anatomical structures are visible in the provided CT scan image?" }, { "from": "gpt", "value": "The notable anatomical structures visible in the provided CT scan image include the kidneys, parts of the small intestine, and sections of the colon." }, { "from": "human", "value": "Can any abnormalities or unusual findings be observed in the highlighted region of the image?" }, { "from": "gpt", "value": "Based on the provided image, the highlighted region could suggest a point of interest or suspicion, such as an unusual mass or lesion that warrants further investigation. However, a detailed analysis by a radiologist would be necessary to confirm this." }, { "from": "human", "value": "What organs are located adjacent to the highlighted area in the CT scan image?" }, { "from": "gpt", "value": "The organs located adjacent to the highlighted area in the CT scan include the kidneys, parts of the gastrointestinal tract, specifically sections of the small intestine and colon." } ]
DeepLesion/Key_slices/000523_06_01_063.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial slice of a chest computed tomography (CT) scan reveals the lung parenchyma with multiple scattered nodular opacities. These opacities are more prominent in the lower lobes bilaterally. The distribution and nature of these nodules should be further evaluated for etiologies such as infections, granulomatous diseases, or metastatic lesions. There is no evidence of pleural effusion or significant lymphadenopathy. The mediastinal structures appear unremarkable. The observed findings necessitate correlation with clinical history and further diagnostic workup." }, { "from": "human", "value": "What anatomical structures can be identified in this chest CT scan image?" }, { "from": "gpt", "value": "The anatomical structures identified in this chest CT scan image include the lungs, ribs, heart, vertebrae, and portions of the major blood vessels." }, { "from": "human", "value": "Are there any visible abnormalities in the lung tissues?" }, { "from": "gpt", "value": "There appear to be small nodules or lesions visible in both lungs, which may indicate an abnormality. Further medical evaluation is necessary to determine the nature of these findings." }, { "from": "human", "value": "What is the significance of the highlighted (green-boxed) area on the left lung?" }, { "from": "gpt", "value": "The highlighted (green-boxed) area on the left lung likely marks a specific region of interest, possibly indicating a nodule or lesion that requires further examination by a healthcare professional." } ]
DeepLesion/Key_slices/003258_03_03_230.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan image depicts an axial view of the abdomen. Notable findings include:\n\n- Hepatomegaly: The liver appears enlarged.\n- Heterogeneous liver parenchyma: Areas of hypodensity suggest potential lesions or varying perfusion.\n- Cholelithiasis: Gallstones are present within the gallbladder.\n- Bilateral nephromegaly with preservation of corticomedullary differentiation. Both kidneys appear enlarged but maintain their normal anatomic structure and texture.\n- No evidence of hydronephrosis or focal renal masses.\n\nAdditional evaluation and correlation with clinical presentation are advised to determine the underlying cause of these findings." }, { "from": "human", "value": "What organs are visibly present in the provided CT scan image?" }, { "from": "gpt", "value": "The organs visibly present in the provided CT scan image include the liver, kidneys, and a portion of the spleen. Additionally, parts of the gastrointestinal tract and spinal vertebrae are visible." }, { "from": "human", "value": "Are there any notable abnormalities identifiable in the image?" }, { "from": "gpt", "value": "There appears to be a lesion or area of interest within the liver, which is marked by a green square, and possibly some black areas indicating gas in the stomach or intestines. Detailed assessment by a radiologist is necessary for conclusive analysis." } ]
DeepLesion/Key_slices/001884_01_02_297.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial chest CT scan without contrast reveals the following findings:\n\n1. There is a well-circumscribed, round lesion in the right lower lobe of the lung, identified as exhibiting a hyperdense signal, suggestive of a pulmonary nodule. The exact size is not measurable from this single image, but further assessment with additional slices and dimensions is recommended.\n\n2. The lung parenchyma shows areas of increased attenuation bilaterally, predominantly in the lower lobes, indicative of potential ground-glass opacities.\n\n3. The trachea is midline with no evidence of tracheal deviation or obstruction. \n\n4. No pleural effusion or pneumothorax is identified in this axial section.\n\n5. The cardiac silhouette appears normal in size, though comprehensive assessment requires coronal and sagittal views.\n\n6. Mild prominence of the vascular structures is observed, but without clear evidence of pulmonary embolism. \n\n7. No bony abnormalities of the ribs or spine are noted in this slice.\n\nFurther imaging and clinical correlation are advised to ascertain the etiology of the pulmonary findings and to evaluate for any potential progression or resolution." }, { "from": "human", "value": "What abnormalities, if any, can be observed in the lung fields of the CT scan image?" }, { "from": "gpt", "value": "Based on the provided image, there might be an area of increased density in the lung fields which could indicate potential pathology such as an infection, inflammation, or a mass, but further clinical correlation and additional images are necessary to make a definitive diagnosis." }, { "from": "human", "value": "Is there any presence of pleural effusion or masses in the scanned image?" }, { "from": "gpt", "value": "There does not appear to be any significant pleural effusion or large obvious masses in the CT scan image provided. Further evaluation might be needed to confirm this." } ]
DeepLesion/Key_slices/002047_03_02_170.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the thorax reveals a contrast-enhanced mass located in the right upper mediastinum. The mass demonstrates signs of heterogeneity with potential areas of necrosis or cystic changes. The mediastinal structures, including the trachea and esophagus, appear to be displaced, though not invaded by the mass. Adjacent vascular structures, such as the superior vena cava, are splayed by the mass but remain patent. No evidence of significant lymphadenopathy or pleural effusion is noted. The osseous structures, including the vertebrae and ribs, appear intact and without evidence of lytic or sclerotic lesions. Surrounding lung parenchyma exhibits no focal lesions or consolidations." }, { "from": "human", "value": "What section and orientation of the body is shown in this CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows a cross-sectional (axial) view of the thoracic region." }, { "from": "human", "value": "What anatomical structures are prominently visible in this CT scan?" }, { "from": "gpt", "value": "Prominent anatomical structures visible in this CT scan include the heart, lungs, ribcage, and part of the spine." }, { "from": "human", "value": "Does the CT scan image indicate any areas of concern or abnormalities?" }, { "from": "gpt", "value": "The image highlights a boxed area in the lung, which may indicate an area of concern or abnormality such as a lesion or nodule. Further analysis by a qualified radiologist is necessary to determine the exact nature of this finding." } ]
DeepLesion/Key_slices/003207_01_01_025.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial contrast-enhanced computed tomography (CT) scan of the chest reveals the presence of a well-defined, hyperdense lesion located adjacent to the vertebral body, suggestive of a lymph node or a mass. There is no evidence of significant pleural effusion or pneumothorax. The lung parenchyma appears clear without obvious consolidation or ground-glass opacities. The visualized portions of the heart and major vessels are unremarkable. The bony structures, including ribs and vertebrae, do not show any definitive signs of fracture or destructive lesions. Mild degenerative changes are noted in the thoracic spine." }, { "from": "human", "value": "What anatomical region is depicted in the CT scan image?" }, { "from": "gpt", "value": "The anatomical region depicted in the CT scan image is the thorax, specifically a transverse section through the chest." }, { "from": "human", "value": "Based on the image, what abnormalities, if any, can be observed?" }, { "from": "gpt", "value": "The most notable part of this CT scan image seems to be the highlighted area, implying that there could be an abnormality there. However, without additional context or a professional radiological assessment, it's challenging to specify the nature of this abnormality categorically." }, { "from": "human", "value": "What could be the potential clinical significance of the highlighted area in the CT scan?" }, { "from": "gpt", "value": "The potential clinical significance of the highlighted area in a CT scan of the thorax could range from possible lung pathology like a nodule or mass, to involvement of lymph nodes, or even vascular implications. Further medical evaluation and history details are necessary to understand its clinical significance fully." } ]
DeepLesion/Key_slices/000826_02_01_025.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The axial CT scan of the chest reveals the following findings:\n\n1. **Pulmonary Structures**: There is evidence of mosaic attenuation in the pulmonary parenchyma, indicative of regions with differing air and tissue densities. This pattern likely suggests an underlying condition causing heterogeneous lung perfusion or ventilation.\n\n2. **Vascular Structures**: The major vascular structures appear within normal limits. There is no evident pulmonary embolism or aberrant vascularity.\n\n3. **Mediastinum**: The mediastinal structures including the heart and major vessels are unremarkable. There are no masses, adenopathy, or abnormalities noted.\n\n4. **Pleura**: The pleural spaces are clear with no signs of effusion, thickening, or pneumothorax.\n\n5. **Skeletal Structures**: The bony thorax, including the ribs and thoracic spine, demonstrates no fractures, lytic or sclerotic lesions.\n\n6. **Incidental Findings**: A green box annotation is noted towards the lower left of the image, with unidentified relevance to clinical findings. \n\nIt is essential to correlate these radiologic findings with clinical symptoms and further tests if needed for a comprehensive diagnosis." }, { "from": "human", "value": "Identify the types of anomalies or irregularities visible in the CT scan." }, { "from": "gpt", "value": "The CT scan shows a typical cross-sectional view of the chest, with both lungs visible. Any anomalies such as lesions, fluid accumulations, or masses in this image would need a closer inspection by a radiologist. The highlighted area suggests an area of interest that may require further analysis." }, { "from": "human", "value": "What part of the body is this CT scan focused on?" }, { "from": "gpt", "value": "The CT scan is focused on the chest area, specifically showing the lungs and part of the thoracic cavity." }, { "from": "human", "value": "Interpret the potential clinical significance of the highlighted area in the scan." }, { "from": "gpt", "value": "The highlighted area in the scan suggests that there is a particular point of interest for further analysis. This could indicate an anomaly such as a potential lesion, mass, or lymph node that requires further clinical correlation and possibly additional imaging or biopsy to determine its nature and significance." } ]
DeepLesion/Key_slices/003209_01_02_179.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Abdominal contrast-enhanced computed tomography (CT) scan reveals several notable features:\n\n1. Presence of enlarged mesenteric lymph nodes suggestive of lymphadenopathy.\n2. Evidence of intestinal wall thickening in the region of the transverse colon, which may be indicative of an underlying inflammatory or neoplastic process.\n3. Abnormal fluid collection observed in the peritoneal cavity, suggestive of ascites.\n4. Moderate hepatomegaly with a heterogeneous attenuation pattern is apparent, which may suggest diffuse liver pathology such as fatty infiltration or fibrosis.\n\nNo significant abnormalities are identified in the vertebral structures. The visualized portions of the renal and adrenal glands appear unremarkable. Further diagnostic correlation and clinical evaluation should be considered to assess the underlying cause of these findings. \n\n(Note: Ensure to consult specific medical experts for a comprehensive analysis tailored to clinical evaluation and patient history.)" }, { "from": "human", "value": "What anatomical region is depicted in the provided CT scan image?" }, { "from": "gpt", "value": "The provided CT scan image depicts an axial (cross-sectional) view of the abdominal region." }, { "from": "human", "value": "Identify the highlighted area in the image." }, { "from": "gpt", "value": "The highlighted area in the image appears to be surrounding a portion of the intestines or gastrointestinal tract." }, { "from": "human", "value": "What type of medical conditions can be diagnosed using this type of CT scan?" }, { "from": "gpt", "value": "This type of CT scan can be used to diagnose various conditions such as appendicitis, abdominal tumors, gastrointestinal bleeding, bowel obstruction, kidney stones, and other abdominal pathologies." } ]
DeepLesion/Key_slices/003653_01_01_350.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Abdominal contrast-enhanced computed tomography (CT) scan reveals the following observations:\n\n1. Presence of a hypodense lesion in the liver, suggestive of possible cystic formation or abscess.\n2. No significant hepatomegaly observed; liver parenchyma shows a relatively homogeneous enhancement pattern.\n3. Pancreas maintains normal size and contour without evidence of mass lesions or abnormal calcifications.\n4. Spleen appears normal in size and texture with no focal lesions identified.\n5. Kidneys exhibit normal corticomedullary differentiation and no signs of hydronephrosis or solid masses.\n6. No visible enlargement of the adrenal glands bilaterally.\n7. Visualized bowel loops do not exhibit signs of obstruction, abnormal dilation, or wall thickening.\n8. Major blood vessels including the aorta and inferior vena cava are unremarkable with no evidence of aneurysm or thrombosis.\n9. No free intraperitoneal air is noted.\n10. No significant lymphadenopathy appreciated in the mesenteric, retroperitoneal, or pelvic regions.\n\nThese findings should be correlated with clinical history and laboratory results for a comprehensive evaluation." }, { "from": "human", "value": "What key organ systems or structures can be identified in the CT scan image provided?" }, { "from": "gpt", "value": "The key organ systems or structures that can be identified in the CT scan image include portions of the liver, spleen, kidneys, intestines, and potential vascular structures." }, { "from": "human", "value": "Are there any noticeable abnormalities or unusual findings in the CT scan image?" }, { "from": "gpt", "value": "Based on the provided CT scan image, there appears to be a noticeable abnormality or lesion at the center of the image, highlighted by a green box, suggesting a focal area that may need further evaluation." } ]
DeepLesion/Key_slices/004028_01_04_266.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT images of the abdomen and pelvis demonstrate the following findings:\n\n1. Presence of multiple lesions in the liver, suggestive of hepatic cysts or possibly metastatic lesions. They appear hypodense relative to the liver parenchyma and are well-circumscribed.\n2. The kidneys appear to be of normal size, shape, and position. There is no evidence of nephrolithiasis, hydronephrosis, or mass lesions.\n3. The pancreas and spleen are within normal limits and show no abnormal enhancement or lesions.\n4. No free intraperitoneal or retroperitoneal air or fluid is evident.\n5. The bowel loops appear normal with no signs of dilation, obstruction, or abnormal masses.\n6. The abdominal aorta and its major branches are of normal caliber with no evidence of aneurysm or significant atherosclerotic changes.\n7. No lymphadenopathy is observed in the abdominal region.\n8. Osseous structures visible within this scan are unremarkable without evidence of fracture or lytic lesions.\n\nThese findings suggest an otherwise normal abdominal CT scan, save for the hepatic lesions which warrant further characterization to determine their etiology." }, { "from": "human", "value": "What major organs can be identified in this CT scan image?" }, { "from": "gpt", "value": "The major organs that can be identified in this CT scan image are the kidneys, liver, and possibly parts of the intestines and vascular structures." }, { "from": "human", "value": "Are there any abnormalities visible in the provided CT scan?" }, { "from": "gpt", "value": "Based on this single CT scan slice, no obvious abnormalities such as masses, significant lesions, or obvious organ enlargement can be conclusively identified. However, detailed analysis by a radiologist is required for an accurate diagnosis." }, { "from": "human", "value": "What is the significance of the bright circular areas in this CT scan?" }, { "from": "gpt", "value": "The bright circular areas in this CT scan are likely to be arterial blood vessels or the contrast material used during the imaging process to enhance visibility of certain structures." } ]
DeepLesion/Key_slices/004061_01_01_080.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided computed tomography (CT) scan image of the abdomen shows an axial slice through the upper abdomen. The liver appears to be properly enhanced without any signs of lesions or masses. The parenchyma of the liver shows homogenous attenuation. There is no evidence of hepatomegaly or focal liver lesions.\n\nThe gallbladder is not distinctly visualized, likely due to its position or the phase of contrast. The biliary tree appears unremarkable.\n\nThe spleen is seen in its usual position with homogenous enhancement and no focal lesions. \n\nThe visualized portions demonstrate no apparent abnormalities in the kidneys, which appear to have normal parenchymal attenuation and no evidence of masses, calculi, or hydronephrosis.\n\nThe stomach and bowel loops appear normal in the visualized sections, with no signs of obstruction or abnormal masses.\n\nThe vertebral body and paraspinal musculature are unremarkable without evidence of fractures, misalignment, or masses.\n\nThere are no significant abnormalities noted in the retroperitoneum or abdominal wall structures that can be identified in this image.\n\nThe aorta and inferior vena cava are within normal limits in terms of size, and there is no evident pathology or abnormal enlargement. \n\nOverall, the CT scan indicates no significant intra-abdominal pathology in this slice. Further imaging or clinical correlation might be required for comprehensive assessment." }, { "from": "human", "value": "What anatomical region is shown in the provided CT scan image?" }, { "from": "gpt", "value": "The provided CT scan image shows an axial view of the upper abdominal region." }, { "from": "human", "value": "Based on the image, what abnormality, if any, can be observed in the liver?" }, { "from": "gpt", "value": "There does not appear to be any obvious abnormality in the liver; the liver parenchyma looks homogeneous without any visible lesions or masses." }, { "from": "human", "value": "What might the green-marked area with a blue cross indicate on the scan?" }, { "from": "gpt", "value": "The green-marked area with a blue cross may indicate a point of interest or a specific area being highlighted for reference, but further context would be needed to determine its clinical significance." } ]
DeepLesion/Key_slices/001759_02_01_045.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the abdomen reveals several significant findings. There is an evident mass located in the liver, characterized by a hypodense lesion with slightly irregular margins. This lesion exhibits heterogeneous density, suggesting possible necrotic or cystic components within the mass.\n\nThe bowel gas pattern appears predominantly normal, except for scattered pockets of gas within the colon. There is no evidence of bowel obstruction or abnormal distention. The stomach appears unremarkable and devoid of significant findings.\n\nThe vertebral body and posterior elements of the spine show no acute bony abnormalities. Surrounding soft tissues are within normal limits, and there is no evidence of free intraperitoneal or retroperitoneal air.\n\nThe visualized portion of the kidneys and spleen do not present any noticeable lesions or abnormalities, and the aorta and inferior vena cava (IVC) are not dilated and appear normal in caliber without signs of aneurysm or dissection." }, { "from": "human", "value": "What anatomical structures are visible in the CT scan?" }, { "from": "gpt", "value": "The CT scan shows the liver, kidney, stomach, spinal vertebrae, and surrounding tissues." }, { "from": "human", "value": "Is there any evidence of abnormality or pathology in the CT scan?" }, { "from": "gpt", "value": "There is an area marked by a green square which could indicate an area of interest, potentially an abnormality or a region needing further evaluation." }, { "from": "human", "value": "What imaging plane is represented in this CT scan image?" }, { "from": "gpt", "value": "This CT scan is taken in the axial plane (horizontal plane)." } ]
DeepLesion/Key_slices/003619_01_02_016.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Abdominal contrast-enhanced computed tomography (CT) scan reveals a kidney lesion characterized by a hypodense mass in the left kidney measuring approximately 3 x 2.5 cm, as indicated within the green box. The lesion demonstrates irregular borders and heterogeneous attenuation. Adjacent renal parenchyma appears normal with no significant perinephric fat stranding observed. There is no evidence of vascular invasion or extrarenal extension. The scan does not show lymphadenopathy or secondary lesions in the hepatobiliary system or other abdominal organs. Bone structures appear intact without any lytic or sclerotic lesions." }, { "from": "human", "value": "What is the anatomical region displayed in the CT scan image?" }, { "from": "gpt", "value": "The anatomical region displayed in the CT scan image is the abdominal area." }, { "from": "human", "value": "What is highlighted within the green square on the left side of the image?" }, { "from": "gpt", "value": "The green square on the left side of the image highlights a specific area within the abdomen, which seems to include segments of the intestines and potentially other soft tissue." }, { "from": "human", "value": "What might be the significance of the highlighted structures in the CT scan?" }, { "from": "gpt", "value": "The significance of the highlighted structures might pertain to identifying abnormalities, lesions, or other areas of interest that require further examination or diagnosis." } ]
DeepLesion/Key_slices/000652_02_01_094.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the thorax demonstrates multiple findings of clinical significance. There is a presence of a bilateral pleural effusion, more pronounced on the right side. Lung parenchyma shows areas of scattered ground-glass opacities bilaterally. Mediastinum appears midline without evidence of significant shift or mass effect. No visible lymphadenopathy is observed in the mediastinal or hilar regions. The osseous structures including the ribs and vertebrae show no apparent lytic or sclerotic lesions. The upper abdominal sections visualized do not show abnormalities in the liver, spleen, or other upper abdominal organs." }, { "from": "human", "value": "What anatomical structures are primarily visible in this CT scan image?" }, { "from": "gpt", "value": "The anatomical structures primarily visible in this CT scan image are the lungs, the heart, the ribs, and the vertebral column." }, { "from": "human", "value": "What is the position of the heart relative to the lungs in the provided CT scan?" }, { "from": "gpt", "value": "The heart is positioned centrally but slightly towards the left of the midline, between the lungs in the provided CT scan." }, { "from": "human", "value": "What can be inferred about the condition of the lungs based on the CT scan image?" }, { "from": "gpt", "value": "Based on the CT scan image, the lungs appear clear without any obvious signs of large masses, lesions, or significant consolidation, which may suggest they are in a relatively normal condition. However, a detailed diagnosis would require a more in-depth review by a medical professional." } ]
DeepLesion/Key_slices/003145_02_02_206.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial slice of an abdominal CT scan reveals multiple significant findings. Observed is the presence of a heterogeneously enhancing mass in the liver parenchyma within the right hepatic lobe, suggesting possible necrosis or cystic degeneration. Adjacent liver architecture demonstrates multiple hypodense lesions throughout the liver parenchyma, indicative of potential metastatic disease or other focal liver lesions. \n\nAdditionally, the gallbladder appears distended and the wall is thickened, which may signify acute cholecystitis. The portal vein is visible without evidence of thrombosis. \n\nPancreatic evaluation shows no definite mass or cystic lesions, and the pancreatic duct is not dilated. The spleen appears unremarkable without evidence of splenomegaly or focal lesions.\n\nThe bilateral kidneys show no significant abnormalities, with normal corticomedullary differentiation and no evidence of hydronephrosis or renal masses. There are no signs of abdominal aortic aneurysm or dissection.\n\nEvaluation of the visible bowel loops does not reveal dilatation, wall thickening, or other acute abnormalities. The visualized bones, including the vertebrae and ribs, appear intact without definitive signs of fracture or lytic lesions.\n\nOverall, these findings suggest a need for further diagnostic work-up to elucidate the etiologies of the liver findings and gallbladder changes." }, { "from": "human", "value": "What plane and section of the body is represented in the provided CT scan image?" }, { "from": "gpt", "value": "The provided CT scan image represents an axial (transverse) plane section of the abdominal cavity." }, { "from": "human", "value": "Which major organs or structures are visible in this CT scan image?" }, { "from": "gpt", "value": "In this CT scan image, the visible major organs and structures include the liver, portions of the stomach, the spleen, parts of the intestines, the pancreas, the kidneys, and the spinal column." }, { "from": "human", "value": "What are common indications for obtaining a CT scan of this section of the body?" }, { "from": "gpt", "value": "Common indications for obtaining a CT scan of the abdominal section include diagnosing causes of abdominal pain, evaluating the extent of injury after trauma, detecting infections, inflammation, or cancers, and assessing conditions involving the liver, kidneys, pancreas, and other abdominal organs." } ]
DeepLesion/Key_slices/002881_01_01_065.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided axial CT scan of the chest reveals several notable findings:\n\n1. **Bilateral Pulmonary Findings:**\n - Presence of multiple ground-glass opacities and areas of consolidation scattered throughout both lungs.\n - Notable thickening of interlobular septa creating a reticular pattern, prominent in the lower lobes.\n\n2. **Mediastinal and Pleural Findings:**\n - The mediastinum appears central without obvious shift.\n - No significant pleural effusion or pneumothorax identified.\n\n3. **Other Observations:**\n - The cardiovascular silhouette appears within normal limits.\n - No evident abnormalities in visible portions of the upper abdominal cavity.\n\nThese observations suggest potential interstitial lung disease or infectious etiology. Further radiological and clinical correlation may be required for comprehensive evaluation." }, { "from": "human", "value": "What abnormalities can be identified in the provided CT scan image?" }, { "from": "gpt", "value": "The most noticeable abnormalities are consolidation or infiltrates in the lung fields, specifically in both lungs, suggesting potential inflammation, infection, or other pathologies." }, { "from": "human", "value": "What area of the body is prominently displayed in this CT scan image?" }, { "from": "gpt", "value": "The CT scan image prominently displays the thorax, focusing on the lungs, and it provides detailed views of the lung fields and surrounding structures." } ]
DeepLesion/Key_slices/000143_10_02_163.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan image is a transverse section through the thoracoabdominal region. The following observations are noted:\n\n1. **Lung Fields**: There is evidence of focal ground-glass opacity and consolidation in the posterior segment of the right lower lobe, as indicated by the increased density and heterogeneous appearance. This could suggest an inflammatory or infectious process, such as pneumonia.\n\n2. **Pleura**: No significant pleural effusion or thickening is observed in this section.\n\n3. **Diaphragm and Upper Abdomen**: The diaphragm appears intact. No significant abnormalities or masses are noted in the visualized portions of the liver, spleen, or other upper abdominal organs.\n\n4. **Musculoskeletal Structures**: The vertebral body of the thoracic spine at this level appears normal in shape and density. There are no apparent lytic or blastic lesions.\n\nNo other significant abnormalities are observed in this single CT slice. Further evaluation with additional images and clinical correlation may be necessary for a comprehensive assessment." }, { "from": "human", "value": "What anatomical structures are visible in this CT scan image?" }, { "from": "gpt", "value": "The visible anatomical structures in this CT scan image include the liver (on the right side of the image), part of the spleen (on the left side of the image), portions of the vertebral column, and parts of the ribs." }, { "from": "human", "value": "What abnormalities, if any, can be observed in the CT scan?" }, { "from": "gpt", "value": "There appears to be an abnormal dark area on the left side of the image which could suggest the presence of air or fluid in the abdominal cavity, possibly indicating a pathological condition such as a pneumoperitoneum or abscess." }, { "from": "human", "value": "What is the significance of the area marked by the green rectangle?" }, { "from": "gpt", "value": "The area marked by the green rectangle likely highlights a region of interest that may need further examination. It might suggest the presence of a lesion, mass, or other notable condition that requires closer inspection or further diagnostic procedures." } ]
DeepLesion/Key_slices/001252_03_03_247.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "**CT Abdomen** \n\n**Findings:**\n\n1. **Liver:** The liver appears to be within normal limits in size and contour. There is no evidence of focal hepatic lesions or irregularities. Liver parenchyma shows homogeneous enhancement without any visually discernible masses or abnormal enhancement patterns.\n\n2. **Gallbladder and Biliary Tree:** The gallbladder is distended but within normal size limits. No gallstones or biliary dilatation observed. The bile ducts are not dilated.\n\n3. **Pancreas:** The pancreas is visualized and appears to be of normal size and texture, without any focal lesions, masses, or significant calcifications.\n\n4. **Spleen:** The spleen appears to be normal in size and homogeneous in texture, without any nodules or lesions.\n\n5. **Adrenal Glands:** Both adrenal glands are within normal limits. No masses or hypertrophy noted.\n\n6. **Kidneys:** Both kidneys are of normal size and shape, with no evidence of hydronephrosis, calculi, or masses. Corticomedullary differentiation is preserved.\n\n7. **Bowel:** The bowel appears normal with no signs of obstruction, bowel wall thickening, or abnormal dilation. There are no visible masses within the abdomen or pelvis.\n\n8. **Lymph Nodes:** There are no enlarged lymph nodes noted in the visualized abdominal cavities.\n\n9. **Vasculature:** The abdominal aorta and its major branches are normal in caliber and without evidence of aneurysm or dissection.\n\n10. **Musculoskeletal System:** The visualized bony structures, including the spine and ribs, show no evidence of fractures, lesions, or significant degenerative changes.\n\n11. **Other Findings:** There is no significant free fluid or air in the peritoneal cavity. The stomach appears normal and no abnormal masses or growths are observed.\n\n**Conclusion:**\n\n- Normal appearance of the liver, gallbladder, pancreas, spleen, adrenal glands, and kidneys. \n- No evidence of lymphadenopathy, abnormal masses, or significant abdominal pathology in the provided CT images. \n\n**Recommended Follow-Up:**\n\n_If specific clinical indications were provided, further targeted evaluations could be necessary. However, based on the current scan, there are no apparent abnormal findings to report._" }, { "from": "human", "value": "What anatomical structures can be identified in the CT scan provided?" }, { "from": "gpt", "value": "The anatomical structures identifiable in the CT scan include the liver, kidneys, vertebrae, and parts of the intestines." }, { "from": "human", "value": "What possible abnormalities can be observed in the CT scan?" }, { "from": "gpt", "value": "The scan appears to show an area marked with a green box which might indicate a region of interest that could be an abnormality, such as a lesion or a mass. However, a detailed assessment by a radiologist would be necessary to determine the specific abnormality." }, { "from": "human", "value": "How is the density indicated between different structures in the scan?" }, { "from": "gpt", "value": "The density differences are shown in shades of gray; denser structures like bones appear white, while less dense structures like the liver and kidneys appear in varying darker shades. The regions in black likely represent air-filled spaces, such as the intestines." } ]
DeepLesion/Key_slices/002364_02_02_313.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided chest computed tomography (CT) scan image reveals the following findings:\n\n- Multiple nodular opacities within the lung parenchyma bilaterally, particularly noticeable in the lower and posterior lung fields.\n- Evidence of ground-glass opacities in the bilateral lower lobes.\n- Slight septal thickening.\n- No significant pleural effusion is observed.\n- No evidence of cardiomegaly.\n- The mediastinal structures appear to be within normal limits.\n\nThese features may suggest interstitial lung disease, infection, or other inflammatory processes." }, { "from": "human", "value": "What abnormalities can be seen in the lung fields of the CT scan?" }, { "from": "gpt", "value": "There appear to be areas of increased density and possible cavitation, typically indicative of abnormal pathology in the lung fields." }, { "from": "human", "value": "Are there any notable lesions or masses present in the CT scan?" }, { "from": "gpt", "value": "Yes, there is a notable lesion or mass present in the lower lobe of the right lung, highlighting an area of concern that may require further investigation." }, { "from": "human", "value": "How does the condition of the lungs compare between the left and right sides?" }, { "from": "gpt", "value": "The condition of the lungs shows that the lower lobe of the right lung has significant abnormalities compared to the left lung, which appears to be predominantly normal." } ]
DeepLesion/Key_slices/000397_02_01_180.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided computed tomography (CT) scan of the thorax reveals the following findings:\n\nThere is a well-defined nodule located in the right lung, adjacent to the mediastinum. The nodule appears to have smooth borders and homogenous density, consistent with a benign etiology, although further evaluation is necessary to exclude malignancy. There are no visible signs of cavitation, calcification, or surrounding ground-glass opacity associated with the nodule.\n\nThe bilateral lung fields demonstrate normal bronchovascular markings with no evidence of interstitial lung disease or significant consolidation. No pleural effusion or pneumothorax is observed. The visualized bony structures, including the ribs, appear intact with no signs of fracture or destructive lesions.\n\nThe mediastinum is central with no apparent shift or widening. There is no obvious lymphadenopathy noted within the mediastinum or hilum. The visualized portions of the upper abdomen, including the liver and spleen, do not show any significant abnormalities.\n\nOverall, the CT scan shows a solitary pulmonary nodule in the right lung with no other significant abnormalities." }, { "from": "human", "value": "What anatomical structures are visible in the CT scan?" }, { "from": "gpt", "value": "The CT scan shows the lungs, heart, ribs, and surrounding tissues within the thoracic cavity." }, { "from": "human", "value": "Is there any noticeable abnormality in the lung fields?" }, { "from": "gpt", "value": "There does not appear to be any immediately obvious abnormality in the lung fields from this single slice of the CT scan. Further images would be needed to make a comprehensive assessment." }, { "from": "human", "value": "What might be the clinical significance of the highlighted area in green?" }, { "from": "gpt", "value": "The highlighted area in green could indicate a region of interest that may require further investigation, such as a lesion or abnormal density. The clinical significance depends on additional diagnostic information and clinical context." } ]
DeepLesion/Key_slices/001517_02_02_079.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Abdominal CT scan shows the presence of a well-defined mass located in the pelvic region along the left side. The mass appears to be heterogenous in density, with areas of hyperattenuation and hypoattenuation within its structure. The surrounding pelvic structures, including the iliac bones, appear normal with no evidence of invasion. The bowel loops are displaced due to the mass effect but do not demonstrate signs of obstruction. Additionally, no free fluid or air is observed within the peritoneal cavity. The visualized portions of the bladder and rectum seem unremarkable in this limited view. The lymph nodes in the region do not appear enlarged." }, { "from": "human", "value": "What anatomical region is shown in this CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows an axial view of the pelvic region." }, { "from": "human", "value": "What abnormalities, if any, are visible in the CT scan?" }, { "from": "gpt", "value": "There is a noticeable mass or lesion highlighted in green on the left side of the pelvic region. Additional evaluation by a specialist is required to determine the nature of this finding." }, { "from": "human", "value": "What structures or organs can be identified in this CT scan?" }, { "from": "gpt", "value": "The image displays the pelvic bones, including the sacrum and iliac bones. The surrounding soft tissues, bladder, sections of the intestines, and parts of the reproductive organs may also be visible depending on the slice level." } ]
DeepLesion/Key_slices/000523_06_01_105.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided axial CT scan image of the abdomen demonstrates the presence of a hypodense lesion in the right lobe of the liver. The lesion appears well-demarcated and hypodense compared to the surrounding liver parenchyma, indicative of a potential cystic lesion. No significant calcifications are observed within the lesion. The renal parenchyma appears normal bilaterally, with no evidence of hydronephrosis or renal masses. The spleen, pancreas, and bowel loops within this slice appear unremarkable. There is no visible free air or ascites in the abdominal cavity. The vertebral bodies and posterior elements demonstrate normal morphology with no acute osseous abnormalities observed." }, { "from": "human", "value": "What abdominal organs are visible in the provided CT scan image?" }, { "from": "gpt", "value": "Visible abdominal organs in the provided CT scan image include the kidneys, parts of the intestines, and vertebrae of the spine." }, { "from": "human", "value": "Is there any abnormality or significant finding highlighted in the CT scan image?" }, { "from": "gpt", "value": "Yes, there appears to be a highlighted region (enclosed in green) that may indicate an area of interest or abnormality in the scan." }, { "from": "human", "value": "What could be the highlighted region's anatomical significance?" }, { "from": "gpt", "value": "The highlighted region could indicate a lesion, mass, or other pathological condition that requires further medical evaluation. This area is located in proximity to digestive organs and might be associated with the pancreas or surrounding tissues." } ]
DeepLesion/Key_slices/002681_02_01_055.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan images show transverse sections of the thorax. \n\nFindings on the scan reveal multiple patchy areas of ground-glass opacity within the pulmonary parenchyma, predominantly affecting the right lung. These areas exhibit a bilateral distribution with a preference for the peripheral and lower lobes. There is also the presence of a nodular lesion in the right lung, which appears well-defined. \n\nThe mediastinum and hila appear normal, with no evidence of lymphadenopathy. There are no signs of pleural effusion or pneumothorax. The heart size is within normal limits, and no significant abnormalities are noted in the cardiovascular structures.\n\nThe osseous structures of the thoracic cage, including the ribs, vertebrae, and sternum, do not show any apparent fractures or lesions.\n\nImpression:\n1. Patchy ground-glass opacities within the pulmonary parenchyma, predominantly in the right lung.\n2. Well-defined nodular lesion in the right lung.\n3. No mediastinal, pleural, or cardiovascular abnormalities observed.\n4. Normal appearance of thoracic osseous structures." }, { "from": "human", "value": "What type of imaging modality is shown in the image?" }, { "from": "gpt", "value": "The imaging modality shown in the image is a CT (Computed Tomography) scan." }, { "from": "human", "value": "Which anatomical region is this CT scan image depicting?" }, { "from": "gpt", "value": "This CT scan image is depicting the thoracic (chest) region, including the lungs and surrounding structures." }, { "from": "human", "value": "Can you identify any notable abnormalities present in the CT scan?" }, { "from": "gpt", "value": "There is a notable round lesion visible in the right lung (which appears on the left side of the image due to the cross-sectional nature of CT scans). Further evaluation would be necessary to determine the nature of this lesion." } ]
DeepLesion/Key_slices/003347_03_02_118.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial non-contrast computed tomography (CT) scan of the chest reveals the following findings:\n\n1. Lung Parenchyma: There is evidence of multiple, small, scattered, round opacities throughout both lung fields, suggestive of pulmonary nodules. This pattern may indicate a diffuse or miliary process.\n \n2. Mediastinum and Heart: The cardiac silhouette appears normal in size and contour. No significant mediastinal lymphadenopathy is observed.\n\n3. Pleura: There is no evidence of pleural effusion or pleural thickening.\n\n4. Bones: Visualized portions of the osseous structures, including the ribs and vertebrae, appear grossly unremarkable with no obvious fractures or lytic lesions.\n\n5. Soft Tissues: The subcutaneous tissues of the chest wall appear within normal limits.\n\nOverall, the primary significant feature is the presence of multiple scattered pulmonary nodules, warranting further investigation to determine the underlying etiology." }, { "from": "human", "value": "What anatomical structures can be identified in this CT scan of the chest?" }, { "from": "gpt", "value": "The anatomical structures that can be identified include the lungs, heart, ribs, and a portion of the spine." }, { "from": "human", "value": "Is there any visible abnormality on this CT scan image?" }, { "from": "gpt", "value": "There is no visible abnormality such as obvious masses, fluid collections, or significant lesions in the provided image." }, { "from": "human", "value": "Which imaging plane is this CT scan taken in?" }, { "from": "gpt", "value": "This CT scan is taken in the axial plane (horizontal cross-section)." } ]
DeepLesion/Key_slices/000230_04_01_242.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial contrast-enhanced computed tomography (CT) scan of the abdomen shows multiple findings of clinical significance. The bowel appears to have variable densities likely indicating differing contents and possibly mild distension. There is an area of hyperdensity indicated by the green outline which could suggest contrast accumulation or a vascular structure. No clear evidence of bowel obstruction or perforation is noted. \n\nAdjacent soft tissues and organs appear to exhibit normal density with no apparent masses or abnormal fluid collections observed in this slice. Vertebral bodies and posterior elements appear intact and show standard anatomical alignment without signs of fracture or significant degenerative changes. The paraspinal muscles appear symmetrical without evidence of atrophy or abnormal masses. \n\nFurther evaluation of adjacent slices will be required to conclusively define the extent of observed features and identify any additional abnormalities." }, { "from": "human", "value": "What anatomical region is primarily visible in the provided CT scan image?" }, { "from": "gpt", "value": "The anatomical region primarily visible in the provided CT scan image is the abdominal region." }, { "from": "human", "value": "What is highlighted by the green box in the CT scan image?" }, { "from": "gpt", "value": "The green box in the CT scan image highlights a specific area or structure within the abdomen, likely for closer inspection." }, { "from": "human", "value": "Can you identify any abnormalities in the abdominal area of the CT scan?" }, { "from": "gpt", "value": "Based on the provided image alone, without further medical context, it is not possible to definitively identify abnormalities. A professional radiologist should evaluate the scan for a comprehensive diagnosis." } ]
DeepLesion/Key_slices/000939_02_01_078.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided computed tomography (CT) scan of the abdomen reveals the following observations:\n\n1. **Abdominal Structures**: The CT scan slice captures various abdominal structures, including portions of the colon, small intestine, abdominal aorta, and lumbar vertebrae. \n\n2. **Bowel and Peritoneal Cavity**: There is no evidence of bowel obstruction, bowel wall thickening, or free intra-abdominal air, which would suggest perforation. However, there appears to be a slight distension of the bowel loops, but further context from additional slices would be needed for a definitive assessment. No remarkable fluid collections or ascites are observed within the peritoneal cavity.\n\n3. **Skeleton**: The lumbar vertebrae captured in the image show typical morphology without obvious signs of fracture or significant degenerative changes. \n\n4. **Soft Tissues and Musculature**: The paravertebral muscles and other abdominal wall muscles show normal density and morphology without evidence of mass lesions or abnormal fluid collections.\n\n5. **Retroperitoneal Space**: The retroperitoneal fat planes are preserved, and there is no evidence of lymphadenopathy or masses.\n\nNotable Findings:\n- There appears to be a focus of interest marked within a green box. Based on the location, this structure is likely a segment of the descending colon. It appears to have a slightly thickened wall, though without additional slices, it's difficult to ascertain the significance.\n \nThis image suggests an overall unremarkable abdominal CT at the level captured, with specific attention warranted for the highlighted area for potential colonic wall thickening. Further context and axial slices would be beneficial for a comprehensive evaluation." }, { "from": "human", "value": "What organ or structure is outlined by the green box in the CT scan image?" }, { "from": "gpt", "value": "The organ or structure outlined by the green box is the appendix." }, { "from": "human", "value": "What notable anatomical structures can be identified in the center of the CT scan image besides the one in the green box?" }, { "from": "gpt", "value": "Notable anatomical structures in the center of the CT scan image include the intestines and vertebrae." }, { "from": "human", "value": "What type of imaging modality is used in the provided image?" }, { "from": "gpt", "value": "The imaging modality used in the provided image is a CT (computed tomography) scan." } ]
DeepLesion/Key_slices/003784_01_01_436.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided abdominal CT scan reveals the following findings:\n\n1. There are two well-defined regions of interest (ROIs) located in the abdominal cavity, marked with green borders.\n2. The larger ROI, located in the midline of the abdomen, exhibits heterogeneous density, suggestive of a potential lesion or abnormal tissue mass. This region shows irregular enhancement with variable attenuation, which may indicate a neoplastic process or an area of inflammation.\n3. The smaller ROI, located in the left flank area, appears more homogeneous with a slightly hyperdense character compared to surrounding tissues. The nature of this lesion cannot be fully determined without additional imaging and clinical correlation.\n4. The kidneys, represented in the scan, have an unremarkable appearance with no evidence of hydronephrosis, masses, or significant calcifications.\n5. The visualized bowel loops show no obvious signs of obstruction or abnormal thickening. \n6. The visualized portions of the spine appear intact without signs of acute osseous abnormalities.\n\nThis interpretation is based on visual examination and should be correlated with clinical and further diagnostic evaluations for a conclusive diagnosis." }, { "from": "human", "value": "What anatomical structures are identified by the squares in the provided CT scan image?" }, { "from": "gpt", "value": "The squares identify specific regions within the abdominal area, possibly highlighting areas of interest or abnormalities. The larger square is over a portion of the intestine, while the smaller square is over what appears to be a section of the liver." }, { "from": "human", "value": "What might the cross-hairs within each square indicate in the context of a CT scan?" }, { "from": "gpt", "value": "The cross-hairs likely indicate points of interest within each squared area, such as the location of potential lesions, tumors, or areas requiring further examination." } ]
DeepLesion/Key_slices/001935_02_01_030.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT scan of the chest reveals a soft tissue mass in the left hemithorax, adjacent to the mediastinum. The mass appears to cause a mild mass effect on the adjacent structures without evident invasion. There is no significant lymphadenopathy or pleural effusion identified. Pulmonary architecture distal to the mass appears preserved without signs of obstructive atelectasis or consolidation. No obvious bony abnormalities of the ribs or vertebrae are visualized. \n\nFindings suggest the presence of a solitary pulmonary nodule in the left lung, necessitating further diagnostic evaluation." }, { "from": "human", "value": "What major organs are visible in this CT scan image?" }, { "from": "gpt", "value": "The major organs visible in this CT scan image are the heart, parts of the lungs, and the rib cage." }, { "from": "human", "value": "Can you identify any abnormalities or unusual findings in the image?" }, { "from": "gpt", "value": "From this single CT scan slice, it’s challenging to definitively identify abnormalities without further context and additional images. However, the area marked within the green rectangle might warrant closer examination or further imaging studies to determine if there are any significant findings. A radiologist's input would be essential for an accurate diagnosis." } ]
DeepLesion/Key_slices/004235_01_01_048.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial chest CT scan reveals the following observations:\n\n1. Pulmonary Parenchyma: No evidence of focal consolidations, ground-glass opacities, or cavitary lesions. The lung fields appear clear with no significant abnormalities in the examined slice.\n\n2. Airways: The trachea and mainstem bronchi are patent. No evidence of bronchiectasis or obstruction is observed.\n\n3. Mediastinum: The heart and mediastinal structures appear normal in size and configuration. No lymphadenopathy is noted.\n\n4. Pleura: No pleural effusion, thickening, or pneumothorax is detected.\n\n5. Chest Wall: No abnormalities of the chest wall, ribs, or visible soft tissues.\n\nOverall, this specific axial section of the chest CT scan does not reveal any significant pathologic findings. Further evaluation of additional slices would be necessary to comprehensively assess the entire thoracic region." }, { "from": "human", "value": "What anatomical structure is primarily visible in the center of the CT scan image?" }, { "from": "gpt", "value": "The heart is primarily visible in the center of the CT scan image." }, { "from": "human", "value": "What might the green square in the CT scan image indicate?" }, { "from": "gpt", "value": "The green square in the CT scan image might indicate an area of interest or concern, potentially highlighting a lesion, nodule, or abnormality in the lung tissue." }, { "from": "human", "value": "What are the possible clinical reasons for ordering this type of chest CT scan?" }, { "from": "gpt", "value": "Possible clinical reasons for ordering this type of chest CT scan include diagnosing or evaluating lung diseases (e.g., pneumonia, tuberculosis, cancer), determining the cause of symptoms such as cough or chest pain, and monitoring known conditions such as emphysema or lung nodules." } ]
DeepLesion/Key_slices/001186_01_02_157.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan image of the thorax demonstrates the following observations:\n\n1. **Pulmonary Parenchyma**: There are no evident focal parenchymal consolidations or ground-glass opacities. The pulmonary tissue appears to have no conspicuous masses or nodules.\n\n2. **Mediastinum and Hilar Structures**: There is notable lymphadenopathy present in the mediastinum, as evidenced by the well-circumscribed, homogeneously enhancing lymph node anterior to the trachea at the level of the carina. No other mediastinal masses are observed.\n\n3. **Cardiac and Vascular Structures**: The heart is normal in size with no apparent pericardial effusion. Pulmonary arteries appear to be of normal caliber, with no signs of filling defects that would suggest pulmonary embolism.\n\n4. **Pleura**: There is no evidence of pleural effusion or pleural thickening. The pleural spaces are clear.\n\n5. **Thoracic Skeleton**: The bony structures including ribs, sternum, and vertebrae appear intact with no signs of fractures or lytic lesions.\n\n6. **Soft Tissues**: Subcutaneous soft tissues and musculature are unremarkable, revealing no signs of subcutaneous emphysema or masses.\n\nIn summary, the CT scan highlights mediastinal lymphadenopathy with no other significant abnormalities discerned in pulmonary, cardiovascular, skeletal, or pleural structures." }, { "from": "human", "value": "What structures can be identified in this CT scan of the chest?" }, { "from": "gpt", "value": "The CT scan of the chest shows the lungs, heart, ribcage, vertebral column, and surrounding soft tissues." }, { "from": "human", "value": "Are there any abnormal findings in this CT scan image?" }, { "from": "gpt", "value": "Without clinical context and detailed radiological expertise, it is not possible to definitively identify abnormal findings; however, focal areas of concern should be evaluated by a radiologist." }, { "from": "human", "value": "What is the possible significance of the highlighted area in the image?" }, { "from": "gpt", "value": "The highlighted area may indicate a focal point of interest for potential abnormality or pathology, which requires further investigation and professional diagnosis." } ]
DeepLesion/Key_slices/002376_03_01_045.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan image reveals the following findings:\n\n- The liver appears enlarged, suggestive of hepatomegaly. There is a distinctive inhomogeneous, mottled pattern of enhancement observed within the liver parenchyma, indicative of heterogeneous perfusion, commonly referred to as a \"mosaic\" pattern.\n- The spleen is visible and displays no significant abnormalities in size or density.\n- The kidneys exhibit normal size, shape, and cortical density with no evidence of hydronephrosis, masses, or calculi.\n- The visualized portions of the pancreas and adrenal glands appear unremarkable.\n- There is a well-defined, hypodense lesion in the abdomen, adjacent to the liver, possibly representing a cyst or other non-solid structure.\n- Surrounding vascular structures do not show any signs of significant pathological dilation or constriction.\n- The visualized bowel loops do not exhibit any significant distention, wall thickening, or abnormal luminal contents.\n- No free air or fluid collections are seen in the abdominal cavity that would suggest acute perforation or ascites.\n- The osseous structures of the spine and ribs within the scanned area appear intact without evidence of fracture, lytic or sclerotic lesions.\n\nIn summary, the CT scan primarily demonstrates hepatomegaly with a heterogeneous perfusion pattern and a possibly cystic lesion in the abdomen adjacent to the liver. Other abdominal structures appear within normal limits." }, { "from": "human", "value": "What anatomical region is depicted in the provided CT scan image?" }, { "from": "gpt", "value": "The anatomical region depicted in the provided CT scan image is the abdomen." }, { "from": "human", "value": "Is there any visible abnormality in the provided CT scan? If so, describe its location." }, { "from": "gpt", "value": "Yes, there is a visible abnormality. There appears to be a distinct mass or lesion in the midline and towards the left side of the image, potentially involving the colon." }, { "from": "human", "value": "What might be the clinical significance of the findings in this image?" }, { "from": "gpt", "value": "The clinical significance of the findings could indicate the presence of a pathological condition such as a tumor, abscess, or another type of lesion that requires further investigation for accurate diagnosis and treatment." } ]
DeepLesion/Key_slices/002583_02_01_054.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial chest CT scan demonstrates the presence of a well-defined, hypodense lesion located in the posterior segment of the right upper lobe. The lesion exhibits irregular borders and measures approximately 1.5 cm in diameter. Surrounding pulmonary parenchyma appears normal, without evidence of consolidation, ground-glass opacities, or significant nodularity. \n\nThere is no pleural effusion or pneumothorax observed. The remaining lung fields are clear. Mediastinal structures, including the trachea, main bronchi, and vascular structures, are within normal limits. \n\nFurther evaluation of the identified lesion is recommended for characterization and diagnosis." }, { "from": "human", "value": "What anatomical regions are visible in the CT scan?" }, { "from": "gpt", "value": "The CT scan shows a transverse cross-section of the thoracic cavity, including the lungs, heart, and surrounding structures." }, { "from": "human", "value": "What is the highlighted area in the image?" }, { "from": "gpt", "value": "The highlighted area appears to be within the trachea and is bordered by a green box. Upon closer examination, a grid-like structure suggests it might be measuring or highlighting a specific area for closer analysis." }, { "from": "human", "value": "Are there any abnormalities visible in the lung fields?" }, { "from": "gpt", "value": "There are no immediate significant abnormalities visible such as large masses or areas of consolidation in the lung fields; however, a detailed evaluation by a radiologist is necessary for an accurate diagnosis." } ]
DeepLesion/Key_slices/003477_01_02_227.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT image of the thorax demonstrates a well-circumscribed, hyperdense lesion within the right lung field, as highlighted by the green box. An area of increased attenuation is noted, suggestive of a possible calcified nodule or granuloma. The surrounding lung parenchyma appears normal without evidence of consolidation, mass effect, or pleural effusion. The mediastinum is unremarkable, and there is no significant lymphadenopathy observed. The visualized portions of the upper abdominal organs, including the liver and spleen, show no gross abnormalities. The bony thorax, ribs, and vertebrae display normal density and alignment with no apparent fractures or destructive lesions." }, { "from": "human", "value": "What anatomical region is being shown in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image displays the upper abdominal region." }, { "from": "human", "value": "What might the area inside the green rectangle indicate in the context of the scan?" }, { "from": "gpt", "value": "The area inside the green rectangle might indicate an abnormality or region of interest, such as a lesion or mass that needs further evaluation." }, { "from": "human", "value": "What organs and structures are visible in this particular CT scan slice?" }, { "from": "gpt", "value": "In this CT scan slice, the visible organs and structures include parts of the liver, part of the stomach (large fluid content indicating possible stomach), parts of the lungs, the diaphragm, ribs, and the vertebral column." } ]
DeepLesion/Key_slices/001365_04_01_053.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Transverse CT scan of the abdomen and pelvis reveals the following features:\n\n1. Presence of multiple hypodense lesions, varying in size and with unclear demarcation, scattered throughout the liver parenchyma. These findings are suggestive of possible hepatic metastases or cystic formations requiring further correlation.\n\n2. The renal silhouettes appear symmetrical with no evident hydronephrosis, stones, or masses. The perinephric fat planes are preserved.\n\n3. Mildly enlarged lymph nodes observed in the mesenteric region suggest possible reactive or pathological lymphadenopathy.\n\n4. The bowel loops are mildly distended but show normal wall enhancement with no signs of obstruction, volvulus, or perforation.\n\n5. The spleen and pancreas appear within normal limits with no detectable lesions or abnormalities.\n\n6. The visualized bony structures, including the vertebrae and pelvic bones, do not show any destructive lesions, fractures, or significant degenerative changes.\n\nOverall, the imaging findings indicate abnormal liver morphology and mesenteric lymphadenopathy, warranting further evaluation for potential underlying pathology." }, { "from": "human", "value": "What anatomical region is being displayed in this CT scan?" }, { "from": "gpt", "value": "The anatomical region being displayed in this CT scan is the abdominal area." }, { "from": "human", "value": "Identify three distinct structures visible in this CT scan image." }, { "from": "gpt", "value": "- The vertebral column (spine).\n - The kidneys.\n - The aorta." }, { "from": "human", "value": "What abnormal findings, if any, can be observed in this CT scan?" }, { "from": "gpt", "value": "No definitive abnormal findings are immediately apparent in this CT scan image. Further detailed analysis by a medical professional would be needed to confirm normalcy or identify any issues." } ]
DeepLesion/Key_slices/000521_02_01_373.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The axial view of the chest computed tomography (CT) scan reveals several noteworthy findings. There is evidence of multiple pulmonary nodules in both lung fields, with the largest nodule located in the right lower lobe. The pulmonary nodules exhibit a ground-glass appearance, suggesting a likelihood of inflammatory or infectious processes. Additionally, there are signs of mild bilateral pleural effusion, more pronounced on the right side, as well as a faint consolidation in the right middle lobe indicating possible atelectasis or infectious involvement.\n\nThe central airways and major vessels appear unremarkable. The mediastinal structures are within normal limits, with no apparent lymphadenopathy. There is no evidence of pneumothorax or significant parenchymal destruction. The observed anatomical structures, including bones and soft tissues, show no notable abnormalities.\n\nOverall, the findings are indicative of a multi-focal pulmonary process with possible inflammatory or infectious etiology." }, { "from": "human", "value": "What abnormalities can be identified in the CT scan of the chest?" }, { "from": "gpt", "value": "There is a visible abnormality in the right lung, near the center of the image, indicated by the highlighted green square." }, { "from": "human", "value": "Which areas of the lungs show signs of possible pathological changes?" }, { "from": "gpt", "value": "The right lung shows signs of possible pathological changes, specifically in the area highlighted by the green square." }, { "from": "human", "value": "Are there any visible masses or nodules present in the lung fields?" }, { "from": "gpt", "value": "Yes, there is a visible mass or nodule present in the right lung field, indicated by the green square." } ]
DeepLesion/Key_slices/002519_01_01_103.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT scan of the abdomen reveals a soft tissue density mass within the right renal parenchyma. The mass appears well-circumscribed and demonstrates heterogeneous enhancement after contrast administration, suggesting a possible renal neoplasm. Surrounding anatomical landmarks, including the liver, spleen, and left kidney, appear unremarkable. There is no evidence of lymphadenopathy or significant calcifications. Adjacent vasculature and bowel loops are not displaced, indicating a lack of mass effect. Further characterization with MRI may be beneficial for better delineation. The lumbar spine appears intact with no visible abnormalities, and there are no signs of vertebral body lesions." }, { "from": "human", "value": "What anatomical region is displayed in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image displays the abdominal region." }, { "from": "human", "value": "What notable structures can be identified within the green square?" }, { "from": "gpt", "value": "Within the green square, notable structures such as part of the vertebral column, portions of the intestines, and surrounding soft tissues can be identified." }, { "from": "human", "value": "Is there any abnormality apparent in the highlighted region of the CT scan?" }, { "from": "gpt", "value": "The image shows a marked region, but to determine if there is any abnormality, further clinical correlation and a radiologist's interpretation would be necessary." } ]
DeepLesion/Key_slices/000420_03_01_058.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial CT scan of the chest reveals an anterior mediastinal mass which demonstrates heterogenous enhancement. The lesion is enclosed within a green bounding box in the image, indicative of its pathological significance. There is also evidence of bilateral pleural effusion as indicated by the hyperdense fluid collections observed in the pleural spaces. The lung parenchyma around these areas appears compressed, but there is no definitive evidence of lung parenchymal consolidation or masses within the limitations of this single slice view. No grossly visible abnormalities are observed in the bony structures of the thorax. \n\nFurther imaging in multiple planes and clinical correlation are recommended for a comprehensive evaluation.\n" }, { "from": "human", "value": "What abnormality can be identified in the CT scan image?" }, { "from": "gpt", "value": "There appears to be a noticeable mass or lesion highlighted within the green box in the CT scan image." }, { "from": "human", "value": "What is the possible location of the identified abnormality in the CT scan?" }, { "from": "gpt", "value": "The possible location of the identified abnormality is in the mediastinal or lung region." }, { "from": "human", "value": "Based on the CT scan image, what differential diagnoses could be considered?" }, { "from": "gpt", "value": "Differential diagnoses could include a mediastinal mass, lung tumor, lymphoma, or other pathological conditions affecting the mediastinum or lungs." } ]
DeepLesion/Key_slices/000299_03_01_045.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided non-contrast-enhanced computed tomography (CT) scan of the chest demonstrates multifocal consolidations with a predominantly peripheral distribution in both lungs. There is a large consolidation area in the right lung extending from the hilum to the peripheral areas, suggestive of a lobar pneumonia or possibly an organizing pneumonia pattern. Scattered ground-glass opacities and interlobular septal thickening are noted, consistent with interstitial lung disease. The presence of these findings in both lungs may indicate an underlying infectious, inflammatory, or fibrotic process.\n\nNo pleural effusion or pneumothorax is detected on the examined slices. The cardiomediastinal structures are within normal limits. The visualized upper abdominal organs, bony thorax, and soft tissues show no significant abnormalities." }, { "from": "human", "value": "What type of imaging modality is shown in the image?" }, { "from": "gpt", "value": "CT scan (Computed Tomography)." }, { "from": "human", "value": "What part of the body is being scanned in the provided image?" }, { "from": "gpt", "value": "The chest (thoracic region), specifically showing the lungs." }, { "from": "human", "value": "Are there any visible abnormalities or notable features in the scan?" }, { "from": "gpt", "value": "There appears to be an area of concern in the right lung (which appears on the left side of the image due to the reversal of left and right on CT scans) which may indicate a potential abnormality that should be further evaluated by a radiologist or medical professional." } ]
DeepLesion/Key_slices/001143_08_03_158.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the abdomen reveals the presence of a hypodense lesion located anterior to the liver, suggestive of a subcapsular hepatic hematoma. The liver parenchyma appears otherwise homogeneous in attenuation. There is no evidence of intrahepatic biliary dilation. The gallbladder and bile ducts are not clearly visualized on this slice. \n\nThe scan demonstrates a normal anatomical position and appearance of the left kidney and the spleen. The right kidney is not fully visible in this slice. The visualized portions of the gastrointestinal tract appear to be filled with air and show no signs of obstruction or abnormal thickening of the bowel wall.\n\nThere are no signs of free intraperitoneal air, indicative of no visceral perforation. The visualized portion of the vertebral body and spinal canal appear unremarkable, with no evidence of acute osseous injury or significant degenerative changes. The paravertebral soft tissues are within normal limits.\n\nThe pleura and lung bases show no evidence of pleural effusion or significant abnormal lung parenchymal changes in this slice. The diaphragm appears intact and in its normal anatomical location.\n\nNo evidence of lymphadenopathy or abnormal vascular findings is present in this scan." }, { "from": "human", "value": "What are the primary organs visible in the CT scan?" }, { "from": "gpt", "value": "The primary organs visible in the CT scan are the liver, stomach, and portions of the lungs and gastrointestinal tract." }, { "from": "human", "value": "Is there any noticeable abnormality, such as a mass or lesion, present in the provided CT scan image?" }, { "from": "gpt", "value": "There does not appear to be any significant mass or lesion in the provided CT scan image, as it appears mostly homogeneous with no obvious irregularities." }, { "from": "human", "value": "What is the significance of the highlighted area denoted by the green square in the CT scan?" }, { "from": "gpt", "value": "The highlighted area denoted by the green square may indicate a region of interest for further examination, potentially something that requires closer evaluation by a radiologist or medical professional." } ]
DeepLesion/Key_slices/003787_01_01_265.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the thorax reveals the presence of a well-defined, centrally located hyperdense lesion in the right lung field, suggestive of a probable nodular density. Surrounding lung parenchyma appears normal without evidence of significant infiltrate, consolidation, or ground-glass opacities.\n\nThere is no significant pleural effusion observed bilaterally, and no evidence of pneumothorax. The mediastinum and cardiac silhouette appear within normal limits for this imaging plane, and there is no obvious lymphadenopathy or mediastinal mass.\n\nBony structures, including the visible portions of the vertebrae and ribs, demonstrate no significant abnormality or pathological fracture. Visualized upper abdominal structures, such as the liver and spleen, appear unremarkable without signs of organomegaly or focal lesions. \n\nOverall, the primary finding is the nodular density in the right lung field, requiring further evaluation." }, { "from": "human", "value": "What abnormality is highlighted in the CT scan?" }, { "from": "gpt", "value": "The highlighted area in the CT scan indicates an abnormal mass or lesion." }, { "from": "human", "value": "What could be the clinical significance of this highlighted abnormality?" }, { "from": "gpt", "value": "The clinical significance of this highlighted abnormality could include the presence of a tumor, infection, or other pathological condition that requires further medical evaluation and diagnosis." } ]
DeepLesion/Key_slices/001975_01_01_139.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the abdomen at the level of the renal hila. The liver appears within normal limits in terms of size, shape, and attenuation. Both kidneys are symmetrically positioned and show normal parenchymal attenuation without evidence of hydronephrosis or focal lesions. The bowel loops are appropriately distributed without signs of obstruction or abnormal distension. No significant lymphadenopathy is noted. There are no identifiable fluid collections, free air, or other acute pathological findings in the abdominal cavity. The visualized portions of the musculoskeletal structures, including the spine and pelvic bones, display no apparent abnormalities." }, { "from": "human", "value": "What anatomical region is visible in the CT scan?" }, { "from": "gpt", "value": "The CT scan shows an axial view of the abdominal or pelvic region." }, { "from": "human", "value": "Identify any abnormalities observed in this CT scan image." }, { "from": "gpt", "value": "There doesn't appear to be a visible contrast in the provided image that could suggest obvious abnormalities. A detailed analysis by a radiologist is required for a conclusive diagnosis." }, { "from": "human", "value": "What significant structures can be seen in the CT scan image?" }, { "from": "gpt", "value": "The significant structures seen in the CT scan include the vertebral column, surrounding muscular tissue, and organ sections which may include parts of the intestines and other abdominal organs." } ]
DeepLesion/Key_slices/000584_02_01_119.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the chest reveals the following findings:\n\n- The mediastinum appears normal in size without evidence of mediastinal mass or lymphadenopathy.\n- Examination of the lung parenchyma shows no focal consolidation, ground-glass opacities, or pleural effusion. \n- There is normal aeration of both lungs without areas of collapse or atelectasis.\n- The central trachea and mainstem bronchi appear patent without evidence of obstruction or narrowing.\n- No significant abnormalities are noted in the osseous structures of the chest, including the thoracic vertebrae, ribs, and sternum.\n- The subcutaneous and intercostal musculature appear normal without evidence of mass or abnormal fluid collection.\n\nThe overall impression from the provided CT scan is unremarkable, with no overt pathologies or abnormalities detected within the limits of the provided image slice." }, { "from": "human", "value": "What anatomical structures can be identified in the provided CT scan image?" }, { "from": "gpt", "value": "The anatomical structures that can be identified in the provided CT scan image include the lungs, the heart, the aorta, the vertebrae, and the ribs." }, { "from": "human", "value": "What is the significance of the region highlighted in green?" }, { "from": "gpt", "value": "The region highlighted in green appears to be focused on the mediastinal area, which could indicate an area of interest for further diagnostic evaluation, possibly a mass or lymph node." }, { "from": "human", "value": "What abnormalities, if any, are present in the provided CT scan image?" }, { "from": "gpt", "value": "To determine abnormalities, a detailed evaluation by a radiologist is required; based on the image alone, there could be a potential abnormality in the region highlighted in green, requiring further investigation." } ]
DeepLesion/Key_slices/003271_01_01_124.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial contrast-enhanced computed tomography (CT) scan of the abdomen reveals a heterogeneous mass in the mid-abdomen, anterior to the aorta, measuring approximately 3.8 cm in maximum dimension. The mass displays mixed density with both hypodense and hyperdense regions indicating possible necrosis or hemorrhage within the lesion. Adjacent bowel loops appear to be displaced, suggesting the mass effects on surrounding structures. Bilateral kidneys and liver parenchyma appear normal in density and without obvious lesions. No significant lymphadenopathy is observed within the scanned field." }, { "from": "human", "value": "What anatomical region is primarily displayed in this CT scan image?" }, { "from": "gpt", "value": "The anatomical region primarily displayed in this CT scan image is the abdominal cavity." }, { "from": "human", "value": "What specific organ is highlighted by the green box in the CT scan image?" }, { "from": "gpt", "value": "The specific organ highlighted by the green box in the CT scan image is the pancreas." }, { "from": "human", "value": "Are there any noticeable abnormalities or lesions visible in the highlighted region of the CT scan?" }, { "from": "gpt", "value": "The highlighted region does not show any clear abnormalities or lesions in this single CT scan image; however, a more detailed review by a radiologist would be necessary for a definitive assessment." } ]
DeepLesion/Key_slices/000472_05_01_073.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan at the level of the neck demonstrates the following:\n\n- Enlarged and heterogeneous thyroid gland more prominent on the right side, suggestive of thyroid pathology.\n- Presence of a hypodense region within the thyroid gland, indicating a possible cystic component or necrosis.\n- The trachea is midline and without evidence of significant compression or deviation.\n- Multiple bilateral cervical lymph nodes are present, some of which are enlarged, raising suspicion for reactive or pathological lymphadenopathy.\n- No evidence of acute osseous abnormalities in the visualized cervical spine.\n- Soft tissues of the neck do not demonstrate any abnormal masses or significant fluid collections.\n\nThese findings suggest a thyroid abnormality, possibly a multinodular goiter with associated cervical lymphadenopathy warranting further evaluation." }, { "from": "human", "value": "What anatomical region is represented in this CT scan image?" }, { "from": "gpt", "value": "The anatomical region represented in this CT scan image is the neck." }, { "from": "human", "value": "Which structures can be identified in this CT scan image?" }, { "from": "gpt", "value": "The structures that can be identified in this CT scan image include the vertebrae, trachea, esophagus, muscles, and various blood vessels." }, { "from": "human", "value": "Are there any abnormalities visible in this CT scan image?" }, { "from": "gpt", "value": "There are no explicit abnormalities visible in this CT scan image based on a visual inspection. However, an expert radiologist should review the image for a detailed assessment." } ]
DeepLesion/Key_slices/002662_01_01_008.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial contrast-enhanced computed tomography (CT) scan of the abdomen and pelvis demonstrates multiple significant findings. There is evidence of multiple lymph nodes in the mesentery, with some demonstrating enlargement. A large mass lesion is visible in the region of the left kidney. It appears to be enhancing heterogeneously, suggestive of either a neoplastic process or an inflammatory lesion, with associated distortion of the renal outline. Surrounding fat planes show streaky densities, suggestive of fat stranding, which could potentially indicate inflammation or infection.\n\nAdditionally, there is mild dilation of the pancreatic duct, which could be indicative of an underlying obstructive pathology, such as a pancreatic mass or chronic pancreatitis. The liver exhibits no significant abnormalities in the displayed slices, and the spleen appears to be within normal size limits without signs of focal lesions.\n\nNo definite evidence of free intra-abdominal air is observed, and the bowel loops appear unremarkable without signs of obstruction or significant wall thickening.\n\nThe observed findings are noteworthy and necessitate further clinical correlation and potential follow-up imaging to determine the underlying etiology and appropriate management strategy." }, { "from": "human", "value": "What anatomical plane is the CT scan taken in?" }, { "from": "gpt", "value": "The CT scan is taken in the axial plane." }, { "from": "human", "value": "What is the highlighted structure in the image?" }, { "from": "gpt", "value": "The highlighted structure appears to be the liver." }, { "from": "human", "value": "What organs can be identified in this CT scan?" }, { "from": "gpt", "value": "The organs that can be identified in this CT scan include the liver, kidneys, and possibly segments of the intestines." } ]
DeepLesion/Key_slices/001540_07_01_328.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan reveals the following observations:\nThe scan demonstrates a mass located within the middle mediastinum. The mass appears to be well-circumscribed, with evidence of a heterogeneously enhancing lesion. Notably, its location in close proximity to the cardiac structures and aorta raises considerations for a differential diagnosis including potential neoplasm or lymphadenopathy. There is no visible infiltration into the adjacent lung parenchyma, bony structures, or the great vessels within the field of view. The presence of adipose tissue and other mediastinal structures does not show any overt pathological changes.\n\nThe observed mass demands further meticulous analysis through additional imaging modalities or biopsy to determine the exact etiology. Further delineation of its characteristics would be essential for a comprehensive assessment and appropriate clinical management." }, { "from": "human", "value": "What anatomical structure is highlighted in the provided CT scan image?" }, { "from": "gpt", "value": "The highlighted structure in the provided CT scan image appears to be the heart." }, { "from": "human", "value": "What is the significance of identifying the highlighted structure in clinical practice?" }, { "from": "gpt", "value": "Identifying the heart and its associated structures in a CT scan is crucial in clinical practice for diagnosing and managing various cardiovascular conditions, such as coronary artery disease, heart valve abnormalities, and congenital heart defects." } ]
DeepLesion/Key_slices/000916_01_01_034.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The axial CT scan of the chest shows a lesion in the right upper lobe of the lung measuring approximately 3.2 cm in the greatest diameter. The lesion exhibits a solid texture with well-defined borders. Surrounding lung parenchyma demonstrates evidence of emphysematous changes with areas of increased radiolucency and reduced vascular markings. There is no pleural effusion or pneumothorax noted. The mediastinum is centrally positioned with no apparent lymphadenopathy. Cardiac silhouette and thoracic aorta appear within normal limits. No significant abnormalities are seen in the visualized portions of the bony thorax." }, { "from": "human", "value": "What abnormality, if any, is present in the chest region of this CT scan?" }, { "from": "gpt", "value": "The CT scan image shows a mass or lesion near the center-right of the chest, as indicated by the green box and the red and blue measurement lines." }, { "from": "human", "value": "Based on the abnormality detected, what could be a potential differential diagnosis?" }, { "from": "gpt", "value": "A potential differential diagnosis could include a lung tumor, lymphoma, or an infectious process such as a lung abscess." }, { "from": "human", "value": "What further tests or imaging studies might be necessary to confirm the diagnosis?" }, { "from": "gpt", "value": "Further tests or imaging studies that might be necessary include a biopsy of the mass, a PET scan to determine metabolic activity, and possibly a contrast-enhanced CT scan for better visualization and characterization of the lesion." } ]
DeepLesion/Key_slices/001579_09_02_211.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the abdomen performed with intravenous contrast demonstrates a complex, heterogeneous mass in the central abdomen, with involvement of adjacent structures. There is evidence of varying attenuation within the mass indicating possible regions of necrosis or hemorrhage. The left and right kidneys appear to be slightly displaced by the mass, but no direct invasion into the renal parenchyma can be definitively confirmed on this section. There is no significant dilation of the renal pelvis or calyces suggestive of obstructive uropathy. The liver and spleen appear unremarkable on this image. Evaluation of the vascular structures shows no presence of major vessel occlusion or aneurysmal change. Impression includes a large, centrally-located abdominal mass with differential diagnoses including neoplastic etiology, such as gastrointestinal stromal tumor, lymphoma, or other soft tissue sarcoma. Further evaluation with additional imaging slices and possible biopsy may be needed for definitive characterization." }, { "from": "human", "value": "What anatomical structure is centrally located and highlighted in the CT scan image?" }, { "from": "gpt", "value": "The centrally located anatomical structure highlighted in the CT scan image appears to be the brain, more specifically the ventricles can be seen." }, { "from": "human", "value": "Are there any noticeable abnormalities or irregularities present in this image?" }, { "from": "gpt", "value": "No noticeable abnormalities or irregularities are evident in this single slice of the CT scan image." }, { "from": "human", "value": "What imaging technique was used to create this image?" }, { "from": "gpt", "value": "The imaging technique used to create this image is computed tomography (CT)." } ]
DeepLesion/Key_slices/003848_01_01_523.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the chest demonstrates the following findings:\n\n1. There is a notable area of hyperintensity within the central mediastinum, suggestive of the presence of a soft tissue lesion. Further characterization is needed to determine its etiology.\n2. No significant pleural effusion or pneumothorax is observed in the thoracic cavity.\n3. The visualized lung parenchyma appears unremarkable, with no evidence of focal consolidative lesions, nodules, or ground-glass opacities.\n4. The osseous structures, including the ribs and vertebral bodies, do not exhibit any lytic or sclerotic lesions.\n5. The visualized portions of the upper abdomen, including the liver, spleen, and adrenal glands, appear unremarkable with no discernible pathologies.\n\nDetailed correlation with clinical symptoms and further imaging or biopsy may be required to elucidate the nature of the mediastinal hyperintensity." }, { "from": "human", "value": "What anatomical structure is prominently displayed in the center of the CT scan?" }, { "from": "gpt", "value": "The anatomical structure prominently displayed in the center of the CT scan is the thoracic cavity, specifically focusing on the lungs and heart." }, { "from": "human", "value": "What type of tissue contrasts and how can they be identified on the CT scan?" }, { "from": "gpt", "value": "On a CT scan, bones appear white because they are very dense and absorb more X-rays, soft tissues appear in varying shades of gray, and air spaces (such as those in the lungs) appear black." }, { "from": "human", "value": "Are there any visible abnormalities in the provided CT scan?" }, { "from": "gpt", "value": "To determine any abnormalities, a detailed assessment by a radiologist is necessary. This initial overview does not show clear signs of abnormalities, but professional interpretation is essential for accurate diagnosis." } ]
DeepLesion/Key_slices/004095_01_02_064.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan images depict an axial view of the abdomen. Observations include a moderate-level diffuse hepatomegaly with no apparent focal hepatic lesions. The liver parenchyma appears relatively homogeneous without evidence of significant nodularity, masses, or atypical enhancement patterns.\n\nThere are bilateral renal images without visible cortical scarring or atrophic changes. The corticomedullary differentiation is preserved, and no evidence of renal calculi or hydronephrosis is noted. The adrenal glands appear normal in size and shape.\n\nThe spleen appears normal in size without evidence of focal lesions or splenomegaly. The pancreas is visualized, showing no focal mass or cystic lesions, with no significant peripancreatic inflammatory changes observed.\n\nThe bowel loops are adequately visualized without signs of obstruction, dilation, or significant wall thickening. There is no apparent free intraperitoneal or retroperitoneal fluid collection.\n\nThe visualized osseous structures, including the vertebral bodies, displayed no obvious abnormalities, fractures, or lytic or sclerotic lesions.\n\nArtifact noted near the anterior abdominal wall may obscure partial visualization in that region, but no clear abnormality is apparent.\n\nOverall, the CT scan demonstrates diffuse hepatomegaly with normal renal, splenic, and pancreatic morphology, and no significant focal pathology within the abdomen." }, { "from": "human", "value": "What part of the body is shown in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows an axial cross-section of the abdomen." }, { "from": "human", "value": "What organs are visible in this CT scan image?" }, { "from": "gpt", "value": "The organs visible in the CT scan image are the kidneys, liver, and parts of the intestines. The vertebral column and paraspinal muscles are also visible." }, { "from": "human", "value": "What abnormality, if any, can be observed in the highlighted area?" }, { "from": "gpt", "value": "There is a highlighted area in the central upper abdomen that suggests a need for closer inspection. This could be indicative of a mass, lesion, or other abnormalities, which would require further clinical correlation and possibly additional imaging or biopsy for a definitive diagnosis." } ]
DeepLesion/Key_slices/003884_03_01_059.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The axial CT scan of the chest reveals the following observations:\n\nThere is evidence of bilateral pulmonary nodules scattered throughout both lung fields. Some nodules appear well-circumscribed, while others are more ill-defined. The lung parenchyma exhibits a reticulonodular pattern, particularly prominent in the lower lobes. There is no apparent pleural effusion or pneumothorax identified on this scan. The mediastinal structures appear unremarkable, with no evidence of mediastinal lymphadenopathy. The visualized portions of the upper abdomen do not show any evident abnormalities.\n\nConsider correlating with clinical data and previous imaging studies for comprehensive assessment and management." }, { "from": "human", "value": "What region of the body does this CT scan represent?" }, { "from": "gpt", "value": "This CT scan represents the thoracic region, specifically the lungs and surrounding structures." }, { "from": "human", "value": "Are there any visible abnormalities in the lungs in this CT scan?" }, { "from": "gpt", "value": "Yes, there are visible abnormalities in the lungs, such as areas of increased opacity that may suggest the presence of nodules or other pathological changes." }, { "from": "human", "value": "What might the presence of the green square indicate in the context of this CT scan?" }, { "from": "gpt", "value": "The presence of the green square could indicate a specific area of interest or concern that the radiologist has marked for further evaluation. It may highlight a lesion, nodule, or area requiring closer inspection." } ]
DeepLesion/Key_slices/001367_06_03_149.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the thorax reveals the following observations:\n\n1. Mediastinal Structures: Normal contour and dimensions of the heart and great vessels. No evidence of mediastinal masses or lymphadenopathy.\n2. Lungs: There appear to be areas of consolidation and ground-glass opacities, primarily located in the right lung, most suggestive of an infectious or inflammatory process.\n3. Pleura: No significant pleural effusions are observed. No pleural thickening or plaques noted.\n4. Chest Wall: Normal appearance of the ribs and musculature. No abnormalities noted in the visualized segments of the spine.\n5. Soft Tissues: No apparent abnormalities in the subcutaneous tissues.\n6. Other Findings: Incidental note of small calcified lesions likely within the region of the tracheobronchial tree.\n\nThe interpretation is consistent with findings that necessitate (examining further the lung consolidation overlay) the clinical picture correlating with infection or inflammation of the parenchyma. Additional consideration should be given to proper clinical correlation to ensure accurate diagnosis and treatment plan. \n\nRadiological features described above to be correlated with patient's clinical background and laboratory tests for further management." }, { "from": "human", "value": "What anatomical structures are visible in the given CT scan image?" }, { "from": "gpt", "value": "The given CT scan image shows cross-sectional anatomy of the thoracic (chest) region, including the spine, ribs, mediastinum structures, and lung tissues." }, { "from": "human", "value": "Is there any indication of abnormality in the provided CT scan image?" }, { "from": "gpt", "value": "The CT scan does reveal an abnormality: there seems to be an abnormal mass or lesion in one of the lungs which appears white on the scan. This might indicate a potential pathological condition such as a tumor or infection, requiring further clinical evaluation." } ]
DeepLesion/Key_slices/000453_03_01_035.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided abdominal CT scan image demonstrates a significant abnormality within the liver. There is a prominent hypodense lesion in the right hepatic lobe, exhibiting irregular margins and heterogeneous internal architecture. This appearance is indicative of a possible hepatic lesion, such as a neoplasm. Furthermore, the surrounding liver parenchyma appears relatively hypodense and mottled, suggestive of underlying hepatic pathology, possibly steatosis or fibrosis. There is no clear evidence of hepatic or portal vein thrombosis visible in this image. The gallbladder, part of the stomach, and visible section of the pancreas appear unremarkable in this particular scan. The imaging also indicates the presence of splenomegaly, with the spleen appearing enlarged relative to normal anatomical standards. Further characterization and assessment of the identified hepatic lesion are warranted." }, { "from": "human", "value": "What anatomical structures are visible in this CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows several structures, including the liver, stomach, spleen, and parts of the intestines. Bony structures such as the vertebrae are also visible." }, { "from": "human", "value": "Does the CT scan show any signs of abnormalities or pathology?" }, { "from": "gpt", "value": "Yes, there appears to be an area of interest around the center left portion of the image that may suggest an abnormality or pathology. Further analysis by a medical professional is required to determine the specific nature of this abnormality." } ]
DeepLesion/Key_slices/002358_01_01_069.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial contrast-enhanced computed tomography (CT) scan of the chest reveals a heterogeneous mass within the mediastinal region, adjacent to the hilum of the left lung. The lesion appears irregular with areas of necrosis and enhancement. Surrounding lymphadenopathy is noted, with several prominent lymph nodes exhibiting similar enhancement characteristics. The lesion seems to exert mass effect, displacing adjacent structures including the esophagus and left main bronchus. Evidence of pleural effusion is present on the left side, contributing to an apparent compressive effect on the corresponding lung parenchyma. Additionally, bony structures appear intact without obvious lytic lesions or fractures. No significant vascular abnormalities are observed within the visualized regions. Further imaging and correlation with clinical history are recommended for comprehensive assessment and management." }, { "from": "human", "value": "What anatomical region is being observed in the CT scan image?" }, { "from": "gpt", "value": "The anatomical region being observed in the CT scan image is the axial section of the abdomen and pelvis." }, { "from": "human", "value": "Are there any abnormalities or distinctive features visible in this CT scan image?" }, { "from": "gpt", "value": "Yes, there are abnormalities visible in the CT scan image, such as the high-density regions (possibly indicative of calcifications or foreign objects) in the central area." }, { "from": "human", "value": "What structures can be identified in this CT scan image?" }, { "from": "gpt", "value": "Structures that can be identified in the CT scan image include the vertebral column, soft tissues, portions of the intestines, a high-density area in the central abdomen (which could represent a calcification or foreign object), and the lumbar vertebrae with surrounding musculature." } ]
DeepLesion/Key_slices/000905_03_01_034.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The axial CT scan of the abdomen, with contrast enhancement, reveals several findings of note:\n\n1. **Renal Lesion:** Within the left kidney, there is a hypodense lesion, indicative of a cystic structure. The lesion demonstrates fluid attenuation characteristics, consistent with a simple renal cyst. The surrounding renal parenchyma appears normal without signs of hydronephrosis.\n\n2. **Liver and Gallbladder:** The liver exhibits a homogenous enhancement pattern with no evidence of focal lesions, masses, or intrahepatic bile duct dilatation. The gallbladder is of normal size and shape with no visible calculi or wall thickening.\n\n3. **Spleen and Pancreas:** The spleen appears of normal size and homogenous in texture. The pancreas is unremarkable with preserved contour and no signs of focal lesions or ductal dilations.\n\n4. **Bowel and Surrounding Structures:** There is no evident bowel wall thickening or distension suggestive of obstruction. No free intraperitoneal fluid or gas is noted. The mesenteric fat planes are preserved.\n\n5. **Vascular Structures:** Major abdominal vessels appear unremarkable, with no visible signs of aneurysm, dissection, or thrombosis. The aorta and inferior vena cava are of normal caliber.\n\n6. **Musculoskeletal Components: ** The visualized portions of the vertebral bodies and ribs do not show any lytic or sclerotic lesions. The thoracic and abdominal musculature is intact.\n\nIn summary, the most notable finding is the presence of a simple renal cyst in the left kidney. Other abdominal and pelvic structures appear unremarkable without evidence of pathology." }, { "from": "human", "value": "What is the anatomical region captured in this CT scan?" }, { "from": "gpt", "value": "The CT scan captures an axial view of the upper abdominal region." }, { "from": "human", "value": "Identify a specific abnormality or feature highlighted in the image." }, { "from": "gpt", "value": "The image highlights a lesion (within the green box) located in the liver." }, { "from": "human", "value": "What could be the clinical significance of this highlighted feature?" }, { "from": "gpt", "value": "This highlighted feature could be clinically significant as it may indicate a hepatic lesion or mass, which could require further evaluation to determine if it is benign or malignant." } ]
DeepLesion/Key_slices/001983_04_01_052.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided computed tomography (CT) scan of the abdomen reveals the following findings:\n\n1. **Free Fluid Collection**: Notable presence of free fluid in the peritoneal cavity, particularly evident around the lower abdominal sections.\n2. **Gas Collection**: Presence of intra-abdominal gas pockets scattered throughout the imaging field, suggestive of potential bowel perforation or surgical emphysema.\n3. **Spinal and Osseous Structures**: The bony structures, including lumbar vertebrae and pelvic bones, appear intact with no visible fractures or obvious lesions.\n4. **Soft Tissue Assessment**: Surrounding soft tissues are generally within normal limits, with no overt soft tissue anomalies detectable in this slice.\n\nThese findings are significant and warrant a detailed evaluation to discern the underlying etiology of the free fluid and gas collection within the abdominal cavity." }, { "from": "human", "value": "What anatomical region is this CT scan image showing?" }, { "from": "gpt", "value": "The provided CT scan image shows an axial cross-section of the abdominal region." }, { "from": "human", "value": "What visible features can be identified in this CT scan image?" }, { "from": "gpt", "value": "Visible features in the image include the vertebra, parts of the digestive system, organs, and musculature surrounding the abdomen." }, { "from": "human", "value": "Are there any abnormalities present in this CT scan image?" }, { "from": "gpt", "value": "No specific abnormalities are immediately evident in this image, but a detailed analysis by a radiologist or medical professional would be necessary to confirm." } ]
DeepLesion/Key_slices/002822_02_01_465.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the chest demonstrates the presence of an anterior mediastinal mass with heterogenous density, localized between the ascending aorta and sternum. The mass appears to compress and displace surrounding structures, without clear delineation from adjacent cardiovascular structures. The lesion measures approximately 2.5 cm in its largest dimension, showing mixed areas of soft tissue attenuation and cystic components, indicative of possible necrosis or cystic degeneration. No definite calcifications are observed within the mass. Surrounding lung parenchyma appears unremarkable, with no evidence of pulmonary nodules, infiltrates, or pleural effusion. The bony thorax and visualized upper abdominal structures appear within normal limits." }, { "from": "human", "value": "What anatomical structure is highlighted with a green box in the CT scan image?" }, { "from": "gpt", "value": "The anatomical structure highlighted with a green box in the CT scan image is the heart." }, { "from": "human", "value": "What is the relevance of the highlighted structure in this CT scan slice?" }, { "from": "gpt", "value": "The relevance of the highlighted structure (the heart) in this CT scan slice is to review and analyze the cardiac structures and surrounding areas for any potential abnormalities or conditions." }, { "from": "human", "value": "Are there any apparent abnormalities noted in the highlighted area of the scan?" }, { "from": "gpt", "value": "Based on the provided image alone, no obvious abnormalities can be definitively identified. However, a detailed assessment by a radiologist is necessary for an accurate diagnosis." } ]
DeepLesion/Key_slices/001143_08_02_124.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided chest computed tomography (CT) image reveals an axial cross-section through the thoracic cavity. The following observations are noted:\n\n1. **Cardiac silhouette**: The heart appears within normal size limits, with no evident cardiomegaly.\n \n2. **Lungs and pleural spaces**: There are no visible pulmonary nodules, masses, or areas of consolidation. The pleural spaces appear clear, and no pleural effusions are observed.\n\n3. **Mediastinum**: The mediastinal structures, including the great vessels, do not show any signs of pathological enlargement or distortion. No lymphadenopathy is noted.\n\n4. **Bones and Soft Tissues**: The bony thoracic cage, including the ribs, vertebrae, and sternum, does not display any destructive lesions or fractures. The surrounding soft tissues appear unremarkable.\n\n5. **Highlight Area**: A small, highlighted region within the posterior mediastinum is marked, which may represent an area of clinical interest. Based on the axial slice alone, further imaging or correlation with clinical findings may be required to ascertain its significance.\n\nNo acute abnormalities are prominently evident in this single axial slice of the thoracic CT scan. Further evaluation would require a review of additional slices or phases of the CT scan." }, { "from": "human", "value": "What anatomical structure is primarily visible in the center of the chest in the provided CT scan?" }, { "from": "gpt", "value": "The anatomical structure primarily visible in the center of the chest in the provided CT scan is the heart." }, { "from": "human", "value": "Can any abnormalities or significant deviations be identified in the CT scan of the thoracic region?" }, { "from": "gpt", "value": "From the provided CT scan, no specific abnormalities or significant deviations are immediately obvious. However, a detailed analysis by a radiologist is needed for a thorough evaluation." } ]
DeepLesion/Key_slices/002608_02_01_219.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The axial CT scan of the abdomen reveals the following findings:\n\n1. **Liver**: Normal size with homogeneous parenchymal enhancement. No focal lesions or abnormalities are observed.\n2. **Gallbladder and Biliary Tree**: No evidence of cholelithiasis or biliary dilation is noted.\n3. **Spleen**: Preserved normal size and homogeneous enhancement without any focal lesions.\n4. **Pancreas**: Well visualized with homogeneous enhancement. No masses or cysts identified.\n5. **Right Kidney**: Demonstrates normal size and structure with no evidence of hydronephrosis or focal lesions.\n6. **Left Kidney**: Normal in size and structure with no signs of hydronephrosis or focal lesions.\n7. **Adrenal Glands**: No enlargement or masses detected.\n8. **Stomach and Bowel**: Partially visualized stomach appears normal. No significant bowel abnormalities are observed.\n9. **Vasculature**: The abdominal aorta appears normal in caliber without aneurysmal dilatation. The inferior vena cava and portal vein are within normal limits.\n10. **Surrounding Structures**: No free fluid or free air in the peritoneal cavity. Musculoskeletal structures are within normal limits.\n\nIn conclusion, the CT scan of the abdomen presents normal findings with no detectable abnormalities or pathological features." }, { "from": "human", "value": "What structure is highlighted by the green and red markers on the CT scan image?" }, { "from": "gpt", "value": "The structure highlighted by the green and red markers appears to be a vertebral body of the spine." }, { "from": "human", "value": "What organ can be seen in the central upper region of the CT scan?" }, { "from": "gpt", "value": "The liver can be seen in the central upper region of the CT scan." }, { "from": "human", "value": "Identify the dark, air-filled structure on the right side of the CT scan." }, { "from": "gpt", "value": "The dark, air-filled structure on the right side of the CT scan is the stomach." } ]
DeepLesion/Key_slices/001494_02_01_051.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial view of the abdominal CT scan without contrast demonstrates the following findings:\n\n1. **Gastrointestinal Tract**:\n - No evidence of bowel obstruction or abnormal dilatation. The intestines appear to be of normal caliber and configuration.\n\n2. **Liver**:\n - The liver appears to have normal size, shape, and density without any focal lesions or abnormalities.\n\n3. **Gallbladder and Biliary Tree**:\n - The gallbladder is not enlarged, and there is no evidence of cholelithiasis or other abnormalities.\n\n4. **Pancreas**:\n - The pancreas is of normal size and contour without any focal lesions or signs of acute inflammation.\n\n5. **Spleen**:\n - The spleen appears to be of normal size and density without any focal lesions.\n\n6. **Kidneys and Adrenal Glands**:\n - Both kidneys are normal in size and shape with no signs of hydronephrosis or renal calculi. The adrenal glands appear normal without any masses or irregularities.\n\n7. **Vasculature**:\n - The major abdominal vessels, including the aorta and its branches, appear normal without evidence of aneurysm or dissection.\n\n8. **Spine and Musculoskeletal Structures**:\n - There is no significant abnormality observed in the visualized portions of the lower thoracic and lumbar spine. No evidence of vertebral fractures or significant degenerative changes is seen.\n\n9. **Other**:\n - No abnormal masses, free fluid, or free air identified within the peritoneal or retroperitoneal spaces.\n\nIn conclusion, the CT scan of the abdomen does not demonstrate any significant abnormalities. The abdominal organs and structures show unremarkable findings within the limits of the imaging study provided." }, { "from": "human", "value": "What anatomical structures are prominently visible in this CT scan?" }, { "from": "gpt", "value": "The CT scan prominently shows the abdominal organs including portions of the liver, intestines, spinal vertebrae, and surrounding adipose (fat) tissue." }, { "from": "human", "value": "Are there any abnormalities or notable findings in the abdominal region of the scan?" }, { "from": "gpt", "value": "There is a notable highlighted area (presumably due to contrast) on the left side of the scan, which could potentially indicate a mass, lesion, or other abnormality requiring further clinical evaluation." }, { "from": "human", "value": "What type of imaging modality is used to produce this scan?" }, { "from": "gpt", "value": "The imaging modality used to produce this scan is Computed Tomography (CT)." } ]
DeepLesion/Key_slices/000587_03_01_199.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan reveals the presence of a space-occupying lesion in the right lower lobe of the lung, indicated by the highlighted area in the image. The lesion appears well-circumscribed and hyperdense, suggesting a neoplastic process. Surrounding pulmonary structures show no significant abnormalities. There is no evidence of pleural effusion or pneumothorax. The mediastinum and the visible portion of the upper abdomen appear unremarkable. Further evaluation with regard to the nature and potential malignancy of the lesion is recommended." }, { "from": "human", "value": "What anatomical region is shown in the CT scan?" }, { "from": "gpt", "value": "The CT scan shows an axial view of the abdominal region." }, { "from": "human", "value": "Are there any noticeable abnormalities present in this CT scan image?" }, { "from": "gpt", "value": "There is a noticeable mass or lesion indicated by the highlighted area in the image, which may represent an abnormality." }, { "from": "human", "value": "What further diagnostic steps might be recommended based on this CT scan?" }, { "from": "gpt", "value": "Further diagnostic steps might include a biopsy of the mass, additional imaging (such as MRI or PET scans), and consultation with a specialist (such as a gastroenterologist or oncologist) for a detailed evaluation and appropriate treatment planning." } ]
DeepLesion/Key_slices/002521_08_01_097.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "Axial computed tomography (CT) scan of the thorax demonstrates bilateral lung fields. There is a notable presence of multiple small, rounded, hyperdense nodular opacities distributed throughout both lung parenchyma, characterized by a relatively uniform size and shape. The distribution suggests a pattern consistent with scattered micronodules, which can indicate granulomatous disease, metastatic lesions, or infectious processes. The pleural spaces appear clear without evidence of effusion or thickening. The bony thorax, including the ribs, sternum, and vertebral bodies, appears intact and no lytic or sclerotic lesions are identified. The mediastinal structures and diaphragm appear normal without apparent masses or abnormalities." }, { "from": "human", "value": "What anatomical structures can be identified in this CT scan image?" }, { "from": "gpt", "value": "The anatomical structures identifiable in this CT scan image are the lungs (left and right), the vertebral column, the ribs, and parts of the heart." }, { "from": "human", "value": "What is the significance of the highlighted area in the right lung?" }, { "from": "gpt", "value": "The highlighted area in the right lung draws attention to a region that may be of interest, potentially indicating an abnormal finding such as a nodule, lesion, or other pathology." }, { "from": "human", "value": "Is there any evidence of abnormal pathology in the lungs?" }, { "from": "gpt", "value": "The highlighted area in the right lung suggests the presence of a finding that could represent an abnormal pathology, but further medical evaluation and context are necessary to determine its nature and clinical significance." } ]
DeepLesion/Key_slices/002380_03_01_269.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan image, which appears to be an axial slice through the abdomen, demonstrates the following findings:\n\n- The liver appears to have normal size and density without evidence of focal lesions or abnormal enhancement patterns.\n- The gallbladder is present and demonstrates no wall thickening or calculi.\n- The spleen maintains a homogenous texture and is within normal size limits. \n- The kidneys exhibit no signs of hydronephrosis, and the renal parenchyma is symmetric with no apparent masses.\n- The bowel loops show normal gas pattern with no signs of dilation or obstruction.\n- The pancreatic contour appears normal with no identifiable masses.\n- The abdominal aorta is of normal caliber without evidence of aneurysm or dissection.\n- No free intraperitoneal air or fluid is visualized.\n- The vertebral bodies and intervertebral discs appear intact without signs of fractures or significant degenerative changes.\n\nOverall, the abdominal CT scan does not reveal any acute pathological findings." }, { "from": "human", "value": "What anatomical area is being shown in this CT scan image?" }, { "from": "gpt", "value": "The anatomical area shown in this CT scan image is the abdominal cavity." }, { "from": "human", "value": "Can you identify any organs visible in the provided CT scan image?" }, { "from": "gpt", "value": "Yes, several organs are visible, including parts of the intestines, kidneys, and vertebral column." }, { "from": "human", "value": "Are there any notable abnormalities or pathologies identifiable in the CT scan image?" }, { "from": "gpt", "value": "Based on this single CT image, it is difficult to definitively identify any abnormalities without further clinical context. More images and information would be required for a thorough diagnosis." } ]
DeepLesion/Key_slices/002314_01_01_057.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The provided CT scan images reveal the presence of a hyperdense object within the pelvic region. The object is delineated and situated near the midline. The surrounding tissues and structures, including the muscles and bony pelvis, appear unremarkable with no obvious signs of pathological lesions or abnormal masses.\n\nAdditionally, there is notable density within the highlighted region, which may indicate a foreign body or calcified structure. The bladder appears to be within normal limits, with no signs of distension or abnormality. Fat planes within the scanned area are preserved, and no significant lymphadenopathy is observed.\n\nOverall, the primary finding is the hyperdense object located centrally in the pelvic area, warranting further investigation to ascertain its nature and potential clinical implications." }, { "from": "human", "value": "What anatomical region is shown in the CT scan image?" }, { "from": "gpt", "value": "The CT scan image shows the pelvic region." }, { "from": "human", "value": "What abnormality is highlighted in the image?" }, { "from": "gpt", "value": "The image highlights a mass or lesion in the rectal area." }, { "from": "human", "value": "What can be inferred about the density of the highlighted area based on the typical appearance in a CT scan?" }, { "from": "gpt", "value": "The highlighted area appears to have a different density compared to the surrounding tissue, suggesting it could be a tumor or other pathological mass, but further medical assessment is necessary for a definitive diagnosis." } ]
DeepLesion/Key_slices/002276_06_02_546.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "CT scan of the thorax reveals a solitary, well-defined, hyperdense nodule located in the central region of the lung. The nodule appears to be approximately 1 cm in diameter and exhibits uniform enhancement consistent with probable calcification. Surrounding lung parenchyma shows no significant signs of consolidation, ground-glass opacity, or pleural effusion. The mediastinal structures, including the trachea and main bronchi, appear unremarkable, and there is no evident lymphadenopathy. No abnormal vascular structures or masses are observed within this scan." }, { "from": "human", "value": "What is the modality of the provided imaging?" }, { "from": "gpt", "value": "The modality of the provided imaging is a CT (Computed Tomography) scan." }, { "from": "human", "value": "Which anatomical plane is this CT scan image taken in?" }, { "from": "gpt", "value": "This CT scan image is taken in the axial plane." }, { "from": "human", "value": "What structures are highlighted in the square region marked in the image?" }, { "from": "gpt", "value": "The structures highlighted in the square region marked in the image likely include parts of the heart and surrounding mediastinal structures." } ]
DeepLesion/Key_slices/000252_10_01_033.png
[ { "from": "human", "value": "Please generate the image findings of the following image:\n<image>" }, { "from": "gpt", "value": "The axial CT scan image of the chest shows abnormalities concerning the pulmonary structures and surrounding tissues. Notably, there is a cavitary lesion located in the right upper lung lobe, exhibiting a low attenuation central area, which may represent necrosis, surrounded by a thick and irregular margin. Additionally, multiple scattered nodules with varying sizes are observed in the right lung parenchyma. There is also evidence of a possible pleural effusion on the right side, indicated by the crescent-shaped fluid collection in the pleural space. Surrounding lung parenchyma appears to have signs of consolidation, suggesting ongoing inflammation or infection. The bronchi and vasculature of the left lung appear relatively unremarkable in this slice. No significant lymphadenopathy or mediastinal masses are noted in the visible field.\n\nFurther evaluation, including correlation with clinical findings and potentially additional imaging or biopsies, may be required to determine the exact nature of these findings." }, { "from": "human", "value": "What anatomical region is visible in this CT scan image?" }, { "from": "gpt", "value": "The anatomical region visible in this CT scan image is the thorax or chest area." }, { "from": "human", "value": "What significant feature is marked within the green box in the image?" }, { "from": "gpt", "value": "The green box in the image highlights a specific area within the lung, suggesting a feature of interest such as a nodule or lesion." }, { "from": "human", "value": "What are the potential clinical implications of this CT scan finding?" }, { "from": "gpt", "value": "The potential clinical implications of the finding marked in the green box could include the need for further investigation to rule out conditions such as a lung nodule, tumor, infection, or other pulmonary pathology. It may require additional imaging, biopsy, or clinical correlation based on patient history and symptoms." } ]
DeepLesion/Key_slices/003164_01_02_102.png
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Paper Link: https://arxiv.org/abs/2410.14948

Dataset Caption Available Link License
Deeplesion Yes Link CC BY 4.0
PadChest Yes Link PADCHEST Dataset Research Use Agreement
Eurorad Yes Link Creative Commons Attribution 4.0 International License
MIMIC-CXR-JPG No Link PhysioNet Credentialed Health Data License 1.5.0
LLD Yes Link LLD-MMRI Agreement
MAMA-MIA Yes Link CC BY-NC-SA 4.0
PMC-VQA Yes Link CC BY-SA
PMC-Instruct Yes - OpenRAIL
Quilt Yes Link -
Radiopaedia No Link Radiopaedia Agreement
JAMA Clinical Challenge No Link JAMA's Angreement
LLaVA-Med Yes Link CC BY NC 4.0

Disclaimer

The dataset provided (referred to as "This Dataset") is constructed using multiple publicly available datasets and is intended solely for academic and technical research by researchers and developers. Any individual or organization (hereinafter referred to as "User") accessing or using this dataset must comply with the following disclaimer:

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This Dataset is built from several publicly available datasets. The sources and licenses of these datasets are clearly stated in the accompanying documentation. Users are required to adhere to the relevant licenses, terms of use, and restrictions specified by the original dataset providers. For cases published on the EuroRad website prior to July 6, 2015, these do not fall under the Creative Commons Attribution 4.0 International License. Therefore, Users must obtain direct permission from the author who submitted the case for any use. To avoid complications, we recommend not using cases published before this date, unless you can secure explicit permission from each case submitter for every intended use.

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Reference

@article{wang2024semihvision,
  title={SemiHVision: Enhancing Medical Multimodal Models with a Semi-Human Annotated Dataset and Fine-Tuned Instruction Generation},
  author={Wang, Junda and Ting, Yujan and Chen, Eric Z and Tran, Hieu and Yu, Hong and Huang, Weijing and Chen, Terrence},
  journal={arXiv preprint arXiv:2410.14948},
  year={2024}
}
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