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	0	ID	Instruction	Answer	Task
0	1	0	describe the image	extensive subcutaneous emphysema involving the entire chest and lower neck is unchanged . evaluation of the lungs is limited due to linear opacities from subcutaneous air collections . within this limitation, a small right apical pneumothorax likely persists . pleural fluid is small in amount, if any . there is increased opacification of the the right lung base, likely reflecting collapse . the cardiomediastinal contours are within normal limits . extensive pneumomediastinum is not significantly changed from .  . persistent tiny right apical pneumothorax .  . no significant change in pneumomediastinum .  . extensive subcutaneous emphysema, similar to prior exam  .	report generation
1	2	1	Is Mass in this image?	no Mass.	classification
2	3	2	describe the image	no focal consolidation is seen . there is minimal biapical pleural thickening . no pleural effusion or pneumothorax is seen . the cardiac and mediastinal silhouettes are unremarkable . external jewelry overlie the lower chest . no acute cardiopulmonary process . no focal consolidation to suggest pneumonia  .	report generation
3	4	3	give the accurate bbox of Cardiomegaly	342,539,690,729	localization
4	5	4	describe the image	been no change since in moderate cardiomegaly, pulmonary vascular engorgement, and small bilateral pleural effusions . no pneumothorax  .	report generation
5	6	5	describe the image	left chest wall pacer device is again seen with leads extending to the region of the right atrium and right ventricle unchanged and with an intact appearance . midline sternotomy wires and mediastinal clips are again noted . the cardiomediastinal silhouette remains prominent though not significantly changed . low lung volumes limit the assessment . there is mild pulmonary edema with probable small bilateral pleural effusions . no pneumothorax . bony structures are intact . cardiomegaly, mild edema, small bilateral pleural effusions  .	report generation
6	7	6	describe the image	persistent cardiomegaly accompanied by worsening pulmonary vascular congestion and mild-to-moderate pulmonary edema as well as enlarging right pleural effusion, now moderate in size and associated with adjacent atelectasis in the right mid and lower lung regions . focal rounded opacity lateral to the left infrahilar region may represent a focus of coalescing edema, but differential diagnosis includes focal aspiration and developing infection . attention to this region on a short-term followup radiograph is suggested  .	report generation
7	8	7	please segment the heart from the given image.	203,319,196,299,197,278,202,256,207,233,210,213,216,199,227,192,238,187,249,187,261,187,271,186,285,194,304,209,329,229,354,246,374,265,386,291,384,317,367,335,344,345,320,350,295,350,271,349,248,345,222,335,203,319,196,299,197,278,202,256	segmentation
8	9	8	give the accurate bbox of Cardiomegaly	579,348,843,717	localization