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+ 0 ID Instruction Answer Task
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+ 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
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+ 1 2 1 Is Mass in this image? no Mass. classification
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+ 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
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+ 3 4 3 give the accurate bbox of Cardiomegaly 342,539,690,729 localization
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+ 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
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+ 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
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+ 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
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+ 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
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+ 8 9 8 give the accurate bbox of Cardiomegaly 579,348,843,717 localization