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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonogram of thyroid showing calcifications with hypoechoic lesion (label).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasonography showing a 3.1 \u00d7 2.6 \u00d7 3.9 cm heterogeneous hypoechoic mass with calcification in the right lobe of the thyroid gland.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound image at the time of presentation with neck pain and fever, showing the same thyroid nodule with increase in size measuring 4.95\u2009\u00d7\u20094.13\u2009\u00d7\u20093.04\u2009cm and with interval development of isoechoic debris in the cystic fluid.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid gland ultrasound examination in the patient. The white arrow indicates a weak-echo nodule in the left lobe of her thyroid gland.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "B-mode ultrasound of the right lobe of thyroid gland using the S2000, 9L4 probe at 9 MHz with the ROI placed within the healthy thyroid tissue measuring an ARFI velocity of 1.90 m/s.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Sonographic imaging showing a diffuse bilateral thyroid gland enlargement without focal lesions and coarse internal echogenicities.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A thyroid ultrasound with evidence of an enlarged thyroid gland (total volume 10 mL) with non-homogeneous echotexture.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasound on hospital day 4 showed a 6.8\u2009\u00d7\u20094.8\u2009\u00d7\u20094.5\u2009cm heterogeneous, necrotic, and hypervascular mass in a sagittal view of the right lobe.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound image of microwave ablation of thyroid tumors.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasonotraphic finding. Ultrasonography showing a diffuse enlargement with heterogeneous echogenicity without any definite focal lesions of both thyroid glands.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Right-sided dominant thyroid nodule seen on thyroid ultrasonography.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Position of the needle on ultrasound view. Blue dot on the left side representing the tip of the EMG needle, going in the Longus Colli muscle through the thyroid gland (SNV mode). Small cysts, benign in appearance, can be seen in the thyroid.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasound reveals a 2.8\u00d72.3\u2009cm hypoechoic lesion in the right thyroid isthmus.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound neck image illustrating the parathyroid adenoma measuring 11 mm with echogenicity and internal vasculature.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography showed a right thyroid mass", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography of cervical region. On this image, the thyroid is hyperechogenic and presents with reduced dimensions (between markers).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography of cervical region. In this case, the thyroid gland (arrows indicating the right and left lobes) presents with much reduced dimensions and increased echogenicity.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography of cervical region. In this child, the thyroid gland could not be identified. ACCD, right common carotid artery; ACCE, left common carotid artery.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound image of a large thyroid cyst in a cat. Note cystic fluid (arrow) and thyroid tissue (arrowhead).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound of the right thyroid lobe", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid Lobe (R) UltrasoundNeck sonogram highlighting anechoic lesion with septa in the right thyroid lobe", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound showing that this patient had a normal\u2010sized thyroid with small nodules on admission.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound finding of parathyroid carcinoma (transverse)\u2014an intrathyroid, nonhomogeneous, fibrotic mass in the right lobe.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound finding of parathyroid carcinoma (transverse)\u2014nonsuspicious \u201cPad\u201d at the lower pole of the left thyroid lobe.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound finding of parathyroid carcinoma (longitudinal)\u2014a tumor with cystic degeneration and calcification.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid doppler ultrasonography, longitudinal view: increased asymmetric vascularity in the right thyroid lobe indicative of Hashimoto thyroiditis", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasonography of the patient demonstrating thyroid enlargement and inhomogeneity. The size of the left lobe was 1.5\u2009\u00d7\u20091.6\u2009\u00d7\u20092.8\u2009cm, and the size of the right lobe was 1.7\u2009\u00d7\u20091.5\u2009\u00d7\u20093.5\u2009cm. Anterior from both thyroid lobes was fluid accumulation.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "The first thyroid sonography", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "The last thyroid sonography", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound revealed enlarged heterogeneous thyroid gland with increased vascularity", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 73-year-old woman with parathyroid adenoma with characteristic feeding vessels.A longitudinal sonogram shows a hypoechoic solid mass with multiple feeding vessels from the lower pole margin of the thyroid gland.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound features of a malignant thyroid nodule. Malignant thyroid lesions with irregular margins are indicated by white arrow marked hypoechogenic; strap muscles and microcalcification are indicated by yellow and green arrows, respectively.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Example of a nodule classified as TI-RADS 2.Axial scan shows a left simple cyst with sediment. The absence of a vascular signal in the echoic part must be asserted with Doppler ultrasonography. TI-RADS, thyroid imaging reporting and database system.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Example of a nodule classified as TI-RADS 4A.Longitudinal sonogram shows a nodule with oval shape and regular borders that is mildly hypoechoic (more hypoechoic than the surrounding normal thyroid parenchyma, but no more hypoechoic than the strap muscles). TI-RADS, thyroid imaging reporting and database system.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasonography of an 18-year-old girl with Hashimoto's thyroiditis. An oval poorly defined hypoechoic solid nodule containing internal microcalcifications which is 2.7\u2009cm in diameter is evident in the right thyroid gland.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "The features of ultrasonography. The presence of a foreign body that was approximately 2.43\u2009cm hyperechoic linear image embedded in the left part of the thyroid lobe, and part of it was located outside the back membrane of the thyroid. A hypoechoci area surrounding the foreign body is regarded as the ultrasonic characteristics of inflammatory response.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound scan of right thyroid lobe", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Transverse grayscale ultrasound image of the anterior midline neck at the level of larynx shows diffuse expansion of bilateral thyroid cartilage ala (arrows) with internal anechoic hypoechoic fluid and debris. An ultrasound-guided aspiration needle enters the left thyroid cartilage ala (arrowhead).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound neck showing a well-defined hypoechoic parathyroid adenoma (arrow).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "It shows cystic lesion of 10 \u00d7 8\u2009cm in lateral left lobe of thyroid gland including internal echoes with some separation and posterior acoustic shadowing in ultrasound examination.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasound revealed an atrophic gland without nodules.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound of neck revealed several nodules which were thought to be parathyroid; well-defined hypoechoic nodules sized 0.85 cm, 0.75\u00d70.74 cm, maximum size is 1.83 cm, and there was no other significant lymphadenopathy", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Barium swallow with rapid sequencing images showing a 4\u2009cm. blind-ended sinus from the apex of the left piriform fossa extending inferiorly in relation to the deep aspect of the lobe of the thyroid. Additional imaging was undertaken with ultrasound", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Sonoanatomy for an ultrasound-guided SGB: the transverse short-axis view at the C6 level. CA: carotid artery, IJV: internal jugular vein (in a partially compressed state by the probe), PVF: prevertebral fascia, LCo: longus colli muscle, SCM: sternocleidomastoid muscle, Thy: thyroid gland, T: Chassaignac's tubercle, med: medial, lat : lateral.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound image of the C6 transverse short-axis view following left SGB at the C6 level. Arrows show the subfascial spread of local anesthetics above the longus colli muscle. The fine long arrow indicates the out-of-plane needle path. CA: carotid artery, LCo: longus colli muscle, SCM: sternocleidomastoid muscle, Thy: thyroid gland, T: Chassaignac's tubercle, med: medial, lat: lateral.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 50-year-old female patient with diffuse PTL.Transverse sonogram shows the enlarged thyroid with decreased heterogeneous internal echoes (arrows).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography of the neck revealed a right thyroid mass of about 4.5\u00d72.5\u00d74.6 cm with heterogeneously increased internal echogenicity.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Transcutaneous ultrasound images of the thyroid lesion.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound showing the parathyroid mass.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Hemiagenesis in 17-year-old male incidentally detected during pneumothorax evaluation. Transverse ultrasonography revealed no left thyroid gland. Thyroid function was normal.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography of the parathyroid carcinoma", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasound disclosed a hypoechoic nodule of 15.5 \u00d7 13.5 \u00d7 12\u2009mm in size in the left upper pole, having irregular spiculated margins, and dense millimetric microcalcifications in the central area.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography imaging of the left stellate ganglion & prevertebral fascia (asterisks). Needle was advanced with real-time ultrasonography so that the needle tip will lie anterior to the longus coli. Th: Thyroid, LCo: Longus coli muscle, LCp: Longus capitus muscle, CA: Carotid artery, SCM: Sternocleidomastoid muscle, TP: Transverse process.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasound in an infant with Down syndrome and PAX8 mutation (patient P11 in Table 1 and Hermanns et al). Thyroid appears bulky but combined lobe volume is actually small at 0.78\u2009ml (reference range 0.8\u20132.4\u2009ml).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound of infant with a variant of the brain\u2013lung\u2013thyroid syndrome with mutation adjacent to the NKX2.1 gene (patient T6, Table 2). Subjective evaluation suggested a bulky gland attributable to a single, flattened, slightly curved anterior border but measured volume was small-normal at 0.94\u2009ml.o PostScript", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound of infant with compound heterozygous DUOX.2 mutation (patient P7, Table 1), showing loss of normal curves of anterior margin of thyroid. Objective measurement of the gland at 1.75\u2009ml falls within normal limits.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound of thyroid. Heterogeneous thyroid echogenicity with increased parenchymal vascularity.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 46-year-old woman with degenerated multinodular goiter.Longitudinal sonogram shows a 35 mm, smooth, cystic anechoic nodule in the left thyroid lobe. Echogenic foci with comet-tail artifact freely distributed (solid arrow) (Type 1). The patient underwent surgery due to contralateral thyroid malignancy.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 41-year-old man with multinodular goiter.Longitudinal sonogram shows an 36-mm, smooth, mixed isoechoic nodule in the right thyroid lobe. Echogenic focus is located at the margin of solid component (solid arrow); comet-tail artifact is located within the cystic component (Type 2).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 31-year-old woman with papillary thyroid carcinoma.Longitudinal sonogram shows a 5-mm, smooth, solid hypoechoic nodule in the right thyroid lobe. The echogenic focus (solid arrow) is located at the margin of intra-nodular micro-cyst. Comet-tail artifact was detected in the solid component (Type 2).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 52-year-old woman with papillary thyroid carcinoma.Longitudinal sonogram showing a 45-mm, ill-defined, hypoechoic solid nodule in the right thyroid lobe. A linear echogenic focus with reverse-triangle artifact (solid arrow), and a round echogenic focus with fine artifact (arrowhead), and a punctate echogenic foci (faint arrow) are seen (Type 3).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound of the thyroid showing an intense vascularity on color Doppler that is consistent with an \u201cinferno\u201d.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Transverse color Doppler sonogram of a nodule in the right thyroid lobe which was proven to be follicular thyroid carcinoma (outlined). The nodule showed both peripheral (arrows) and central (arrowheads) vascularity. SCM, sternocleidomastoid muscle; CCA, common carotid artery; IJV, internal jugular vein.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound number 1 of left lower parathyroid gland\u20147/24/12: after infarction.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound number 2 of left lower parathyroid gland\u20148/9/12: after infarction.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Contrast-enhanced chest computed tomography (CT) taken before ultrasound-guided fine needle aspiration (FNA) of the thyroid gland reveals well-defined low density nodule in right lobe of thyroid gland", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid microcarcinoma was discovered by screening with ultrasonography.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Transverse ultrasound image of predominantly cystic nodule in 69-year-old woman. Eccentric solid position protruded internally and contained multiple microcalcifications. Note difference between smooth margin of entire nodule (arrows) and non-smooth margin of internal solid portion (arrowheads). Papillary thyroid carcinoma was diagnosed by fine needle aspiration and surgery.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Longitudinal ultrasound image of predominantly cystic nodule in 66-year-old woman shows eccentric configuration. Note difference between smooth margin of entire nodule (arrows) and non-smooth margin of internal solid portion (arrowheads). This lesion was surgically confirmed as papillary thyroid carcinoma despite substantial cystic portion.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Transverse ultrasound image of predominantly cystic nodule in 63-year-old woman shows eccentric configuration of internal solid portion with multiple microcalcifications. Note non-smooth margin of internal solid portion (arrows). This lesion was surgically confirmed as papillary thyroid carcinoma despite substantial cystic portion.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "An ultrasound scan demonstrating hypoechoic nodules (outlined by caliper markings) inferior to both thyroid nodules highly suggestive of parathyroid adenomas.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound of thyroid nodule and parathyroid adenoma showing well-defined solid mass (21\u202f\u00d7\u202f18\u202f\u00d7\u202f36\u202fmm) with increased vascularity in relation to the upper pole of the left thyroid lobe and lateral to the isthmus suggesting PA; and heterogeneous solid isoechoic nodule (23\u202f\u00d7\u202f16\u202f\u00d7\u202f38\u202fmm) in the left thyroid lobe appearing wider than tall, with predominant peripheral vascularity suggesting a left thyroid nodule (GPA: giant parathyroid adenoma; St M: strap muscle; C Sh: carotid sheath; Thy N: thyroid nodule).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Color Doppler ultrasound of thyroid gland of the patient", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound showing parathyroid mass in relation to the two thyroid nodules.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Sonography of left sub-hyoid region1 \u2013 hyoid bone, 2 \u2013 thyrohyoid membrane, 3 \u2013 thyroid cartilage, 4 \u2013 internal branch of the superior laryngeal nerve, 5 \u2013 thyrohyoid muscle)", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "CT neck, transverse plane. A 2.8\u2009\u00d7\u20092.6\u2009cm complex nodule in the left lobe of the thyroid. On further examination by way of a thyroid ultrasound, the lesion was further characterized and described as an echo poor mass showing lobulated margins and coarse internal calcification, highly suspicious for malignancy.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasound significant for bilateral lobe enlargement.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography showed the left thyroid lobe was swelling with multiple funicular hypoechoic lesions", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Sonography of a 54-year-old female with follicular carcinoma.There is an isoechoic thyroid nodule with heterogeneous echogenicity. This nodule shows flat orientation and a smooth, thick hypoechoic rim without internal calcifications or any cystic changes.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 23-year-old male was referred for suspected thyroid enlargement. The serum PTH level of the patient was 81.4\u200apg/mL and Tc-99m MIBI was negative, but US found a cystic nodule behind the lower pole of the left lobe of the thyroid. The aspirate fluid PTH level of the patient was 302\u200apg/mL. The patient was followed-up with serum PTH determination and US examination for 5 years; no significant change was found. MIBI = sestamibi, PTH\u200a=\u200aintact parathyroid hormone, US\u200a=\u200aultrasound.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid ultrasound scan shows a round well circumscribed heterogeneous, highly vascular mass arising from the right lobe of the thyroid, measuring 21 x 17 x 17\u2009mm.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Almost 30 minutes after thrombolysis, transverse ultrasound of the thyroid showed diffusely swollen thyroid with linear hypoechoic areas (arrows) throughout the entire gland, forming a \u201ccracked\u201d gland appearance.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid sonography shows a heterogenous internal structure without an increase in size or vascularity of the bilateral gland.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "The ultrasonography of thyroid showed 0.6 cm hypoechoic nodule in the right lobe with taller-than-wide appearance, which was suspicious for malignancy.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Findings of positron emission tomography-computed tomography (PET-CT). PET-CT showed (1) a metabolically mildly active right breast lesion compatible with the proven right breast cancer, which was proven by an ultrasound-guided core needle biopsy (2) a metabolically mildly active left thyroid lesion, which was suspicious for thyroid cancer, (3) a metabolically active prevascular (ascending paraaortic) nodal lesion, (4) metabolically active upper abdominal nodal lesions (left gastric lymph node and adjacent to hepatic and splenic artery), which were suspicious for metastatic nodal lesions or a primary pancreas tail mass (4), (5) suspicious left adrenal metastasis and (6) mild endometrial uptake, which was suspicious for myoma or endometrial malignancy.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound image demonstrates a hypoechoic mass, 1.9 \u00d7 0.4 \u00d7 1\u2009cm, inferior and posterior to the right lobe of the thyroid, consistent an enlarged right inferior parathyroid gland.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography showing a 2-cm tumor located in the right upper thyroid gland (arrowheads).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "On transverse sonogram of the thyroid, right lobe (R) displays normal, homogeneous echotexture without any nodule. Left lobe cannot be demonstrated. Strap muscles and vascular structures are displaced to fill the location of the left lobe (L).", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 44-year-old man with a papillary thyroid carcinoma without any mutation in right thyroid lobe. Transverse (A) and longitudinal (B) ultrasonographic images show a 3.0-cm solid mass with circumscribed margin, oval-to-round shape, isoechogenicity, parallel orientation, and microcalcifications. This mass was classified as K-TIRADS category 4. After surgery, there was no lymph node metastasis and TNM stage was classified as I. There was no recurrence during 10.9 years of follow-up.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 52-year-old woman with a papillary thyroid carcinoma with BRAF mutation in right thyroid lobe. Transverse (A) and longitudinal (B) ultrasonographic images show a 2.2-cm solid mass with spiculated margin, irregular shape, hypoechogenicity, non-parallel orientation, and micro- and macrocalcifications. This mass was classified as K-TIRADS category 5. After surgery, central lymph nodes were confirmed as metastases and TNM stage was classified as III. There was no recurrence during 11.4 years of follow-up.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "A 56-year-old woman with a papillary thyroid carcinoma with TERT+BRAF mutations in left thyroid lobe. Transverse (A) ultrasonographic image shows a 3.0-cm solid mass with spiculated margin, irregular shape, hypoechogenicity, non-parallel orientation, and microcalcifications. Transverse (B) ultrasonographic image shows an enlarged lymph node with increased cortical echogenicity and cystic changes in left level IV. The main mass was classified as K-TIRADS category 5 and the level IV lymph node was considered metastatic. After surgery, level IV lymph nodes were confirmed as metastases and TNM stage was classified as IV. Bilateral lung metastases and operative bed recurrences were diagnosed 4.4 years after surgery.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography of thyroid gland showing multiple cystic areas.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography of the neck showed a mass near the upper pole of left lobe of the thyroid.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography performed on 55-year-old female with medullary thyroid carcinoma.Sagittal scan shows 13 mm, solid, ovoid to round, markedly hypoechoic nodule with spiculated border (arrows) and internal macrocalcifications. This nodule was classified as suspicious malignant.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography performed on 61-year-old female with medullary thyroid carcinoma.Transverse scan shows 18 mm, solid, ovoid to round, hypoechoic nodule with smooth border. This nodule was classified as indeterminate.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasonography performed on 51-year-old male with papillary thyroid carcinoma.Transverse scan shows 6 mm, solid, taller than wide, hypoechoic nodule (arrow) with spiculated border and internal microcalcifications. This lesion was classified as suspicious malignant nodule.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Thyroid sonogram showing a 3.7 \u00d7 2.5 \u00d7 2.9\u2009cm oval heterogeneous structure, in the left lobe.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Ultrasound images in the right half of the thyroid gland of an 81-year-old man with squamous cell carcinoma on the right side of the tongue and metastasis in one of the superior internal jugular lymph nodes. A 2.6-cm echogenic mass (arrows) in the right half of the thyroid gland is shown.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "malignant", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Post-operative neck ultrasound demonstrating trachea and strap muscles. The brightly reflective bow tie structure anterior to the trachea representative of normal thyroid is absent.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |
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[{"content": [{"index": null, "text": "What is shown in this image?", "type": "text"}, {"index": 0, "text": null, "type": "image"}], "role": "user"}, {"content": [{"index": null, "text": "Grayscale ultrasound image of the right thyroid lobe of a 35-year-old female patient. The white circle and white arrow indicate a suspicious thyroid nodule. The maximum diameter of the nodule in the transverse view was 4.8 mm.", "type": "text"}], "role": "assistant"}, {"content": [{"index": null, "text": "Is the nodule benign or malignant?", "type": "text"}, {"index": 0, "text": "", "type": "text"}], "role": "user"}, {"content": [{"index": null, "text": "benign", "type": "text"}], "role": "assistant"}] |