[ { "study_id": "mimic_50336741", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg", "report_gt": "WET READ: ___ ___ 10:04 PM\n Interval placement of right pleural catheter with decrease in size of right\n pleural effusion.\n ______________________________________________________________________________\n FINAL REPORT\n CHEST RADIOGRAPH\n \n INDICATION: New chest tube placement, evaluation for pleural effusions.\n \n COMPARISON: ___.\n \n FINDINGS: As compared to the previous radiograph, the patient has received a\n right pigtail catheter inserted in the pleural cavity. Extent of the\n previously present right pleural effusion has decreased. However, substantial\n portion of effusion remains. No complications, notably no pneumothorax. \n Unchanged appearance of the left lung and the cardiac silhouette.", "findings": "As compared to the previous radiograph, the patient has received a\n right pigtail catheter inserted in the pleural cavity. Extent of the\n previously present right pleural effusion has decreased. However, substantial\n portion of effusion remains. No complications, notably no pneumothorax. \n Unchanged appearance of the left lung and the cardiac silhouette.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p18/p18309149/s51264956/0172482f-ff4eeb46-e6e40eaa-2659ae08-97fb1158.jpg", "report": "IMPRESSION:\nModerate cardiomegaly, new since ___, with large right and small\n left pleural effusions, central vascular congestion, and mild interstitial\n edema, concerning for cardiac decompensation.", "findings": "", "impression": "", "study_date": "2190-10-28", "study_id": "51264956" }, "metadata": { "subject_id": "18309149", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "1.0", "Support Devices": "1.0" }, "study_date": "2190-10-29", "admission_info": { "hadm_id": 24206426, "admittime": "2190-10-28 21:41:00", "dischtime": "2190-11-05 16:50:00", "admission_type": "EW EMER.", "demographics": { "age": 52, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5109", "version": 9, "description": "Empyema without mention of fistula" }, { "code": "5070", "version": 9, "description": "Pneumonitis due to inhalation of food or vomitus" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "5569", "version": 9, "description": "Ulcerative colitis, unspecified" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "V707", "version": 9, "description": "Examination of participant in clinical trial" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "7243", "version": 9, "description": "Sciatica" } ], "labs": [ { "label": "Hemoglobin", "value": "12.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.8", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "562", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "14.7", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "11", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "30", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "105", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.2", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "142", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "23", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Lactate", "value": "0.8", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_58517699", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11569042/s58517699/d9ebed54-0d6d34ff-31652ffe-bcd2f65d-009a29ee.jpg", "report_gt": "WET READ: ___ ___ ___ 7:20 PM\n Moderate interstitial pulmonary edema. Heterogenous opacities in the right\n mid-to-lower lung and right upper lung could be due to asymmetric edema,\n although could also be secondary to an infectious process. Recommend repeat\n radiographs after diuresis (when possible, in light of GI bleed). ___ d/w\n Dr. ___ at 7:15 via telephone on ___.\n ______________________________________________________________________________\n FINAL REPORT\n AP CHEST, 6:37 P.M., ___\n \n HISTORY: MI. Hypoxia.\n \n IMPRESSION: AP chest reviewed in the absence of prior chest radiographs:\n \n Moderately severe pulmonary edema is evenly distributed in the left lung. On\n the right, there is greater perihilar opacification extending into the lower\n lobe which could be asymmetric edema or concurrent pneumonia. A roughly\n spherical ___-mm wide opacity filling the apex of the right hemithorax should\n be considered a lung mass until proved otherwise.\n \n There is no appreciable pleural effusion. Heart size is normal. Pulmonary\n vasculature is engorged. Bulge in the left lower mediastinal contour is\n probably due to hiatus hernia, but could be a paraspinal lesion. Findings\n discussed by telephone at the time of dictation with Dr. ___.", "findings": "discussed by telephone at the time of dictation with Dr. ___.", "impression": "AP chest reviewed in the absence of prior chest radiographs:\n \n Moderately severe pulmonary edema is evenly distributed in the left lung. On\n the right, there is greater perihilar opacification extending into the lower\n lobe which could be asymmetric edema or concurrent pneumonia. A roughly\n spherical ___-mm wide opacity filling the apex of the right hemithorax should\n be considered a lung mass until proved otherwise.\n \n There is no appreciable pleural effusion. Heart size is normal. Pulmonary\n vasculature is engorged. Bulge in the left lower mediastinal contour is\n probably due to hiatus hernia, but could be a paraspinal lesion. Findings\n discussed by telephone at the time of dictation with Dr. ___.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "11569042", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "0.0", "Consolidation": "", "Edema": "1.0", "Enlarged Cardiomediastinum": "1.0", "Fracture": "", "Lung Lesion": "-1.0", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "0.0", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2153-07-31", "admission_info": { "hadm_id": 21252944, "admittime": "2153-07-31 16:04:00", "dischtime": "2153-08-05 17:41:00", "admission_type": "EW EMER.", "demographics": { "age": 61, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "41001", "version": 9, "description": "Acute myocardial infarction of anterolateral wall, initial episode of care" }, { "code": "42821", "version": 9, "description": "Acute systolic heart failure" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "4271", "version": 9, "description": "Paroxysmal ventricular tachycardia" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "5300", "version": 9, "description": "Achalasia and cardiospasm" }, { "code": "60000", "version": 9, "description": "Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS)" }, { "code": "4142", "version": 9, "description": "Chronic total occlusion of coronary artery" }, { "code": "490", "version": 9, "description": "Bronchitis, not specified as acute or chronic" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "23871", "version": 9, "description": "Essential thrombocythemia" } ], "labs": [ { "label": "Platelet Count", "value": "378", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "10", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "24", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "107", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.7", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.8", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "17", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "7.3", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.1", "unit": "%", "flag": "abnormal" }, { "label": "WBC", "value": "17.9", "unit": "K/uL", "flag": "abnormal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_53897449", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10532326/s53897449/0df9bbe7-ea299297-6717c3a6-4faece0e-15ca4a73.jpg", "report_gt": "FINAL REPORT\n INDICATION: Nausea and vomiting. Presenting with AFib with RVR.\n \n COMPARISON: ___ and concurrent CT abdomen and pelvis of ___.\n \n FINDINGS: PA and lateral chest radiographs demonstrate low lung volumes and\n distended bowel as described on concurrent CT abdomen/pelvis. There are\n patchy opacities suggesting minor dependent bibasilar atelectasis. There is\n persistent cardiomegaly. There is no pneumothorax or pleural effusion. \n Suggestion of pulmonary venous hypertension is unchanged from prior\n radiograph.", "findings": "PA and lateral chest radiographs demonstrate low lung volumes and\n distended bowel as described on concurrent CT abdomen/pelvis. There are\n patchy opacities suggesting minor dependent bibasilar atelectasis. There is\n persistent cardiomegaly. There is no pneumothorax or pleural effusion. \n Suggestion of pulmonary venous hypertension is unchanged from prior\n radiograph.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10532326/s52195893/445fdcdb-f4896587-4f3f5bf8-e3a051ad-290f10ae.jpg", "report": "IMPRESSION:\nMild pulmonary edema with increased size of small to moderate\n right pleural effusion and right basilar opacity, possibly reflecting\n atelectasis but infection is not excluded.", "findings": "", "impression": "", "study_date": "2163-05-03", "study_id": "52195893" }, "metadata": { "subject_id": "10532326", "view_position": "AP", "comparison": "___ and concurrent CT abdomen and pelvis of ___.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "0.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "0.0", "Support Devices": "" }, "study_date": "2163-06-08", "admission_info": { "hadm_id": 20563201, "admittime": "2163-06-08 16:38:00", "dischtime": "2163-06-16 12:45:00", "admission_type": "EW EMER.", "demographics": { "age": 69, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5609", "version": 9, "description": "Unspecified intestinal obstruction" }, { "code": "29520", "version": 9, "description": "Catatonic type schizophrenia, unspecified" }, { "code": "4271", "version": 9, "description": "Paroxysmal ventricular tachycardia" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "56400", "version": 9, "description": "Constipation, unspecified" }, { "code": "29590", "version": 9, "description": "Unspecified schizophrenia, unspecified" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "6929", "version": 9, "description": "Contact dermatitis and other eczema, unspecified cause" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "34590", "version": 9, "description": "Epilepsy, unspecified, without mention of intractable epilepsy" } ], "labs": [ { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "Hemoglobin", "value": "___", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.1", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "437", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "9.5", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "30", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "103", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.7", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.9", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "143", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "20", "unit": "mg/dL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_55563866", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PA AND LAT)\n \n INDICATION: History: ___F with cough. Evaluate for acute cardiopulmonary\n process.\n \n TECHNIQUE: Chest PA and lateral\n \n COMPARISON: Chest radiograph from ___\n \n FINDINGS: \n \n Since the prior study, there is little change in opacification of the right\n lung base, likely combination of atelectasis and effusion, moderate\n cardiomegaly, and location of pacemaker leads and prosthetic aortic and\n tricuspid valves. Infection at the right lung base cannot be excluded. There\n is mild pulmonary vascular congestion.\n \n IMPRESSION: \n \n Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small\n right pleural effusion with adjacent right basilar opacification, likely\n atelectasis but infection cannot be excluded.", "findings": "Since the prior study, there is little change in opacification of the right\n lung base, likely combination of atelectasis and effusion, moderate\n cardiomegaly, and location of pacemaker leads and prosthetic aortic and\n tricuspid valves. Infection at the right lung base cannot be excluded. There\n is mild pulmonary vascular congestion.", "impression": "Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small\n right pleural effusion with adjacent right basilar opacification, likely\n atelectasis but infection cannot be excluded.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19182863/s54811277/89853b2a-bf88984c-37910d68-2401fca9-884951db.jpg", "report": "FINDINGS:\nThere is a single-lead pacemaker/ICD device whose lead terminates\n in the right ventricle as before. The tricuspid and aortic valves has been\n replaced. Hazy opacities that are predominantly central within each lung\n suggest mild pulmonary edema. A persistent pleural effusion with loculated\n character appears unchanged on the right, with probable atelectasis opacifying\n a substantial portion of the right lower hemithorax, as before. There is\n probably a trace pleural effusion only on the left. No pneumothorax is\n demonstrated.\n\nIMPRESSION:\nFindings suggesting mild pulmonary edema. Similar moderate-sized\n right pleural effusion, probably loculated to some extent, with persistent\n lung opacification that can probably be attributed to associated atelectasis.", "findings": "There is a single-lead pacemaker/ICD device whose lead terminates\n in the right ventricle as before. The tricuspid and aortic valves has been\n replaced. Hazy opacities that are predominantly central within each lung\n suggest mild pulmonary edema. A persistent pleural effusion with loculated\n character appears unchanged on the right, with probable atelectasis opacifying\n a substantial portion of the right lower hemithorax, as before. There is\n probably a trace pleural effusion only on the left. No pneumothorax is\n demonstrated.", "impression": "", "study_date": "2192-01-27", "study_id": "54811277" }, "metadata": { "subject_id": "19182863", "view_position": "PA", "comparison": "Chest radiograph from ___", "chexpert_labels": { "Atelectasis": "-1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "-1.0", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2192-12-09" }, "eval_track": "followup" }, { "study_id": "mimic_58878473", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13473495/s58878473/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg", "report_gt": "FINAL REPORT\n HISTORY: Shortness of breath, altered mental status.\n \n TECHNIQUE: Upright AP view of the chest.\n \n COMPARISON: ___.\n \n FINDINGS:\n \n Severe cardiomegaly is unchanged. The mediastinal and hilar contours are\n similar. There is mild pulmonary vascular engorgement, also unchanged. \n Bibasilar airspace opacities could reflect atelectasis though infection or\n aspiration cannot be excluded. No large pleural effusion or pneumothorax is\n seen.\n \n IMPRESSION:\n \n Mild pulmonary vascular engorgement and bibasilar opacities possibly\n reflecting atelectasis but infection or aspiration cannot be excluded.", "findings": "Severe cardiomegaly is unchanged. The mediastinal and hilar contours are\n similar. There is mild pulmonary vascular engorgement, also unchanged. \n Bibasilar airspace opacities could reflect atelectasis though infection or\n aspiration cannot be excluded. No large pleural effusion or pneumothorax is\n seen.", "impression": "Mild pulmonary vascular engorgement and bibasilar opacities possibly\n reflecting atelectasis but infection or aspiration cannot be excluded.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, the hemodialysis catheter\n has been removed. Severe cardiomegaly with moderate pulmonary fluid overload\n persists, larger pleural effusions are not present. There currently is no\n indication for pneumonia. No pneumothorax.", "findings": "", "impression": "", "study_date": "2141-01-27", "study_id": "59693688" }, "metadata": { "subject_id": "13473495", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "-1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "-1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2141-06-29", "admission_info": { "hadm_id": 25901935, "admittime": "2141-06-29 14:11:00", "dischtime": "2141-07-07 15:37:00", "admission_type": "EW EMER.", "demographics": { "age": 57, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "03842", "version": 9, "description": "Septicemia due to escherichia coli [E. coli]" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "42823", "version": 9, "description": "Acute on chronic systolic heart failure" }, { "code": "34982", "version": 9, "description": "Toxic encephalopathy" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "8670", "version": 9, "description": "Injury to bladder and urethra, without mention of open wound into cavity" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "7921", "version": 9, "description": "Nonspecific abnormal findings in stool contents" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "27801", "version": 9, "description": "Morbid obesity" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "E8497", "version": 9, "description": "Accidents occurring in residential institution" }, { "code": "E8796", "version": 9, "description": "Urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" } ], "labs": [ { "label": "Anion Gap", "value": "23", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "19", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "94", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "5.6", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.8", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "131", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "53", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "11.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.8", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "201", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "16.2", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "2.5", "unit": "mmol/L", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_55413705", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg", "report_gt": "FINAL REPORT\n HISTORY: ___-year-old female with cough and shortness of breath. Evaluate for\n pneumonia. \n \n COMPARISON: Multiple prior chest radiographs, most recently of ___. \n \n FINDINGS:\n \n Single frontal view of the chest was obtained. New heterogeneous opacity of\n the left lower lung is consistent with left lower lobe pneumonia. Right lung\n volume loss status post thoracotomy is similar to prior exam. Chain sutures\n overlying the lateral right lung and right hilum, and scarring of the right\n lung base are unchanged. Heart size and cardiomediastinal contours are\n stable. \n \n IMPRESSION:\n \n 1. Left lower lobe pneumonia. \n \n 2. Stable changes status post right thoracotomy with right upper lobe\n lobectomy and apical radiation fibrosis.", "findings": "Single frontal view of the chest was obtained. New heterogeneous opacity of\n the left lower lung is consistent with left lower lobe pneumonia. Right lung\n volume loss status post thoracotomy is similar to prior exam. Chain sutures\n overlying the lateral right lung and right hilum, and scarring of the right\n lung base are unchanged. Heart size and cardiomediastinal contours are\n stable.", "impression": "1. Left lower lobe pneumonia. \n \n 2. Stable changes status post right thoracotomy with right upper lobe\n lobectomy and apical radiation fibrosis.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13263843/s53038880/3c34e348-938dd3fa-3c42bcb9-a7da976b-030bc4b0.jpg", "report": "FINDINGS:\nPA and lateral views of the chest are provided. A focus of\n scarring in the right upper lobe is better assessed on the prior CT from\n ___. Increase in interstitial markings, which could indicate mild\n interstitial edema or atypical infection. Heart size remains stable. No\n pneumothorax.\n\nIMPRESSION:\nMild interstitial opacity could represent an atypical pneumonia\n or edema. Otherwise, no change.", "findings": "PA and lateral views of the chest are provided. A focus of\n scarring in the right upper lobe is better assessed on the prior CT from\n ___. Increase in interstitial markings, which could indicate mild\n interstitial edema or atypical infection. Heart size remains stable. No\n pneumothorax.", "impression": "", "study_date": "2198-03-20", "study_id": "53038880" }, "metadata": { "subject_id": "13263843", "view_position": "AP", "comparison": "Multiple prior chest radiographs, most recently of ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "1.0", "Pneumonia": "1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2198-04-10" }, "eval_track": "followup" }, { "study_id": "mimic_51083465", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13031876/s51083465/50ce474f-a6c1b7fd-18d97f9e-98effe01-c29ad3be.jpg", "report_gt": "FINAL REPORT\n INDICATION: Dobbhoff tube placement.\n \n COMPARISON: ___.\n \n FINDINGS: As compared to the previous radiograph, the Dobbhoff tube was\n pulled back. The course of the tube is now unremarkable. The tip of the tube\n projects over the middle parts of the stomach. There is no evidence of\n complications, notably no pneumothorax.\n \n In the interval, the pre-existing PICC line malpositioned in the right\n axillary vein is still unchanged The signs indicative of fluid overload have\n minimally decreased, no newly appeared focal parenchymal opacities.", "findings": "As compared to the previous radiograph, the Dobbhoff tube was\n pulled back. The course of the tube is now unremarkable. The tip of the tube\n projects over the middle parts of the stomach. There is no evidence of\n complications, notably no pneumothorax.\n \n In the interval, the pre-existing PICC line malpositioned in the right\n axillary vein is still unchanged The signs indicative of fluid overload have\n minimally decreased, no newly appeared focal parenchymal opacities.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, the right PICC line has\n been pulled back. The line projects over the axillary vein.\n \n The newly placed Dobbhoff tube is curled in the pharynx. Both devices need to\n be repositioned. \n \n Borderline size of the cardiac silhouette. Partial left lower lobe\n atelectasis. Mild fluid overload. No evidence of complications, notably no\n pneumothorax.\n \n At the time of dictation, 4:47 p.m., on ___, the referring physician,\n ___. ___, was paged for notification. Findings were discussed over\n the telephone.", "findings": "", "impression": "", "study_date": "2139-03-03", "study_id": "54507675" }, "metadata": { "subject_id": "13031876", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "0.0", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "0.0", "Support Devices": "1.0" }, "study_date": "2139-03-04", "admission_info": { "hadm_id": 20981083, "admittime": "2139-02-17 23:37:00", "dischtime": "2139-03-20 10:15:00", "admission_type": "EW EMER.", "demographics": { "age": 54, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "0389", "version": 9, "description": "Unspecified septicemia" }, { "code": "5722", "version": 9, "description": "Hepatic encephalopathy" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "43491", "version": 9, "description": "Cerebral artery occlusion, unspecified with cerebral infarction" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "34400", "version": 9, "description": "Quadriplegia, unspecified" }, { "code": "29181", "version": 9, "description": "Alcohol withdrawal" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "5781", "version": 9, "description": "Blood in stool" }, { "code": "1120", "version": 9, "description": "Candidiasis of mouth" }, { "code": "3418", "version": 9, "description": "Other demyelinating diseases of central nervous system" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "7824", "version": 9, "description": "Jaundice, unspecified, not of newborn" }, { "code": "78959", "version": 9, "description": "Other ascites" }, { "code": "5712", "version": 9, "description": "Alcoholic cirrhosis of liver" }, { "code": "5711", "version": 9, "description": "Acute alcoholic hepatitis" }, { "code": "99591", "version": 9, "description": "Sepsis" }, { "code": "30391", "version": 9, "description": "Other and unspecified alcohol dependence, continuous" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "27669", "version": 9, "description": "Other fluid overload" }, { "code": "4240", "version": 9, "description": "Mitral valve disorders" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "4479", "version": 9, "description": "Unspecified disorders of arteries and arterioles" }, { "code": "3051", "version": 9, "description": "Tobacco use disorder" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "V4581", "version": 9, "description": "Aortocoronary bypass status" }, { "code": "V454", "version": 9, "description": "Arthrodesis status" }, { "code": "V667", "version": 9, "description": "Encounter for palliative care" } ], "labs": [ { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "33", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "94", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "0.7", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.3", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "11", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "9.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "35.1", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "211", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "19.6", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "2.7", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_56091680", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11924226/s56091680/efd6465a-dbaa29e8-244c7d40-06f432d7-c7150e7d.jpg", "report_gt": "FINAL REPORT\n HISTORY: Fever.\n \n TECHNIQUE: PA and lateral views of the chest.\n \n COMPARISON: ___.\n \n FINDINGS:\n \n Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is\n normal. No focal consolidation, pleural effusion or pneumothorax is present. \n There are no acute osseous abnormalities.\n \n IMPRESSION:\n \n No acute cardiopulmonary process.", "findings": "Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is\n normal. No focal consolidation, pleural effusion or pneumothorax is present. \n There are no acute osseous abnormalities.", "impression": "No acute cardiopulmonary process.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p11/p11924226/s56051681/417162c9-a460e98a-56bf6ab3-b6c591a2-86230b6d.jpg", "report": "FINDINGS:\nPA and lateral views of the chest provided demonstrate no focal\n consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is\n normal. Bony structures are intact. There is no free air below the right\n hemidiaphragm. Mild degenerative change in the mid thoracic spine noted on\n the lateral projection.\n\nIMPRESSION:\nNo signs of pneumonia.", "findings": "PA and lateral views of the chest provided demonstrate no focal\n consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is\n normal. Bony structures are intact. There is no free air below the right\n hemidiaphragm. Mild degenerative change in the mid thoracic spine noted on\n the lateral projection.", "impression": "", "study_date": "2147-01-14", "study_id": "56051681" }, "metadata": { "subject_id": "11924226", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2147-01-26" }, "eval_track": "followup" }, { "study_id": "mimic_53597008", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg", "report_gt": "FINAL REPORT\n HISTORY: Fluid overload and altered mental status change.\n \n FINDINGS: In comparison with study of ___, there is little overall change. \n Again there is enlargement of the cardiac silhouette with pulmonary vascular\n congestion and hazy opacification of the right hemithorax suggesting layering\n pleural effusion. Right IJ catheter again extends to the mid-to-lower portion\n of the SVC. Mild atelectatic changes are seen at the bases.", "findings": "In comparison with study of ___, there is little overall change. \n Again there is enlargement of the cardiac silhouette with pulmonary vascular\n congestion and hazy opacification of the right hemithorax suggesting layering\n pleural effusion. Right IJ catheter again extends to the mid-to-lower portion\n of the SVC. Mild atelectatic changes are seen at the bases.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg", "report": "FINDINGS:\nThe patient is status post median sternotomy and aortic valve\n replacement. A right internal jugular central venous catheter is unchanged in\n position with the tip terminating in the low SVC. A small caliber left IJ\n line is also noted. The lung volumes are slightly decreased. There is slight\n elevation of the left hemidiaphragm compared to the right. The cardiac\n silhouette remains enlarged but stable. The mediastinal contours are\n prominent postoperatively. There is mild calcification of the aortic knob. \n Mild to moderate pulmonary edema is increased from the most recent prior\n study. There is increased streaky opacification at the right lung base\n compared to the most recent prior study. In the absence of aspiration, this\n most likely reflects atelectasis. Mild opacification of the left lung base is\n unchanged and compatible with mild atelectasis. No significant pleural\n effusion or pneumothorax is detected.\n\nIMPRESSION:\n1. Mild to moderate pulmonary edema, increased from ___.\n 2. Small right pleural effusion and bibasilar atelectasis on the right\n greater than the left.", "findings": "The patient is status post median sternotomy and aortic valve\n replacement. A right internal jugular central venous catheter is unchanged in\n position with the tip terminating in the low SVC. A small caliber left IJ\n line is also noted. The lung volumes are slightly decreased. There is slight\n elevation of the left hemidiaphragm compared to the right. The cardiac\n silhouette remains enlarged but stable. The mediastinal contours are\n prominent postoperatively. There is mild calcification of the aortic knob. \n Mild to moderate pulmonary edema is increased from the most recent prior\n study. There is increased streaky opacification at the right lung base\n compared to the most recent prior study. In the absence of aspiration, this\n most likely reflects atelectasis. Mild opacification of the left lung base is\n unchanged and compatible with mild atelectasis. No significant pleural\n effusion or pneumothorax is detected.", "impression": "", "study_date": "2190-10-16", "study_id": "58365706" }, "metadata": { "subject_id": "19182863", "view_position": "AP", "comparison": "with study of ___, there is little overall change.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2190-10-17" }, "eval_track": "followup" }, { "study_id": "mimic_56451222", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11474065/s56451222/408936b5-77f25bee-8f73cc21-251fc7bc-013094dc.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PORTABLE AP)\n \n INDICATION: History: ___F with dyspnea // infiltrate?\n \n TECHNIQUE: Single frontal view of the chest\n \n COMPARISON: ___\n \n FINDINGS: \n \n There is persistent right base atelectasis/ scarring. No new focal\n consolidation is seen. There is no large pleural effusion or pneumothorax. \n Cardiac and mediastinal silhouettes are stable.\n \n IMPRESSION: \n \n No significant interval change.", "findings": "There is persistent right base atelectasis/ scarring. No new focal\n consolidation is seen. There is no large pleural effusion or pneumothorax. \n Cardiac and mediastinal silhouettes are stable.", "impression": "No significant interval change.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p11/p11474065/s50955371/835047f2-adf49b86-e80c6954-330c111c-da7aeea9.jpg", "report": "FINDINGS:\nPersistence of right middle lobe opacities obscuring the right heart border\n since ___ is concerning for pneumonia. The rest of the lungs appear\n unchanged since ___. Moderate bibasilar atelectasis is slightly\n improved. The heart size is exaggerated by compressive atelectasis. No\n pneumothorax. Note is made of partial resection of the ___ posterior rib.\n\nIMPRESSION:\nPersistence of right middle lobe opacities since ___ is concerning for\n pneumonia.", "findings": "Persistence of right middle lobe opacities obscuring the right heart border\n since ___ is concerning for pneumonia. The rest of the lungs appear\n unchanged since ___. Moderate bibasilar atelectasis is slightly\n improved. The heart size is exaggerated by compressive atelectasis. No\n pneumothorax. Note is made of partial resection of the ___ posterior rib.", "impression": "", "study_date": "2142-01-13", "study_id": "50955371" }, "metadata": { "subject_id": "11474065", "view_position": "AP", "comparison": "___", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2142-07-26", "admission_info": { "hadm_id": 20570994, "admittime": "2142-07-26 15:49:00", "dischtime": "2142-07-30 14:25:00", "admission_type": "OBSERVATION ADMIT", "demographics": { "age": 71, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "R1310", "version": 10, "description": "Dysphagia, unspecified" }, { "code": "R0600", "version": 10, "description": "Dyspnea, unspecified" }, { "code": "D869", "version": 10, "description": "Sarcoidosis, unspecified" }, { "code": "E871", "version": 10, "description": "Hypo-osmolality and hyponatremia" }, { "code": "E119", "version": 10, "description": "Type 2 diabetes mellitus without complications" }, { "code": "I10", "version": 10, "description": "Essential (primary) hypertension" }, { "code": "B373", "version": 10, "description": "Candidiasis of vulva and vagina" }, { "code": "E785", "version": 10, "description": "Hyperlipidemia, unspecified" }, { "code": "K224", "version": 10, "description": "Dyskinesia of esophagus" }, { "code": "J398", "version": 10, "description": "Other specified diseases of upper respiratory tract" }, { "code": "F419", "version": 10, "description": "Anxiety disorder, unspecified" }, { "code": "R070", "version": 10, "description": "Pain in throat" }, { "code": "R079", "version": 10, "description": "Chest pain, unspecified" }, { "code": "G43909", "version": 10, "description": "Migraine, unspecified, not intractable, without status migrainosus" }, { "code": "Z794", "version": 10, "description": "Long term (current) use of insulin" }, { "code": "M549", "version": 10, "description": "Dorsalgia, unspecified" }, { "code": "D509", "version": 10, "description": "Iron deficiency anemia, unspecified" }, { "code": "K30", "version": 10, "description": "Functional dyspepsia" }, { "code": "K219", "version": 10, "description": "Gastro-esophageal reflux disease without esophagitis" }, { "code": "I952", "version": 10, "description": "Hypotension due to drugs" }, { "code": "T402X5A", "version": 10, "description": "Adverse effect of other opioids, initial encounter" }, { "code": "Y92239", "version": 10, "description": "Unspecified place in hospital as the place of occurrence of the external cause" }, { "code": "R400", "version": 10, "description": "Somnolence" } ], "labs": [ { "label": "Anion Gap", "value": "17", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "25", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "94", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "0.5", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.3", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "133", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "7", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "8.3", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "29.4", "unit": "g/dL", "flag": "abnormal" }, { "label": "Platelet Count", "value": "223", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "4.0", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_50753069", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18767957/s50753069/5c8c0263-8d94687e-2a7896c8-5682bae9-6aeefbc4.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___-year-old male patient with renal failure, well-controlled HIV,\n elevated JVP, signs of viral illness with cough. Study requested to rule out\n pneumonia.\n \n COMPARISON: Prior chest radiograph from ___ through ___.\n \n TECHNIQUE: PA and lateral chest radiographs.\n \n FINDINGS: The heart is mildly enlarged. The mediastinal and hilar contours\n are within normal limits. There is an area of increased density which projects\n over the left cardiac border. Otherwise, remaining lungs are clear. There\n are no pleural effusions, pulmonary edema, or pneumothorax.\n \n IMPRESSION: Increased density along the left cardiac border for which further\n evaluation is recommended with oblique views.\n \n These findings were discussed with Dr. ___ by Dr. ___ via\n telephone on ___ at 1:25 p.m., at time of discovery.", "findings": "The heart is mildly enlarged. The mediastinal and hilar contours\n are within normal limits. There is an area of increased density which projects\n over the left cardiac border. Otherwise, remaining lungs are clear. There\n are no pleural effusions, pulmonary edema, or pneumothorax.", "impression": "Increased density along the left cardiac border for which further\n evaluation is recommended with oblique views.\n \n These findings were discussed with Dr. ___ by Dr. ___ via\n telephone on ___ at 1:25 p.m., at time of discovery.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p18/p18767957/s53273257/55249a04-13ab44b1-04c4b5e6-803f6e35-0c091a7d.jpg", "report": "FINDINGS:\nLow lung volumes. The lungs are clear. Mild enlargement of the cardiac\n silhouette. The hila are normal. There is no pleural effusion and no\n pneumothorax.\n\nIMPRESSION:\nNo acute cardiothoracic process.", "findings": "Low lung volumes. The lungs are clear. Mild enlargement of the cardiac\n silhouette. The hila are normal. There is no pleural effusion and no\n pneumothorax.", "impression": "", "study_date": "2193-10-19", "study_id": "53273257" }, "metadata": { "subject_id": "18767957", "view_position": "PA", "comparison": "Prior chest radiograph from ___ through ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2194-05-10" }, "eval_track": "followup" }, { "study_id": "mimic_55146164", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg", "report_gt": "FINAL REPORT\n HISTORY: Obstructed renal transplant status post percutaneous nephrostomy got\n 5 unita of fresh frozen plasma now with shortness of breath.\n \n TECHNIQUE: PA and lateral chest radiograph, 2 views.\n \n COMPARISON: Multiple chest radiographs ranging from ___ through\n every ___.\n \n FINDINGS:\n \n There is overall little change compared with prior exam dated ___\n with slight decrease in hazy opacification of the right hemithorax and\n improvement in pulmonary vascular engorgement and small right pleural effusion\n although this could be attributable to upright positioning of the patient\n compared to semi erect positioning on the previous study. Cardiac silhouette\n remains moderately enlarged. The right IJ central venous catheter is\n unchanged in position with the tip projecting over the mid SVC. Mild\n bibasilar atelectasis is unchanged.\n \n IMPRESSION:\n \n Little change since prior study with slightly improved appearance of the\n vascular congestion and right pleural effusion although this could be due to\n different technique.", "findings": "There is overall little change compared with prior exam dated ___\n with slight decrease in hazy opacification of the right hemithorax and\n improvement in pulmonary vascular engorgement and small right pleural effusion\n although this could be attributable to upright positioning of the patient\n compared to semi erect positioning on the previous study. Cardiac silhouette\n remains moderately enlarged. The right IJ central venous catheter is\n unchanged in position with the tip projecting over the mid SVC. Mild\n bibasilar atelectasis is unchanged.", "impression": "Little change since prior study with slightly improved appearance of the\n vascular congestion and right pleural effusion although this could be due to\n different technique.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg", "report": "FINDINGS:\nIn comparison with study of ___, there is little overall change. \n Again there is enlargement of the cardiac silhouette with pulmonary vascular\n congestion and hazy opacification of the right hemithorax suggesting layering\n pleural effusion. Right IJ catheter again extends to the mid-to-lower portion\n of the SVC. Mild atelectatic changes are seen at the bases.", "findings": "", "impression": "", "study_date": "2190-10-17", "study_id": "53597008" }, "metadata": { "subject_id": "19182863", "view_position": "PA", "comparison": "Multiple chest radiographs ranging from ___ through", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2190-10-22" }, "eval_track": "followup" }, { "study_id": "mimic_57976054", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16409152/s57976054/eae82e15-d009faf9-ea670371-7404ef86-edfc3065.jpg", "report_gt": "FINAL REPORT\n INDICATION: NG tube placement.\n \n COMPARISON: Chest radiograph on ___ done 45 minutes earlier.\n \n FINDINGS: One portable supine view of the chest. The endotracheal tube ends\n in the right internal jugular line and is in unchanged position. No NG tube\n is seen. The lung findings are unchanged compared to 45 minutes earlier.", "findings": "One portable supine view of the chest. The endotracheal tube ends\n in the right internal jugular line and is in unchanged position. No NG tube\n is seen. The lung findings are unchanged compared to 45 minutes earlier.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p16/p16409152/s54423575/20e44254-9f4485b6-a2900fa5-1137bf64-76cc897f.jpg", "report": "IMPRESSION:\nAP chest compared to ___:\n \n Tip of the new endotracheal tube is in standard placement. No pneumothorax or\n mediastinal widening. Lung volumes are minimally lower than they were on\n ___, and there may be new small bilateral pleural effusion. Extensive\n pulmonary nodulation due to metastasis is unchanged. There is no good\n evidence for new edema or consolidation except for suggestion of mild\n atelectasis at the base of the left lung. Heart size is normal, unchanged.", "findings": "", "impression": "", "study_date": "2136-05-10", "study_id": "54423575" }, "metadata": { "subject_id": "16409152", "view_position": "AP", "comparison": "Chest radiograph on ___ done 45 minutes earlier.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2136-05-11", "admission_info": { "hadm_id": 27275764, "admittime": "2136-05-03 22:23:00", "dischtime": "2136-05-12 18:55:00", "admission_type": "EW EMER.", "demographics": { "age": 72, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "1977", "version": 9, "description": "Malignant neoplasm of liver, secondary" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "0389", "version": 9, "description": "Unspecified septicemia" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "5762", "version": 9, "description": "Obstruction of bile duct" }, { "code": "452", "version": 9, "description": "Portal vein thrombosis" }, { "code": "27788", "version": 9, "description": "Tumor lysis syndrome" }, { "code": "5845", "version": 9, "description": "Acute kidney failure with lesion of tubular necrosis" }, { "code": "5789", "version": 9, "description": "Hemorrhage of gastrointestinal tract, unspecified" }, { "code": "78959", "version": 9, "description": "Other ascites" }, { "code": "5761", "version": 9, "description": "Cholangitis" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "1970", "version": 9, "description": "Secondary malignant neoplasm of lung" }, { "code": "1991", "version": 9, "description": "Other malignant neoplasm without specification of site" }, { "code": "53190", "version": 9, "description": "Gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction" }, { "code": "53789", "version": 9, "description": "Other specified disorders of stomach and duodenum" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "V667", "version": 9, "description": "Encounter for palliative care" } ], "labs": [ { "label": "Hemoglobin", "value": "", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "22", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "22", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "96", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.0", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.5", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "135", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "17", "unit": "mg/dL", "flag": "normal" }, { "label": "Lactate", "value": "___", "unit": "mmol/L", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_51644170", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11413236/s51644170/68fca727-3938158e-eb97e5dc-141e63e2-53d66c78.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PA AND LAT)\n \n INDICATION: History: ___F with chest pain\n \n TECHNIQUE: Chest PA and lateral\n \n COMPARISON: Chest radiograph ___\n \n FINDINGS: \n \n Patient is status post median sternotomy. Right-sided Port-A-Cath tip\n terminates in the upper SVC, unchanged. Cardiac silhouette remains moderately\n enlarged but unchanged. Multiple calcified mediastinal lymph nodes are again\n demonstrated suggestive prior granulomatous disease. The mediastinal and\n hilar contours are otherwise unremarkable. Lung volumes are persistently low\n with streaky atelectasis seen in the right lung base. No focal consolidation,\n pleural effusion or pneumothorax is seen. The pulmonary vasculature is not\n engorged.\n \n IMPRESSION: \n \n Persistently low lung volumes with streaky right basilar atelectasis.", "findings": "Patient is status post median sternotomy. Right-sided Port-A-Cath tip\n terminates in the upper SVC, unchanged. Cardiac silhouette remains moderately\n enlarged but unchanged. Multiple calcified mediastinal lymph nodes are again\n demonstrated suggestive prior granulomatous disease. The mediastinal and\n hilar contours are otherwise unremarkable. Lung volumes are persistently low\n with streaky atelectasis seen in the right lung base. No focal consolidation,\n pleural effusion or pneumothorax is seen. The pulmonary vasculature is not\n engorged.", "impression": "Persistently low lung volumes with streaky right basilar atelectasis.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p11/p11413236/s53155287/85487fb8-4d1bb78d-357fad99-bd6075d5-8b2da39c.jpg", "report": "FINDINGS:\nLung volumes are low, leading to crowding of the bronchovascular structures. \n There is no evidence of focal consolidation, pleural effusion, pneumothorax,\n or frank pulmonary edema. The heart remains moderately enlarged, although\n this is accentuated by AP technique and low lung volumes. Calcified AP window\n node is again noted. A right-sided Port-A-Cath terminates within the\n upper-mid SVC, unchanged in position from the prior exam.\n\nIMPRESSION:\nLow lung volumes without evidence for acute cardiopulmonary process.", "findings": "Lung volumes are low, leading to crowding of the bronchovascular structures. \n There is no evidence of focal consolidation, pleural effusion, pneumothorax,\n or frank pulmonary edema. The heart remains moderately enlarged, although\n this is accentuated by AP technique and low lung volumes. Calcified AP window\n node is again noted. A right-sided Port-A-Cath terminates within the\n upper-mid SVC, unchanged in position from the prior exam.", "impression": "", "study_date": "2193-03-20", "study_id": "53155287" }, "metadata": { "subject_id": "11413236", "view_position": "PA", "comparison": "Chest radiograph ___", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2193-04-03" }, "eval_track": "followup" }, { "study_id": "mimic_55275807", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17340686/s55275807/0b7b73cc-54f3192d-fe2a9118-3709076b-46329431.jpg", "report_gt": "FINAL REPORT\n REASON FOR EXAMINATION: Evaluation of the patient with end-stage renal\n disease, intubated, with bacteremia and concern for metastatic disease in\n lungs.\n \n Portable AP radiograph of the chest was reviewed in comparison to ___.\n \n Since the prior study, there is slight improvement in the perihilar opacities\n with still present lower lobe opacities with slightly more confluent area in\n the right lower lobe. These findings overall are still concerning for\n interstitial pulmonary edema. There is a possibility of underlying metastatic\n disease that cannot be assessed on the current examination except for known\n right middle lobe nodular opacity projecting on the radiograph as well.", "findings": "overall are still concerning for\n interstitial pulmonary edema. There is a possibility of underlying metastatic\n disease that cannot be assessed on the current examination except for known\n right middle lobe nodular opacity projecting on the radiograph as well.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p17/p17340686/s55232811/b1e23843-fd96303d-eaefd4f1-7b0a4357-08877685.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, the endotracheal tube, the\n nasogastric tube, and the left internal jugular vein catheter are unchanged. \n The right hemodialysis catheter has been removed. The signs of moderate to\n massive fluid overload, combined to a rounded opacity at the right lung base,\n are unchanged in extent and severity. No larger pleural effusions. No new\n parenchymal opacities.", "findings": "", "impression": "", "study_date": "2206-07-22", "study_id": "55232811" }, "metadata": { "subject_id": "17340686", "view_position": "AP", "comparison": "to ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "1.0", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2206-07-24", "admission_info": { "hadm_id": 27001923, "admittime": "2206-07-19 16:54:00", "dischtime": "2206-07-28 05:00:00", "admission_type": "EW EMER.", "demographics": { "age": 69, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "0388", "version": 9, "description": "Other specified septicemias" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "4870", "version": 9, "description": "Influenza with pneumonia" }, { "code": "99932", "version": 9, "description": "Bloodstream infection due to central venous catheter" }, { "code": "99731", "version": 9, "description": "Ventilator associated pneumonia" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "2930", "version": 9, "description": "Delirium due to conditions classified elsewhere" }, { "code": "1970", "version": 9, "description": "Secondary malignant neoplasm of lung" }, { "code": "V8543", "version": 9, "description": "Body Mass Index 50.0-59.9, adult" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "27669", "version": 9, "description": "Other fluid overload" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "49320", "version": 9, "description": "Chronic obstructive asthma, unspecified" }, { "code": "78791", "version": 9, "description": "Diarrhea" }, { "code": "E8791", "version": 9, "description": "Kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "E8798", "version": 9, "description": "Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" }, { "code": "7078", "version": 9, "description": "Chronic ulcer of other specified sites" }, { "code": "V462", "version": 9, "description": "Other dependence on machines, supplemental oxygen" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "2449", "version": 9, "description": "Unspecified acquired hypothyroidism" }, { "code": "V140", "version": 9, "description": "Personal history of allergy to penicillin" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "V103", "version": 9, "description": "Personal history of malignant neoplasm of breast" }, { "code": "V4571", "version": 9, "description": "Acquired absence of breast and nipple" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "27801", "version": 9, "description": "Morbid obesity" }, { "code": "V148", "version": 9, "description": "Personal history of allergy to other specified medicinal agents" } ], "labs": [ { "label": "Lactate", "value": "1.3", "unit": "mmol/L", "flag": "normal" }, { "label": "Hemoglobin", "value": "8.4", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.4", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "140", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "15.4", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "16", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "28", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "97", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.7", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "24", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_59947539", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14841168/s59947539/b90427be-b8e2a5b2-d96a239f-5b791587-230e2fe5.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PORTABLE AP)\n \n INDICATION: ___ year old woman with sepsis of unknown etiology, worsening\n respiratory acidosis // pulmonary edema?\n \n TECHNIQUE: Portable chest x-ray.\n \n COMPARISON: Chest radiographs dated ___, ___, CTA chest\n dated ___\n \n FINDINGS: \n \n Portable semi-upright radiograph of the chest demonstrates a stable\n cardiomediastinal silhouette as seen on prior examinations, with mediastinal\n widening. An elevated right hemidiaphragm is again seen. The left lung base\n is not visualized. No focal consolidation is identified in the visualized\n lung fields. Given supine technique, it is difficult assess for pleural\n effusion or pneumothorax.\n \n IMPRESSION: \n \n No significant change since recent prior.", "findings": "Portable semi-upright radiograph of the chest demonstrates a stable\n cardiomediastinal silhouette as seen on prior examinations, with mediastinal\n widening. An elevated right hemidiaphragm is again seen. The left lung base\n is not visualized. No focal consolidation is identified in the visualized\n lung fields. Given supine technique, it is difficult assess for pleural\n effusion or pneumothorax.", "impression": "No significant change since recent prior.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg", "report": "FINDINGS:\nThere is hazy left basilar opacity which has been seen on multiple previous\n examinations. Elsewhere the lungs are clear of consolidation. Enlargement\n of the cardiac silhouette is similar compared to prior and likely exaggerated\n by portable technique and prominent mediastinal fat. Atherosclerotic\n calcifications noted throughout the aorta.\n\nIMPRESSION:\nPersistent left lower lung opacity potentially atelectasis or scarring given\n findings on multiple priors. Please note that superimposed infection is not\n entirely excluded. Consider PA and lateral for further assessment if desired.", "findings": "There is hazy left basilar opacity which has been seen on multiple previous\n examinations. Elsewhere the lungs are clear of consolidation. Enlargement\n of the cardiac silhouette is similar compared to prior and likely exaggerated\n by portable technique and prominent mediastinal fat. Atherosclerotic\n calcifications noted throughout the aorta.", "impression": "Persistent left lower lung opacity potentially atelectasis or scarring given", "study_date": "2134-09-14", "study_id": "59573711" }, "metadata": { "subject_id": "14841168", "view_position": "AP", "comparison": "Chest radiographs dated ___, ___, CTA chest", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2134-12-28" }, "eval_track": "followup" }, { "study_id": "mimic_51723789", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10867202/s51723789/bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PORTABLE AP)\n \n INDICATION: ___-year-old woman with interstitial lung disease presenting with\n respiratory distress. Evaluate for congestive heart failure.\n \n COMPARISON: Chest radiographs from ___ and ___.\n \n FINDINGS: \n \n Lung volumes are low. Extensive bilateral opacities are unchanged from the\n prior examination and likely reflect the patient underlying severe\n interstitial lung disease. There is possibly increased opacification of the\n right lower lung, which may represent mild edema. Hilar and cardiomediastinal\n contours are unchanged. Calcification of the aortic arch is noted. There is\n no pneumothorax. There is no pleural effusion.\n \n IMPRESSION: \n \n Minimally increased opacification of the right lower lung may reflect mild\n edema superimposed on chronic severe interstitial lung disease.", "findings": "Lung volumes are low. Extensive bilateral opacities are unchanged from the\n prior examination and likely reflect the patient underlying severe\n interstitial lung disease. There is possibly increased opacification of the\n right lower lung, which may represent mild edema. Hilar and cardiomediastinal\n contours are unchanged. Calcification of the aortic arch is noted. There is\n no pneumothorax. There is no pleural effusion.", "impression": "Minimally increased opacification of the right lower lung may reflect mild\n edema superimposed on chronic severe interstitial lung disease.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10867202/s57513198/a4d62fc4-613c998d-9a906778-5703a1a3-21507e30.jpg", "report": "IMPRESSION:\nIn comparison with the study of ___, there are somewhat better lung\n volumes. Continued enlargement of the cardiac silhouette with extensive\n parenchymal opacities bilaterally consistent with known fibrotic lung disease.", "findings": "", "impression": "", "study_date": "2145-01-31", "study_id": "57513198" }, "metadata": { "subject_id": "10867202", "view_position": "AP", "comparison": "Chest radiographs from ___ and ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2145-04-10", "admission_info": { "hadm_id": 28656675, "admittime": "2145-04-10 17:53:00", "dischtime": "2145-04-16 15:30:00", "admission_type": "EW EMER.", "demographics": { "age": 84, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "42833", "version": 9, "description": "Acute on chronic diastolic heart failure" }, { "code": "2761", "version": 9, "description": "Hyposmolality and/or hyponatremia" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "515", "version": 9, "description": "Postinflammatory pulmonary fibrosis" }, { "code": "99664", "version": 9, "description": "Infection and inflammatory reaction due to indwelling urinary catheter" }, { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "3970", "version": 9, "description": "Diseases of tricuspid valve" }, { "code": "V462", "version": 9, "description": "Other dependence on machines, supplemental oxygen" }, { "code": "49390", "version": 9, "description": "Asthma, unspecified type, unspecified" }, { "code": "4720", "version": 9, "description": "Chronic rhinitis" }, { "code": "E8796", "version": 9, "description": "Urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" }, { "code": "04189", "version": 9, "description": "Other specified bacterial infections in conditions classified elsewhere and of unspecified site, other specified bacteria" } ], "labs": [ { "label": "Hemoglobin", "value": "12.6", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "33.7", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "193", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "10.3", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "32", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "88", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "1.0", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "BNP", "value": "___", "unit": "pg/mL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.4", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "129", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "22", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_56348027", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___F with pancreatic CA, afib with left flank pain after fall\n from standing // R/O rib fracture\n \n TECHNIQUE: Frontal and lateral views of the chest.\n \n COMPARISON: ___.\n \n FINDINGS: \n \n The lungs are clear of consolidation, effusion, or pneumothorax. Left chest\n wall dual lead pacing device is again seen. Moderate cardiomegaly is again\n noted. Upper thoracic dextroscoliosis is seen. No acute fracture identified\n based on this nondedicated exam. Surgical clips seen in the upper abdomen.\n \n IMPRESSION:\n \n \n \n Cardiomegaly without acute cardiopulmonary process.", "findings": "The lungs are clear of consolidation, effusion, or pneumothorax. Left chest\n wall dual lead pacing device is again seen. Moderate cardiomegaly is again\n noted. Upper thoracic dextroscoliosis is seen. No acute fracture identified\n based on this nondedicated exam. Surgical clips seen in the upper abdomen.", "impression": "Cardiomegaly without acute cardiopulmonary process.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10754184/s56625924/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg", "report": "FINDINGS:\nA dual-lead pacemaker implanted in the left chest wall has two\n leads terminating in the expected location of the right atrium and right\n ventricle respectively. Mild hyperexpansion is unchanged. A small right\n pleural effusion is new. There are no focal opacities to suggest pneumonia. \n Mild cardiomegaly is stable. The hilar contours and pulmonary vasculature\n appear normal. The mediastinal silhouette is unchanged. Tortuosity of the\n thoracic aorta is re-demonstrated.\n\nIMPRESSION:\n1. Small right pleural effusion is new; however, there is no evidence of\n pneumonia and no other significant appreciable change. \n \n 2. Mild cardiomegaly is unchanged.\n \n The above results were communicated via telephone by Dr. ___ to Dr. ___\n ___ at 2:45 p.m. as requested.", "findings": "A dual-lead pacemaker implanted in the left chest wall has two\n leads terminating in the expected location of the right atrium and right\n ventricle respectively. Mild hyperexpansion is unchanged. A small right\n pleural effusion is new. There are no focal opacities to suggest pneumonia. \n Mild cardiomegaly is stable. The hilar contours and pulmonary vasculature\n appear normal. The mediastinal silhouette is unchanged. Tortuosity of the\n thoracic aorta is re-demonstrated.", "impression": "", "study_date": "2188-08-15", "study_id": "56625924" }, "metadata": { "subject_id": "10754184", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2190-03-29" }, "eval_track": "followup" }, { "study_id": "mimic_56921446", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11413236/s56921446/154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___-year-old female with shortness of breath, question free air.\n \n COMPARISONS: Chest radiograph from ___.\n \n FINDINGS: PA and lateral chest radiographs were provided. Lung volumes are\n significantly low. There is no focal consolidation, pleural effusion or\n pneumothorax. There is bibasilar atelectasis. The cardiomediastinal\n silhouette is unchanged. Median sternotomy wires are intact. A right chest\n wall Port-A-Cath terminates at the cavoatrial junction. There is no free air\n under the hemidiaphragms. Osseous structures are intact.\n \n IMPRESSION: Low lung volumes but no acute process and no evidence of free\n peritoneal air.", "findings": "PA and lateral chest radiographs were provided. Lung volumes are\n significantly low. There is no focal consolidation, pleural effusion or\n pneumothorax. There is bibasilar atelectasis. The cardiomediastinal\n silhouette is unchanged. Median sternotomy wires are intact. A right chest\n wall Port-A-Cath terminates at the cavoatrial junction. There is no free air\n under the hemidiaphragms. Osseous structures are intact.", "impression": "Low lung volumes but no acute process and no evidence of free\n peritoneal air.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p11/p11413236/s58800563/4c940923-a59ab393-7984e607-b473ed13-af98d60c.jpg", "report": "FINDINGS:\nSingle portable view of the chest. Right chest wall port is again seen. \n Streaky left basilar and right upper lung opacities are seen suggestive of\n atelectasis or scarring. Calcified mediastinal nodes are again seen. \n Cardiomediastinal silhouette is within normal limits. No acute osseous\n abnormality detected.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "Single portable view of the chest. Right chest wall port is again seen. \n Streaky left basilar and right upper lung opacities are seen suggestive of\n atelectasis or scarring. Calcified mediastinal nodes are again seen. \n Cardiomediastinal silhouette is within normal limits. No acute osseous\n abnormality detected.", "impression": "", "study_date": "2190-07-15", "study_id": "58800563" }, "metadata": { "subject_id": "11413236", "view_position": "PA", "comparison": "S: Chest radiograph from ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2190-07-19", "admission_info": { "hadm_id": 25025280, "admittime": "2190-07-15 21:29:00", "dischtime": "2190-07-18 14:00:00", "admission_type": "EU OBSERVATION", "demographics": { "age": 66, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5305", "version": 9, "description": "Dyskinesia of esophagus" }, { "code": "5300", "version": 9, "description": "Achalasia and cardiospasm" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" }, { "code": "30000", "version": 9, "description": "Anxiety state, unspecified" }, { "code": "2449", "version": 9, "description": "Unspecified acquired hypothyroidism" }, { "code": "53540", "version": 9, "description": "Other specified gastritis, without mention of hemorrhage" }, { "code": "5533", "version": 9, "description": "Diaphragmatic hernia without mention of obstruction or gangrene" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "78605", "version": 9, "description": "Shortness of breath" }, { "code": "6989", "version": 9, "description": "Unspecified pruritic disorder" }, { "code": "78791", "version": 9, "description": "Diarrhea" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "7140", "version": 9, "description": "Rheumatoid arthritis" }, { "code": "75733", "version": 9, "description": "Congenital pigmentary anomalies of skin" } ], "labs": [ { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "29", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "109", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "0.7", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.9", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "146", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "13", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "12.2", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "33.8", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "244", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "3.3", "unit": "K/uL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_59873563", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p12/p12952223/s59873563/b3e4ebe4-483b4cbe-499b39c6-b6299065-c14cba2d.jpg", "report_gt": "FINAL REPORT\n HISTORY: AVR.\n \n FINDINGS: In comparison with the study of ___, there is little overall change\n in the appearance of the heart and lungs. Continued low lung volumes with\n bilateral pleural effusions and compressive atelectasis with some elevation of\n pulmonary venous pressure. In the appropriate clinical setting, supervening\n pneumonia would have to be considered.\n \n There has been removal of the right chest tube with no evidence of\n pneumothorax. The intestinal tube has also been removed.", "findings": "In comparison with the study of ___, there is little overall change\n in the appearance of the heart and lungs. Continued low lung volumes with\n bilateral pleural effusions and compressive atelectasis with some elevation of\n pulmonary venous pressure. In the appropriate clinical setting, supervening\n pneumonia would have to be considered.\n \n There has been removal of the right chest tube with no evidence of\n pneumothorax. The intestinal tube has also been removed.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg", "report": "FINDINGS:\nLung volumes are lower than on the prior study with volume loss in\n both lower lobes and bilateral pleural effusions, right greater than left. \n Underlying infectious infiltrate in the lower lobes cannot be excluded. \n Compared to the prior study, the pulmonary appearance in the lower lobes is\n worsened. Right-sided PICC line tip is in the SVC. There is no pneumothorax.", "findings": "", "impression": "", "study_date": "2175-02-06", "study_id": "51592807" }, "metadata": { "subject_id": "12952223", "view_position": "AP", "comparison": "with the study of ___, there is little overall change\n in the appearance of the heart and lungs. Continued low lung volumes with", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "1.0", "Pneumothorax": "0.0", "Support Devices": "0.0" }, "study_date": "2175-02-10", "admission_info": { "hadm_id": 28159681, "admittime": "2174-12-28 11:15:00", "dischtime": "2175-02-16 13:30:00", "admission_type": "SURGICAL SAME DAY ADMISSION", "demographics": { "age": 91, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "4241", "version": 9, "description": "Aortic valve disorders" }, { "code": "42833", "version": 9, "description": "Acute on chronic diastolic heart failure" }, { "code": "51851", "version": 9, "description": "Acute respiratory failure following trauma and surgery" }, { "code": "5845", "version": 9, "description": "Acute kidney failure with lesion of tubular necrosis" }, { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "99739", "version": 9, "description": "Other respiratory complications" }, { "code": "5119", "version": 9, "description": "Unspecified pleural effusion" }, { "code": "5180", "version": 9, "description": "Pulmonary collapse" }, { "code": "9971", "version": 9, "description": "Cardiac complications, not elsewhere classified" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "2761", "version": 9, "description": "Hyposmolality and/or hyponatremia" }, { "code": "2763", "version": 9, "description": "Alkalosis" }, { "code": "45829", "version": 9, "description": "Other iatrogenic hypotension" }, { "code": "4242", "version": 9, "description": "Tricuspid valve disorders, specified as nonrheumatic" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5859", "version": 9, "description": "Chronic kidney disease, unspecified" }, { "code": "9975", "version": 9, "description": "Urinary complications, not elsewhere classified" }, { "code": "0416", "version": 9, "description": "Proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site" }, { "code": "0417", "version": 9, "description": "Pseudomonas infection in conditions classified elsewhere and of unspecified site" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "V707", "version": 9, "description": "Examination of participant in clinical trial" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "27800", "version": 9, "description": "Obesity, unspecified" }, { "code": "V8530", "version": 9, "description": "Body Mass Index 30.0-30.9, adult" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "V1749", "version": 9, "description": "Family history of other cardiovascular diseases" } ], "labs": [ { "label": "Lactate", "value": "0.9", "unit": "mmol/L", "flag": "normal" }, { "label": "Hemoglobin", "value": "8.9", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.2", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "134", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "6.7", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "20", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "112", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "1.1", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.9", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "139", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "66", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "BNP", "value": "___", "unit": "pg/mL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_55575670", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13078497/s55575670/b93327f5-228e6c2c-3dde8c34-4ed1cae0-997d5fc4.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___-year-old male with history of chronic interstitial lung\n disease, now intubated.\n \n COMPARISON: Multiple chest radiographs dating back to ___, most\n recent ___, and CT chest ___.\n \n TECHNIQUE: Semi-upright portable AP chest radiograph.\n \n FINDINGS: The patient has a history of chronic interstitial lung disease with\n waxing and waning pulmonary edema and infection. Today it is largely unchanged\n with diffuse infiltrative and interstitial opacities stable since ___. Bilateral pleural effusion is essentially the same. Cardiomediastinal\n silhouette is stable and demonstrates mild cardiomegaly. There is no\n pneumothorax. Enteric tube is seen once again, entering the stomach and then\n out of field of view. Right-sided PICC terminates within the mid SVC. An\n endotracheal tube terminates no less than 6 cm from the carina.\n \n IMPRESSION: Study is essentially unchanged from priors with unchanged diffuse\n infiltrative and interstitial opacities.", "findings": "The patient has a history of chronic interstitial lung disease with\n waxing and waning pulmonary edema and infection. Today it is largely unchanged\n with diffuse infiltrative and interstitial opacities stable since ___. Bilateral pleural effusion is essentially the same. Cardiomediastinal\n silhouette is stable and demonstrates mild cardiomegaly. There is no\n pneumothorax. Enteric tube is seen once again, entering the stomach and then\n out of field of view. Right-sided PICC terminates within the mid SVC. An\n endotracheal tube terminates no less than 6 cm from the carina.", "impression": "Study is essentially unchanged from priors with unchanged diffuse\n infiltrative and interstitial opacities.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13078497/s50736883/7818c621-96de3398-2d9b9d86-9c6dd223-0513fab7.jpg", "report": "FINAL REPORT\n REASON FOR EXAMINATION: Respiratory failure.\n \n Portable AP radiograph of the chest was reviewed in comparison to ___.\n \n No substantial change in widespread parenchymal opacities, cardiomediastinal\n silhouette, position of tubes and lines is demonstrated.", "findings": "", "impression": "", "study_date": "2124-05-04", "study_id": "50736883" }, "metadata": { "subject_id": "13078497", "view_position": "AP", "comparison": "Multiple chest radiographs dating back to ___, most", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2124-05-05", "admission_info": { "hadm_id": 29614916, "admittime": "2124-04-16 15:01:00", "dischtime": "2124-05-07 00:36:00", "admission_type": "EW EMER.", "demographics": { "age": 69, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "25060", "version": 9, "description": "Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled" }, { "code": "42823", "version": 9, "description": "Acute on chronic systolic heart failure" }, { "code": "41071", "version": 9, "description": "Subendocardial infarction, initial episode of care" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "34831", "version": 9, "description": "Metabolic encephalopathy" }, { "code": "6827", "version": 9, "description": "Cellulitis and abscess of foot, except toes" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "5854", "version": 9, "description": "Chronic kidney disease, Stage IV (severe)" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "42732", "version": 9, "description": "Atrial flutter" }, { "code": "2869", "version": 9, "description": "Other and unspecified coagulation defects" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "4271", "version": 9, "description": "Paroxysmal ventricular tachycardia" }, { "code": "1122", "version": 9, "description": "Candidiasis of other urogenital sites" }, { "code": "70715", "version": 9, "description": "Ulcer of other part of foot" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" }, { "code": "V4581", "version": 9, "description": "Aortocoronary bypass status" }, { "code": "4928", "version": 9, "description": "Other emphysema" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "V4973", "version": 9, "description": "Foot amputation status" }, { "code": "4439", "version": 9, "description": "Peripheral vascular disease, unspecified" }, { "code": "501", "version": 9, "description": "Asbestosis" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "28521", "version": 9, "description": "Anemia in chronic kidney disease" }, { "code": "V4987", "version": 9, "description": "Physical restraints status" }, { "code": "515", "version": 9, "description": "Postinflammatory pulmonary fibrosis" }, { "code": "V462", "version": 9, "description": "Other dependence on machines, supplemental oxygen" }, { "code": "4275", "version": 9, "description": "Cardiac arrest" }, { "code": "5730", "version": 9, "description": "Chronic passive congestion of liver" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" } ], "labs": [ { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "8.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.3", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "253", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "17.6", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "1.7", "unit": "mmol/L", "flag": "normal" }, { "label": "Anion Gap", "value": "16", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "24", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "97", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.1", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.0", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Sodium", "value": "134", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "52", "unit": "mg/dL", "flag": "abnormal" }, { "label": "BNP", "value": "___", "unit": "pg/mL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_51288835", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15419510/s51288835/5ae25c72-34cb9d49-a4da40d2-b675e012-73e45602.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH\n \n INDICATION: Increasing oxygen requirements.\n \n COMPARISON: ___.\n \n FINDINGS: As compared to the previous radiograph, the lung parenchyma is\n diffusely increased in density. This is mainly caused by an increase in\n interstitial structures and subtle alveolar opacities. There are ___ B\n lines and small effusions are still present. In combination with the obvious\n cardiomegaly, moderate-to-severe interstitial pulmonary edema is to be\n suspected.\n \n Referring physician ___. ___ was paged for notification at the time of\n dictation, 8:58 a.m., on ___.", "findings": "As compared to the previous radiograph, the lung parenchyma is\n diffusely increased in density. This is mainly caused by an increase in\n interstitial structures and subtle alveolar opacities. There are ___ B\n lines and small effusions are still present. In combination with the obvious\n cardiomegaly, moderate-to-severe interstitial pulmonary edema is to be\n suspected.\n \n Referring physician ___. ___ was paged for notification at the time of\n dictation, 8:58 a.m., on ___.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p15/p15419510/s52189004/1b6cfbee-901f801d-651c11f8-2c84bb31-91883814.jpg", "report": "IMPRESSION:\nMild pulmonary edema with small bilateral pleural effusions and\n mild bibasilar atelectasis.", "findings": "", "impression": "", "study_date": "2134-05-28", "study_id": "52189004" }, "metadata": { "subject_id": "15419510", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2134-06-02", "admission_info": { "hadm_id": 25179718, "admittime": "2134-05-28 17:09:00", "dischtime": "2134-06-03 17:53:00", "admission_type": "EW EMER.", "demographics": { "age": 89, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "42823", "version": 9, "description": "Acute on chronic systolic heart failure" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "70710", "version": 9, "description": "Ulcer of lower limb, unspecified" }, { "code": "43820", "version": 9, "description": "Late effects of cerebrovascular disease, hemiplegia affecting unspecified side" }, { "code": "43811", "version": 9, "description": "Late effects of cerebrovascular disease, aphasia" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "496", "version": 9, "description": "Chronic airway obstruction, not elsewhere classified" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "78900", "version": 9, "description": "Abdominal pain, unspecified site" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5859", "version": 9, "description": "Chronic kidney disease, unspecified" }, { "code": "78820", "version": 9, "description": "Retention of urine, unspecified" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "79092", "version": 9, "description": "Abnormal coagulation profile" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" }, { "code": "V4581", "version": 9, "description": "Aortocoronary bypass status" }, { "code": "V433", "version": 9, "description": "Heart valve replaced by other means" }, { "code": "78052", "version": 9, "description": "Insomnia, unspecified" }, { "code": "4439", "version": 9, "description": "Peripheral vascular disease, unspecified" }, { "code": "73300", "version": 9, "description": "Osteoporosis, unspecified" }, { "code": "28860", "version": 9, "description": "Leukocytosis, unspecified" }, { "code": "3559", "version": 9, "description": "Mononeuritis of unspecified site" } ], "labs": [ { "label": "Hemoglobin", "value": "7.2", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.6", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "382", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "12.4", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "29", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "107", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.5", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "5.5", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Sodium", "value": "143", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "70", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_52930189", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17669276/s52930189/00f1a123-51de83f7-4d563a12-f705f4f0-4683b4eb.jpg", "report_gt": "FINAL REPORT\n EXAM: Chest, single frontal view.\n \n CLINICAL INFORMATION: Vomiting, respiratory distress.\n \n COMPARISON: ___.\n \n FINDINGS: Patient is rotated slightly to the right. The patient is status\n post median sternotomy. Enlargement of the cardiomediastinal silhouette is\n grossly stable as compared to the prior study. There are small bilateral\n pleural effusions. Interstitial prominence suggests interstitial edema. Left\n retrocardiac opacity is seen which may be due to combination of pleural\n effusion and atelectasis, although focal consolidation is not excluded.", "findings": "Patient is rotated slightly to the right. The patient is status\n post median sternotomy. Enlargement of the cardiomediastinal silhouette is\n grossly stable as compared to the prior study. There are small bilateral\n pleural effusions. Interstitial prominence suggests interstitial edema. Left\n retrocardiac opacity is seen which may be due to combination of pleural\n effusion and atelectasis, although focal consolidation is not excluded.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p17/p17669276/s52841174/4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89.jpg", "report": "FINDINGS:\nAP upright and lateral views of the chest were provided. Midline\n sternotomy wires are again noted. Patient is rotated somewhat limiting the\n evaluation of the cardiomediastinal silhouette, though cardiomediastinal\n silhouette appears grossly stable. There are small layering bilateral\n effusions with mild interstitial edema. Overall, there has been no\n significant change from prior study. Bony structures are intact.\n\nIMPRESSION:\nMild interstitial edema, stable cardiomegaly with small bilateral\n effusions.", "findings": "AP upright and lateral views of the chest were provided. Midline\n sternotomy wires are again noted. Patient is rotated somewhat limiting the\n evaluation of the cardiomediastinal silhouette, though cardiomediastinal\n silhouette appears grossly stable. There are small layering bilateral\n effusions with mild interstitial edema. Overall, there has been no\n significant change from prior study. Bony structures are intact.", "impression": "", "study_date": "2163-06-04", "study_id": "52841174" }, "metadata": { "subject_id": "17669276", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "-1.0", "Cardiomegaly": "", "Consolidation": "-1.0", "Edema": "1.0", "Enlarged Cardiomediastinum": "1.0", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2163-11-19", "admission_info": { "hadm_id": 25116578, "admittime": "2163-11-19 22:51:00", "dischtime": "2163-12-07 11:35:00", "admission_type": "EW EMER.", "demographics": { "age": 91, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "0380", "version": 9, "description": "Streptococcal septicemia" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "34831", "version": 9, "description": "Metabolic encephalopathy" }, { "code": "42833", "version": 9, "description": "Acute on chronic diastolic heart failure" }, { "code": "5579", "version": 9, "description": "Unspecified vascular insufficiency of intestine" }, { "code": "5853", "version": 9, "description": "Chronic kidney disease, Stage III (moderate)" }, { "code": "79001", "version": 9, "description": "Precipitous drop in hematocrit" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "78959", "version": 9, "description": "Other ascites" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "3310", "version": 9, "description": "Alzheimer's disease" }, { "code": "29410", "version": 9, "description": "Dementia in conditions classified elsewhere without behavioral disturbance" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "V422", "version": 9, "description": "Heart valve replaced by transplant" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "4240", "version": 9, "description": "Mitral valve disorders" }, { "code": "3970", "version": 9, "description": "Diseases of tricuspid valve" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "2449", "version": 9, "description": "Unspecified acquired hypothyroidism" }, { "code": "71590", "version": 9, "description": "Osteoarthrosis, unspecified whether generalized or localized, site unspecified" }, { "code": "73300", "version": 9, "description": "Osteoporosis, unspecified" }, { "code": "78830", "version": 9, "description": "Urinary incontinence, unspecified" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "7930", "version": 9, "description": "Nonspecific (abnormal) findings on radiological and other examination of skull and head" }, { "code": "78791", "version": 9, "description": "Diarrhea" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "78720", "version": 9, "description": "Dysphagia, unspecified" } ], "labs": [ { "label": "Lactate", "value": "2.6", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Anion Gap", "value": "15", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "21", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "107", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.6", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.4", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "140", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "29", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "12.8", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "31.2", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "153", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "20.5", "unit": "K/uL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_50563564", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10715477/s50563564/8671643b-f06c27c8-91a43c5d-85161fe5-a1eb95b0.jpg", "report_gt": "FINAL REPORT\n HISTORY: AVR with pulmonary edema.\n \n FINDINGS: In comparison with the study of ___, there is little change in\n the substantial enlargement of the cardiomediastinal silhouette and moderate\n pulmonary edema with bilateral pleural effusions. Monitoring and support\n devices remain in place.", "findings": "In comparison with the study of ___, there is little change in\n the substantial enlargement of the cardiomediastinal silhouette and moderate\n pulmonary edema with bilateral pleural effusions. Monitoring and support\n devices remain in place.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10715477/s55183572/9197e8a6-688e955b-b870d598-a611016b-66ef0b8e.jpg", "report": "IMPRESSION:\nAP chest compared to ___:\n \n Large cardiomediastinal silhouette has not changed appreciably since at least\n ___, early postoperatively. Moderate-to-severe cardiomegaly is\n comparable to the preoperative appearance. Small bilateral pleural effusions\n persist. There is no longer any pulmonary edema. ET tube and left internal\n jugular line are in standard placements and a nasogastric tube passes into the\n stomach and out of view. No pneumothorax.", "findings": "", "impression": "", "study_date": "2180-02-12", "study_id": "55183572" }, "metadata": { "subject_id": "10715477", "view_position": "AP", "comparison": "with the study of ___, there is little change in", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "1.0", "Enlarged Cardiomediastinum": "1.0", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2180-02-13" }, "eval_track": "followup" }, { "study_id": "mimic_58641137", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17032538/s58641137/6ec78bca-9eb86302-16367715-1a68dd88-f70084c0.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH\n \n TECHNIQUE: Portable semi-erect chest view was read in comparison with prior\n chest radiograph from ___ with the most recent from ___.\n \n FINDINGS: \n \n Endotracheal tube terminates approximately 3.4 cm above the carina and is\n adequately positioned. Feeding tube is seen to course below the diaphragm\n into the stomach; however, distal end is out of the radiographic view.\n \n Right mid and lower lung and left lower lung opacities concerning for\n multifocal pneumonia have worsened since ___. An coexisting\n component pulmonary edema is possible. No other interval changes. Scarring in\n the right lower lungs and right apical dense pleural thickening are unchanged.\n Small bilateral pleural effusions are similar. No pneumothorax.", "findings": "Endotracheal tube terminates approximately 3.4 cm above the carina and is\n adequately positioned. Feeding tube is seen to course below the diaphragm\n into the stomach; however, distal end is out of the radiographic view.\n \n Right mid and lower lung and left lower lung opacities concerning for\n multifocal pneumonia have worsened since ___. An coexisting\n component pulmonary edema is possible. No other interval changes. Scarring in\n the right lower lungs and right apical dense pleural thickening are unchanged.\n Small bilateral pleural effusions are similar. No pneumothorax.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p17/p17032538/s51325572/8a8201f1-257d3a16-561099bb-c8e95167-e3b3b8e1.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, there is no relevant\n change. Right apical parenchymal opacity is unchanged in extent. The right\n basal parenchymal scarring is also unchanged. Minimal left parenchymal\n scarring. Normal size of the cardiac silhouette. No evidence of pulmonary\n edema, a linear lucency at the left lung apex, mimicking a pneumothorax, is in\n fact outside of the patient.\n \n Unchanged course and position of the monitoring and support devices.", "findings": "", "impression": "", "study_date": "2138-07-19", "study_id": "51325572" }, "metadata": { "subject_id": "17032538", "view_position": "AP", "comparison": "with prior", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "1.0", "Pneumonia": "-1.0", "Pneumothorax": "0.0", "Support Devices": "1.0" }, "study_date": "2138-07-20", "admission_info": { "hadm_id": 23958856, "admittime": "2138-07-13 08:00:00", "dischtime": "2138-07-28 15:15:00", "admission_type": "ELECTIVE", "demographics": { "age": 80, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "2273", "version": 9, "description": "Benign neoplasm of pituitary gland and craniopharyngeal duct" }, { "code": "5184", "version": 9, "description": "Acute edema of lung, unspecified" }, { "code": "34831", "version": 9, "description": "Metabolic encephalopathy" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "99731", "version": 9, "description": "Ventilator associated pneumonia" }, { "code": "2930", "version": 9, "description": "Delirium due to conditions classified elsewhere" }, { "code": "2535", "version": 9, "description": "Diabetes insipidus" }, { "code": "34889", "version": 9, "description": "Other conditions of brain" }, { "code": "E8789", "version": 9, "description": "Unspecified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation" } ], "labs": [ { "label": "Lactate", "value": "0.8", "unit": "mmol/L", "flag": "normal" }, { "label": "Anion Gap", "value": "9", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "23", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "109", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "1.4", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.3", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "18", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "11.0", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.7", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "202", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "4.2", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_57146595", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p12/p12736592/s57146595/d7203332-f3c8731e-27d35dc0-3cacfa03-24d07da7.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH\n \n INDICATION: Right pneumothorax, left pneumothorax. Evaluation for changes.\n \n COMPARISON: ___, 4:36 a.m.\n \n FINDINGS: As compared to the previous radiograph, the right and left chest\n tubes have been removed. Lung volumes have increased, likely reflecting\n improved inspiration. The pre-existing miniscule right apical pneumothorax is\n no longer clearly visible. Unchanged mild air collections in the left and\n right perithoracic soft tissues. Minimal atelectasis at the right lung base.\n \n Borderline size of the cardiac silhouette, no pulmonary edema. Normal hilar\n and mediastinal structures. Unchanged proximal right clavicular fracture.", "findings": "As compared to the previous radiograph, the right and left chest\n tubes have been removed. Lung volumes have increased, likely reflecting\n improved inspiration. The pre-existing miniscule right apical pneumothorax is\n no longer clearly visible. Unchanged mild air collections in the left and\n right perithoracic soft tissues. Minimal atelectasis at the right lung base.\n \n Borderline size of the cardiac silhouette, no pulmonary edema. Normal hilar\n and mediastinal structures. Unchanged proximal right clavicular fracture.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p12/p12736592/s56294295/d732824a-2a53ee39-1a60037a-d31d8e45-54dd3a99.jpg", "report": "FINAL REPORT\n SINGLE FRONTAL VIEW OF THE CHEST\n \n REASON FOR EXAM: Chest tube on waterseal.\n \n Comparison is made with prior study performed nine hours earlier.\n \n There is no evident pneumothorax. There has been improved atelectasis in the\n left lower lobe and improved subcutaneous emphysema in the left chest wall,\n otherwise there are no acute interval changes.", "findings": "", "impression": "", "study_date": "2150-09-08", "study_id": "56294295" }, "metadata": { "subject_id": "12736592", "view_position": "AP", "comparison": "___, 4:36 a.m.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "0.0", "Enlarged Cardiomediastinum": "", "Fracture": "1.0", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "1.0", "Support Devices": "0.0" }, "study_date": "2150-09-09", "admission_info": { "hadm_id": 26342583, "admittime": "2150-09-06 18:50:00", "dischtime": "2150-09-13 11:15:00", "admission_type": "EW EMER.", "demographics": { "age": 88, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "8604", "version": 9, "description": "Traumatic pneumohemothorax without mention of open wound into thorax" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "8082", "version": 9, "description": "Closed fracture of pubis" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "8056", "version": 9, "description": "Closed fracture of sacrum and coccyx without mention of spinal cord injury" }, { "code": "80708", "version": 9, "description": "Closed fracture of eight or more ribs" }, { "code": "4589", "version": 9, "description": "Hypotension, unspecified" }, { "code": "E8809", "version": 9, "description": "Accidental fall on or from other stairs or steps" }, { "code": "81000", "version": 9, "description": "Closed fracture of clavicle, unspecified part" }, { "code": "27652", "version": 9, "description": "Hypovolemia" }, { "code": "V4581", "version": 9, "description": "Aortocoronary bypass status" }, { "code": "V1046", "version": 9, "description": "Personal history of malignant neoplasm of prostate" }, { "code": "92232", "version": 9, "description": "Contusion of buttock" }, { "code": "78039", "version": 9, "description": "Other convulsions" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "78820", "version": 9, "description": "Retention of urine, unspecified" } ], "labs": [ { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "18", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "109", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "0.6", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.1", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "135", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "14", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "10.7", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.1", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "56", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "14.0", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "3.3", "unit": "mmol/L", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_58645463", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg", "report_gt": "FINAL REPORT\n HISTORY: ET tube, trauma line not bolusing. Question trauma line\n positioning.\n \n COMPARISON: Chest x-ray from ___ at 10:21 a.m.\n \n FINDINGS:\n \n CHEST, SINGLE AP PORTABLE VIEW\n \n The carina is not well delineated. Allowing for this, the ET tube lies\n approximately 4.6-5.3 cm above the carina. An NG tube is present -- the tip\n extends beneath diaphragm, off film. Additional tubing is looped over the\n upper abdomen in the midline. A right IJ sheath is present, tip over distal\n IJ, proximal to its point of confluence with the subclavian vessel. Of note,\n a stent is present in this location. An additional stent is seen along the\n expected course of the left innominate vein. \n \n The lungs are hyperinflated. The heart lies to the left of midline, raising\n the question of some volume loss on the left side. There is increased\n retrocardiac density. There are prominent interstitial markings in both\n lungs, of uncertain etiology or significance. The hila are obscured by the\n interstitial markings. No gross effusion. \n \n Innumerable calcific densities in the spleen suggest prior granulomatous\n disease. Two calcified nodes are also seen along the expected course of the\n splenic artery. Question also a calcified node in the neck. \n \n The bones appear diffusely dense. \n \n Compared to ___, no definite change is detected. Increased retrocardiac\n density consistent with left lower lobe collapse and/or consolidation is again\n seen. \n IMPRESSION:\n \n 1. Right IJ sheath position appears slightly proximal to the right subclavian\n vein at the site where a stent is seen. There is also kinking of the sheath\n at the skin. Correlation with specifics of clinical presentation is\n requested.Targeted review of the report from a ___ chest CT refers to\n occlusion of the left subclavian vein stent.\n \n 2. Left lower lobe collapse and/or consolidation and minimal patchy opacity\n at the right base, unchanged.\n \n 3. Extensive calcified granulomas, similar to prior.\n \n 4. Diffusely increased osseous density. There is an extensive differential,\n which should be correlated with the clinical presentation. The differential\n includes changes due to osteodystrophy. In the appropriate clinical setting,\n osteosclerosis could have a similar appearance.", "findings": "CHEST, SINGLE AP PORTABLE VIEW\n \n The carina is not well delineated. Allowing for this, the ET tube lies\n approximately 4.6-5.3 cm above the carina. An NG tube is present -- the tip\n extends beneath diaphragm, off film. Additional tubing is looped over the\n upper abdomen in the midline. A right IJ sheath is present, tip over distal\n IJ, proximal to its point of confluence with the subclavian vessel. Of note,\n a stent is present in this location. An additional stent is seen along the\n expected course of the left innominate vein. \n \n The lungs are hyperinflated. The heart lies to the left of midline, raising\n the question of some volume loss on the left side. There is increased\n retrocardiac density. There are prominent interstitial markings in both\n lungs, of uncertain etiology or significance. The hila are obscured by the\n interstitial markings. No gross effusion. \n \n Innumerable calcific densities in the spleen suggest prior granulomatous\n disease. Two calcified nodes are also seen along the expected course of the\n splenic artery. Question also a calcified node in the neck. \n \n The bones appear diffusely dense. \n \n Compared to ___, no definite change is detected. Increased retrocardiac\n density consistent with left lower lobe collapse and/or consolidation is again\n seen.", "impression": "1. Right IJ sheath position appears slightly proximal to the right subclavian\n vein at the site where a stent is seen. There is also kinking of the sheath\n at the skin. Correlation with specifics of clinical presentation is\n requested.Targeted review of the report from a ___ chest CT refers to\n occlusion of the left subclavian vein stent.\n \n 2. Left lower lobe collapse and/or consolidation and minimal patchy opacity\n at the right base, unchanged.\n \n 3. Extensive calcified granulomas, similar to prior.\n \n 4. Diffusely increased osseous density. There is an extensive differential,\n which should be correlated with the clinical presentation. The differential\n includes changes due to osteodystrophy. In the appropriate clinical setting,\n osteosclerosis could have a similar appearance.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19061282/s59838108/82b52867-74eba7eb-689f334c-c20056f2-3590de32.jpg", "report": "IMPRESSION:\nAs compared to the previous radiograph, the patient has been intubated. The\n tip of the endotracheal tube projects approximately 4.8 cm above the carinal. \n The course of the nasogastric tube is unremarkable, the tip projects over the\n middle parts of the stomach. The right internal jugular venous introduction\n sheet is unchanged. Increasing atelectasis at the left lung bases. Unchanged\n appearance of the right lung.", "findings": "", "impression": "", "study_date": "2187-09-21", "study_id": "59838108" }, "metadata": { "subject_id": "19061282", "view_position": "AP", "comparison": "Chest x-ray from ___ at 10:21 a.m.", "chexpert_labels": { "Atelectasis": "-1.0", "Cardiomegaly": "", "Consolidation": "-1.0", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "-1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2187-09-22", "admission_info": { "hadm_id": 29833034, "admittime": "2187-09-18 19:33:00", "dischtime": "2187-09-29 13:25:00", "admission_type": "DIRECT EMER.", "demographics": { "age": 54, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5789", "version": 9, "description": "Hemorrhage of gastrointestinal tract, unspecified" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "0389", "version": 9, "description": "Unspecified septicemia" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "78559", "version": 9, "description": "Other shock without mention of trauma" }, { "code": "99681", "version": 9, "description": "Complications of transplanted kidney" }, { "code": "042", "version": 9, "description": "Human immunodeficiency virus [HIV] disease" }, { "code": "5761", "version": 9, "description": "Cholangitis" }, { "code": "40311", "version": 9, "description": "Hypertensive chronic kidney disease, benign, with chronic kidney disease stage V or end stage renal disease" }, { "code": "11284", "version": 9, "description": "Candidal esophagitis" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "E8780", "version": 9, "description": "Surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation" }, { "code": "99811", "version": 9, "description": "Hemorrhage complicating a procedure" }, { "code": "2768", "version": 9, "description": "Hypopotassemia" }, { "code": "V4511", "version": 9, "description": "Renal dialysis status" }, { "code": "28989", "version": 9, "description": "Other specified diseases of blood and blood-forming organs" }, { "code": "53011", "version": 9, "description": "Reflux esophagitis" }, { "code": "3569", "version": 9, "description": "Unspecified hereditary and idiopathic peripheral neuropathy" }, { "code": "V1251", "version": 9, "description": "Personal history of venous thrombosis and embolism" }, { "code": "V1201", "version": 9, "description": "Personal history of tuberculosis" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "30521", "version": 9, "description": "Cannabis abuse, continuous" }, { "code": "V5865", "version": 9, "description": "Long-term (current) use of steroids" }, { "code": "7149", "version": 9, "description": "Unspecified inflammatory polyarthropathy" }, { "code": "53290", "version": 9, "description": "Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction" }, { "code": "E8798", "version": 9, "description": "Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" }, { "code": "2800", "version": 9, "description": "Iron deficiency anemia secondary to blood loss (chronic)" }, { "code": "E9317", "version": 9, "description": "Antiviral drugs causing adverse effects in therapeutic use" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "2726", "version": 9, "description": "Lipodystrophy" } ], "labs": [ { "label": "Hemoglobin", "value": "6.9", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.1", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "222", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "9.0", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "28", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "100", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "4.8", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "5.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "24", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Lactate", "value": "1.7", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_51909516", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg", "report_gt": "FINAL REPORT\n PORTABLE CHEST ___ \n \n COMPARISON: Radiograph of one day earlier.\n \n FINDINGS: Lung volumes remain low, accentuating the cardiac silhouette and\n bronchovascular structures. With this limitation in mind, cardiomediastinal\n contours are stable in appearance. Persistent elevation of left hemidiaphragm\n with adjacent atelectasis at the left lower lobe. Right retrocardiac\n atelectasis is also similar to the prior study.", "findings": "Lung volumes remain low, accentuating the cardiac silhouette and\n bronchovascular structures. With this limitation in mind, cardiomediastinal\n contours are stable in appearance. Persistent elevation of left hemidiaphragm\n with adjacent atelectasis at the left lower lobe. Right retrocardiac\n atelectasis is also similar to the prior study.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p18/p18338007/s52546911/65c9e42e-6093fd2c-66ffbba3-b6fa9d18-48594809.jpg", "report": "FINDINGS:\nSingle frontal view of the chest. Lung volumes are very low and marked\n elevation of the left greater than right hemidiaphragm is similar to prior. \n Bibasilar atelectasis is unchanged. Cardiomediastinal contours are stable. \n Pulmonary vascular markings appear normal. No focal consolidation or large\n pleural effusion.\n\nIMPRESSION:\nLow lung volumes without radiographic evidence of aspiration or focal\n consolidation.", "findings": "Single frontal view of the chest. Lung volumes are very low and marked\n elevation of the left greater than right hemidiaphragm is similar to prior. \n Bibasilar atelectasis is unchanged. Cardiomediastinal contours are stable. \n Pulmonary vascular markings appear normal. No focal consolidation or large\n pleural effusion.", "impression": "", "study_date": "2200-01-16", "study_id": "52546911" }, "metadata": { "subject_id": "18338007", "view_position": "AP", "comparison": "Radiograph of one day earlier.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "-1.0", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2200-01-17", "admission_info": { "hadm_id": 21567365, "admittime": "2200-01-16 16:51:00", "dischtime": "2200-01-21 12:10:00", "admission_type": "EW EMER.", "demographics": { "age": 86, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "0389", "version": 9, "description": "Unspecified septicemia" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "42833", "version": 9, "description": "Acute on chronic diastolic heart failure" }, { "code": "515", "version": 9, "description": "Postinflammatory pulmonary fibrosis" }, { "code": "34590", "version": 9, "description": "Epilepsy, unspecified, without mention of intractable epilepsy" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "29040", "version": 9, "description": "Vascular dementia, uncomplicated" }, { "code": "4370", "version": 9, "description": "Cerebral atherosclerosis" }, { "code": "56032", "version": 9, "description": "Fecal impaction" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "V4364", "version": 9, "description": "Hip joint replacement" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "4011", "version": 9, "description": "Benign essential hypertension" } ], "labs": [ { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "20", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "107", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.9", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "16", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "10.0", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.4", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "234", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "17.3", "unit": "K/uL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_50657342", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19016834/s50657342/7f51e1cc-fc9208cc-470c70a3-9528d87c-9f33be5b.jpg", "report_gt": "FINAL REPORT\n STUDY: AP chest, ___.\n \n CLINICAL HISTORY: ___-year-old man with prior esophageal stent and cancer.\n \n FINDINGS: Comparison is made to previous study from ___.\n \n There is a stent seen within the esophagus which is unchanged in position. \n There is again seen consolidation at the right lower lobe, stable. \n Right-sided pleural effusion is also unchanged.", "findings": "Comparison is made to previous study from ___.\n \n There is a stent seen within the esophagus which is unchanged in position. \n There is again seen consolidation at the right lower lobe, stable. \n Right-sided pleural effusion is also unchanged.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19016834/s53515169/af20fb83-3a400800-9bd658e7-a793f80f-3762604f.jpg", "report": "FINAL REPORT\n SINGLE FRONTAL VIEW OF THE CHEST\n \n REASON FOR EXAM: AF. Patient with esophageal carcinoma and pneumonia.\n \n Comparison is made with prior study, ___.\n \n Cardiomediastinal contours are unchanged. Esophageal stent is in unchanged\n position. Right lower lobe pneumonic consolidation is unchanged. Aeration of\n the left lower lobe has improved. There is no pneumothorax. Right pleural\n effusion is small and stable. Pneumoperitoneum is less conspicuous than\n before.", "findings": "", "impression": "", "study_date": "2144-06-05", "study_id": "53515169" }, "metadata": { "subject_id": "19016834", "view_position": "AP", "comparison": "is made to previous study from ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "1.0", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2144-06-06", "admission_info": { "hadm_id": 21818409, "admittime": "2144-06-01 09:30:00", "dischtime": "2144-06-07 16:00:00", "admission_type": "EW EMER.", "demographics": { "age": 61, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "261", "version": 9, "description": "Nutritional marasmus" }, { "code": "4820", "version": 9, "description": "Pneumonia due to Klebsiella pneumoniae" }, { "code": "70703", "version": 9, "description": "Pressure ulcer, lower back" }, { "code": "5303", "version": 9, "description": "Stricture and stenosis of esophagus" }, { "code": "496", "version": 9, "description": "Chronic airway obstruction, not elsewhere classified" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "99749", "version": 9, "description": "Other digestive system complications" }, { "code": "7140", "version": 9, "description": "Rheumatoid arthritis" }, { "code": "70722", "version": 9, "description": "Pressure ulcer, stage II" }, { "code": "V5865", "version": 9, "description": "Long-term (current) use of steroids" }, { "code": "V1251", "version": 9, "description": "Personal history of venous thrombosis and embolism" }, { "code": "V1255", "version": 9, "description": "Personal history of pulmonary embolism" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "V1003", "version": 9, "description": "Personal history of malignant neoplasm of esophagus" } ], "labs": [ { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "23", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "104", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.4", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.3", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "138", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "7", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "9.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "29.1", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "302", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "6.7", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_57041570", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14841168/s57041570/cd4c13d7-949c45ee-8508ec30-c9fed36f-bea3a8f6.jpg", "report_gt": "FINAL REPORT\n EXAM: Chest frontal and lateral views.\n \n CLINICAL INFORMATION: Syncope and cough for five days.\n \n COMPARISON: ___ and ___.\n \n FINDINGS: Frontal and lateral views of the chest were obtained. The lateral\n views are somewhat underpenetrated in part due to the patient's overlying arm.\n Given this, there is persistent mild elevation of the right hemidiaphragm. \n Minimal left basilar atelectasis is seen. There is no focal consolidation. \n No large pleural effusion is seen. Slight blunting of the right costophrenic\n angle is chronic. The cardiac and mediastinal silhouettes are grossly stable\n as comparison with ___. No overt pulmonary edema is seen.\n \n IMPRESSION: Likely left basilar atelectasis. Otherwise, no acute\n cardiopulmonary process.", "findings": "Frontal and lateral views of the chest were obtained. The lateral\n views are somewhat underpenetrated in part due to the patient's overlying arm.\n Given this, there is persistent mild elevation of the right hemidiaphragm. \n Minimal left basilar atelectasis is seen. There is no focal consolidation. \n No large pleural effusion is seen. Slight blunting of the right costophrenic\n angle is chronic. The cardiac and mediastinal silhouettes are grossly stable\n as comparison with ___. No overt pulmonary edema is seen.", "impression": "Likely left basilar atelectasis. Otherwise, no acute\n cardiopulmonary process.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14841168/s53576176/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg", "report": "IMPRESSION:\n1. Interval removal of a double-lumen right internal jugular large-bore\n catheter. The heart remains mildly enlarged. Overall mediastinal contours\n are likely stable given patient rotation on the current study. Lung volumes\n are somewhat low with no focal airspace consolidation to suggest pneumonia. \n Some crowding of the perihilar vasculature, but no overt pulmonary edema. No\n effusions. No large pneumothorax.", "findings": "", "impression": "", "study_date": "2132-08-03", "study_id": "53576176" }, "metadata": { "subject_id": "14841168", "view_position": "AP", "comparison": "___ and ___.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2132-09-09" }, "eval_track": "followup" }, { "study_id": "mimic_58929701", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p12/p12963531/s58929701/db56399e-4f04b226-d9773c85-a6d565a6-04fe3904.jpg", "report_gt": "WET READ: ___ ___ ___ 9:05 AM\n 1. Area of increase density overlying the right hilum with a sharp lower\n margin is of unclear clinical significance. Chest CT is recommended for\n further assessment.\n 2. Severe cardiomegaly, unchanged.\n ______________________________________________________________________________\n FINAL REPORT\n INDICATION: ___ y/o male with cough.\n \n COMPARISON: Chest radiographs from ___, ___ and ___.\n \n TECHNIQUE: PA and lateral views of the chest. \n \n FINDINGS: The lungs are well expanded and clear. Area of increase density\n overlying the right hilum with a sharp lower margin is of unclear clinical\n significance. Severe cardiomegaly is reidentified. The hilar contours are\n unremarkable. There is no pleural effusion or pneumothorax. \n \n IMPRESSION: \n 1. Area of increase density overlying the right hilum with a sharp lower\n margin is of unclear clinical significance. Chest CT is recommended for\n further assessment.\n 2. Severe cardiomegaly, unchanged.\n \n The impression was entered as an urgently flagged wet read on the ED dashboard\n by Dr ___ on ___ at 9:05 am after discussion with the attending as the\n patient was still in the ED.", "findings": "The lungs are well expanded and clear. Area of increase density\n overlying the right hilum with a sharp lower margin is of unclear clinical\n significance. Severe cardiomegaly is reidentified. The hilar contours are\n unremarkable. There is no pleural effusion or pneumothorax.", "impression": "1. Area of increase density overlying the right hilum with a sharp lower\n margin is of unclear clinical significance. Chest CT is recommended for\n further assessment.\n 2. Severe cardiomegaly, unchanged.\n \n The impression was entered as an urgently flagged wet read on the ED dashboard\n by Dr ___ on ___ at 9:05 am after discussion with the attending as the\n patient was still in the ED.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p12/p12963531/s50827294/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg", "report": "FINDINGS:\nPA and lateral views of the chest. Again seen is severe enlargement\n of the cardiac sillouhette. There is no focal consolidation, pleural\n effusion, or pneumothorax. The mediastinal and hilar contours are unchanged. \n A right central venous catheter has been removed.\n\nIMPRESSION:\nSevere enlargement of the cardiac siillouhette, unchanged, likely\n cardiomegaly.", "findings": "PA and lateral views of the chest. Again seen is severe enlargement\n of the cardiac sillouhette. There is no focal consolidation, pleural\n effusion, or pneumothorax. The mediastinal and hilar contours are unchanged. \n A right central venous catheter has been removed.", "impression": "", "study_date": "2133-01-16", "study_id": "50827294" }, "metadata": { "subject_id": "12963531", "view_position": "PA", "comparison": "Chest radiographs from ___, ___ and ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2133-01-18", "admission_info": { "hadm_id": 25529596, "admittime": "2133-01-18 04:40:00", "dischtime": "2133-01-18 13:48:00", "admission_type": "EU OBSERVATION", "demographics": { "age": 72, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "4659", "version": 9, "description": "Acute upper respiratory infections of unspecified site" }, { "code": "37230", "version": 9, "description": "Conjunctivitis, unspecified" } ], "labs": [] } }, "eval_track": "followup" }, { "study_id": "mimic_52114176", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15114531/s52114176/076a4be2-5c874ed2-8924ba25-a91078bf-433b46a2.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PA AND LAT)\n \n INDICATION: ___F with generalized weakness // eval for PNA\n \n COMPARISON: Radiograph and CTA from ___\n \n FINDINGS: \n \n PA and lateral views of the chest provided. Surgical hardware in the lower\n C-spine noted. Clips in the left upper quadrant are present. There is no focal\n consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is\n normal. Imaged osseous structures are intact. No free air below the right\n hemidiaphragm is seen.\n \n IMPRESSION: \n \n No acute intrathoracic process.", "findings": "PA and lateral views of the chest provided. Surgical hardware in the lower\n C-spine noted. Clips in the left upper quadrant are present. There is no focal\n consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is\n normal. Imaged osseous structures are intact. No free air below the right\n hemidiaphragm is seen.", "impression": "No acute intrathoracic process.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p15/p15114531/s53909940/3a00ab90-4563967d-ad46d969-ae884a78-c7f2dd2b.jpg", "report": "FINDINGS:\nPA and lateral views of the chest provided. Cervical fusion hardware is\n noted. Lungs are hyperinflated. There is no focal consolidation, effusion, or\n pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous\n structures are intact. No free air below the right hemidiaphragm is seen.\n Tiny clips seen in the left upper quadrant.\n\nIMPRESSION:\nNo acute intrathoracic process.", "findings": "PA and lateral views of the chest provided. Cervical fusion hardware is\n noted. Lungs are hyperinflated. There is no focal consolidation, effusion, or\n pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous\n structures are intact. No free air below the right hemidiaphragm is seen.\n Tiny clips seen in the left upper quadrant.", "impression": "", "study_date": "2161-04-26", "study_id": "53909940" }, "metadata": { "subject_id": "15114531", "view_position": "PA", "comparison": "Radiograph and CTA from ___", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2161-07-05", "admission_info": { "hadm_id": 28976688, "admittime": "2161-07-05 21:26:00", "dischtime": "2161-07-06 15:11:00", "admission_type": "EU OBSERVATION", "demographics": { "age": 67, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "78903", "version": 9, "description": "Abdominal pain, right lower quadrant" }, { "code": "78902", "version": 9, "description": "Abdominal pain, left upper quadrant" }, { "code": "7242", "version": 9, "description": "Lumbago" }, { "code": "33829", "version": 9, "description": "Other chronic pain" }, { "code": "78079", "version": 9, "description": "Other malaise and fatigue" }, { "code": "49390", "version": 9, "description": "Asthma, unspecified type, unspecified" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2720", "version": 9, "description": "Pure hypercholesterolemia" }, { "code": "V4573", "version": 9, "description": "Acquired absence of kidney" }, { "code": "56400", "version": 9, "description": "Constipation, unspecified" }, { "code": "71536", "version": 9, "description": "Osteoarthrosis, localized, not specified whether primary or secondary, lower leg" }, { "code": "V1204", "version": 9, "description": "Personal history of Methicillin resistant Staphylococcus aureus" }, { "code": "V1251", "version": 9, "description": "Personal history of venous thrombosis and embolism" } ], "labs": [ { "label": "Anion Gap", "value": "15", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "26", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "105", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.9", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.1", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "142", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "14", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "11.9", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.8", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "244", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "6.5", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_54614605", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17340686/s54614605/e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd.jpg", "report_gt": "CLINICAL INFORMATION & QUESTIONS TO BE ANSWERED:\n ______________________________________________________________________________\n FINAL REPORT\n EXAMINATION: CHEST (PORTABLE AP)\n \n INDICATION: ___ year old woman with new subclavian line // eval for\n subclavian\n \n TECHNIQUE: Portable chest\n \n COMPARISON: ___ at 0 400\n \n FINDINGS: \n \n There is a new left subclavian line with tip at the cavoatrial junction. Lung\n volumes are low. The right lower lobe opacities unchanged. There continues to\n be cardiomegaly, pulmonary vascular redistribution, ill-defined vascularity,\n and retrocardiac opacity compatible with CHF. The NG tube and large bore right\n IJ line are unchanged. The ET tube is 2 cm above the Carina. There is no\n pneumothorax.\n \n IMPRESSION: \n \n New left central line. No pneumothorax.", "findings": "There is a new left subclavian line with tip at the cavoatrial junction. Lung\n volumes are low. The right lower lobe opacities unchanged. There continues to\n be cardiomegaly, pulmonary vascular redistribution, ill-defined vascularity,\n and retrocardiac opacity compatible with CHF. The NG tube and large bore right\n IJ line are unchanged. The ET tube is 2 cm above the Carina. There is no\n pneumothorax.", "impression": "New left central line. No pneumothorax.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p17/p17340686/s52618697/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.jpg", "report": "FINDINGS:\nRight hemodialysis catheter again terminates in the right atrium. \n There is minimal increase in bilateral airspace opacities suggesting pulmonary\n edema. Moderate cardiomegaly is unchanged. The pulmonary artery is enlarged.\n The aortic arch is calcified. Previous rounded opacity at the right base is\n re-demonstrated. There is no large pleural effusion or pneumothorax.\n\nIMPRESSION:\n1. Moderate cardiomegaly and mild-to-moderate interstitial pulmonary edema.\n 2. Round lesion at the right lung base is unchanged", "findings": "Right hemodialysis catheter again terminates in the right atrium. \n There is minimal increase in bilateral airspace opacities suggesting pulmonary\n edema. Moderate cardiomegaly is unchanged. The pulmonary artery is enlarged.\n The aortic arch is calcified. Previous rounded opacity at the right base is\n re-demonstrated. There is no large pleural effusion or pneumothorax.", "impression": "", "study_date": "2206-07-19", "study_id": "52618697" }, "metadata": { "subject_id": "17340686", "view_position": "AP", "comparison": "___ at 0 400", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "0.0", "Support Devices": "" }, "study_date": "2206-07-20", "admission_info": { "hadm_id": 27001923, "admittime": "2206-07-19 16:54:00", "dischtime": "2206-07-28 05:00:00", "admission_type": "EW EMER.", "demographics": { "age": 69, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "0388", "version": 9, "description": "Other specified septicemias" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "4870", "version": 9, "description": "Influenza with pneumonia" }, { "code": "99932", "version": 9, "description": "Bloodstream infection due to central venous catheter" }, { "code": "99731", "version": 9, "description": "Ventilator associated pneumonia" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "2930", "version": 9, "description": "Delirium due to conditions classified elsewhere" }, { "code": "1970", "version": 9, "description": "Secondary malignant neoplasm of lung" }, { "code": "V8543", "version": 9, "description": "Body Mass Index 50.0-59.9, adult" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "27669", "version": 9, "description": "Other fluid overload" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "49320", "version": 9, "description": "Chronic obstructive asthma, unspecified" }, { "code": "78791", "version": 9, "description": "Diarrhea" }, { "code": "E8791", "version": 9, "description": "Kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "E8798", "version": 9, "description": "Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" }, { "code": "7078", "version": 9, "description": "Chronic ulcer of other specified sites" }, { "code": "V462", "version": 9, "description": "Other dependence on machines, supplemental oxygen" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "2449", "version": 9, "description": "Unspecified acquired hypothyroidism" }, { "code": "V140", "version": 9, "description": "Personal history of allergy to penicillin" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "V103", "version": 9, "description": "Personal history of malignant neoplasm of breast" }, { "code": "V4571", "version": 9, "description": "Acquired absence of breast and nipple" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "27801", "version": 9, "description": "Morbid obesity" }, { "code": "V148", "version": 9, "description": "Personal history of allergy to other specified medicinal agents" } ], "labs": [ { "label": "Lactate", "value": "1.3", "unit": "mmol/L", "flag": "normal" }, { "label": "Hemoglobin", "value": "8.4", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.4", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "140", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "15.4", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "16", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "28", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "97", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.7", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "24", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_59454336", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13473781/s59454336/f39b05b1-f544e51a-cfe317ca-b66a4aa6-1c1dc22d.jpg", "report_gt": "FINAL REPORT\n EXAM: Chest, frontal and lateral views.\n \n CLINICAL INFORMATION: ___-year-old female with history of chest pain.\n \n COMPARISON: ___.\n \n FINDINGS: Frontal and lateral views of the chest were obtained. Severely\n enlarged cardiac silhouette is again seen. Small left greater than right\n pleural effusions remain. Mediastinal and hilar contours are similar. No\n displaced fracture is seen.\n \n IMPRESSION:\n 1. No displaced fracture, however, if clinical concern for fracture persists\n of the ribs, suggest dedicated rib series, which is more sensitive.\n 2. Persistent severe enlargement of the cardiac silhouette and small\n bilateral pleural effusions.", "findings": "Frontal and lateral views of the chest were obtained. Severely\n enlarged cardiac silhouette is again seen. Small left greater than right\n pleural effusions remain. Mediastinal and hilar contours are similar. No\n displaced fracture is seen.", "impression": "1. No displaced fracture, however, if clinical concern for fracture persists\n of the ribs, suggest dedicated rib series, which is more sensitive.\n 2. Persistent severe enlargement of the cardiac silhouette and small\n bilateral pleural effusions.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13473781/s57035793/c4d46e0f-fba1a258-b4b5722e-5aec1b56-de6931be.jpg", "report": "FINDINGS:\nSeverely enlarged heart is stable. Bilateral small pleural effusions, left\n side more than right, and mild bibasal atelectasis is present. No evidence of\n pneumonia. Mediastinal and hilar contours are stable.", "findings": "", "impression": "", "study_date": "2123-10-23", "study_id": "57035793" }, "metadata": { "subject_id": "13473781", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "1.0", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2123-12-14", "admission_info": { "hadm_id": 23397051, "admittime": "2123-12-14 22:22:00", "dischtime": "2123-12-18 14:21:00", "admission_type": "OBSERVATION ADMIT", "demographics": { "age": 95, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "9587", "version": 9, "description": "Traumatic subcutaneous emphysema" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "42822", "version": 9, "description": "Chronic systolic heart failure" }, { "code": "5789", "version": 9, "description": "Hemorrhage of gastrointestinal tract, unspecified" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "E8859", "version": 9, "description": "Fall from other slipping, tripping, or stumbling" }, { "code": "4920", "version": 9, "description": "Emphysematous bleb" }, { "code": "4011", "version": 9, "description": "Benign essential hypertension" }, { "code": "29420", "version": 9, "description": "Dementia, unspecified, without behavioral disturbance" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "4240", "version": 9, "description": "Mitral valve disorders" }, { "code": "3970", "version": 9, "description": "Diseases of tricuspid valve" }, { "code": "56210", "version": 9, "description": "Diverticulosis of colon (without mention of hemorrhage)" } ], "labs": [ { "label": "Anion Gap", "value": "10", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "31", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "105", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.7", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.1", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "142", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "18", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "6.1", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.1", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "364", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "9.9", "unit": "K/uL", "flag": "normal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_50775929", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg", "report_gt": "FINAL REPORT\n INDICATION: End-stage multiple myeloma, myelodysplastic syndrome, new cough\n and fever, rhonchi in the lower lungs, evaluation for pneumonia.\n \n COMPARISON: ___.\n \n FINDINGS: As compared to the previous radiograph, there is no relevant\n change. No definite proof of pneumonia. Unchanged borderline size of the\n cardiac silhouette without evidence of overt pulmonary edema. Minimal\n atelectasis at the left lung base and minimal bilateral pleural effusions\n restricted to the dorsal costophrenic sinuses, better appreciated on the\n lateral than on the frontal radiograph. Known skeletal changes.", "findings": "As compared to the previous radiograph, there is no relevant\n change. No definite proof of pneumonia. Unchanged borderline size of the\n cardiac silhouette without evidence of overt pulmonary edema. Minimal\n atelectasis at the left lung base and minimal bilateral pleural effusions\n restricted to the dorsal costophrenic sinuses, better appreciated on the\n lateral than on the frontal radiograph. Known skeletal changes.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19765968/s59876822/ab062fe2-bf183eec-059ed8b1-b3b1917c-26fe6fdc.jpg", "report": "FINDINGS:\nPA and lateral views of the chest. A new heterogeneous opacity is\n seen in the retrocardiac posterior left lower lobe suggestive of early\n infiltrate. The right lung is clear. The heart size is unchanged. There is\n no pulmonary edema, pleural effusions or pneumothorax. The cardiac,\n mediastinal, and hilar contours are normal. The mild compression deformities\n of two mid thoracic vertebral bodies are stable. No new fractures.\n\nIMPRESSION:\nNew left lower lobe early pneumonia.\n \n These findings were discussed with Dr. ___ at 11:35 a.m. on\n ___ by telephone.", "findings": "PA and lateral views of the chest. A new heterogeneous opacity is\n seen in the retrocardiac posterior left lower lobe suggestive of early\n infiltrate. The right lung is clear. The heart size is unchanged. There is\n no pulmonary edema, pleural effusions or pneumothorax. The cardiac,\n mediastinal, and hilar contours are normal. The mild compression deformities\n of two mid thoracic vertebral bodies are stable. No new fractures.", "impression": "", "study_date": "2152-04-08", "study_id": "59876822" }, "metadata": { "subject_id": "19765968", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "0.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "0.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2152-05-05", "admission_info": { "hadm_id": 23196922, "admittime": "2152-05-04 17:52:00", "dischtime": "2152-05-19 00:00:00", "admission_type": "DIRECT EMER.", "demographics": { "age": 67, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "34830", "version": 9, "description": "Encephalopathy, unspecified" }, { "code": "5070", "version": 9, "description": "Pneumonitis due to inhalation of food or vomitus" }, { "code": "20300", "version": 9, "description": "Multiple myeloma, without mention of having achieved remission" }, { "code": "42822", "version": 9, "description": "Chronic systolic heart failure" }, { "code": "1120", "version": 9, "description": "Candidiasis of mouth" }, { "code": "04104", "version": 9, "description": "Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus]" }, { "code": "23875", "version": 9, "description": "Myelodysplastic syndrome, unspecified" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5853", "version": 9, "description": "Chronic kidney disease, Stage III (moderate)" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "4414", "version": 9, "description": "Abdominal aneurysm without mention of rupture" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "79902", "version": 9, "description": "Hypoxemia" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "27542", "version": 9, "description": "Hypercalcemia" }, { "code": "496", "version": 9, "description": "Chronic airway obstruction, not elsewhere classified" }, { "code": "V435", "version": 9, "description": "Bladder replaced by other means" }, { "code": "V1051", "version": 9, "description": "Personal history of malignant neoplasm of bladder" }, { "code": "V667", "version": 9, "description": "Encounter for palliative care" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" } ], "labs": [ { "label": "Anion Gap", "value": "6", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "28", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "107", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.7", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.5", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "22", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "7.9", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.5", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "17", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "4.5", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_54934220", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10268877/s54934220/2d0d0dd1-758ad05c-5f33e8fa-08a1e0dc-63d862be.jpg", "report_gt": "FINAL REPORT\n STUDY: AP chest, ___.\n \n CLINICAL HISTORY: Patient with endotracheal tube placement.\n \n FINDINGS: Comparison is made to previous study from ___.\n \n There is an endotracheal tube whose distal tip is 6.2 cm above the carina\n appropriately sited. There is a left-sided IJ line with distal lead tip in\n the mid SVC. There is a nasogastric tube whose tip and sideport are below the\n GE junction.\n \n There is a persistent left retrocardiac opacity. There is some atelectasis at\n the left lung base. There is improved aeration at the right lung base. No\n pneumothoraces are seen.", "findings": "Comparison is made to previous study from ___.\n \n There is an endotracheal tube whose distal tip is 6.2 cm above the carina\n appropriately sited. There is a left-sided IJ line with distal lead tip in\n the mid SVC. There is a nasogastric tube whose tip and sideport are below the\n GE junction.\n \n There is a persistent left retrocardiac opacity. There is some atelectasis at\n the left lung base. There is improved aeration at the right lung base. No\n pneumothoraces are seen.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p10/p10268877/s58267855/95efb462-e05c1ac9-3c5319d6-bafdcede-df6db042.jpg", "report": "FINDINGS:\nComparison is made to the prior study performed two hours earlier.\n \n Interval placement of a nasogastric tube, whose distal tip and sideport are\n below the gastroesophageal junction. Endotracheal tube and right IJ central\n line are in unchanged position. There is persistent cardiomegaly. There is a\n left retrocardiac opacity. There is prominence of the pulmonary vascular\n markings, consistent with mild pulmonary edema. There is some atelectasis at\n the left lung base.", "findings": "", "impression": "", "study_date": "2181-03-07", "study_id": "58267855" }, "metadata": { "subject_id": "10268877", "view_position": "AP", "comparison": "is made to previous study from ___.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "0.0", "Support Devices": "1.0" }, "study_date": "2181-03-08", "admission_info": { "hadm_id": 25238883, "admittime": "2181-02-28 22:53:00", "dischtime": "2181-04-03 16:35:00", "admission_type": "EW EMER.", "demographics": { "age": 64, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "53140", "version": 9, "description": "Chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction" }, { "code": "4275", "version": 9, "description": "Cardiac arrest" }, { "code": "570", "version": 9, "description": "Acute and subacute necrosis of liver" }, { "code": "78559", "version": 9, "description": "Other shock without mention of trauma" }, { "code": "5070", "version": 9, "description": "Pneumonitis due to inhalation of food or vomitus" }, { "code": "78001", "version": 9, "description": "Coma" }, { "code": "34830", "version": 9, "description": "Encephalopathy, unspecified" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "42843", "version": 9, "description": "Acute on chronic combined systolic and diastolic heart failure" }, { "code": "3453", "version": 9, "description": "Grand mal status" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "4254", "version": 9, "description": "Other primary cardiomyopathies" }, { "code": "41189", "version": 9, "description": "Other acute and subacute forms of ischemic heart disease, other" }, { "code": "4271", "version": 9, "description": "Paroxysmal ventricular tachycardia" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "5180", "version": 9, "description": "Pulmonary collapse" }, { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "2639", "version": 9, "description": "Unspecified protein-calorie malnutrition" }, { "code": "6823", "version": 9, "description": "Cellulitis and abscess of upper arm and forearm" }, { "code": "70703", "version": 9, "description": "Pressure ulcer, lower back" }, { "code": "2800", "version": 9, "description": "Iron deficiency anemia secondary to blood loss (chronic)" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "V1581", "version": 9, "description": "Personal history of noncompliance with medical treatment, presenting hazards to health" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "70725", "version": 9, "description": "Pressure ulcer, unstageable" }, { "code": "57510", "version": 9, "description": "Cholecystitis, unspecified" }, { "code": "34889", "version": 9, "description": "Other conditions of brain" }, { "code": "6930", "version": 9, "description": "Dermatitis due to drugs and medicines taken internally" }, { "code": "E9363", "version": 9, "description": "Other and unspecified anticonvulsants causing adverse effects in therapeutic use" }, { "code": "E8497", "version": 9, "description": "Accidents occurring in residential institution" } ], "labs": [ { "label": "Lactate", "value": "___", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "12.8", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.9", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "141", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "8.0", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "17", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "23", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "106", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.6", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.9", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "141", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "53", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_50520166", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19454978/s50520166/7a61d475-697617d7-8f7bacca-80d56a97-5a83bbd7.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH\n \n TECHNIQUE: Portable semi-erect radiograph of the chest was compared with\n prior radiographs through ___ to ___.\n \n FINDINGS:\n \n Endotracheal tube terminates 4.6 cm above the carina and right internal\n jugular line ending at mid SVC are appropriate. No interval changes in the\n lungs since ___. Bibasal atelectasis, left side more than right\n side, is unchanged. Top normal heart size, mediastinal and hilar contours are\n stable in appearance. No new lung opacities of concern. Pleural effusion, if\n any, is mild on the left side and similar.", "findings": "Endotracheal tube terminates 4.6 cm above the carina and right internal\n jugular line ending at mid SVC are appropriate. No interval changes in the\n lungs since ___. Bibasal atelectasis, left side more than right\n side, is unchanged. Top normal heart size, mediastinal and hilar contours are\n stable in appearance. No new lung opacities of concern. Pleural effusion, if\n any, is mild on the left side and similar.", "impression": "", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19454978/s50916783/a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5.jpg", "report": "IMPRESSION:\nAP chest compared to ___, 9:29 p.m.:\n \n New endotracheal tube ends less than 2 cm above the carina and should be\n withdrawn 2.5 cm for optimal placement. Moderate cardiomegaly is stable. \n Lung volumes are lower and greater opacification in the left lower lobe is\n attributable to new atelectasis. No pneumothorax or appreciable pleural\n effusion. Right internal jugular line ends just below the superior cavoatrial\n junction, as before.", "findings": "", "impression": "", "study_date": "2139-03-14", "study_id": "50916783" }, "metadata": { "subject_id": "19454978", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "0.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "0.0", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "-1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2139-03-15", "admission_info": { "hadm_id": 27388135, "admittime": "2139-03-14 12:51:00", "dischtime": "2139-03-23 20:14:00", "admission_type": "EW EMER.", "demographics": { "age": 84, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "03842", "version": 9, "description": "Septicemia due to escherichia coli [E. coli]" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "57451", "version": 9, "description": "Calculus of bile duct without mention of cholecystitis, with obstruction" }, { "code": "5761", "version": 9, "description": "Cholangitis" }, { "code": "1211", "version": 9, "description": "Clonorchiasis" }, { "code": "75169", "version": 9, "description": "Other anomalies of gallbladder, bile ducts, and liver" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" } ], "labs": [ { "label": "Lactate", "value": "2.7", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Anion Gap", "value": "20", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "15", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "109", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "1.4", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.2", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "140", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "37", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "11.5", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.3", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "68", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "15.5", "unit": "K/uL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_55187337", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg", "report_gt": "FINAL REPORT\n HISTORY: Low-grade fever.\n \n COMPARISON: ___.\n \n FINDINGS:\n \n Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are\n unchanged. There is new left lower lobe infiltrate and small left effusion. \n There is also a small right effusion.\n \n IMPRESSION:\n \n New left lower lobe infiltrate and effusion.", "findings": "Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are\n unchanged. There is new left lower lobe infiltrate and small left effusion. \n There is also a small right effusion.", "impression": "New left lower lobe infiltrate and effusion.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg", "report": "FINDINGS:\nPA and lateral views of the chest. Diffuse interstitial opacities have not\n significantly changed from prior. Posterior costophrenic angles are sharp. \n Thickening along 1 of the major fissures may represent fluid or pleural\n thickening. Cardiac silhouette is enlarged but stable in configuration. \n Right chest wall dual lead pacing device is again seen. There is a new right\n chest wall tunneled dual lumen catheter with distal tip in the right atrium. \n There is no new confluent consolidation. No acute osseous abnormality\n detected.\n\nIMPRESSION:\nNo significant interval change since prior. Diffusely increased interstitial\n markings compatible with interstitial edema versus chronic changes. No\n superimposed acute process.", "findings": "PA and lateral views of the chest. Diffuse interstitial opacities have not\n significantly changed from prior. Posterior costophrenic angles are sharp. \n Thickening along 1 of the major fissures may represent fluid or pleural\n thickening. Cardiac silhouette is enlarged but stable in configuration. \n Right chest wall dual lead pacing device is again seen. There is a new right\n chest wall tunneled dual lumen catheter with distal tip in the right atrium. \n There is no new confluent consolidation. No acute osseous abnormality\n detected.", "impression": "", "study_date": "2193-03-25", "study_id": "52381425" }, "metadata": { "subject_id": "19759491", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2193-04-04", "admission_info": { "hadm_id": 27958855, "admittime": "2193-04-03 21:37:00", "dischtime": "2193-04-10 18:00:00", "admission_type": "EU OBSERVATION", "demographics": { "age": 51, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "56400", "version": 9, "description": "Constipation, unspecified" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "V4511", "version": 9, "description": "Renal dialysis status" }, { "code": "79092", "version": 9, "description": "Abnormal coagulation profile" }, { "code": "99681", "version": 9, "description": "Complications of transplanted kidney" }, { "code": "99686", "version": 9, "description": "Complications of transplanted pancreas" }, { "code": "E8780", "version": 9, "description": "Surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation" }, { "code": "V433", "version": 9, "description": "Heart valve replaced by other means" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "V5866", "version": 9, "description": "Long-term (current) use of aspirin" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "42822", "version": 9, "description": "Chronic systolic heart failure" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "V5865", "version": 9, "description": "Long-term (current) use of steroids" } ], "labs": [ { "label": "Hemoglobin", "value": "9.0", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "29.9", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "232", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "3.4", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "17", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "27", "unit": "mEq/L", "flag": "normal" }, { "label": "CRP", "value": "___", "unit": "mg/L", "flag": "abnormal" }, { "label": "Chloride", "value": "100", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.6", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.3", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "140", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "23", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_54133721", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p12/p12185775/s54133721/91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4.jpg", "report_gt": "FINAL REPORT\n INDICATION: Desaturations, congestion, evaluate for pneumonia or fluid\n overload.\n \n COMPARISON: ___.\n \n FINDINGS: AP and lateral views of the chest. Low lung volumes. Two\n calcified granulomas in the left lung are unchanged. No focal consolidation\n or pneumothorax. There are small bilateral pleural effusions. \n Cardiomediastinal and hilar contours are stable. Degenerative changes are\n again seen in the spine. \n \n IMPRESSION: Small bilateral pleural effusions.", "findings": "AP and lateral views of the chest. Low lung volumes. Two\n calcified granulomas in the left lung are unchanged. No focal consolidation\n or pneumothorax. There are small bilateral pleural effusions. \n Cardiomediastinal and hilar contours are stable. Degenerative changes are\n again seen in the spine.", "impression": "Small bilateral pleural effusions.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg", "report": "FINDINGS:\nThere has been interval removal of a right-sided PICC line. The\n cardiac silhouette remains enlarged. There has been resolution of bilateral\n pleural effusions. Again visualized are two calcified left upper lobe\n granulomas.\n\nIMPRESSION:\n1. Resolution of bilateral pleural effusions.\n 2. Heart size remains enlarged. This could be indicative of cardiomyopathy\n or a pericardial effusion.", "findings": "There has been interval removal of a right-sided PICC line. The\n cardiac silhouette remains enlarged. There has been resolution of bilateral\n pleural effusions. Again visualized are two calcified left upper lobe\n granulomas.", "impression": "", "study_date": "2189-08-02", "study_id": "53462705" }, "metadata": { "subject_id": "12185775", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2191-05-22", "admission_info": { "hadm_id": 21903487, "admittime": "2191-05-21 07:15:00", "dischtime": "2191-05-28 16:35:00", "admission_type": "SURGICAL SAME DAY ADMISSION", "demographics": { "age": 59, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "25071", "version": 9, "description": "Diabetes with peripheral circulatory disorders, type I [juvenile type], not stated as uncontrolled" }, { "code": "99681", "version": 9, "description": "Complications of transplanted kidney" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "3572", "version": 9, "description": "Polyneuropathy in diabetes" }, { "code": "25041", "version": 9, "description": "Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "25061", "version": 9, "description": "Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled" }, { "code": "25081", "version": 9, "description": "Diabetes with other specified manifestations, type I [juvenile type], not stated as uncontrolled" }, { "code": "49392", "version": 9, "description": "Asthma, unspecified type, with (acute) exacerbation" }, { "code": "V4589", "version": 9, "description": "Other postprocedural status" }, { "code": "V4585", "version": 9, "description": "Insulin pump status" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "V1254", "version": 9, "description": "Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "2720", "version": 9, "description": "Pure hypercholesterolemia" }, { "code": "V5866", "version": 9, "description": "Long-term (current) use of aspirin" }, { "code": "V5863", "version": 9, "description": "Long-term (current) use of antiplatelet/antithrombotic" }, { "code": "V5865", "version": 9, "description": "Long-term (current) use of steroids" }, { "code": "56400", "version": 9, "description": "Constipation, unspecified" }, { "code": "58381", "version": 9, "description": "Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere" }, { "code": "25051", "version": 9, "description": "Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled" }, { "code": "36201", "version": 9, "description": "Background diabetic retinopathy" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "43310", "version": 9, "description": "Occlusion and stenosis of carotid artery without mention of cerebral infarction" }, { "code": "4279", "version": 9, "description": "Cardiac dysrhythmia, unspecified" }, { "code": "4139", "version": 9, "description": "Other and unspecified angina pectoris" }, { "code": "4240", "version": 9, "description": "Mitral valve disorders" }, { "code": "5363", "version": 9, "description": "Gastroparesis" }, { "code": "43330", "version": 9, "description": "Occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction" }, { "code": "28529", "version": 9, "description": "Anemia of other chronic disease" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "E8780", "version": 9, "description": "Surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation" }, { "code": "2777", "version": 9, "description": "Dysmetabolic syndrome X" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" } ], "labs": [ { "label": "Lactate", "value": "0.8", "unit": "mmol/L", "flag": "normal" }, { "label": "Chloride", "value": "104", "unit": "mEq/L", "flag": "normal" }, { "label": "Potassium", "value": "4.2", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "142", "unit": "mEq/L", "flag": "normal" }, { "label": "Hemoglobin", "value": "8.3", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "29.8", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "138", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "5.6", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "28", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.2", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "64", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_59345475", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg", "report_gt": "FINAL REPORT\n INDICATION: Evaluation for interval change in a patient with severe\n respiratory distress in the setting of an asthma exacerbation and viral\n illness.\n \n COMPARISON: Multiple chest radiographs, the most recent of ___.\n \n FINDINGS: Portable AP ___-degree upright view of the chest was reviewed and\n compared to the prior studies. An endotracheal tube ends 4 cm above the\n carina. A left-sided internal jugular line ends in the upper SVC and a\n right-sided internal jugular line ends in the mid superior vena cava. Upper\n enteric tube passes into the stomach and off the radiograph. Right upper lobe\n predominant pulmonary edema has improved on today's study, however, right\n upper lobe atelectasis persists. Right middle lobe atelectasis is also\n unchanged. Upper lung vascular redistribution and enlarged pulmonary arteries\n are chronic. Moderate-to-severe cardiomegaly is unchanged. A small right\n pleural effusion has increased. Median sternotomy wires are aligned and\n intact.\n \n IMPRESSION:\n 1. Minimal improvement in mild pulmonary edema, most prominent in the right\n upper lung.\n 2. Unchanged atelectasis in the right upper and middle lobe.\n 3. Increased small right pleural effusion.\n 4. Unchanged moderate-to-severe cardiomegaly.", "findings": "Portable AP ___-degree upright view of the chest was reviewed and\n compared to the prior studies. An endotracheal tube ends 4 cm above the\n carina. A left-sided internal jugular line ends in the upper SVC and a\n right-sided internal jugular line ends in the mid superior vena cava. Upper\n enteric tube passes into the stomach and off the radiograph. Right upper lobe\n predominant pulmonary edema has improved on today's study, however, right\n upper lobe atelectasis persists. Right middle lobe atelectasis is also\n unchanged. Upper lung vascular redistribution and enlarged pulmonary arteries\n are chronic. Moderate-to-severe cardiomegaly is unchanged. A small right\n pleural effusion has increased. Median sternotomy wires are aligned and\n intact.", "impression": "1. Minimal improvement in mild pulmonary edema, most prominent in the right\n upper lung.\n 2. Unchanged atelectasis in the right upper and middle lobe.\n 3. Increased small right pleural effusion.\n 4. Unchanged moderate-to-severe cardiomegaly.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, the endotracheal tube,\n nasogastric tube and right internal jugular vein catheter are unchanged. The\n pre-existing pulmonary edema might have mildly improved, there is increased\n retrocardiac and right basal atelectasis. No pleural effusions. No major\n atelectasis.", "findings": "", "impression": "", "study_date": "2126-04-09", "study_id": "50110450" }, "metadata": { "subject_id": "18906643", "view_position": "AP", "comparison": "Multiple chest radiographs, the most recent of ___.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2126-04-11", "admission_info": { "hadm_id": 23513840, "admittime": "2126-04-08 21:41:00", "dischtime": "2126-05-01 05:02:00", "admission_type": "EW EMER.", "demographics": { "age": 66, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "0388", "version": 9, "description": "Other specified septicemias" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "5845", "version": 9, "description": "Acute kidney failure with lesion of tubular necrosis" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "42833", "version": 9, "description": "Acute on chronic diastolic heart failure" }, { "code": "4838", "version": 9, "description": "Pneumonia due to other specified organism" }, { "code": "49391", "version": 9, "description": "Asthma, unspecified type, with status asthmaticus" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "99731", "version": 9, "description": "Ventilator associated pneumonia" }, { "code": "48881", "version": 9, "description": "Influenza due to identified novel influenza A virus with pneumonia" }, { "code": "07032", "version": 9, "description": "Chronic viral hepatitis B without mention of hepatic coma without mention of hepatitis delta" }, { "code": "5789", "version": 9, "description": "Hemorrhage of gastrointestinal tract, unspecified" }, { "code": "41189", "version": 9, "description": "Other acute and subacute forms of ischemic heart disease, other" }, { "code": "42732", "version": 9, "description": "Atrial flutter" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "25040", "version": 9, "description": "Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "V1254", "version": 9, "description": "Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "V4987", "version": 9, "description": "Physical restraints status" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5852", "version": 9, "description": "Chronic kidney disease, Stage II (mild)" }, { "code": "58381", "version": 9, "description": "Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere" }, { "code": "28529", "version": 9, "description": "Anemia of other chronic disease" }, { "code": "2752", "version": 9, "description": "Disorders of magnesium metabolism" }, { "code": "E8798", "version": 9, "description": "Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" } ], "labs": [ { "label": "Lactate", "value": "3.1", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Anion Gap", "value": "16", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "18", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "110", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "2.9", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "___", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Sodium", "value": "138", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "35", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "9.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.1", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "237", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "17.2", "unit": "K/uL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "chexpert_patient64624_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64624/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe trachea is midline. There is moderate cardiomegaly. \nThere is a retrocardiac opacity, consistent with atelectasis versus \nconsolidation. There is blunting of the left costophrenic angle \nwhich may represent a small pleural effusion. No soft tissue or bony \nabnormalities.\n\nIMPRESSION:\n1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS \nCONSOLIDATION.\n \n 2. SMALL LEFT PLEURAL EFFUSION.", "findings": "The trachea is midline. There is moderate cardiomegaly. \nThere is a retrocardiac opacity, consistent with atelectasis versus \nconsolidation. There is blunting of the left costophrenic angle \nwhich may represent a small pleural effusion. No soft tissue or bony \nabnormalities.", "impression": "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS \nCONSOLIDATION.\n \n 2. SMALL LEFT PLEURAL EFFUSION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64624", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "37.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64697_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64697/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle view of the chest dated 3-19-2005 00:21 demonstrating \nstable position of left IJ catheter, feeding tube. Stable \ncardiomegaly. Low lung volumes. Stable bibasilar opacities right \ngreater than left. Stable small bilateral pleural effusions.\n \nSingle view of the chest dated 3-19-2005 00:49 demonstrating \nstable positioning of feeding tube, left IJ catheter with placement \nof endotracheal tube 5 cm above the carina. Stable bibasilar \nopacities. Increasing right pleural effusion.\n \nSingle view of the chest dated 3-19-2005 demonstrating \nstable medical support devices with placement of NG tube. Increasing \npulmonary edema.\n\nIMPRESSION:\n1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, \nPLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE\n \n2.STABLE CARDIOMEGALY\n \n3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT\n \n4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT\n \n5.INCREASING PULMONARY EDEMA", "findings": "Single view of the chest dated 3-19-2005 00:21 demonstrating \nstable position of left IJ catheter, feeding tube. Stable \ncardiomegaly. Low lung volumes. Stable bibasilar opacities right \ngreater than left. Stable small bilateral pleural effusions.\n \nSingle view of the chest dated 3-19-2005 00:49 demonstrating \nstable positioning of feeding tube, left IJ catheter with placement \nof endotracheal tube 5 cm above the carina. Stable bibasilar \nopacities. Increasing right pleural effusion.\n \nSingle view of the chest dated 3-19-2005 demonstrating \nstable medical support devices with placement of NG tube. Increasing \npulmonary edema.", "impression": "1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, \nPLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE\n \n2.STABLE CARDIOMEGALY\n \n3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT\n \n4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT\n \n5.INCREASING PULMONARY EDEMA", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64697", "report_date_order": 4, "view_position": "AP", "comparison": "Chest radiograph 3-19-2005.", "age": "72.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64664_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64664/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\n2 semisupine frontal views of the chest demonstrate no change in \nmedical support devices. A small right pneumothorax is present \nincreased from most recent prior. Heart size is enlarged and lung \nvolumes are further reduced. There is interval increase in bilateral \nsmall-to-moderate pleural effusions, as well as increase in \nassociated bibasilar opacities, as well as increased opacity in the \nright midlung zone. Superimposed pulmonary edema is also likely \npresent.\n \nAddendum Begins\nThe original report for this radiograph referred to films obtained on \n9/14/2005 at 1456 hours.\n \nThe report for the radiograph obtained on September 2005 at 0420 hours \nshould have read:\n \nFindings: Single supine frontal view of the chest demonstrates no \ninterval change in medical support devices. No pneumothorax is \nevident. Aeration of the lungs has improved. There is residual \nbibasilar opacity, greater on the left. Small bilateral pleural \neffusions are present, also improved from prior. A background of \nreticular opacities present in the bilateral perihilar regions likely \nreflects resolving edema.\n\nIMPRESSION:\n1. No pneumothorax.\n2. Improving aeration, with residual bibasilar opacities and improved \nnow small bilateral pleural effusions.\n3. Improving pulmonary edema.\n \n\"Physician to Physician Radiology Consult Line: (746) 583-6584\"\nAddendum Ends\nIMPRESSION:\n \n1. Interval increase conspicuity of a small right-sided pneumothorax.\n \n2. Interval decrease in already low lung volumes, with increasing \nsmall to moderate pleural effusions. Increasing associated mid and \nlower lung zone opacities, greater on the right, may reflect \natelectasis, infection, or aspiration. \n \n3. Superimposed pulmonary edema is likely present.\n \n \n \n\"Physician to Physician Radiology Consult Line: (746) 583-6584\"", "findings": "2 semisupine frontal views of the chest demonstrate no change in \nmedical support devices. A small right pneumothorax is present \nincreased from most recent prior. Heart size is enlarged and lung \nvolumes are further reduced. There is interval increase in bilateral \nsmall-to-moderate pleural effusions, as well as increase in \nassociated bibasilar opacities, as well as increased opacity in the \nright midlung zone. Superimposed pulmonary edema is also likely \npresent.\n \nAddendum Begins\nThe original report for this radiograph referred to films obtained on \n9/14/2005 at 1456 hours.\n \nThe report for the radiograph obtained on September 2005 at 0420 hours \nshould have read:\n \nFindings: Single supine frontal view of the chest demonstrates no \ninterval change in medical support devices. No pneumothorax is \nevident. Aeration of the lungs has improved. There is residual \nbibasilar opacity, greater on the left. Small bilateral pleural \neffusions are present, also improved from prior. A background of \nreticular opacities present in the bilateral perihilar regions likely \nreflects resolving edema.", "impression": "1. No pneumothorax.\n2. Improving aeration, with residual bibasilar opacities and improved \nnow small bilateral pleural effusions.\n3. Improving pulmonary edema.\n \n\"Physician to Physician Radiology Consult Line: (746) 583-6584\"\nAddendum Ends\nIMPRESSION:\n \n1. Interval increase conspicuity of a small right-sided pneumothorax.\n \n2. Interval decrease in already low lung volumes, with increasing \nsmall to moderate pleural effusions. Increasing associated mid and \nlower lung zone opacities, greater on the right, may reflect \natelectasis, infection, or aspiration. \n \n3. Superimposed pulmonary edema is likely present.\n \n \n \n\"Physician to Physician Radiology Consult Line: (746) 583-6584\"", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64664", "report_date_order": 2, "view_position": "AP", "comparison": "9/14/2005", "age": "60.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64589_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64589/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nFrontal and lateral views of the chest demonstrate low \nlung volumes. There is diffuse prominence of the interstitium with \nindistinct pulmonary vascular markings, further increased from the \nprior exam.\n\nIMPRESSION:\n1.INCREASED PROMINENCE OF THE INTERSTITIAL MARKINGS, WHICH MAY \nREFLECT EDEMA OR INFECTION.", "findings": "Frontal and lateral views of the chest demonstrate low \nlung volumes. There is diffuse prominence of the interstitium with \nindistinct pulmonary vascular markings, further increased from the \nprior exam.", "impression": "1.INCREASED PROMINENCE OF THE INTERSTITIAL MARKINGS, WHICH MAY \nREFLECT EDEMA OR INFECTION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64589", "report_date_order": 1, "view_position": "AP", "comparison": "5-7-2001.", "age": "67.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64648_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64648/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nFrontal view of the chest from 16:28 on 7/18/2015 demonstrates \ninterval repositioning of the endotracheal tube with the tip \napproximately 5.8 cm above the carina. Other medical support devices \nare unchanged in position.\n \nPersistent bibasilar opacities, likely atelectasis versus \nconsolidation. Decreased mild pulmonary edema with small bilateral \npleural effusions. No pneumothorax. The cardiomediastinal silhouette \nis within normal limits for size.\n \n7-18-2015 demonstrates interval extubation and interval \nrepositioning of the Swan-Ganz catheter, now terminating in the right \npulmonary artery.\n\nIMPRESSION:\n1. Interval repositioning of the endotracheal tube followed by \ninterval extubation.\n \n2. Interval repositioning of the Swan-Ganz catheter, now terminating \nin the right pulmonary artery\n \n3. Decreased mild pulmonary edema with small bilateral pleural \neffusions.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Frontal view of the chest from 16:28 on 7/18/2015 demonstrates \ninterval repositioning of the endotracheal tube with the tip \napproximately 5.8 cm above the carina. Other medical support devices \nare unchanged in position.\n \nPersistent bibasilar opacities, likely atelectasis versus \nconsolidation. Decreased mild pulmonary edema with small bilateral \npleural effusions. No pneumothorax. The cardiomediastinal silhouette \nis within normal limits for size.\n \n7-18-2015 demonstrates interval extubation and interval \nrepositioning of the Swan-Ganz catheter, now terminating in the right \npulmonary artery.", "impression": "1. Interval repositioning of the endotracheal tube followed by \ninterval extubation.\n \n2. Interval repositioning of the Swan-Ganz catheter, now terminating \nin the right pulmonary artery\n \n3. Decreased mild pulmonary edema with small bilateral pleural \neffusions.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64648", "report_date_order": 1, "view_position": "AP", "comparison": "7-18-2015", "age": "67.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64617_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64617/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere is straightening of the left heart border with mild splaying\nof the carina. The cardiac silhouette is mildly enlarged. The\npulmonary vessels are unremarkable. No pneumothorax. No focal\nconsolidation or atelectasis.\n\nIMPRESSION:\n1. CARDIOMEGALY.\n2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT.\n3. THERE IS NO EVIDENCE FOR EDEMA.", "findings": "There is straightening of the left heart border with mild splaying\nof the carina. The cardiac silhouette is mildly enlarged. The\npulmonary vessels are unremarkable. No pneumothorax. No focal\nconsolidation or atelectasis.", "impression": "1. CARDIOMEGALY.\n2. FINDINGS ARE CONSISTENT WITH LEFT ATRIAL ENLARGEMENT.\n3. THERE IS NO EVIDENCE FOR EDEMA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64617", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "56.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64578_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64578/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe lungs are underinflated. The visualized lungs are otherwise \nclear. There is no pneumothorax visualized. The cardiomediastinal \nsilhouette and pulmonary vasculature are unremarkable. There is a \ntwo-lead pacer device overlying the right hemithorax, with leads in \nthe right atrium and right ventricle. The visualized osseous \nstructures are unremarkable.\n\nIMPRESSION:\nSATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF \nPNEUMOTHORAX.", "findings": "The lungs are underinflated. The visualized lungs are otherwise \nclear. There is no pneumothorax visualized. The cardiomediastinal \nsilhouette and pulmonary vasculature are unremarkable. There is a \ntwo-lead pacer device overlying the right hemithorax, with leads in \nthe right atrium and right ventricle. The visualized osseous \nstructures are unremarkable.", "impression": "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF \nPNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64578", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "65.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64700_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64700/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval removal of right AICD. Interval placement of right IJ \napproach transvenous pacer.\n \nSevere cardiomegaly with enlarged pulmonary arteries reflecting \npulmonary hypertension. Mild left basilar opacity. No large pleural \neffusion. Right costophrenic angle is not included in field of view. \nNo visualized pneumothorax.\n\nIMPRESSION:\n1. Interval removal of right ICD with placement of right IJ approach \ntransvenous pacer. No visualized pneumothorax.\n \n2. Severe cardiomegaly with markedly enlarged pulmonary arteries, \nreflecting pulmonary hypertension.\n \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Interval removal of right AICD. Interval placement of right IJ \napproach transvenous pacer.\n \nSevere cardiomegaly with enlarged pulmonary arteries reflecting \npulmonary hypertension. Mild left basilar opacity. No large pleural \neffusion. Right costophrenic angle is not included in field of view. \nNo visualized pneumothorax.", "impression": "1. Interval removal of right ICD with placement of right IJ approach \ntransvenous pacer. No visualized pneumothorax.\n \n2. Severe cardiomegaly with markedly enlarged pulmonary arteries, \nreflecting pulmonary hypertension.\n \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64700", "report_date_order": 1, "view_position": "AP", "comparison": "Chest x-ray 30/11", "age": "79.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64565_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64565/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle portable AP upright view of the chest with a \nlordotic projection demonstrates a cardiac silhouette that is mildly \nenlarged. There is minimal tortuosity of the thoracic aorta. \nAtherosclerotic calcification of the aortic knob is present. The \nbilateral hila are within normal limits. The bilateral lung fields \nare clear, without evidence of frank consolidation. No pneumothorax \nor pleural effusion is seen. The visualized osseous structures \nreveal no acute abnormalities.\n\nIMPRESSION:\n1. MILD CARDIOMEGALY. \n \n 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY \nABNORMALITIES.", "findings": "Single portable AP upright view of the chest with a \nlordotic projection demonstrates a cardiac silhouette that is mildly \nenlarged. There is minimal tortuosity of the thoracic aorta. \nAtherosclerotic calcification of the aortic knob is present. The \nbilateral hila are within normal limits. The bilateral lung fields \nare clear, without evidence of frank consolidation. No pneumothorax \nor pleural effusion is seen. The visualized osseous structures \nreveal no acute abnormalities.", "impression": "1. MILD CARDIOMEGALY. \n \n 2. NO FRANK CONSOLIDATION OR EVIDENCE OF FURTHER ACUTE PULMONARY \nABNORMALITIES.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64565", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "88.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64641_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64641/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nLines and tubes unchanged. Low lung volumes. Slight improvement in \nthe aeration of the upper lobes bilaterally. Stable cardiomediastinal \nsilhouette. Bibasilar consolidation, left greater than right, with \nsmall left pleural effusion. No evidence of pneumothorax.\n\nIMPRESSION:\n1. Low lung volumes. Slight improvement in the aeration of the upper \nlobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar \nconsolidation, left greater than right, with small left pleural \neffusion.", "findings": "Lines and tubes unchanged. Low lung volumes. Slight improvement in \nthe aeration of the upper lobes bilaterally. Stable cardiomediastinal \nsilhouette. Bibasilar consolidation, left greater than right, with \nsmall left pleural effusion. No evidence of pneumothorax.", "impression": "1. Low lung volumes. Slight improvement in the aeration of the upper \nlobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar \nconsolidation, left greater than right, with small left pleural \neffusion.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64641", "report_date_order": 3, "view_position": "AP", "comparison": "2011/11", "age": "50.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64625_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64625/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe heart is within normal limits of size. The lungs are clear\nwithout focal opacity or pleural effusion. Deformity of several\nleft sided ribs appears chronic and may be the result of prior\ntrauma.\n\nIMPRESSION:\n1. NO FOCAL PULMONARY OPACITY OR PLEURAL EFFUSION. THERE IS NO\nPNEUMOTHORAX.", "findings": "The heart is within normal limits of size. The lungs are clear\nwithout focal opacity or pleural effusion. Deformity of several\nleft sided ribs appears chronic and may be the result of prior\ntrauma.", "impression": "1. NO FOCAL PULMONARY OPACITY OR PLEURAL EFFUSION. THERE IS NO\nPNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64625", "report_date_order": 2, "view_position": "PA", "comparison": "None available.", "age": "75.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64615_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64615/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere is a small 2-mm radiopaque density seen within the\nleft peripheral upper lung zone. This appears calcified and most\nlikely represents old granulomatous disease. However, the patient\nhas a history of melanoma, and comparison with old studies, once\nthey are available, is recommended if there is clinical concern for\nmetastatic disease. The remainder of the lungs are clear without\nfocal air-space consolidation. The cardiomediastinal silhouette\nappears unremarkable. There is an old healing defect at the left\nclavicle demonstrated. The remainder of the bones appear\nunremarkable. Axillary clips seen within the right axilla.\n\nIMPRESSION:\n1. SMALL 2-MM NODULAR DENSITY SEEN IN THE LEFT UPPER PERIPHERAL\nLUNG ZONE, MOST LIKELY REPRESENTING OLD GRANULOMATOUS DISEASE.\n2. DEFECT SEEN WITHIN THE LEFT CLAVICLE, LIKELY REPRESENTING A\nHEALING OR OLD FRACTURE.\n3. AXILLARY CLIPS WITHIN THE RIGHT AXILLA.\n4. NO ACUTE CARDIOPULMONARY DISEASE.\n5. QUESTION OF OLD RIGHT NINTH LATERAL RIB FRACTURE.", "findings": "There is a small 2-mm radiopaque density seen within the\nleft peripheral upper lung zone. This appears calcified and most\nlikely represents old granulomatous disease. However, the patient\nhas a history of melanoma, and comparison with old studies, once\nthey are available, is recommended if there is clinical concern for\nmetastatic disease. The remainder of the lungs are clear without\nfocal air-space consolidation. The cardiomediastinal silhouette\nappears unremarkable. There is an old healing defect at the left\nclavicle demonstrated. The remainder of the bones appear\nunremarkable. Axillary clips seen within the right axilla.", "impression": "1. SMALL 2-MM NODULAR DENSITY SEEN IN THE LEFT UPPER PERIPHERAL\nLUNG ZONE, MOST LIKELY REPRESENTING OLD GRANULOMATOUS DISEASE.\n2. DEFECT SEEN WITHIN THE LEFT CLAVICLE, LIKELY REPRESENTING A\nHEALING OR OLD FRACTURE.\n3. AXILLARY CLIPS WITHIN THE RIGHT AXILLA.\n4. NO ACUTE CARDIOPULMONARY DISEASE.\n5. QUESTION OF OLD RIGHT NINTH LATERAL RIB FRACTURE.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64615", "report_date_order": 1, "view_position": "PA", "comparison": "No priors for comparison. There is a prior comparison\ndated 4-17, but it is not available online.", "age": "66.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64690_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64690/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval development of moderate bilateral pleural effusions. The \nheart size remains enlarged, and evaluation is partially obscured by \nthe mildly elevated left hemidiaphragm. Pulmonary vasculature is \nindistinct, and findings are compatible with mild pulmonary edema. \nBibasilar opacities likely also reflect compressive orifices from the \nbilateral pleural effusions. Fiducial markers projecting over the \nleft lung apex are redemonstrated, with underlying nodule compatible \nwith lesion treated pulmonary malignancy.\n\nIMPRESSION:\n1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL \nPLEURAL EFFUSIONS. \n \n2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE \nATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT \nASPIRATION OR INFECTION CAN BE OBSCURED \n \n3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "findings": "Interval development of moderate bilateral pleural effusions. The \nheart size remains enlarged, and evaluation is partially obscured by \nthe mildly elevated left hemidiaphragm. Pulmonary vasculature is \nindistinct, and findings are compatible with mild pulmonary edema. \nBibasilar opacities likely also reflect compressive orifices from the \nbilateral pleural effusions. Fiducial markers projecting over the \nleft lung apex are redemonstrated, with underlying nodule compatible \nwith lesion treated pulmonary malignancy.", "impression": "1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL \nPLEURAL EFFUSIONS. \n \n2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE \nATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT \nASPIRATION OR INFECTION CAN BE OBSCURED \n \n3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64690", "report_date_order": 4, "view_position": "AP", "comparison": "Chest x-ray 3-28-2020", "age": "84.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64658_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64658/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe lung volumes are slightly decreased. Atelectasis is noted at\nthe left lung base with increased opacity noted. Surgical clips\nare noted overlying the region of the right hemidiaphragm. The\nheart does not appear enlarged. There is no evidence of pulmonary\nedema. Some mild pleural thickening is noted at the left apex.\n\nIMPRESSION:\n1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "findings": "The lung volumes are slightly decreased. Atelectasis is noted at\nthe left lung base with increased opacity noted. Surgical clips\nare noted overlying the region of the right hemidiaphragm. The\nheart does not appear enlarged. There is no evidence of pulmonary\nedema. Some mild pleural thickening is noted at the left apex.", "impression": "1. LEFT LOWER LOBE ATELECTASIS WITHOUT DEFINITE PNEUMONIA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64658", "report_date_order": 1, "view_position": "AP", "comparison": "08/10.", "age": "55.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64564_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64564/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nA single upright AP view of the chest demonstrates a \nlinear focus of opacity in the left lung base with the remainder of \nthe lung parenchyma clear. No significant pulmonary edema. Heart \nsize and cardiomediastinal silhouette are within normal limits. No \nsignificant pleural effusions. No bony abnormalities are \nappreciated.\n\nIMPRESSION:\n1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO \nATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "findings": "A single upright AP view of the chest demonstrates a \nlinear focus of opacity in the left lung base with the remainder of \nthe lung parenchyma clear. No significant pulmonary edema. Heart \nsize and cardiomediastinal silhouette are within normal limits. No \nsignificant pleural effusions. No bony abnormalities are \nappreciated.", "impression": "1. FOCAL OPACITY WITHIN THE LEFT LUNG BASE MAY RELATE TO \nATELECTASIS, ASPIRATION OR PNEUMONIA. ATTENTION ON FOLLOWUP.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64564", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "71.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64604_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64604/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle frontal view of the chest on 12-18 at 2147\nhours demonstrates interval removal of a right chest tube with\ninterval development of a large, right sided pneumothorax. Stable\npositioning of a left sided chest tube with persistent small, left\nsided pneumothorax. Retrocardiac opacities may represent\natelectasis versus consolidation. The cardiomediastinal silhouette\nis stable.\nFollow up exam on 12/18/2014 demonstrates interval placement of a\nright chest tube with tiny, residual pneumothorax. Otherwise, no\nsignificant interval change.\n\nIMPRESSION:\n1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT\nFOLLOWING PLACEMENT OF A RIGHT CHEST TUBE.\n2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "findings": "Single frontal view of the chest on 12-18 at 2147\nhours demonstrates interval removal of a right chest tube with\ninterval development of a large, right sided pneumothorax. Stable\npositioning of a left sided chest tube with persistent small, left\nsided pneumothorax. Retrocardiac opacities may represent\natelectasis versus consolidation. The cardiomediastinal silhouette\nis stable.\nFollow up exam on 12/18/2014 demonstrates interval placement of a\nright chest tube with tiny, residual pneumothorax. Otherwise, no\nsignificant interval change.", "impression": "1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT\nFOLLOWING PLACEMENT OF A RIGHT CHEST TUBE.\n2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64604", "report_date_order": 11, "view_position": "AP", "comparison": "12-18-2014 AT 0847 HOURS", "age": "35.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64713_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64713/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval placement of a left arm PICC terminating 5.2 cm below the \ncarina. No evidence of pneumothorax. The cardiomediastinal silhouette \nis within normal limits. No evidence of effusions or pulmonary edema.\n\nIMPRESSION:\n1. Left arm PICC terminating 5.2 cm below the carina.\n \n2. Interval resolution of pulmonary edema.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Interval placement of a left arm PICC terminating 5.2 cm below the \ncarina. No evidence of pneumothorax. The cardiomediastinal silhouette \nis within normal limits. No evidence of effusions or pulmonary edema.", "impression": "1. Left arm PICC terminating 5.2 cm below the carina.\n \n2. Interval resolution of pulmonary edema.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64713", "report_date_order": 1, "view_position": "AP", "comparison": "CXR 9-11-2014", "age": "76.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64693_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64693/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\n4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the \ncarina. Left chest wall port terminates in the left brachiocephalic \nvein. NG/OG tube tip is within the stomach. Cardiomediastinal \nsilhouette is normal in size. Lung volumes are low with bibasilar \nopacities likely reflecting atelectasis or aspiration. \nPneumoperitoneum seen on prior CT not visualized in this study. \n \n4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm \nbelow the level the carina. Persistent bibasilar opacities. No \npneumothorax.\n\nIMPRESSION:\n1. Right IJ central venous catheter terminates in the lower SVC. No \npneumothorax.\n \n2. Left chest wall port tip in the left brachiocephalic vein. \n \n3. Previously seen pneumoperitoneum not visualized in this study, but \nmay be due to differences in technique. \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the \ncarina. Left chest wall port terminates in the left brachiocephalic \nvein. NG/OG tube tip is within the stomach. Cardiomediastinal \nsilhouette is normal in size. Lung volumes are low with bibasilar \nopacities likely reflecting atelectasis or aspiration. \nPneumoperitoneum seen on prior CT not visualized in this study. \n \n4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm \nbelow the level the carina. Persistent bibasilar opacities. No \npneumothorax.", "impression": "1. Right IJ central venous catheter terminates in the lower SVC. No \npneumothorax.\n \n2. Left chest wall port tip in the left brachiocephalic vein. \n \n3. Previously seen pneumoperitoneum not visualized in this study, but \nmay be due to differences in technique. \n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64693", "report_date_order": 1, "view_position": "AP", "comparison": "CT from 4/2/2018.", "age": "67.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64682_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64682/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nAP semierect view of the chest demonstrates low left lung \nvolume, and a moderate left pleural effusion and associated \natelectasis persists, unchanged. Right lung remains clear. \nPostoperative stabilization of the lower cervical and upper thoracic \nspine are again noted unchanged.\n \nEndotracheal tube has been removed.\n\nIMPRESSION:\n1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. \nTHESE ARE UNCHANGED DESPITE EXTUBATION.", "findings": "AP semierect view of the chest demonstrates low left lung \nvolume, and a moderate left pleural effusion and associated \natelectasis persists, unchanged. Right lung remains clear. \nPostoperative stabilization of the lower cervical and upper thoracic \nspine are again noted unchanged.\n \nEndotracheal tube has been removed.", "impression": "1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. \nTHESE ARE UNCHANGED DESPITE EXTUBATION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64682", "report_date_order": 1, "view_position": "AP", "comparison": "12/14/2008", "age": "62.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64677_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64677/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe left subclavian line tip is in the brachiocephalic.\nThere are multiple calcified granulomas on the right. Minimal\nbibasilar atelectasis. The cardiomediastinal silhouette is within\nnormal limits.\n\nIMPRESSION:\n1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT\nEVIDENCE OF PNEUMOTHORAX.\n2. NO FOCAL LUNG CONSOLIDATION.", "findings": "The left subclavian line tip is in the brachiocephalic.\nThere are multiple calcified granulomas on the right. Minimal\nbibasilar atelectasis. The cardiomediastinal silhouette is within\nnormal limits.", "impression": "1. THE LEFT SUBCLAVIAN LINE TIP IS IN THE BRACHIOCEPHALIC, WITHOUT\nEVIDENCE OF PNEUMOTHORAX.\n2. NO FOCAL LUNG CONSOLIDATION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64677", "report_date_order": 1, "view_position": "AP", "comparison": "No priors.", "age": "64.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64583_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64583/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nConsolidation collapse of the right upper lobe is present\nassociated with left to right shift of the left upper lobe across\nthe anterior potential space. An oval slightly calcific opacity is\npresent in the right mid lung. This may represent a pleural based\ndensity. There is thickening of the minor fissure. Mild\ncardiomegaly is present. The pulmonary vascularity is slightly\nprominent in the upper lobes. Degenerative changes of the osseous\nstructures are noted.\n\nIMPRESSION:\n1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE\nPROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE\nNOT AVAILABLE.", "findings": "Consolidation collapse of the right upper lobe is present\nassociated with left to right shift of the left upper lobe across\nthe anterior potential space. An oval slightly calcific opacity is\npresent in the right mid lung. This may represent a pleural based\ndensity. There is thickening of the minor fissure. Mild\ncardiomegaly is present. The pulmonary vascularity is slightly\nprominent in the upper lobes. Degenerative changes of the osseous\nstructures are noted.", "impression": "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE\nPROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE\nNOT AVAILABLE.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64583", "report_date_order": 1, "view_position": "AP", "comparison": "", "age": "79.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64634_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64634/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval placement of left PICC line, which terminates at the \ncavoatrial junction. Unchanged right IJ, NG/OG tube.\n \nSuboptimal study due to persistent marked rotation of the patient. \nPersistent left basilar opacity again seen elevation of the left \nhemidiaphragm. Low lung volumes. No visualized in the thorax.\n\nIMPRESSION:\n1. Interval placement of left PICC line, which terminates at the \ncavoatrial junction. No visualized pneumothorax.\n \n2. No other significant interval change.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Interval placement of left PICC line, which terminates at the \ncavoatrial junction. Unchanged right IJ, NG/OG tube.\n \nSuboptimal study due to persistent marked rotation of the patient. \nPersistent left basilar opacity again seen elevation of the left \nhemidiaphragm. Low lung volumes. No visualized in the thorax.", "impression": "1. Interval placement of left PICC line, which terminates at the \ncavoatrial junction. No visualized pneumothorax.\n \n2. No other significant interval change.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64634", "report_date_order": 2, "view_position": "AP", "comparison": "Chest x-ray 9-15-2004", "age": "39.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64670_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64670/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere has been a midline thoracotomy. ET tube is present \n4 cm above the carina. Two right IJ lines have their TIPS in the \nregion of the SVC. There is a midline chest tube and a left chest \ntube. There is a nasogastric tube present. The cardiac silhouette \nis within normal limits. There is some retrocardiac opacity \nsilhouetting the descending aorta and medial hemidiaphragm. The \npulmonary vascularity is normal. No other focal pulmonary \nparenchymal abnormalities are identified.\n\nIMPRESSION:\n1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS \nDESCRIBED. \n \n 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.", "findings": "There has been a midline thoracotomy. ET tube is present \n4 cm above the carina. Two right IJ lines have their TIPS in the \nregion of the SVC. There is a midline chest tube and a left chest \ntube. There is a nasogastric tube present. The cardiac silhouette \nis within normal limits. There is some retrocardiac opacity \nsilhouetting the descending aorta and medial hemidiaphragm. The \npulmonary vascularity is normal. No other focal pulmonary \nparenchymal abnormalities are identified.", "impression": "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS \nDESCRIBED. \n \n 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64670", "report_date_order": 1, "view_position": "AP", "comparison": "Comparison is made with the previous film from October 30th \nat 1416.", "age": "73.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64637_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64637/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nStable cholecystectomy clips. Interval placement of epidural catheter \nand left chest tube after resection of left upper lung zone nodule. \nNo pneumothorax. No pleural effusions. Lung fields clear. Heart size \nnormal.\n\nIMPRESSION:\n1. Post surgical changes with left-sided chest tube with no \npneumothorax.\n \n \n \nPhysician to Physician Radiology Consult Line: (720) 395-9359\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Stable cholecystectomy clips. Interval placement of epidural catheter \nand left chest tube after resection of left upper lung zone nodule. \nNo pneumothorax. No pleural effusions. Lung fields clear. Heart size \nnormal.", "impression": "1. Post surgical changes with left-sided chest tube with no \npneumothorax.\n \n \n \nPhysician to Physician Radiology Consult Line: (720) 395-9359\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64637", "report_date_order": 1, "view_position": "AP", "comparison": "7-5", "age": "60.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64569_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64569/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nChest x-ray 4-5-11 at 455: Removal NG tube; right chest tube \nremains in place. No pneumothorax identified. Persistent bibasilar \nparenchymal opacities, left greater than right with associated small, \nleft pleural effusion.\n \nChest x-ray 4-2011 at 1020: Interval removal of right chest tube; \nsmall right apical pneumothorax seen with this report displaced 1 cm \nfrom chest wall. No mediastinal shift. Minimal improved aeration of \nleft base.\n\nIMPRESSION:\n1. Small right pneumothorax post chest tube removal.\n \n2. Improved aeration of left lower lobe.\n \n \n \n\"Physician to Physician Radiology Consult Line: (499) 908-2178\"", "findings": "Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube \nremains in place. No pneumothorax identified. Persistent bibasilar \nparenchymal opacities, left greater than right with associated small, \nleft pleural effusion.\n \nChest x-ray 4-2011 at 1020: Interval removal of right chest tube; \nsmall right apical pneumothorax seen with this report displaced 1 cm \nfrom chest wall. No mediastinal shift. Minimal improved aeration of \nleft base.", "impression": "1. Small right pneumothorax post chest tube removal.\n \n2. Improved aeration of left lower lobe.\n \n \n \n\"Physician to Physician Radiology Consult Line: (499) 908-2178\"", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64569", "report_date_order": 9, "view_position": "AP", "comparison": "4-5-2011, 4-5-2011", "age": "67.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64613_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64613/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSmall right pleural effusion has diminished. Prior loculated small \npneumothorax at the right lung base has cleared.\nPost thoracotomy findings appear stable. The heart and vessels are \nunremarkable. Right humerus hardware again noted.\n\nIMPRESSION:\n1. Decreased fluid and resolved small pneumothorax at the right lung \nbase.", "findings": "Small right pleural effusion has diminished. Prior loculated small \npneumothorax at the right lung base has cleared.\nPost thoracotomy findings appear stable. The heart and vessels are \nunremarkable. Right humerus hardware again noted.", "impression": "1. Decreased fluid and resolved small pneumothorax at the right lung \nbase.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64613", "report_date_order": 11, "view_position": "PA", "comparison": "11-2002 and prior", "age": "30.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64580_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64580/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSingle frontal view of the chest demonstrates interval\nincrease in pulmonary edema with bilateral pleural effusions and\nbibasilar atelectasis versus consolidation. Cardiomediastinal\nsilhouette is unchanged and significant for vascular calcification\nand cardiomegaly. Osseous structures are unchanged.\n\nIMPRESSION:\nCHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "findings": "Single frontal view of the chest demonstrates interval\nincrease in pulmonary edema with bilateral pleural effusions and\nbibasilar atelectasis versus consolidation. Cardiomediastinal\nsilhouette is unchanged and significant for vascular calcification\nand cardiomegaly. Osseous structures are unchanged.", "impression": "CHANGES OF CONGESTIVE HEART FAILURE AS DESCRIBED.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64580", "report_date_order": 9, "view_position": "AP", "comparison": "3-9-2006", "age": "84.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64732_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64732/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nSlight interval decrease in lung volumes. Increased prominence of the \npulmonary vasculature, right lung greater than left, may represent \nasymmetric pulmonary edema versus secondary to decrease in lung \nvolumes. Stable cardiomediastinal silhouette. No focal consolidation. \nNo acute osseous abnormality.\n\nIMPRESSION:\n1. Slight interval decrease in lung volumes. Increased prominence of \nthe pulmonary vasculature, right lung greater than left, may \nrepresent asymmetric pulmonary edema versus secondary to decrease in \nlung volumes. Atypical or viral infection could have a similar \nappearance.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Slight interval decrease in lung volumes. Increased prominence of the \npulmonary vasculature, right lung greater than left, may represent \nasymmetric pulmonary edema versus secondary to decrease in lung \nvolumes. Stable cardiomediastinal silhouette. No focal consolidation. \nNo acute osseous abnormality.", "impression": "1. Slight interval decrease in lung volumes. Increased prominence of \nthe pulmonary vasculature, right lung greater than left, may \nrepresent asymmetric pulmonary edema versus secondary to decrease in \nlung volumes. Atypical or viral infection could have a similar \nappearance.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64732", "report_date_order": 1, "view_position": "AP", "comparison": "3/21/2020", "age": "49.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64623_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64623/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nAP semierect chest radiograph demonstrates a nasoenteric tube \nprojecting over the right mediastinum, with the right apical chest \ndrain and epidural catheter, unchanged. Unchanged cardiomegaly. Low \nlung volumes, with unchanged opacification of the left base and small \nleft pleural effusion.\n \nMultilevel osteophytosis of the lower thoracic spine. Mild \ndegenerative change of the right acromioclavicular joint.\n\nIMPRESSION:\n1. Stable opacification of the left base, with small pleural effusion.", "findings": "AP semierect chest radiograph demonstrates a nasoenteric tube \nprojecting over the right mediastinum, with the right apical chest \ndrain and epidural catheter, unchanged. Unchanged cardiomegaly. Low \nlung volumes, with unchanged opacification of the left base and small \nleft pleural effusion.\n \nMultilevel osteophytosis of the lower thoracic spine. Mild \ndegenerative change of the right acromioclavicular joint.", "impression": "1. Stable opacification of the left base, with small pleural effusion.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64623", "report_date_order": 2, "view_position": "AP", "comparison": "1/18/2001", "age": "74.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64607_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64607/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nAP erect chest radiograph demonstrates interval left sided \nthoracotomy, with an osteotomy through the left posterior sixth rib \nand suture material in the left suprahilar region. A left apical \nchest drain is seen in place, with a tiny pneumothorax along the left \nlateral chest wall peripherally, as well as subcutaneous emphysema. \nThe previously noted bulla at the left base is not seen on the \ncurrent radiograph, but this may be positional. The left lung \notherwise appears clear. Moderate atelectasis is seen at the right \nbase, which otherwise appears clear.\n \nModerate osteophytosis in the thoracic spine. Visualized osseous \nstructures otherwise unremarkable.\n\nIMPRESSION:\n1. Interval left-sided thoracotomy and left upper lobectomy, with a \ntiny pneumothorax along the left lateral chest wall.\n \n2. Moderate atelectasis at the right base.", "findings": "AP erect chest radiograph demonstrates interval left sided \nthoracotomy, with an osteotomy through the left posterior sixth rib \nand suture material in the left suprahilar region. A left apical \nchest drain is seen in place, with a tiny pneumothorax along the left \nlateral chest wall peripherally, as well as subcutaneous emphysema. \nThe previously noted bulla at the left base is not seen on the \ncurrent radiograph, but this may be positional. The left lung \notherwise appears clear. Moderate atelectasis is seen at the right \nbase, which otherwise appears clear.\n \nModerate osteophytosis in the thoracic spine. Visualized osseous \nstructures otherwise unremarkable.", "impression": "1. Interval left-sided thoracotomy and left upper lobectomy, with a \ntiny pneumothorax along the left lateral chest wall.\n \n2. Moderate atelectasis at the right base.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64607", "report_date_order": 4, "view_position": "AP", "comparison": "11/23/2012", "age": "57.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64586_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64586/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nLow lung volumes. There are heterogeneous bibasilar and \nretrocardiac opacities, which are more likely atelectasis, given the \nlow lung volumes. However, in the appropriate clinical setting, this \ncould also represent early infection. No evidence of pleural \neffusions or pulmonary edema. Cardiomediastinal silhouette is within \nnormal limits. Visualized osseous structures are intact.\n\nIMPRESSION:\n1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY \nREPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE \nAPPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY \nINFECTION. \n \n2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "findings": "Low lung volumes. There are heterogeneous bibasilar and \nretrocardiac opacities, which are more likely atelectasis, given the \nlow lung volumes. However, in the appropriate clinical setting, this \ncould also represent early infection. No evidence of pleural \neffusions or pulmonary edema. Cardiomediastinal silhouette is within \nnormal limits. Visualized osseous structures are intact.", "impression": "1. HETEROGENEOUS BIBASILAR AND RETROCARDIAC OPACITIES, WHICH LIKELY \nREPRESENT ATELECTASIS GIVEN THE LOW LUNG VOLUMES. HOWEVER, IN THE \nAPPROPRIATE CLINICAL SETTING, THESE COULD ALSO REPRESENT EARLY \nINFECTION. \n \n2. NO PLEURAL EFFUSIONS OR PULMONARY EDEMA.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64586", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "68.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64626_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64626/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is within\nnormal limits. The diaphragmatic borders are well visualized.\nThere is no evidence of pneumothorax. There is placement of a\nleft-sided single lead pacemaker. The lungs are clear. New\nosseous volar soft tissue abnormalities.\n\nIMPRESSION:\n1. PLACEMENT OF A LEFT-SIDED SINGLE LEAD AND PACER WITH NO\nEVIDENCE OF PNEUMOTHORAX.\n2. LUNGS CLEAR.", "findings": "The trachea is midline. The cardiomediastinal silhouette is within\nnormal limits. The diaphragmatic borders are well visualized.\nThere is no evidence of pneumothorax. There is placement of a\nleft-sided single lead pacemaker. The lungs are clear. New\nosseous volar soft tissue abnormalities.", "impression": "1. PLACEMENT OF A LEFT-SIDED SINGLE LEAD AND PACER WITH NO\nEVIDENCE OF PNEUMOTHORAX.\n2. LUNGS CLEAR.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64626", "report_date_order": 1, "view_position": "AP", "comparison": "STUDY:\nNone.", "age": "74.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64642_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64642/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe three-lead permanent pacemaker overlying the left hemithorax with \nleads in the right atrium, right ventricle, and coronary sinus is not \nsignificant change in position or appearance. The moderate \ncardiomegaly with left atrial enlargement and pulmonary hypertension \nis stable. There are increased interstitial markings with small \nbilateral pleural effusions. There is no pneumothorax. The soft \ntissues and osseous structures are without significant change.\n\nIMPRESSION:\n1. Increased interstitial markings can represent endobronchial \nspread of infection versus a component of edema.\n \n2. No pneumothorax.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "The three-lead permanent pacemaker overlying the left hemithorax with \nleads in the right atrium, right ventricle, and coronary sinus is not \nsignificant change in position or appearance. The moderate \ncardiomegaly with left atrial enlargement and pulmonary hypertension \nis stable. There are increased interstitial markings with small \nbilateral pleural effusions. There is no pneumothorax. The soft \ntissues and osseous structures are without significant change.", "impression": "1. Increased interstitial markings can represent endobronchial \nspread of infection versus a component of edema.\n \n2. No pneumothorax.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64642", "report_date_order": 2, "view_position": "AP", "comparison": "1/5/200", "age": "67.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64585_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64585/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nVery low lung volumes are demonstrated. The right\nhemidiaphragm is elevated. There is a left retrocardiac opacity\nlikely representing atelectasis. However, cannot entirely exclude\nan infectious process. Would recommend a repeat chest x-ray with\ndeep inspiration is concern for infection.\nThe pulmonary vasculature is grossly unremarkable.\nThere is an incidental finding of a azygous fissure and lobe.\nSeveral prominent bowel loops are noted within the abdomen. These\nare of unknown clinical significance. Correlate clinically. If\nconcern for abdominal pathology, would recommend a dedicated\nabdominal series.\n\nIMPRESSION:\n1. LOW LUNG VOLUMES.\n2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA.\nREPEAT CHEST X-RAY WITH DEEP INSPIRATION MAY BE HELPFUL.\n3. ELEVATED RIGHT HEMIDIAPHRAGM.\n4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE.\n5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL\nPATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "findings": "Very low lung volumes are demonstrated. The right\nhemidiaphragm is elevated. There is a left retrocardiac opacity\nlikely representing atelectasis. However, cannot entirely exclude\nan infectious process. Would recommend a repeat chest x-ray with\ndeep inspiration is concern for infection.\nThe pulmonary vasculature is grossly unremarkable.\nThere is an incidental finding of a azygous fissure and lobe.\nSeveral prominent bowel loops are noted within the abdomen. These\nare of unknown clinical significance. Correlate clinically. If\nconcern for abdominal pathology, would recommend a dedicated\nabdominal series.", "impression": "1. LOW LUNG VOLUMES.\n2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA.\nREPEAT CHEST X-RAY WITH DEEP INSPIRATION MAY BE HELPFUL.\n3. ELEVATED RIGHT HEMIDIAPHRAGM.\n4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE.\n5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL\nPATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64585", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "87.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64548_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64548/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nInterval increase in opacity within the lingula and left lung base \ncompared to the prior examination. Interval increase in opacity along \nthe medial portion of the right lung base compared to the prior \nexamination. Unchanged cardiomediastinal silhouette. No evidence of \npneumothorax or pulmonary edema.\n\nIMPRESSION:\n1. Interval increase in lingular, left lung base, in medial right \nlung base opacities, which can be seen with aspiration or multifocal \npneumonia.\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Interval increase in opacity within the lingula and left lung base \ncompared to the prior examination. Interval increase in opacity along \nthe medial portion of the right lung base compared to the prior \nexamination. Unchanged cardiomediastinal silhouette. No evidence of \npneumothorax or pulmonary edema.", "impression": "1. Interval increase in lingular, left lung base, in medial right \nlung base opacities, which can be seen with aspiration or multifocal \npneumonia.\nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64548", "report_date_order": 6, "view_position": "AP", "comparison": "6-28-2008", "age": "52.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64575_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64575/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is within \nnormal limits.\n \nThe pulmonary vasculature is well-defined without evidence of \npulmonary edema.\n \nThe lungs are hyperinflated with associated flattening of the \nhemidiaphragms and lucency within the lung apices compatible with \nemphysema. There is mild biapical pleural parenchymal scarring. No \nfocal consolidation. There is a 7-mm nodule which projects over the \nposterior left 10th rib with a possible correlate on the lateral view.\n \nThere is blunting of the left costophrenic angle suggestive of a \nsmall effusion or pleural thickening.\n \nThe visualized osseous structures are mildly osteopenic. \nDegenerative changes are noted involving the thoracic spine.\n\nIMPRESSION:\n1.NO ACUTE CARDIOPULMONARY PROCESS.\n \n2.MODERATE EMPHYSEMATOUS CHANGES.\n \n3.7-MM NODULE PROJECTING OVER THE LEFT LUNG BASE. RECOMMEND \nCOMPARISON WITH OUTSIDE PRIOR EXAMS TO ESTABLISH TWO YEARS OF \nSTABILITY, OR A CT OF THE THORAX FOR FURTHER EVALUATION.\n \n4.IN BLUNTING OF THE LEFT COSTOPHRENIC ANGLE SUGGESTIVE OF A SMALL \nLEFT PLEURAL EFFUSION OR THICKENING.", "findings": "The trachea is midline. The cardiomediastinal silhouette is within \nnormal limits.\n \nThe pulmonary vasculature is well-defined without evidence of \npulmonary edema.\n \nThe lungs are hyperinflated with associated flattening of the \nhemidiaphragms and lucency within the lung apices compatible with \nemphysema. There is mild biapical pleural parenchymal scarring. No \nfocal consolidation. There is a 7-mm nodule which projects over the \nposterior left 10th rib with a possible correlate on the lateral view.\n \nThere is blunting of the left costophrenic angle suggestive of a \nsmall effusion or pleural thickening.\n \nThe visualized osseous structures are mildly osteopenic. \nDegenerative changes are noted involving the thoracic spine.", "impression": "1.NO ACUTE CARDIOPULMONARY PROCESS.\n \n2.MODERATE EMPHYSEMATOUS CHANGES.\n \n3.7-MM NODULE PROJECTING OVER THE LEFT LUNG BASE. RECOMMEND \nCOMPARISON WITH OUTSIDE PRIOR EXAMS TO ESTABLISH TWO YEARS OF \nSTABILITY, OR A CT OF THE THORAX FOR FURTHER EVALUATION.\n \n4.IN BLUNTING OF THE LEFT COSTOPHRENIC ANGLE SUGGESTIVE OF A SMALL \nLEFT PLEURAL EFFUSION OR THICKENING.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64575", "report_date_order": 1, "view_position": "PA", "comparison": "No prior.", "age": "80.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64683_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64683/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nLow lung volumes. Increasing right basilar opacity. Persistent dense \nleft retrocardiac opacity with air bronchograms with some improved \naeration noted in the midlung zone. The mid to upper lung zones \nbilaterally are relatively clear. Decreased left pleural effusion.\n \nThe cardiomediastinal silhouette is similar in configuration and \nobscured along the left heart border. Similar perihilar vascular \nprominence.\n \nDegenerative changes of the spine.\n\nIMPRESSION:\n1. Low lung volumes. Increasing right basilar opacity which may \nrepresent atelectasis and the presence of low lung volumes though \ninfection or aspiration would be difficult to exclude. Additional \npersistent dense left retrocardiac opacity with evidence of air \nbronchograms suggesting consolidation, including pneumonia in the \nappropriate clinical setting, though there is some improved aeration \nin the left midlung zone. \n \n2. Decreased left pleural effusion.", "findings": "Low lung volumes. Increasing right basilar opacity. Persistent dense \nleft retrocardiac opacity with air bronchograms with some improved \naeration noted in the midlung zone. The mid to upper lung zones \nbilaterally are relatively clear. Decreased left pleural effusion.\n \nThe cardiomediastinal silhouette is similar in configuration and \nobscured along the left heart border. Similar perihilar vascular \nprominence.\n \nDegenerative changes of the spine.", "impression": "1. Low lung volumes. Increasing right basilar opacity which may \nrepresent atelectasis and the presence of low lung volumes though \ninfection or aspiration would be difficult to exclude. Additional \npersistent dense left retrocardiac opacity with evidence of air \nbronchograms suggesting consolidation, including pneumonia in the \nappropriate clinical setting, though there is some improved aeration \nin the left midlung zone. \n \n2. Decreased left pleural effusion.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64683", "report_date_order": 2, "view_position": "AP", "comparison": "11/11/2003", "age": "77.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64555_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64555/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nRedemonstration of emphysematous changes of the bilateral lungs. \nThere is extensive right middle and lower lung zone opacities again \nseen, which have increased compared to prior radiograph on 1-30-09, 9/21/2015. Calcific pleural thickening is seen in the bilateral lung \napices. No acute osseous abnormalities.\n\nIMPRESSION:\n1. Interval increase in right mid- and lower lung zone opacities \nthat could represent infection or aspiration.\n \n2. Mild pulmonary edema\n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Redemonstration of emphysematous changes of the bilateral lungs. \nThere is extensive right middle and lower lung zone opacities again \nseen, which have increased compared to prior radiograph on 1-30-09, 9/21/2015. Calcific pleural thickening is seen in the bilateral lung \napices. No acute osseous abnormalities.", "impression": "1. Interval increase in right mid- and lower lung zone opacities \nthat could represent infection or aspiration.\n \n2. Mild pulmonary edema\n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64555", "report_date_order": 2, "view_position": "AP", "comparison": "1/30/2009", "age": "89.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64668_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64668/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nStable position of cervical fusion hardware. No significant interval \nchange in diffuse mildly prominent fine reticulations in the \nbilateral lungs with more confluent airspace opacities in the \nbilateral lung bases, left greater than right with small bilateral \npleural effusions. Stable left apical pneumothorax.\n\nIMPRESSION:\n1. Stable small left apical pneumothorax.\n \n2. No significant interval change in diffuse mildly prominent fine \nreticulations in the bilateral lungs likely reflecting pulmonary \nedema with more confluent airspace opacities in the bilateral lung \nbases, left greater than right, which could reflect atelectasis as \nversus infection, with small bilateral pleural effusions.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Stable position of cervical fusion hardware. No significant interval \nchange in diffuse mildly prominent fine reticulations in the \nbilateral lungs with more confluent airspace opacities in the \nbilateral lung bases, left greater than right with small bilateral \npleural effusions. Stable left apical pneumothorax.", "impression": "1. Stable small left apical pneumothorax.\n \n2. No significant interval change in diffuse mildly prominent fine \nreticulations in the bilateral lungs likely reflecting pulmonary \nedema with more confluent airspace opacities in the bilateral lung \nbases, left greater than right, which could reflect atelectasis as \nversus infection, with small bilateral pleural effusions.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64668", "report_date_order": 2, "view_position": "AP", "comparison": "2-24-2011 at 2004 hours", "age": "50.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64587_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64587/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe distal tip of a left-sided Mediport catheter projects over the \nleft brachiocephalic vein, unchanged in position as compared with the \nprior study. Degenerative changes are seen within the thoracic spine. \nA large amount of subcutaneous emphysema within the left chest wall \nand neck is increased as compared with the prior study. The heart is \nnormal in size. A persistent small to moderate left basilar \npneumothorax is similar in appearance to the prior study. Persistent \nincreased retrocardiac opacification likely represents atelectasis. \nThe right lung is clear.\n \nAddendum Begins\nThe left-sided chest tube/drain is unchanged in position as compared \nwith the prior study.\n \n\"Physician to Physician Radiology Consult Line: (740) 785-9814\"\nAddendum Ends\n\nIMPRESSION:\n1. Persistent small to moderate left basilar pneumothorax, similar \nin appearance to the prior study.\n \n2. Persistent increased retrocardiac opacification, likely \nrepresenting atelectasis.\n \n3. Large amount of subcutaneous emphysema within the left chest wall \nand neck, increased as compared with the prior study.\n \n\"Physician to Physician Radiology Consult Line: (740) 785-9814\"", "findings": "The distal tip of a left-sided Mediport catheter projects over the \nleft brachiocephalic vein, unchanged in position as compared with the \nprior study. Degenerative changes are seen within the thoracic spine. \nA large amount of subcutaneous emphysema within the left chest wall \nand neck is increased as compared with the prior study. The heart is \nnormal in size. A persistent small to moderate left basilar \npneumothorax is similar in appearance to the prior study. Persistent \nincreased retrocardiac opacification likely represents atelectasis. \nThe right lung is clear.\n \nAddendum Begins\nThe left-sided chest tube/drain is unchanged in position as compared \nwith the prior study.\n \n\"Physician to Physician Radiology Consult Line: (740) 785-9814\"\nAddendum Ends", "impression": "1. Persistent small to moderate left basilar pneumothorax, similar \nin appearance to the prior study.\n \n2. Persistent increased retrocardiac opacification, likely \nrepresenting atelectasis.\n \n3. Large amount of subcutaneous emphysema within the left chest wall \nand neck, increased as compared with the prior study.\n \n\"Physician to Physician Radiology Consult Line: (740) 785-9814\"", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64587", "report_date_order": 3, "view_position": "AP", "comparison": "9/5/2011.", "age": "70.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "iu_CXR1191_IM-0128", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1191_IM-0128-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No acute bony changes.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality identified.", "findings": "Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No acute bony changes.", "impression": "No acute cardiopulmonary abnormality identified.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1191_IM-0128", "comparison": "None.", "indication": "Indication: Dyspnea. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR968_IM-2458", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/968_IM-2458-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.\n\nIMPRESSION:\nNo acute cardiopulmonary findings", "findings": "Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.", "impression": "No acute cardiopulmonary findings", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR968_IM-2458", "comparison": "None", "indication": "Indication: XXXX-year-old male, pain Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3039_IM-1412", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3039_IM-1412-1001.dcm.png", "report_gt": "FINDINGS:\nNormal heart size. Clear lungs. No pneumothorax or large pleural effusion.\n\nIMPRESSION:\nNo acute cardiopulmonary findings.", "findings": "Normal heart size. Clear lungs. No pneumothorax or large pleural effusion.", "impression": "No acute cardiopulmonary findings.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3039_IM-1412", "comparison": "None.", "indication": "Indication: XXXX vehicle accident. Mid chest pain from airbag. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1015_IM-0001", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1015_IM-0001-1001.dcm.png", "report_gt": "FINDINGS:\nStreaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with normal heart size.\n\nIMPRESSION:\nBibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis", "findings": "Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with normal heart size.", "impression": "Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1015_IM-0001", "comparison": "XXXX", "indication": "Indication: XXXX-year-old female, COPD exacerbation, short of breath Comparison: XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3885_IM-1971", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3885_IM-1971-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.\n\nIMPRESSION:\nNo acute cardiopulmonary disease.", "findings": "The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.", "impression": "No acute cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3885_IM-1971", "comparison": "Two views of the chest dated XXXX.", "indication": "Indication: XXXX-year-old with rectal bleeding for 2 XXXX. XXXX for 5 months. Nonsmoker. Comparison: Two views of the chest dated XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3817_IM-1925", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3817_IM-1925-1001.dcm.png", "report_gt": "FINDINGS:\nLungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.\n\nIMPRESSION:\nNo acute cardiopulmonary findings. .", "findings": "Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.", "impression": "No acute cardiopulmonary findings. .", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3817_IM-1925", "comparison": "Chest XXXX", "indication": "Indication: XXXX-year-old female with chest pain, productive XXXX Comparison: Chest XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3355_IM-1609", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3355_IM-1609-1001.dcm.png", "report_gt": "FINDINGS:\nCardiomediastinal silhouettes are within normal limits. Lungs are hyperexpanded. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormalities.", "findings": "Cardiomediastinal silhouettes are within normal limits. Lungs are hyperexpanded. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.", "impression": "No acute cardiopulmonary abnormalities.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3355_IM-1609", "comparison": "None", "indication": "Indication: XXXX-year-old female with workup for XXXX loss and history tobacco use. Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3294_IM-1573", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3294_IM-1573-1001.dcm.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. A calcified granuloma is identified in the right middle lobe. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute displaced rib fractures.\n\nIMPRESSION:\n1. No acute intrathoracic abnormality.", "findings": "The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. A calcified granuloma is identified in the right middle lobe. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute displaced rib fractures.", "impression": "1. No acute intrathoracic abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3294_IM-1573", "comparison": "Comparison is XXXX to chest radiograph examination dated XXXX.", "indication": "Indication: XXXX-year-old female chest pain. Comparison: Comparison is XXXX to chest radiograph examination dated XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1399_IM-0255", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1399_IM-0255-1001.dcm.png", "report_gt": "FINDINGS:\nThe cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Partial fusion of 2 vertebral bodies near the thoracolumbar junction.\n\nIMPRESSION:\nNo acute process.", "findings": "The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Partial fusion of 2 vertebral bodies near the thoracolumbar junction.", "impression": "No acute process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1399_IM-0255", "comparison": "None.", "indication": "Indication: COPD Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3844_IM-1945", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3844_IM-1945-1001.dcm.png", "report_gt": "FINDINGS:\nLungs are clear. No pleural effusions or pneumothoraces. heart size is upper limits of normal.\n\nIMPRESSION:\nHeart size upper limits of normal with clear lungs.", "findings": "Lungs are clear. No pleural effusions or pneumothoraces. heart size is upper limits of normal.", "impression": "Heart size upper limits of normal with clear lungs.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3844_IM-1945", "comparison": "None", "indication": "Indication: chest pain Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR1234_IM-0157", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1234_IM-0157-4004.dcm.png", "report_gt": "FINDINGS:\n2 images. The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. There are finding status post sternotomy and CABG. XXXX atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic XXXX. No pneumothorax.\n\nIMPRESSION:\n1. Cardiomegaly. 2. Minimal left midlung atelectasis. 3. Blunting of left costophrenic XXXX. This could indicate a small amount of pleural fluid versus pleural-parenchymal scarring.", "findings": "2 images. The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. There are finding status post sternotomy and CABG. XXXX atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic XXXX. No pneumothorax.", "impression": "1. Cardiomegaly. 2. Minimal left midlung atelectasis. 3. Blunting of left costophrenic XXXX. This could indicate a small amount of pleural fluid versus pleural-parenchymal scarring.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1234_IM-0157", "comparison": "None. Clinical", "indication": "Indication: Tachycardia. History of bypass surgery. Comparison: None. Clinical" }, "eval_track": "baseline" }, { "study_id": "iu_CXR1623_IM-0405", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1623_IM-0405-4004.dcm.png", "report_gt": "FINDINGS:\nNormal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1623_IM-0405", "comparison": "XXXX", "indication": "Indication: Chest pain Comparison: XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR584_IM-2181", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/584_IM-2181-1001.dcm.png", "report_gt": "FINDINGS:\nThere are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR584_IM-2181", "comparison": "XXXX films of the chest dated XXXX.", "indication": "Indication: XXXX-year-old male, XXXX. Comparison: XXXX films of the chest dated XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3423_IM-1656", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3423_IM-1656-1001.dcm.png", "report_gt": "FINDINGS:\nthe heart size is normal. There is tortuosity of aorta. Pulmonary vascularity is normal. No focal airspace disease or effusion. Degenerative changes in the thoracic spine.\n\nIMPRESSION:\nTortuous aorta, otherwise unremarkable exam.", "findings": "the heart size is normal. There is tortuosity of aorta. Pulmonary vascularity is normal. No focal airspace disease or effusion. Degenerative changes in the thoracic spine.", "impression": "Tortuous aorta, otherwise unremarkable exam.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3423_IM-1656", "comparison": "None", "indication": "Indication: Preop right breast surgery Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR1277_IM-0185", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1277_IM-0185-1001.dcm.png", "report_gt": "FINDINGS:\nPA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or lobar air space consolidation. XXXX right middle lobe collapse appears less distinct than on prior study.\n\nIMPRESSION:\nNo acute cardiopulmonary disease.", "findings": "PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or lobar air space consolidation. XXXX right middle lobe collapse appears less distinct than on prior study.", "impression": "No acute cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1277_IM-0185", "comparison": "XXXX", "indication": "Indication: Palpitation Comparison: XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3958_IM-2022", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3958_IM-2022-1001.dcm.png", "report_gt": "FINDINGS:\nBoth lungs are clear and expanded. Heart and mediastinum normal.\n\nIMPRESSION:\nNo active disease.", "findings": "Both lungs are clear and expanded. Heart and mediastinum normal.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3958_IM-2022", "comparison": "None.", "indication": "Indication: Chest pain. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1603_IM-0391", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1603_IM-0391-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.\n\nIMPRESSION:\nNormal chest No evidence of tuberculosis", "findings": "Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "impression": "Normal chest No evidence of tuberculosis", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1603_IM-0391", "comparison": "", "indication": "Indication: Tuberculosis positive PPD Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR2531_IM-1045", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2531_IM-1045-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Scattered calcified granulomas noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Scattered calcified granulomas noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2531_IM-1045", "comparison": "None.", "indication": "Indication: XXXX-year-old woman with chest pain.. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3335_IM-1598", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3335_IM-1598-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.", "impression": "No acute cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3335_IM-1598", "comparison": "None.", "indication": "Indication: chest pain Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1586_IM-0380", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1586_IM-0380-1001.dcm.png", "report_gt": "FINDINGS:\nThe cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality. Stable XXXX deformities of the upper thoracic segments.", "findings": "The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam.", "impression": "No acute cardiopulmonary abnormality. Stable XXXX deformities of the upper thoracic segments.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1586_IM-0380", "comparison": "PA and lateral view of the chest on XXXX, XXXX.", "indication": "Indication: XXXX-year-old male with atrial fibrillation Comparison: PA and lateral view of the chest on XXXX, XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR2660_IM-1142", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2660_IM-1142-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.\n\nIMPRESSION:\nNormal chest", "findings": "Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.", "impression": "Normal chest", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2660_IM-1142", "comparison": "", "indication": "Indication: XXXX rule out pneumonia Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3340_IM-1601", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3340_IM-1601-1001.dcm.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.\n\nIMPRESSION:\nChronic lung changes without acute abnormality.", "findings": "The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.", "impression": "Chronic lung changes without acute abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3340_IM-1601", "comparison": "XXXX, XXXX.", "indication": "Indication: XXXX-year-old female. Altered mental status. Comparison: XXXX, XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1410_IM-0260", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1410_IM-0260-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.\n\nIMPRESSION:\n1. No acute radiographic cardiopulmonary process.", "findings": "The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.", "impression": "1. No acute radiographic cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1410_IM-0260", "comparison": "None.", "indication": "Indication: XXXX-year-old female with history of XXXX. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1460_IM-0298", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1460_IM-0298-1001.dcm.png", "report_gt": "FINDINGS:\nCardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.\n\nIMPRESSION:\nNegative chest x-XXXX.", "findings": "Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.", "impression": "Negative chest x-XXXX.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1460_IM-0298", "comparison": "None.", "indication": "Indication: XXXX. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR290_IM-1303", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/290_IM-1303-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear. There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.\n\nIMPRESSION:\n1. No active disease. 2. There are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance.", "findings": "The lungs are clear. There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.", "impression": "1. No active disease. 2. There are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR290_IM-1303", "comparison": "", "indication": "Indication: Occasional chest pain and shortness of breath. Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR379_IM-1903", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/379_IM-1903-4004.dcm.png", "report_gt": "FINDINGS:\nThere has been interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse XXXX. XXXX airspace opacities are identified with bilateral pleural effusions.\n\nIMPRESSION:\n1. Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. 2. Bibasilar airspace opacities and bilateral pleural effusions.", "findings": "There has been interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse XXXX. XXXX airspace opacities are identified with bilateral pleural effusions.", "impression": "1. Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. 2. Bibasilar airspace opacities and bilateral pleural effusions.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR379_IM-1903", "comparison": "AP and lateral chest XXXX.", "indication": "Indication: XXXX year old dialysis catheter placement. Comparison: AP and lateral chest XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1319_IM-0205", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1319_IM-0205-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.\n\nIMPRESSION:\nNo evidence of active disease.", "findings": "The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.", "impression": "No evidence of active disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1319_IM-0205", "comparison": "None", "indication": "Indication: Transplant, XXXX evaluation Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3522_IM-1720", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3522_IM-1720-1001.dcm.png", "report_gt": "FINDINGS:\nLungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.", "impression": "No acute cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3522_IM-1720", "comparison": "XXXX", "indication": "Indication: Dyspnea. Comparison: XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3981_IM-2039", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3981_IM-2039-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.\n\nIMPRESSION:\nNo acute pulmonary disease.", "findings": "The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.", "impression": "No acute pulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3981_IM-2039", "comparison": "None", "indication": "Indication: XXXX vehicle accident with left shoulder pain. Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3112_IM-1461", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3112_IM-1461-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart is normal in size. The mediastinum is unremarkable. The lungs are clear.\n\nIMPRESSION:\nNo acute disease.", "findings": "The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.", "impression": "No acute disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3112_IM-1461", "comparison": "", "indication": "Indication: test ca; r/o XXXX XXXX Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR1188_IM-0127", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1188_IM-0127-1001.dcm.png", "report_gt": "FINDINGS:\nBoth lungs are clear and expanded. Heart and mediastinum normal.\n\nIMPRESSION:\nNo active disease.", "findings": "Both lungs are clear and expanded. Heart and mediastinum normal.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1188_IM-0127", "comparison": "None.", "indication": "Indication: chest pain Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3784_IM-1898", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3784_IM-1898-2001.dcm.png", "report_gt": "FINDINGS:\nAP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.\n\nIMPRESSION:\nNo acute abnormality.", "findings": "AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.", "impression": "No acute abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3784_IM-1898", "comparison": "None", "indication": "Indication: -- XXXX Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR771_IM-2316", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/771_IM-2316-2001.dcm.png", "report_gt": "FINDINGS:\nHeart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.\n\nIMPRESSION:\nNo acute cardiopulmonary disease.", "findings": "Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.", "impression": "No acute cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR771_IM-2316", "comparison": "XXXX", "indication": "Indication: Chest pain Comparison: XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR2446_IM-0982", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2446_IM-0982-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.\n\nIMPRESSION:\nNo active disease.", "findings": "The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2446_IM-0982", "comparison": "None", "indication": "Indication: Chest pain. Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR107_IM-0049", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/107_IM-0049-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR107_IM-0049", "comparison": "Two-view chest radiograph dated XXXX, XXXX.", "indication": "Indication: XXXX-year-old woman with chest pain. Comparison: Two-view chest radiograph dated XXXX, XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR106_IM-0042", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/106_IM-0042-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.\n\nIMPRESSION:\nNo acute cardiopulmonary process. If there is concern for soft tissue bone or bony abnormality of the thorax, XXXX.", "findings": "Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.", "impression": "No acute cardiopulmonary process. If there is concern for soft tissue bone or bony abnormality of the thorax, XXXX.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR106_IM-0042", "comparison": "None.", "indication": "Indication: XXXX, XXXX on anterior midline chest for one knee are Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR2797_IM-1229", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2797_IM-1229-1001.dcm.png", "report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormalities. .", "findings": "The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.", "impression": "No acute cardiopulmonary abnormalities. .", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2797_IM-1229", "comparison": "None available.", "indication": "Indication: The patient is a XXXX-year-old XXXX with chest pain and shortness of breath for one XXXX. Comparison: None available." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1094_IM-0065", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1094_IM-0065-1001.dcm.png", "report_gt": "FINDINGS:\nNo acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe XXXX density XXXX representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.\n\nIMPRESSION:\nNo focal lung consolidation.", "findings": "No acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe XXXX density XXXX representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.", "impression": "No focal lung consolidation.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1094_IM-0065", "comparison": "None.", "indication": "Indication: XXXX-year-old XXXX with dyspnea. History of cystic fibrosis. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3321_IM-1588", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3321_IM-1588-1001.dcm.png", "report_gt": "FINDINGS:\nXXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.\n\nIMPRESSION:\n1. No acute pulmonary disease.", "findings": "XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.", "impression": "1. No acute pulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3321_IM-1588", "comparison": "none", "indication": "Indication: SYNCOPE Comparison: none" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3964_IM-2028", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3964_IM-2028-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.\n\nIMPRESSION:\nEmphysema without acute disease.", "findings": "The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.", "impression": "Emphysema without acute disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3964_IM-2028", "comparison": "None", "indication": "Indication: 60XXXX XXXX with XXXX and XXXX loss Comparison: None" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDND9YCDNENIX30_aGRDN28CRTR98629Y_s1.2.826.0.1.3680043.8.498.84274598414744684473873121463707117308", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDND9YCDNENIX30/GRDN28CRTR98629Y/studies/1.2.826.0.1.3680043.8.498.84274598414744684473873121463707117308/series/1.2.826.0.1.3680043.8.498.31722371280499858485061711760156666152/instances/1.2.826.0.1.3680043.8.498.91194391152408052908405165745432894273.png", "report_gt": "FINDINGS:\nThere is a new patchy opacity in the right lower lobe. A small right pleural effusion cannot be excluded. Remaining lung fields are clear. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.\n\nIMPRESSION:\nNew right lower lobe infiltrate. A small right pleural effusion cannot be excluded.", "findings": "There is a new patchy opacity in the right lower lobe. A small right pleural effusion cannot be excluded. Remaining lung fields are clear. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.", "impression": "New right lower lobe infiltrate. A small right pleural effusion cannot be excluded.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDND9YCDNENIX30/GRDNWTAFNZVT3RO3/studies/1.2.826.0.1.3680043.8.498.84677530830335783030365574893630814435/series/1.2.826.0.1.3680043.8.498.96331954250409034097822160037557536220/instances/1.2.826.0.1.3680043.8.498.90941702683037040253557035241702678790.png", "report": "FINDINGS:\nThe heart is normal in size. The lungs are well expanded. There is no acute infiltrate or pneumothorax. There is a right pleural effusion. There is a pectus excavatum deformity of the sternum.\n\nIMPRESSION:\nRight pleural effusion.", "findings": "The heart is normal in size. The lungs are well expanded. There is no acute infiltrate or pneumothorax. There is a right pleural effusion. There is a pectus excavatum deformity of the sternum.", "impression": "Right pleural effusion.", "study_date": "20120914" }, "metadata": { "patient_id": "pGRDND9YCDNENIX30", "view_position": "AP", "study_date": "20121023", "comparison": "03/05/07", "indication": "Respiratory distress R/O Infil", "age": "", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN1NORNNBA7ZB6_aGRDNDJ8I696DA6PB_s1.2.826.0.1.3680043.8.498.57734943401368830820331135453450612547", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN1NORNNBA7ZB6/GRDNDJ8I696DA6PB/studies/1.2.826.0.1.3680043.8.498.57734943401368830820331135453450612547/series/1.2.826.0.1.3680043.8.498.21414333844640006895578818090855706459/instances/1.2.826.0.1.3680043.8.498.80827145838559427012762457106595037087.png", "report_gt": "FINDINGS:\nThe lungs are less well aerated. There has been a slight increase in basilar atelectasis with cardiomegaly. The endotracheal tube tip is approximately 5.0 cm above the carina. Right venous sheath remains in the SVC.\n\nIMPRESSION:\nPoor aeration with slight increase in basilar atelectasis.", "findings": "The lungs are less well aerated. There has been a slight increase in basilar atelectasis with cardiomegaly. The endotracheal tube tip is approximately 5.0 cm above the carina. Right venous sheath remains in the SVC.", "impression": "Poor aeration with slight increase in basilar atelectasis.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN1NORNNBA7ZB6/GRDNYMLSZOMIU2JP/studies/1.2.826.0.1.3680043.8.498.74300986426343997791715112166009332934/series/1.2.826.0.1.3680043.8.498.99734650004899887964109498487301209968/instances/1.2.826.0.1.3680043.8.498.88875495624490753408589159847173305710.png", "report": "FINDINGS:\nEndotracheal tube in good position. NG tube in the stomach. Right jugular catheter in the right innominate vein. No pneumothorax. Right apical bullae. Bibasilar atelectasis.\n\nIMPRESSION:\nBibasilar atelectasis. Central line in the right innominate vein.", "findings": "Endotracheal tube in good position. NG tube in the stomach. Right jugular catheter in the right innominate vein. No pneumothorax. Right apical bullae. Bibasilar atelectasis.", "impression": "Bibasilar atelectasis. Central line in the right innominate vein.", "study_date": "20130303" }, "metadata": { "patient_id": "pGRDN1NORNNBA7ZB6", "view_position": "AP", "study_date": "20130304", "comparison": "Portable chest x-ray of 06/27/2004", "indication": "Postop, follow-up", "age": "073Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNI2IH6OLFA6E2_aGRDNT6JT0SSDNPCP_s1.2.826.0.1.3680043.8.498.16907535678346246333893883789877058884", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNI2IH6OLFA6E2/GRDNT6JT0SSDNPCP/studies/1.2.826.0.1.3680043.8.498.16907535678346246333893883789877058884/series/1.2.826.0.1.3680043.8.498.46211701544461313279015946752160530293/instances/1.2.826.0.1.3680043.8.498.99114768526630508346055663126992922842.png", "report_gt": "FINDINGS:\nHeart size upper limits normal. No focal pulmonary opacities.\n\nIMPRESSION:\nNo acute cardiopulmonary disease.", "findings": "Heart size upper limits normal. No focal pulmonary opacities.", "impression": "No acute cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNI2IH6OLFA6E2", "view_position": "AP", "study_date": "20130717", "comparison": "None.", "indication": "weakness", "age": "041Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN004IOSOT1CG5_aGRDNC2SQK09PUGGQ_s1.2.826.0.1.3680043.8.498.93428998074490757465930145585980187638", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN004IOSOT1CG5/GRDNC2SQK09PUGGQ/studies/1.2.826.0.1.3680043.8.498.93428998074490757465930145585980187638/series/1.2.826.0.1.3680043.8.498.51933670931288582917891010140209593609/instances/1.2.826.0.1.3680043.8.498.65724312881282765570408311726876920159.png", "report_gt": "FINDINGS:\nThe lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.\n\nIMPRESSION:\nNo acute cardiopulmonary process seen.", "findings": "The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.", "impression": "No acute cardiopulmonary process seen.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN004IOSOT1CG5", "view_position": "PA", "study_date": "20150626", "comparison": "None.", "indication": "Acute onset of fever, cough, body aches, nausea and vomiting. Initial encounter.", "age": "024Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN4Y9WS0KSW0FF_aGRDNFE1AVY5OZ8TP_s1.2.826.0.1.3680043.8.498.80569818833100611925613812827544808536", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN4Y9WS0KSW0FF/GRDNFE1AVY5OZ8TP/studies/1.2.826.0.1.3680043.8.498.80569818833100611925613812827544808536/series/1.2.826.0.1.3680043.8.498.88642756359467612618872810409587018434/instances/1.2.826.0.1.3680043.8.498.62748981940992697464876164435243133839.png", "report_gt": "FINDINGS:\nHeart size and pulmonary vasculature are normal. No evidence for CHF. No focal or consolidative pulmonary opacities. No pleural effusion or pneumothorax. Osseous structures are unremarkable.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "Heart size and pulmonary vasculature are normal. No evidence for CHF. No focal or consolidative pulmonary opacities. No pleural effusion or pneumothorax. Osseous structures are unremarkable.", "impression": "No acute cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN4Y9WS0KSW0FF", "view_position": "PA", "study_date": "20211019", "comparison": "No relevant comparison study is available.", "indication": "Chest pain.", "age": "", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNLBHG5RRHJBAZ_aGRDN4X4PNFMEOORT_s1.2.826.0.1.3680043.8.498.53728205625772786236471646510953283603", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNLBHG5RRHJBAZ/GRDN4X4PNFMEOORT/studies/1.2.826.0.1.3680043.8.498.53728205625772786236471646510953283603/series/1.2.826.0.1.3680043.8.498.63300590117081540173462502258273059995/instances/1.2.826.0.1.3680043.8.498.39487177204747376607391333865225343237.png", "report_gt": "FINDINGS:\nNormal heart, mediastinum and hila. The lungs are clear. No pleural effusion. No pneumothorax. Skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "Normal heart, mediastinum and hila. The lungs are clear. No pleural effusion. No pneumothorax. Skeletal structures are unremarkable.", "impression": "No active cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNLBHG5RRHJBAZ", "view_position": "PA", "study_date": "20190106", "comparison": "None.", "indication": "Dry cough since recently quitting smoking, Mild SOB, there are no other chest complaints.", "age": "035Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN4UYBHBO8S991_aGRDN37028UVR9XX1_s1.2.826.0.1.3680043.8.498.31926625282444376935999353140056308039", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN4UYBHBO8S991/GRDN37028UVR9XX1/studies/1.2.826.0.1.3680043.8.498.31926625282444376935999353140056308039/series/1.2.826.0.1.3680043.8.498.14635999366551021692831853327578929464/instances/1.2.826.0.1.3680043.8.498.84493592560749103140145811618181376474.png", "report_gt": "FINDINGS:\nThe cardiac and mediastinal silhouette appear unremarkable. Lung fields are clear. There is no bony abnormality other than very mild thoracic scoliosis convex right.\n\nIMPRESSION:\nNo active disease.", "findings": "The cardiac and mediastinal silhouette appear unremarkable. Lung fields are clear. There is no bony abnormality other than very mild thoracic scoliosis convex right.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN4UYBHBO8S991", "view_position": "PA", "study_date": "20101227", "comparison": "None.", "indication": "Lymphadenopathy.", "age": "020Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNQN4L0O0QXOUU_aGRDNRMK4FY6UCYRG_s1.2.826.0.1.3680043.8.498.63741112646856569975200017419247307937", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNQN4L0O0QXOUU/GRDNRMK4FY6UCYRG/studies/1.2.826.0.1.3680043.8.498.63741112646856569975200017419247307937/series/1.2.826.0.1.3680043.8.498.10425049854328566129415615024586027793/instances/1.2.826.0.1.3680043.8.498.68534764258103066059789038261463267047.png", "report_gt": "FINDINGS:\nVery low volume chest film with vascular crowding and bibasilar atelectasis. There are chronic underlying lung changes and probable small effusions. No edema or infiltrates. Right subclavian stent again noted.\n\nIMPRESSION:\nLow volume chest film with vascular crowding and bibasilar atelectasis. Probable small bilateral effusions, but no edema or infiltrates.", "findings": "Very low volume chest film with vascular crowding and bibasilar atelectasis. There are chronic underlying lung changes and probable small effusions. No edema or infiltrates. Right subclavian stent again noted.", "impression": "Low volume chest film with vascular crowding and bibasilar atelectasis. Probable small bilateral effusions, but no edema or infiltrates.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNQN4L0O0QXOUU/GRDNLR3ZY9QEP117/studies/1.2.826.0.1.3680043.8.498.53279789462716160861158535434848125419/series/1.2.826.0.1.3680043.8.498.37688650240117859947140647240253771623/instances/1.2.826.0.1.3680043.8.498.16606590546864114900773729589581860427.png", "report": "FINDINGS:\nThere is an abnormal density seen on the PA view projecting over the right lower lung zone. Cannot rule out the possibility of a cavity. This is probably in the lower lobe, but it is not well seen on the lateral view. Lungs otherwise clear.\n\nIMPRESSION:\nAbnormal density in the right lower lung zone ? cannot rule out cavity. Consider CT for further assessment.", "findings": "There is an abnormal density seen on the PA view projecting over the right lower lung zone. Cannot rule out the possibility of a cavity. This is probably in the lower lobe, but it is not well seen on the lateral view. Lungs otherwise clear.", "impression": "Abnormal density in the right lower lung zone ? cannot rule out cavity. Consider CT for further assessment.", "study_date": "20081105" }, "metadata": { "patient_id": "pGRDNQN4L0O0QXOUU", "view_position": "AP", "study_date": "20090124", "comparison": "Comparison: 03/03/04.", "indication": "Altered level of consciousness. Diabetic with high blood sugar.", "age": "060Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNPVCMA2B7YG84_aGRDNGWDPWPQ687HE_s1.2.826.0.1.3680043.8.498.42553175163580849565319452157365689266", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNPVCMA2B7YG84/GRDNGWDPWPQ687HE/studies/1.2.826.0.1.3680043.8.498.42553175163580849565319452157365689266/series/1.2.826.0.1.3680043.8.498.73376387454926886904121715611207860330/instances/1.2.826.0.1.3680043.8.498.46821907503588373038466090448062641308.png", "report_gt": "FINDINGS:\nHeart size within normal limits. No appreciable airspace consolidation or pulmonary edema. No evidence of pleural effusion or pneumothorax. No acute bony abnormality identified. Partially visualized ACDF hardware within the lower cervical spine. Thoracic spondylosis.\n\nIMPRESSION:\nNo evidence of active cardiopulmonary disease.", "findings": "Heart size within normal limits. No appreciable airspace consolidation or pulmonary edema. No evidence of pleural effusion or pneumothorax. No acute bony abnormality identified. Partially visualized ACDF hardware within the lower cervical spine. Thoracic spondylosis.", "impression": "No evidence of active cardiopulmonary disease.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNPVCMA2B7YG84/GRDN1ZDEO5A64HZ0/studies/1.2.826.0.1.3680043.8.498.57512763454506789724763266886042655469/series/1.2.826.0.1.3680043.8.498.87726766766233190347856817694291409264/instances/1.2.826.0.1.3680043.8.498.58003664453113273570813486947468865029.png", "report": "FINDINGS:\nNormal heart size and mediastinal contours. No acute infiltrate or edema. No effusion or pneumothorax. No acute osseous findings. ACDF and thoracic spondylosis.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "Normal heart size and mediastinal contours. No acute infiltrate or edema. No effusion or pneumothorax. No acute osseous findings. ACDF and thoracic spondylosis.", "impression": "No active cardiopulmonary disease.", "study_date": "20210919" }, "metadata": { "patient_id": "pGRDNPVCMA2B7YG84", "view_position": "AP", "study_date": "20211022", "comparison": "Prior chest radiographs 10/15/2006", "indication": "Chest pain. Additional provided: Chest and left arm pain, history of myocardial infarction, 2 stents.", "age": "062Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNI7F6X5U4AKA3_aGRDNPUV4W6G6AN3X_s1.2.826.0.1.3680043.8.498.97862019143006114846082194944456047133", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNI7F6X5U4AKA3/GRDNPUV4W6G6AN3X/studies/1.2.826.0.1.3680043.8.498.97862019143006114846082194944456047133/series/1.2.826.0.1.3680043.8.498.31278571772012798369537388898603026868/instances/1.2.826.0.1.3680043.8.498.19096478998132087355469033119933451206.png", "report_gt": "FINDINGS:\nMixed streaky and patchy opacities are present in the right infrahilar lung and retrocardiac space in the region of airspace disease seen on comparison CT angiography 6/25/2001 no pneumothorax. No effusion. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.\n\nIMPRESSION:\nMixed streaky and patchy opacities in the lower lungs are worrisome for pneumonia in the setting of COVID-19 positivity.", "findings": "Mixed streaky and patchy opacities are present in the right infrahilar lung and retrocardiac space in the region of airspace disease seen on comparison CT angiography 6/25/2001 no pneumothorax. No effusion. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.", "impression": "Mixed streaky and patchy opacities in the lower lungs are worrisome for pneumonia in the setting of COVID-19 positivity.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNI7F6X5U4AKA3/GRDNPBFEZ31QEII3/studies/1.2.826.0.1.3680043.8.498.41629764281027524914178858051747364367/series/1.2.826.0.1.3680043.8.498.53345613331449108213556532376288379046/instances/1.2.826.0.1.3680043.8.498.96333915785700540968683902833504762801.png", "report": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Subtly increased opacity within the peripheral aspect of the left mid lung. Right lung appears clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nSubtly increased opacity within the peripheral aspect of the left mid lung, suspicious for developing infection.", "findings": "The heart size and mediastinal contours are within normal limits. Subtly increased opacity within the peripheral aspect of the left mid lung. Right lung appears clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.", "impression": "Subtly increased opacity within the peripheral aspect of the left mid lung, suspicious for developing infection.", "study_date": "20200113" }, "metadata": { "patient_id": "pGRDNI7F6X5U4AKA3", "view_position": "AP", "study_date": "20200121", "comparison": "Radiograph and CT 6/25/2001", "indication": "Low lung volumes, COVID-19 positive 6/25/2001", "age": "041Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNTZHU8HDYWE47_aGRDNXDQAP1TGWMOY_s1.2.826.0.1.3680043.8.498.49832205322384983254101226488763780309", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNTZHU8HDYWE47/GRDNXDQAP1TGWMOY/studies/1.2.826.0.1.3680043.8.498.49832205322384983254101226488763780309/series/1.2.826.0.1.3680043.8.498.79992435312461030892713447617546383732/instances/1.2.826.0.1.3680043.8.498.43450569298656814338807513954705176707.png", "report_gt": "FINDINGS:\nThe cardiopericardial silhouette is mildly enlarged. Subtle airspace is present at the right lung base. No other focal airspace disease is seen. Lung volumes are low.\n\nIMPRESSION:\n1. Low lung volumes. 2. Minimal right basilar airspace disease. This is nonspecific, while this may represent atelectasis, early infection is not excluded. The lateral film suggests this is more than atelectasis. 3. Mild cardiac enlargement compatible with pregnancy.", "findings": "The cardiopericardial silhouette is mildly enlarged. Subtle airspace is present at the right lung base. No other focal airspace disease is seen. Lung volumes are low.", "impression": "1. Low lung volumes. 2. Minimal right basilar airspace disease. This is nonspecific, while this may represent atelectasis, early infection is not excluded. The lateral film suggests this is more than atelectasis. 3. Mild cardiac enlargement compatible with pregnancy.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNTZHU8HDYWE47/GRDNLQR1YBVYOTPH/studies/1.2.826.0.1.3680043.8.498.39358279543031407049474881115688894774/series/1.2.826.0.1.3680043.8.498.73439992607901236556314428362216028662/instances/1.2.826.0.1.3680043.8.498.44469182661219508900764929159707548010.png", "report": "FINDINGS:\nAbdominal shielding was utilized by the technologist due to the patient's pregnancy. Heart size and mediastinal contours are normal. Low lung volumes are seen however both lungs are clear.\n\nIMPRESSION:\nLow lung volumes. No acute findings.", "findings": "Abdominal shielding was utilized by the technologist due to the patient's pregnancy. Heart size and mediastinal contours are normal. Low lung volumes are seen however both lungs are clear.", "impression": "Low lung volumes. No acute findings.", "study_date": "20100204" }, "metadata": { "patient_id": "pGRDNTZHU8HDYWE47", "view_position": "AP", "study_date": "20100328", "comparison": "Comparison: 03/21/1994.", "indication": "Cough. Pregnancy.", "age": "022Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN00HMO26AQPQJ_aGRDNCC869U8P7OJW_s1.2.826.0.1.3680043.8.498.93165352961811598817201223227134822029", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN00HMO26AQPQJ/GRDNCC869U8P7OJW/studies/1.2.826.0.1.3680043.8.498.93165352961811598817201223227134822029/series/1.2.826.0.1.3680043.8.498.81865909124874136157547549378680245586/instances/1.2.826.0.1.3680043.8.498.15014105645763571334531457520922959486.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Mildly coarsened interstitial lung markings, likely smoking-related. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality. Mildly dilated loop of small bowel in the left upper quadrant.\n\nIMPRESSION:\n1. No active cardiopulmonary disease. 2. Mildly dilated loop of small bowel in the left upper quadrant. Correlate for small bowel obstruction or enteritis and consider dedicated abdominal x-ray or CT for further evaluation.", "findings": "The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Mildly coarsened interstitial lung markings, likely smoking-related. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality. Mildly dilated loop of small bowel in the left upper quadrant.", "impression": "1. No active cardiopulmonary disease. 2. Mildly dilated loop of small bowel in the left upper quadrant. Correlate for small bowel obstruction or enteritis and consider dedicated abdominal x-ray or CT for further evaluation.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN00HMO26AQPQJ", "view_position": "PA", "study_date": "20190904", "comparison": "None.", "indication": "Syncope.", "age": "038Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNSK2AHEONTZIM_aGRDNY4IHR7SWAAY1_s1.2.826.0.1.3680043.8.498.46390629542117828558866568194326797154", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNSK2AHEONTZIM/GRDNY4IHR7SWAAY1/studies/1.2.826.0.1.3680043.8.498.46390629542117828558866568194326797154/series/1.2.826.0.1.3680043.8.498.66494704054004462369297074974741945084/instances/1.2.826.0.1.3680043.8.498.74386611203885309745561191499092330780.png", "report_gt": "FINDINGS:\nLung volumes are normal. No consolidative airspace disease. No pleural effusions. Chronic thickening of the inferior aspect of the left major fissure is unchanged. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.\n\nIMPRESSION:\nNo radiographic evidence of acute cardiopulmonary disease.", "findings": "Lung volumes are normal. No consolidative airspace disease. No pleural effusions. Chronic thickening of the inferior aspect of the left major fissure is unchanged. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.", "impression": "No radiographic evidence of acute cardiopulmonary disease.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNSK2AHEONTZIM/GRDNRFS3NMZIL0GZ/studies/1.2.826.0.1.3680043.8.498.65896235713549567293283944595363330184/series/1.2.826.0.1.3680043.8.498.21867420827378490327147983753085115333/instances/1.2.826.0.1.3680043.8.498.82892387606859890669223839165397903346.png", "report": "FINDINGS:\nCardiac shadow is within normal limits. The lungs are clear bilaterally. Mild thickening of the major fissure is noted inferiorly apparently on the left. This is best visualized on the lateral projection. No bony abnormality is noted.\n\nIMPRESSION:\nMild pleural thickening without focal infiltrate.", "findings": "Cardiac shadow is within normal limits. The lungs are clear bilaterally. Mild thickening of the major fissure is noted inferiorly apparently on the left. This is best visualized on the lateral projection. No bony abnormality is noted.", "impression": "Mild pleural thickening without focal infiltrate.", "study_date": "20180912" }, "metadata": { "patient_id": "pGRDNSK2AHEONTZIM", "view_position": "AP", "study_date": "20181208", "comparison": "Chest x-ray 5/7/2010.", "indication": "67-year-old female with history of influenza.", "age": "067Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN7NHNNFFSAECX_aGRDNIZB3AGAYFL43_s1.2.826.0.1.3680043.8.498.44519915904289386159883943010837085921", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN7NHNNFFSAECX/GRDNIZB3AGAYFL43/studies/1.2.826.0.1.3680043.8.498.44519915904289386159883943010837085921/series/1.2.826.0.1.3680043.8.498.92179579810536393245535764956819131983/instances/1.2.826.0.1.3680043.8.498.94711504768764385435986932686123154103.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is unremarkable. The lungs appear clear. There are no pleural effusions. The visualized bony thorax appears intact.\n\nIMPRESSION:\nNormal chest.", "findings": "The cardiomediastinal silhouette is unremarkable. The lungs appear clear. There are no pleural effusions. The visualized bony thorax appears intact.", "impression": "Normal chest.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN7NHNNFFSAECX", "view_position": "PA", "study_date": "20061116", "comparison": "None.", "indication": "Pre-employment physical examination. Smoker.", "age": "023Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNDXXZI6BHCWZC_aGRDNJ621AZ5Y8X1F_s1.2.826.0.1.3680043.8.498.59812462350715162809742226231827191909", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNDXXZI6BHCWZC/GRDNJ621AZ5Y8X1F/studies/1.2.826.0.1.3680043.8.498.59812462350715162809742226231827191909/series/1.2.826.0.1.3680043.8.498.97896517785133907212069412393875797673/instances/1.2.826.0.1.3680043.8.498.77447973634988278411358571282696000349.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or hemothorax identified.\n\nIMPRESSION:\nNo active disease.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or hemothorax identified.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNDXXZI6BHCWZC", "view_position": "AP", "study_date": "20140311", "comparison": "None.", "indication": "Motor vehicle accident. Tachycardia. Loss of consciousness.", "age": "021Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNA0W9OTV3KGYE_aGRDNJY89JO161VLO_s1.2.826.0.1.3680043.8.498.25881277280017988477653962047461024630", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNA0W9OTV3KGYE/GRDNJY89JO161VLO/studies/1.2.826.0.1.3680043.8.498.25881277280017988477653962047461024630/series/1.2.826.0.1.3680043.8.498.45617808685575419506824439208125595140/instances/1.2.826.0.1.3680043.8.498.31562801385610625735186118416615507856.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. No acute osseous abnormality is identified.\n\nIMPRESSION:\nNo active disease.", "findings": "The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. No acute osseous abnormality is identified.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNA0W9OTV3KGYE", "view_position": "AP", "study_date": "20201115", "comparison": "None.", "indication": "MVC today. Upper thoracic pain, chest pain, and neck pain. Initial encounter.", "age": "053Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNLU80HJ4JOEOQ_aGRDNGPYBBPJL0UPE_s1.2.826.0.1.3680043.8.498.86724083495520059385354447974041649720", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNLU80HJ4JOEOQ/GRDNGPYBBPJL0UPE/studies/1.2.826.0.1.3680043.8.498.86724083495520059385354447974041649720/series/1.2.826.0.1.3680043.8.498.26623222544145633278136423472317800250/instances/1.2.826.0.1.3680043.8.498.42635369436938126854394984545975815438.png", "report_gt": "FINDINGS:\nNormal cardiac silhouette and mediastinal contours. The lungs are hyperexpanded with mild diffuse slightly nodular thickening of the pulmonary interstitium. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseous abnormalities.\n\nIMPRESSION:\nFindings suggestive of airways disease / bronchitis. No focal airspace opacities to suggest pneumonia. No evidence of edema.", "findings": "Normal cardiac silhouette and mediastinal contours. The lungs are hyperexpanded with mild diffuse slightly nodular thickening of the pulmonary interstitium. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseous abnormalities.", "impression": "Findings suggestive of airways disease / bronchitis. No focal airspace opacities to suggest pneumonia. No evidence of edema.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNLU80HJ4JOEOQ", "view_position": "AP", "study_date": "20170119", "comparison": "None.", "indication": "Centralized chest pain and dizziness. History of hypertension.", "age": "055Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN02TYIYCX6BZ1_aGRDN79OMZD7IJO56_s1.2.826.0.1.3680043.8.498.91581046761680599228160481803825470959", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN02TYIYCX6BZ1/GRDN79OMZD7IJO56/studies/1.2.826.0.1.3680043.8.498.91581046761680599228160481803825470959/series/1.2.826.0.1.3680043.8.498.66313906509440087539874520486272029963/instances/1.2.826.0.1.3680043.8.498.31883606403945741751390335471523709329.png", "report_gt": "FINDINGS:\nStable discontinuity in the first and fourth superior most sternotomy wires. Otherwise intact sternotomy wires. Vascular stent overlies the upper left mediastinum. CABG clips overlie the left mediastinum. Cholecystectomy clips are seen in the right upper quadrant of the abdomen. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. No pulmonary edema. Mild bibasilar curvilinear opacities. No acute consolidative airspace disease.\n\nIMPRESSION:\nMild bibasilar curvilinear opacities, favor scarring or atelectasis. Otherwise no active disease in the chest.", "findings": "Stable discontinuity in the first and fourth superior most sternotomy wires. Otherwise intact sternotomy wires. Vascular stent overlies the upper left mediastinum. CABG clips overlie the left mediastinum. Cholecystectomy clips are seen in the right upper quadrant of the abdomen. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. No pulmonary edema. Mild bibasilar curvilinear opacities. No acute consolidative airspace disease.", "impression": "Mild bibasilar curvilinear opacities, favor scarring or atelectasis. Otherwise no active disease in the chest.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN02TYIYCX6BZ1/GRDN50E15AYLXUMV/studies/1.2.826.0.1.3680043.8.498.14046819525982508300361072940436985156/series/1.2.826.0.1.3680043.8.498.95205226296944155128421844381695212262/instances/1.2.826.0.1.3680043.8.498.56945366012623999073261585843099017469.png", "report": "FINDINGS:\nThere is focal eventration of the right hemidiaphragm. There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. Patient is status post internal mammary bypass grafting. There is degenerative change in the thoracic spine.\n\nIMPRESSION:\nNo edema or consolidation.", "findings": "There is focal eventration of the right hemidiaphragm. There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. Patient is status post internal mammary bypass grafting. There is degenerative change in the thoracic spine.", "impression": "No edema or consolidation.", "study_date": "20170926" }, "metadata": { "patient_id": "pGRDN02TYIYCX6BZ1", "view_position": "AP", "study_date": "20221201", "comparison": "01/06/1990 chest radiograph.", "indication": "Hypoxia, weakness", "age": "085Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNNCGF58XWDUWR_aGRDN7WI9BTFFA6FC_s1.2.826.0.1.3680043.8.498.67124461592369510324251774036414423258", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNNCGF58XWDUWR/GRDN7WI9BTFFA6FC/studies/1.2.826.0.1.3680043.8.498.67124461592369510324251774036414423258/series/1.2.826.0.1.3680043.8.498.48238225008514350941063387119538470961/instances/1.2.826.0.1.3680043.8.498.26748955192963433095947629599928920811.png", "report_gt": "FINDINGS:\nDegree of inspiration is shallow. There is no appreciable edema or consolidation. There is mild bibasilar atelectasis. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. No bone lesions. There is rightward deviation of the upper thoracic trachea.\n\nIMPRESSION:\nShallow inspiration with bibasilar atelectasis. No frank consolidation. Heart prominent. Rightward deviation of the upper thoracic trachea. Question enlarged thyroid.", "findings": "Degree of inspiration is shallow. There is no appreciable edema or consolidation. There is mild bibasilar atelectasis. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. No bone lesions. There is rightward deviation of the upper thoracic trachea.", "impression": "Shallow inspiration with bibasilar atelectasis. No frank consolidation. Heart prominent. Rightward deviation of the upper thoracic trachea. Question enlarged thyroid.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNNCGF58XWDUWR", "view_position": "AP", "study_date": "20191113", "comparison": "None.", "indication": "Fever", "age": "031Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN7APGY6U6O87A_aGRDNRS0T7A1DXXF8_s1.2.826.0.1.3680043.8.498.84687038517532330460721821406789056755", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN7APGY6U6O87A/GRDNRS0T7A1DXXF8/studies/1.2.826.0.1.3680043.8.498.84687038517532330460721821406789056755/series/1.2.826.0.1.3680043.8.498.53100149462742058688365502857570756597/instances/1.2.826.0.1.3680043.8.498.92771948102116244150951769754022512020.png", "report_gt": "FINDINGS:\nPatchy consolidation in the right middle lobe consistent with pneumonia. The left lung is clear. Cardiomediastinal contours are normal. Pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. No osseous abnormalities.\n\nIMPRESSION:\nPatchy right middle lobe pneumonia.", "findings": "Patchy consolidation in the right middle lobe consistent with pneumonia. The left lung is clear. Cardiomediastinal contours are normal. Pulmonary vasculature is normal. There is no pleural effusion or pneumothorax. No osseous abnormalities.", "impression": "Patchy right middle lobe pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN7APGY6U6O87A", "view_position": "AP", "study_date": "20170303", "comparison": "None.", "indication": "Shortness of breath, chest pain for 2 days. Cough. History of asthma.", "age": "008Y", "sex": "O" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNAWD0JMHZAZ2S_aGRDNY1HZHY8A3GPQ_s1.2.826.0.1.3680043.8.498.70588447460673776519360762744933566559", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNAWD0JMHZAZ2S/GRDNY1HZHY8A3GPQ/studies/1.2.826.0.1.3680043.8.498.70588447460673776519360762744933566559/series/1.2.826.0.1.3680043.8.498.47048569593715894008744168791236764890/instances/1.2.826.0.1.3680043.8.498.76486482899084815719547696430917238387.png", "report_gt": "FINDINGS:\nPICC line is via the left. It terminates at the left jugular vein. Heart size appears normal. Bilateral infiltrates are present in the mid to lower lung fields. This has increased compared to the prior exam. Small pleural effusions likely as well. Multiple old rib fracture deformities seen on the left.\n\nIMPRESSION:\nPICC line terminates at the left jugular vein. Bilateral infiltrates and effusions at the lung bases.", "findings": "PICC line is via the left. It terminates at the left jugular vein. Heart size appears normal. Bilateral infiltrates are present in the mid to lower lung fields. This has increased compared to the prior exam. Small pleural effusions likely as well. Multiple old rib fracture deformities seen on the left.", "impression": "PICC line terminates at the left jugular vein. Bilateral infiltrates and effusions at the lung bases.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNAWD0JMHZAZ2S/GRDNCOA91X3XGII3/studies/1.2.826.0.1.3680043.8.498.49272548982802356884768476978935585916/series/1.2.826.0.1.3680043.8.498.30959211610760658624939220186153597063/instances/1.2.826.0.1.3680043.8.498.94536405070082697290121141759636815468.png", "report": "FINDINGS:\nThe cardiomediastinal silhouette appears to be unremarkable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. There are multiple old left-sided rib fractures noted.\n\nIMPRESSION:\nNo evidence of acute pulmonary disease. Multiple old left-sided rib fractures.", "findings": "The cardiomediastinal silhouette appears to be unremarkable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. There are multiple old left-sided rib fractures noted.", "impression": "No evidence of acute pulmonary disease. Multiple old left-sided rib fractures.", "study_date": "20101110" }, "metadata": { "patient_id": "pGRDNAWD0JMHZAZ2S", "view_position": "AP", "study_date": "20101128", "comparison": "Comparison November 03 2006.", "indication": "Post central line placement picc", "age": "", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN0O95ETTB7GEF_aGRDNO77ID0MIWBEQ_s1.2.826.0.1.3680043.8.498.68925949285917322458332414144249952401", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN0O95ETTB7GEF/GRDNO77ID0MIWBEQ/studies/1.2.826.0.1.3680043.8.498.68925949285917322458332414144249952401/series/1.2.826.0.1.3680043.8.498.32600903411142615770519422959947687372/instances/1.2.826.0.1.3680043.8.498.26237076238104619979148490628527028909.png", "report_gt": "FINDINGS:\nSingle-view of the chest does not demonstrate a focal consolidation. There is no pneumothorax. The costophrenic angles are excluded from the image. The cardiac silhouette is within normal limits. The osseous structures appear unremarkable.\n\nIMPRESSION:\nNo acute cardiopulmonary process. No pneumothorax.", "findings": "Single-view of the chest does not demonstrate a focal consolidation. There is no pneumothorax. The costophrenic angles are excluded from the image. The cardiac silhouette is within normal limits. The osseous structures appear unremarkable.", "impression": "No acute cardiopulmonary process. No pneumothorax.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN0O95ETTB7GEF", "view_position": "AP", "study_date": "20160203", "comparison": "None.", "indication": "47-year-old male with stab wound to the left upper back", "age": "047Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNLOQKV33RGL5Y_aGRDNUKVVJAQF1AA2_s1.2.826.0.1.3680043.8.498.72869714274696041370531551567774975008", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNLOQKV33RGL5Y/GRDNUKVVJAQF1AA2/studies/1.2.826.0.1.3680043.8.498.72869714274696041370531551567774975008/series/1.2.826.0.1.3680043.8.498.26159160878633477920329672046618908193/instances/1.2.826.0.1.3680043.8.498.20149182522656674045457330043260412095.png", "report_gt": "FINDINGS:\nNormal mediastinum and cardiac silhouette. Normal pulmonary vasculature. No evidence of effusion, infiltrate, or pneumothorax. No acute bony abnormality.\n\nIMPRESSION:\nNormal chest radiograph", "findings": "Normal mediastinum and cardiac silhouette. Normal pulmonary vasculature. No evidence of effusion, infiltrate, or pneumothorax. No acute bony abnormality.", "impression": "Normal chest radiograph", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNLOQKV33RGL5Y", "view_position": "PA", "study_date": "20180211", "comparison": "None.", "indication": "Epigastric pain", "age": "029Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNJMOQSHR5SWK3_aGRDNYKBUISERJ1OK_s1.2.826.0.1.3680043.8.498.97898183793777528998002238739595386713", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNJMOQSHR5SWK3/GRDNYKBUISERJ1OK/studies/1.2.826.0.1.3680043.8.498.97898183793777528998002238739595386713/series/1.2.826.0.1.3680043.8.498.55323756655062473822961131994734035705/instances/1.2.826.0.1.3680043.8.498.74685214597117695674381456236454358998.png", "report_gt": "FINDINGS:\nSlight peribronchial thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.\n\nIMPRESSION:\nSlight peribronchial thickening.", "findings": "Slight peribronchial thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.", "impression": "Slight peribronchial thickening.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNJMOQSHR5SWK3", "view_position": "PA", "study_date": "20090509", "comparison": "None", "indication": "Shortness of breath, acute bronchitis.", "age": "035Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNYWHGN3G02HMJ_aGRDNESB6V4SXXHV9_s1.2.826.0.1.3680043.8.498.68505525845778552294557951372220890507", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNYWHGN3G02HMJ/GRDNESB6V4SXXHV9/studies/1.2.826.0.1.3680043.8.498.68505525845778552294557951372220890507/series/1.2.826.0.1.3680043.8.498.54919513752853923374669659136286341679/instances/1.2.826.0.1.3680043.8.498.20939229596115527818625087692329197965.png", "report_gt": "FINDINGS:\nEndotracheal tube tip is just above the carina. Esophageal tube tip is in the left upper quadrant. Right middle lobe atelectasis or infiltrate. Mild streaky perihilar opacities. No large effusion. Normal heart size. No pneumothorax.\n\nIMPRESSION:\n1. Right middle lobe atelectasis or infiltrate. 2. Mild streaky perihilar infiltrates.", "findings": "Endotracheal tube tip is just above the carina. Esophageal tube tip is in the left upper quadrant. Right middle lobe atelectasis or infiltrate. Mild streaky perihilar opacities. No large effusion. Normal heart size. No pneumothorax.", "impression": "1. Right middle lobe atelectasis or infiltrate. 2. Mild streaky perihilar infiltrates.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNYWHGN3G02HMJ/GRDNXB7N39QHDBQQ/studies/1.2.826.0.1.3680043.8.498.40611966606601057149829013031533439356/series/1.2.826.0.1.3680043.8.498.82978196601180222855293974136028552535/instances/1.2.826.0.1.3680043.8.498.24008537433749828943868901644898063524.png", "report": "FINDINGS:\nEvaluation is limited due to overlying CPR paddle and cardiac monitor leads. The visualized lungs appear clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology identified.\n\nIMPRESSION:\nNo active disease.", "findings": "Evaluation is limited due to overlying CPR paddle and cardiac monitor leads. The visualized lungs appear clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology identified.", "impression": "No active disease.", "study_date": "20181130" }, "metadata": { "patient_id": "pGRDNYWHGN3G02HMJ", "view_position": "AP", "study_date": "20181202", "comparison": "Comparison: 5/12/2019", "indication": "Hypoxia", "age": "006D", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNKODL7FF6FHSP_aGRDN97EIKJQNYP3K_s1.2.826.0.1.3680043.8.498.75602052968033694294101405830649271746", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNKODL7FF6FHSP/GRDN97EIKJQNYP3K/studies/1.2.826.0.1.3680043.8.498.75602052968033694294101405830649271746/series/1.2.826.0.1.3680043.8.498.94012044440204620308544005370581145984/instances/1.2.826.0.1.3680043.8.498.76004759817312902945939879804801900270.png", "report_gt": "FINDINGS:\nLungs clear. Heart size normal. No pleural effusion or focal bony abnormality.\n\nIMPRESSION:\nNo acute disease.", "findings": "Lungs clear. Heart size normal. No pleural effusion or focal bony abnormality.", "impression": "No acute disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNKODL7FF6FHSP", "view_position": "PA", "study_date": "20100506", "comparison": "None available.", "indication": "Cold symptoms. Fever.", "age": "008Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNK463MJE8U902_aGRDNKTES2N0791HF_s1.2.826.0.1.3680043.8.498.48961602706366951352189199415268131453", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNK463MJE8U902/GRDNKTES2N0791HF/studies/1.2.826.0.1.3680043.8.498.48961602706366951352189199415268131453/series/1.2.826.0.1.3680043.8.498.56588448759638614063470259022828801775/instances/1.2.826.0.1.3680043.8.498.20793244459817970647760733406630189918.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.", "impression": "No active cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNK463MJE8U902", "view_position": "PA", "study_date": "20200717", "comparison": "None.", "indication": "Chest pain", "age": "020Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNFLYQ74M186UI_aGRDNW5VJLGLXEERV_s1.2.826.0.1.3680043.8.498.81081003884857152958558071571328363085", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNFLYQ74M186UI/GRDNW5VJLGLXEERV/studies/1.2.826.0.1.3680043.8.498.81081003884857152958558071571328363085/series/1.2.826.0.1.3680043.8.498.46748327852100448830072522907937244682/instances/1.2.826.0.1.3680043.8.498.83739261369751040718659714745390523489.png", "report_gt": "FINDINGS:\nThe lungs are well-expanded. There is no focal infiltrate. The interstitial markings are mildly prominent bilaterally. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion or pneumothorax. The bony thorax is unremarkable.\n\nIMPRESSION:\nMild prominence of the pulmonary interstitium is nonspecific. There is no alveolar pneumonia nor evidence of CHF or other acute cardiopulmonary abnormality. A followup PA and lateral chest x-ray may be of value.", "findings": "The lungs are well-expanded. There is no focal infiltrate. The interstitial markings are mildly prominent bilaterally. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion or pneumothorax. The bony thorax is unremarkable.", "impression": "Mild prominence of the pulmonary interstitium is nonspecific. There is no alveolar pneumonia nor evidence of CHF or other acute cardiopulmonary abnormality. A followup PA and lateral chest x-ray may be of value.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNFLYQ74M186UI", "view_position": "AP", "study_date": "20141008", "comparison": "None.", "indication": "Left upper chest pain with shortness of breath", "age": "051Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNN2D3TGTRZ6VU_aGRDNCQ0SHZICQ7MS_s1.2.826.0.1.3680043.8.498.59548119123335624677852851282834624578", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNN2D3TGTRZ6VU/GRDNCQ0SHZICQ7MS/studies/1.2.826.0.1.3680043.8.498.59548119123335624677852851282834624578/series/1.2.826.0.1.3680043.8.498.15552546258829491727431815740748432251/instances/1.2.826.0.1.3680043.8.498.86098605008903666348917110350059741879.png", "report_gt": "FINDINGS:\nThere is clearing of the previously noted right middle lobe and right lower lobe infiltrates. The lungs are now clear. The heart is not enlarged. There is no pleural effusion.\n\nIMPRESSION:\nNo acute pulmonary disease", "findings": "There is clearing of the previously noted right middle lobe and right lower lobe infiltrates. The lungs are now clear. The heart is not enlarged. There is no pleural effusion.", "impression": "No acute pulmonary disease", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNN2D3TGTRZ6VU/GRDNL6X4SO3V4IBS/studies/1.2.826.0.1.3680043.8.498.71576456844459414811495853740084731326/series/1.2.826.0.1.3680043.8.498.85433340416214446149139852035887018949/instances/1.2.826.0.1.3680043.8.498.56017617729386328458764453915708771337.png", "report": "FINDINGS:\nThere is persistent air space disease in the right middle and lower lobes. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.\n\nIMPRESSION:\nPersistent right lung pneumonia.", "findings": "There is persistent air space disease in the right middle and lower lobes. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.", "impression": "Persistent right lung pneumonia.", "study_date": "20130707" }, "metadata": { "patient_id": "pGRDNN2D3TGTRZ6VU", "view_position": "AP", "study_date": "20130710", "comparison": "Comparison: 06/18/22", "indication": "Visit reason: Pneumonia", "age": "", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN71OC2499RWEL_aGRDNY67Y7QNBWC2C_s1.2.826.0.1.3680043.8.498.83137004039839510251054201511308940039", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN71OC2499RWEL/GRDNY67Y7QNBWC2C/studies/1.2.826.0.1.3680043.8.498.83137004039839510251054201511308940039/series/1.2.826.0.1.3680043.8.498.25492260684604340718624207982260082458/instances/1.2.826.0.1.3680043.8.498.55985576867617699753396885882622885769.png", "report_gt": "FINDINGS:\nBorderline cardiomegaly. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.\n\nIMPRESSION:\nBorderline cardiomegaly. No active disease.", "findings": "Borderline cardiomegaly. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.", "impression": "Borderline cardiomegaly. No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN71OC2499RWEL", "view_position": "PA", "study_date": "20130526", "comparison": "None.", "indication": "Preadmission", "age": "073Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNCQ6NA1MKBO3X_aGRDN4M95P69Z1UPJ_s1.2.826.0.1.3680043.8.498.76818104650529653435505678515142264463", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNCQ6NA1MKBO3X/GRDN4M95P69Z1UPJ/studies/1.2.826.0.1.3680043.8.498.76818104650529653435505678515142264463/series/1.2.826.0.1.3680043.8.498.14294541401271554951424190256834836871/instances/1.2.826.0.1.3680043.8.498.16963701915680941657739993624334705846.png", "report_gt": "FINDINGS:\nLow lung volumes noted on the frontal projection. No evidence of pulmonary infiltrate or pleural effusion. Heart size and mediastinal contours are within normal limits.\n\nIMPRESSION:\nNo active disease.", "findings": "Low lung volumes noted on the frontal projection. No evidence of pulmonary infiltrate or pleural effusion. Heart size and mediastinal contours are within normal limits.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNCQ6NA1MKBO3X", "view_position": "AP", "study_date": "20200105", "comparison": "None.", "indication": "Choked on piece of pain cake today.", "age": "018M", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN41JCPMZH65QV_aGRDNETJW9Z8J9YQF_s1.2.826.0.1.3680043.8.498.76364821481848578399373339817226388784", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN41JCPMZH65QV/GRDNETJW9Z8J9YQF/studies/1.2.826.0.1.3680043.8.498.76364821481848578399373339817226388784/series/1.2.826.0.1.3680043.8.498.46484386951585361421528016349842020762/instances/1.2.826.0.1.3680043.8.498.73031227750668284323597849626917292304.png", "report_gt": "FINDINGS:\nCardiac silhouette is normal in size. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. There are mild degenerative changes along the mid thoracic spine. Bony thorax is demineralized but intact.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "Cardiac silhouette is normal in size. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. There are mild degenerative changes along the mid thoracic spine. Bony thorax is demineralized but intact.", "impression": "No active cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN41JCPMZH65QV", "view_position": "PA", "study_date": "20160210", "comparison": "No comparison available.", "indication": "Yearly physical", "age": "066Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNZEZ6DWF8QBM9_aGRDNCS9I9MAC8PNG_s1.2.826.0.1.3680043.8.498.81005354506364391260986326883260335474", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNZEZ6DWF8QBM9/GRDNCS9I9MAC8PNG/studies/1.2.826.0.1.3680043.8.498.81005354506364391260986326883260335474/series/1.2.826.0.1.3680043.8.498.87513652735873324447504078161486649948/instances/1.2.826.0.1.3680043.8.498.62812375654189416903324727307891987078.png", "report_gt": "FINDINGS:\nUpper-normal size of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Minimal peribronchial thickening. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.\n\nIMPRESSION:\nMinimal bronchitic changes without infiltrate.", "findings": "Upper-normal size of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Minimal peribronchial thickening. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.", "impression": "Minimal bronchitic changes without infiltrate.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNZEZ6DWF8QBM9", "view_position": "PA", "study_date": "20140524", "comparison": "None", "indication": "Chest pain", "age": "018Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN6WQEKHPHOK14_aGRDNKJTA23GZ6C8P_s1.2.826.0.1.3680043.8.498.69284426630930917891782360521207609927", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN6WQEKHPHOK14/GRDNKJTA23GZ6C8P/studies/1.2.826.0.1.3680043.8.498.69284426630930917891782360521207609927/series/1.2.826.0.1.3680043.8.498.27457294088187532620583907830993626267/instances/1.2.826.0.1.3680043.8.498.73920904845816296145376167413049176956.png", "report_gt": "FINDINGS:\nStable lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or consolidation. No confluent pulmonary opacity. No acute osseous abnormality identified. Negative visible bowel gas pattern. Stable mild rightward deviation of the trachea at the thoracic inlet suggesting left thyroid goiter.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "Stable lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or consolidation. No confluent pulmonary opacity. No acute osseous abnormality identified. Negative visible bowel gas pattern. Stable mild rightward deviation of the trachea at the thoracic inlet suggesting left thyroid goiter.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN6WQEKHPHOK14/GRDNTF96K9FL7DLV/studies/1.2.826.0.1.3680043.8.498.60478262910720475564727280401899394530/series/1.2.826.0.1.3680043.8.498.43860355442231174055233532288036540338/instances/1.2.826.0.1.3680043.8.498.12885270873373128245293739115074289458.png", "report": "FINDINGS:\nLung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerotic calcifications in the thoracic aorta.\n\nIMPRESSION:\n1. No radiographic evidence of acute cardiopulmonary disease. 2. Atherosclerosis.", "findings": "Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerotic calcifications in the thoracic aorta.", "impression": "1. No radiographic evidence of acute cardiopulmonary disease. 2. Atherosclerosis.", "study_date": "20160327" }, "metadata": { "patient_id": "pGRDN6WQEKHPHOK14", "view_position": "AP", "study_date": "20160528", "comparison": "Comparison: 08/15/2007.", "indication": "61-year-old female with fever and productive cough. Current history uterine cancer undergoing chemotherapy. Initial encounter.", "age": "061Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNA887H03N05HT_aGRDNSG4NIF951Z79_s1.2.826.0.1.3680043.8.498.92155152279575082679258195562195359010", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNA887H03N05HT/GRDNSG4NIF951Z79/studies/1.2.826.0.1.3680043.8.498.92155152279575082679258195562195359010/series/1.2.826.0.1.3680043.8.498.21110890562119765127626555073596544402/instances/1.2.826.0.1.3680043.8.498.29975458710386392862980896969875484944.png", "report_gt": "FINDINGS:\nCardiac shadow is within normal limits. Lungs demonstrate patchy opacities slightly increased when compared with prior exam. These are consistent with atypical pneumonia. No sizable effusion is seen. No bony abnormality is noted.\n\nIMPRESSION:\nPersistent and slightly increased opacities bilaterally consistent with atypical pneumonia.", "findings": "Cardiac shadow is within normal limits. Lungs demonstrate patchy opacities slightly increased when compared with prior exam. These are consistent with atypical pneumonia. No sizable effusion is seen. No bony abnormality is noted.", "impression": "Persistent and slightly increased opacities bilaterally consistent with atypical pneumonia.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNA887H03N05HT/GRDNJB9BI2KCRBVL/studies/1.2.826.0.1.3680043.8.498.63160101273974005045952566816795681573/series/1.2.826.0.1.3680043.8.498.77827817743972009289709555016662639281/instances/1.2.826.0.1.3680043.8.498.91968349532528623426694815287817546072.png", "report": "FINDINGS:\nThere are patchy bilateral opacities with a peripheral and lower lung predominance. Left costophrenic angle is excluded. Otherwise, no pleural effusion. No pneumothorax. Cardiomediastinal contours are within normal limits.\n\nIMPRESSION:\nPatchy bilateral pulmonary opacities most consistent with COVID-19 pneumonia.", "findings": "There are patchy bilateral opacities with a peripheral and lower lung predominance. Left costophrenic angle is excluded. Otherwise, no pleural effusion. No pneumothorax. Cardiomediastinal contours are within normal limits.", "impression": "Patchy bilateral pulmonary opacities most consistent with COVID-19 pneumonia.", "study_date": "20200705" }, "metadata": { "patient_id": "pGRDNA887H03N05HT", "view_position": "AP", "study_date": "20200727", "comparison": "Comparison: 11/9/2008", "indication": "Shortness of breath", "age": "071Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN90W1WGPK9LTC_aGRDN0CBEP895MJCE_s1.2.826.0.1.3680043.8.498.15550204926697731364928244308944689326", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN90W1WGPK9LTC/GRDN0CBEP895MJCE/studies/1.2.826.0.1.3680043.8.498.15550204926697731364928244308944689326/series/1.2.826.0.1.3680043.8.498.28081233865723095107525775000270609161/instances/1.2.826.0.1.3680043.8.498.34049212214596705768117532913893439807.png", "report_gt": "FINDINGS:\nThe heart size and pulmonary vascularity are normal. The mediastinal and hilar structures are grossly unremarkable. There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Age-appropriate osseous structures.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "The heart size and pulmonary vascularity are normal. The mediastinal and hilar structures are grossly unremarkable. There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Age-appropriate osseous structures.", "impression": "No acute cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN90W1WGPK9LTC", "view_position": "AP", "study_date": "20240720", "comparison": "None.", "indication": "SOA", "age": "079Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN8545FZNZU2SO_aGRDNHRTGAI7MVNDT_s1.2.826.0.1.3680043.8.498.70638372439279291805783308998860422697", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN8545FZNZU2SO/GRDNHRTGAI7MVNDT/studies/1.2.826.0.1.3680043.8.498.70638372439279291805783308998860422697/series/1.2.826.0.1.3680043.8.498.48351260221431794874391412093221424136/instances/1.2.826.0.1.3680043.8.498.63339174075717412453376677171996637592.png", "report_gt": "FINDINGS:\nThe heart, hila, and mediastinum are normal. No pneumothorax. No pulmonary nodules or masses. Mild interstitial prominence and bronchial wall thickening. The lateral view is limited due to low volumes. Density behind the heart on the lateral view is favored to represent vascular crowding.\n\nIMPRESSION:\nNo definitive focal infiltrate. Findings most consistent with bronchiolitis/airways disease.", "findings": "The heart, hila, and mediastinum are normal. No pneumothorax. No pulmonary nodules or masses. Mild interstitial prominence and bronchial wall thickening. The lateral view is limited due to low volumes. Density behind the heart on the lateral view is favored to represent vascular crowding.", "impression": "No definitive focal infiltrate. Findings most consistent with bronchiolitis/airways disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN8545FZNZU2SO", "view_position": "PA", "study_date": "20170228", "comparison": "None.", "indication": "Fever productive cough.", "age": "012M", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNL4UZNPXUDW3G_aGRDNDJ934RY8J6K6_s1.2.826.0.1.3680043.8.498.54999152889115222435726304051247113026", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNL4UZNPXUDW3G/GRDNDJ934RY8J6K6/studies/1.2.826.0.1.3680043.8.498.54999152889115222435726304051247113026/series/1.2.826.0.1.3680043.8.498.36769709347795616108174253148774027012/instances/1.2.826.0.1.3680043.8.498.84161733383677051309175235656335357633.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is stable. There is an endotracheal tube in place with tip 5.3 cm above the carina. There is patchy atelectasis or infiltrate right perihilar and right middle lobe.\n\nIMPRESSION:\n1. Patchy atelectasis or infiltrate right perihilar and right middle lobe. 2. Endotracheal tube in place. No diagnostic pneumothorax.", "findings": "The cardiomediastinal silhouette is stable. There is an endotracheal tube in place with tip 5.3 cm above the carina. There is patchy atelectasis or infiltrate right perihilar and right middle lobe.", "impression": "1. Patchy atelectasis or infiltrate right perihilar and right middle lobe. 2. Endotracheal tube in place. No diagnostic pneumothorax.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNL4UZNPXUDW3G/GRDNJF70Y3LVYE01/studies/1.2.826.0.1.3680043.8.498.74813376560577153752326768066954659276/series/1.2.826.0.1.3680043.8.498.88153870626463201009386561921225870795/instances/1.2.826.0.1.3680043.8.498.59605590403062400200067519054941358986.png", "report": "FINDINGS:\nFeeding tube projects over the left upper quadrant. Heart size is normal. Lungs are grossly clear. No pleural effusion. Linear left lower lobe atelectasis stable.\n\nIMPRESSION:\nNo new focal pulmonary opacity.", "findings": "Feeding tube projects over the left upper quadrant. Heart size is normal. Lungs are grossly clear. No pleural effusion. Linear left lower lobe atelectasis stable.", "impression": "No new focal pulmonary opacity.", "study_date": "20091223" }, "metadata": { "patient_id": "pGRDNL4UZNPXUDW3G", "view_position": "AP", "study_date": "20100111", "comparison": "Comparison: 2/8/7", "indication": "Fever, altered LOC, status post intubation.", "age": "057Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN5APRLQM67GBE_aGRDN97JZO82ZU7ZK_s1.2.826.0.1.3680043.8.498.11882367437713436126798745939849874725", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN5APRLQM67GBE/GRDN97JZO82ZU7ZK/studies/1.2.826.0.1.3680043.8.498.11882367437713436126798745939849874725/series/1.2.826.0.1.3680043.8.498.27435330160324183665056049265049059059/instances/1.2.826.0.1.3680043.8.498.93509989204616671273876499374890629644.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNormal chest radiographs.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.", "impression": "Normal chest radiographs.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN5APRLQM67GBE", "view_position": "AP", "study_date": "20190213", "comparison": "None.", "indication": "Patient here from home with c/o chest pain that started this am. Central chest pain. Alcohol last night.", "age": "021Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNRP91E5FXE46Q_aGRDNSIBQ0XMHMOQ8_s1.2.826.0.1.3680043.8.498.97112865717286030332793295302773109531", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNRP91E5FXE46Q/GRDNSIBQ0XMHMOQ8/studies/1.2.826.0.1.3680043.8.498.97112865717286030332793295302773109531/series/1.2.826.0.1.3680043.8.498.79977869618610831738207802659119255468/instances/1.2.826.0.1.3680043.8.498.46836912208991439870446375612105052909.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.", "impression": "No active cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNRP91E5FXE46Q", "view_position": "PA", "study_date": "20170512", "comparison": "None.", "indication": "Intermittent chest pain 40 toe. Worsening today.", "age": "037Y", "sex": "M" }, "eval_track": "baseline" } ]