eval/chexpert_plus_valid.json

[
  {
    "study_id": "chexpert_patient64545_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64545/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThere are low lung volumes. The cardiomediastinal silhouette is\nwithin normal limits. There is evidence of trace pulmonary edema\nwith a left pleural effusion. Left retrocardiac atelectasis is\nnoted. There are old bilateral rib fractures.\n\nIMPRESSION:\n1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION.\n2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS.\n3. OLD BILATERAL RIB FRACTURES.",
    "findings": "There are low lung volumes. The cardiomediastinal silhouette is\nwithin normal limits. There is evidence of trace pulmonary edema\nwith a left pleural effusion. Left retrocardiac atelectasis is\nnoted. There are old bilateral rib fractures.",
    "impression": "1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION.\n2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS.\n3. OLD BILATERAL RIB FRACTURES.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64545",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "None.",
      "age": "55.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64661_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64661/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThe transesophageal echo probe has been removed. A new enteric tube is present. There is otherwise unchanged positioning of supportive medical devices.\nMild pulmonary edema and cardiomegaly.\nLeft basilar opacity. No pneumothorax.\nNo acute bony abnormalities are noted.\n\nIMPRESSION:\n1. Residual mild pulmonary edema and left basilar opacity.\n\"Physician to Physician Radiology Consult Line: (898) 940-4661\"\nSigned",
    "findings": "The transesophageal echo probe has been removed. A new enteric tube is present. There is otherwise unchanged positioning of supportive medical devices.\nMild pulmonary edema and cardiomegaly.\nLeft basilar opacity. No pneumothorax.\nNo acute bony abnormalities are noted.",
    "impression": "1. Residual mild pulmonary edema and left basilar opacity.\n\"Physician to Physician Radiology Consult Line: (898) 940-4661\"\nSigned",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64661",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "Same day radiograph",
      "age": "54.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": "images/chexpert/patient64589/study1/view2_lateral.jpg"
  },
  {
    "study_id": "chexpert_patient64698_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64698/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThe cardiopulmonary silhouette is markedly widened. Although the\nstudy is limited by rotation, pericardial effusion cannot be\nexcluded.\nThe lungs show low volume. There is increased prominence of\npulmonary vessels bilaterally and increased opacities of both lung\nfields suggestive for pulmonary edema.\nNo gross abnormalities are noted in the bone or soft tissue.\n\nIMPRESSION:\nWidened cardiac silhouette. Cannot exclude pericardial effusion.\nMild pulmonary edema.",
    "findings": "The cardiopulmonary silhouette is markedly widened. Although the\nstudy is limited by rotation, pericardial effusion cannot be\nexcluded.\nThe lungs show low volume. There is increased prominence of\npulmonary vessels bilaterally and increased opacities of both lung\nfields suggestive for pulmonary edema.\nNo gross abnormalities are noted in the bone or soft tissue.",
    "impression": "Widened cardiac silhouette. Cannot exclude pericardial effusion.\nMild pulmonary edema.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64698",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "There are no prior films.",
      "age": "35.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": "images/chexpert/patient64613/study1/view2_lateral.jpg"
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64681_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64681/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nPortable chest shows low lung volumes with crowding of the \npulmonary vasculature. The lines and tubes are stable, except the \nendotracheal tube has been pulled back to 7.9 cm above the carina. \nThere is bilateral lower lobe airspace disease with partial clearing \nof the right lung base. This is the suggestion of small pleural \nfluid collections\n \nOtherwise, there is no change from the prior examination.\n\nIMPRESSION:\n1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.",
    "findings": "Portable chest shows low lung volumes with crowding of the \npulmonary vasculature. The lines and tubes are stable, except the \nendotracheal tube has been pulled back to 7.9 cm above the carina. \nThere is bilateral lower lobe airspace disease with partial clearing \nof the right lung base. This is the suggestion of small pleural \nfluid collections\n \nOtherwise, there is no change from the prior examination.",
    "impression": "1.ENDOTRACHEAL TUBE IN HIGH POSITION ABOVE CARINA.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64681",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "05 AUGUST 14",
      "age": "85.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64616_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64616/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is normal.\n \nPatchy consolidation in the left retrocardiac area which may \nrepresent atelectasis and/or early airspace disease.\n \nNo evidence of pulmonary edema, pneumothorax or pleural effusions.\n \nElevated right hemidiaphragm again noted. Colonic interposition under \nthe right hemidiaphragm also noted.\n \nDegenerative changes of the thoracic spine.\n\nIMPRESSION:\n1. Patchy consolidation in the left retrocardiac area which is \nnonspecific. May represent atelectasis versus airspace disease.\n \n2. Elevated right hemidiaphragm.",
    "findings": "The cardiomediastinal silhouette is normal.\n \nPatchy consolidation in the left retrocardiac area which may \nrepresent atelectasis and/or early airspace disease.\n \nNo evidence of pulmonary edema, pneumothorax or pleural effusions.\n \nElevated right hemidiaphragm again noted. Colonic interposition under \nthe right hemidiaphragm also noted.\n \nDegenerative changes of the thoracic spine.",
    "impression": "1. Patchy consolidation in the left retrocardiac area which is \nnonspecific. May represent atelectasis versus airspace disease.\n \n2. Elevated right hemidiaphragm.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64616",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "04-19-2020",
      "age": "89.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64616/study1/view2_lateral.jpg"
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": "images/chexpert/patient64615/study1/view2_lateral.jpg"
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64600_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64600/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal\nsilhouette is within normal limits. There is no evidence of\npleural effusion. There are prominent interstitial markings with\nincreased linear opacity in the right hemithorax. Interlobular\nseptal thickening with Kerley B-lines. Osseous structures\nunremarkable.\n\nIMPRESSION:\nFINDINGS ARE CONSISTENT WITH PULMONARY EDEMA OR ATYPICAL INFECTION\nSUCH AS PCP PNEUMONIA.",
    "findings": "The trachea is midline. The cardiomediastinal\nsilhouette is within normal limits. There is no evidence of\npleural effusion. There are prominent interstitial markings with\nincreased linear opacity in the right hemithorax. Interlobular\nseptal thickening with Kerley B-lines. Osseous structures\nunremarkable.",
    "impression": "FINDINGS ARE CONSISTENT WITH PULMONARY EDEMA OR ATYPICAL INFECTION\nSUCH AS PCP PNEUMONIA.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64600",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "None available.",
      "age": "62.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64600/study1/view2_lateral.jpg"
  },
  {
    "study_id": "chexpert_patient64730_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64730/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nPortable chest shows no change in the left subclavian \ncatheter with its tip just reaching the superior vena cava, an \nelectronic device over the left hemithorax with its leads terminating \nin the left neck. Heart and lungs are within normal limits.\nOtherwise, there is no change from the prior examination.\n\nIMPRESSION:\n1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED",
    "findings": "Portable chest shows no change in the left subclavian \ncatheter with its tip just reaching the superior vena cava, an \nelectronic device over the left hemithorax with its leads terminating \nin the left neck. Heart and lungs are within normal limits.\nOtherwise, there is no change from the prior examination.",
    "impression": "1.NO ACUTE DISEASE, NO PNEUMONIA AS CLINICALLY QUESTIONED",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64730",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "6/15/09",
      "age": "36.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64621_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64621/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nSingle view of the chest dated 12-6-2007 at 08:48 redemonstrates\nright apical chest tube. Persistent low lung volumes. Residual\nsmall right apical pneumothorax. Band-like atelectasis at the right\nlung base which has increased since the prior examination. No\nadditional focal opacities or effusions noted.\nSingle view of the chest dated 12-6-2007 at 15:06 demonstrates\ninterval removal of right sided chest tube. Possible tiny residual\nright apical pneumothorax. Improved aeration of both lung bases\nwith interval decrease in prior noted atelectasis. Redemonstration\nof distal clavicle resection and sutures within the humeral head of\nthe left shoulder.\n\nIMPRESSION:\n1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND\nSUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.",
    "findings": "Single view of the chest dated 12-6-2007 at 08:48 redemonstrates\nright apical chest tube. Persistent low lung volumes. Residual\nsmall right apical pneumothorax. Band-like atelectasis at the right\nlung base which has increased since the prior examination. No\nadditional focal opacities or effusions noted.\nSingle view of the chest dated 12-6-2007 at 15:06 demonstrates\ninterval removal of right sided chest tube. Possible tiny residual\nright apical pneumothorax. Improved aeration of both lung bases\nwith interval decrease in prior noted atelectasis. Redemonstration\nof distal clavicle resection and sutures within the humeral head of\nthe left shoulder.",
    "impression": "1. SERIES OF CHEST FILMS DEMONSTRATING RIGHT CHEST TUBE AND\nSUBSEQUENT REMOVAL. RESIDUAL SMALL RIGHT APICAL PNEUMOTHORAX.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64621",
      "report_date_order": 2,
      "view_position": "AP",
      "comparison": "Single view of the chest 12/6/2007 at 16:25.",
      "age": "65.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64576_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64576/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nSingle semi-upright view of the chest dated 6/6/2009 at 0639 hours is limited as the apices are clipped from the \nfilm. No definitive pneumothorax is appreciated. However abutting \nthe right paravertebral stripe at the T6-7 level is a crescentic \ndensity which cannot be delineated from the paravertebral stripe. \nEvaluation is limited on a single view. Low lung volumes. The lungs \nare clear. Limited visualization of the upper abdomen demonstrates \ncoils in the left upper quadrant consistent with the patient's recent \nsplenic embolization.\n\nIMPRESSION:\n1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT \nAPICAL PNEUMOTHORAX SEEN PREVIOUSLY. \n \n2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE \nTHORACIC SPINE AT THE T6-7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON \nTHIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF \nPARAVERTEBRAL HEMATOMA AND CROSS-SECTIONAL IMAGING WITH CHEST CT IS \nRECOMMENDED. \n \n3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENT'S \nHISTORY OF SPLENIC EMBOLIZATION. \n \n4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE \nDISCUSSED WITH dr. beard AT PAGER #(976) 646-2563 ON THE MORNING OF \n6/6/2009 AT 1105 HOURS.",
    "findings": "Single semi-upright view of the chest dated 6/6/2009 at 0639 hours is limited as the apices are clipped from the \nfilm. No definitive pneumothorax is appreciated. However abutting \nthe right paravertebral stripe at the T6-7 level is a crescentic \ndensity which cannot be delineated from the paravertebral stripe. \nEvaluation is limited on a single view. Low lung volumes. The lungs \nare clear. Limited visualization of the upper abdomen demonstrates \ncoils in the left upper quadrant consistent with the patient's recent \nsplenic embolization.",
    "impression": "1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT \nAPICAL PNEUMOTHORAX SEEN PREVIOUSLY. \n \n2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE \nTHORACIC SPINE AT THE T6-7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON \nTHIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF \nPARAVERTEBRAL HEMATOMA AND CROSS-SECTIONAL IMAGING WITH CHEST CT IS \nRECOMMENDED. \n \n3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENT'S \nHISTORY OF SPLENIC EMBOLIZATION. \n \n4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE \nDISCUSSED WITH dr. beard AT PAGER #(976) 646-2563 ON THE MORNING OF \n6/6/2009 AT 1105 HOURS.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64576",
      "report_date_order": 2,
      "view_position": "AP",
      "comparison": "6-6-2009 at 2341 hours and CT images from CT of \nthe cervical spine dated 2009/6.",
      "age": "23.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64666_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64666/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nStable tubes and lines. Improving retrocardiac airspace opacity. \nAlthough the diaphragm is more clearly seen now, there is still some \nfaint residual airspace opacity and perhaps a small left pleural \neffusion. There is persistent air bronchograms at the right medial \nlung base as well.\n\nIMPRESSION:\n1. Improving retrocardiac airspace consolidation.",
    "findings": "Stable tubes and lines. Improving retrocardiac airspace opacity. \nAlthough the diaphragm is more clearly seen now, there is still some \nfaint residual airspace opacity and perhaps a small left pleural \neffusion. There is persistent air bronchograms at the right medial \nlung base as well.",
    "impression": "1. Improving retrocardiac airspace consolidation.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64666",
      "report_date_order": 3,
      "view_position": "AP",
      "comparison": "4/1/10 at 3:33 AM",
      "age": "22.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": "images/chexpert/patient64575/study1/view2_lateral.jpg"
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64633_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64633/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nThere is no change in the right-sided central venous catheter. An NG \ntube is present. There is no change in the enlargement of the cardiac \nsilhouette. There are bilateral bibasilar opacities compatible with \neffusions and/or atelectasis that has increased on the right. There \nis diffuse bronchovascular marking prominence is also present \ncompatible with edema or infection.\n\nIMPRESSION:\n1. Increase in right pleural effusion and otherwise no change in \nbibasilar opacities compatible with consolidation and/or atelectasis.",
    "findings": "There is no change in the right-sided central venous catheter. An NG \ntube is present. There is no change in the enlargement of the cardiac \nsilhouette. There are bilateral bibasilar opacities compatible with \neffusions and/or atelectasis that has increased on the right. There \nis diffuse bronchovascular marking prominence is also present \ncompatible with edema or infection.",
    "impression": "1. Increase in right pleural effusion and otherwise no change in \nbibasilar opacities compatible with consolidation and/or atelectasis.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64633",
      "report_date_order": 4,
      "view_position": "AP",
      "comparison": "12-24-01",
      "age": "61.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64645_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64645/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nMedical devices are stable.\n \nTiny right apical pneumothorax is identified; right chest tube \nremains in place.\n \nPersistent left lower lobe consolidation with associated \nmoderate-sized left-sided pleural effusion.\n\nIMPRESSION:\n1. Tiny right apical pneumothorax.\n \n2. Persistent left lower lobe consolidation and effusion.\n \n \n \n \n\"Physician to Physician Radiology Consult Line: (371) 293-2849\"",
    "findings": "Medical devices are stable.\n \nTiny right apical pneumothorax is identified; right chest tube \nremains in place.\n \nPersistent left lower lobe consolidation with associated \nmoderate-sized left-sided pleural effusion.",
    "impression": "1. Tiny right apical pneumothorax.\n \n2. Persistent left lower lobe consolidation and effusion.\n \n \n \n \n\"Physician to Physician Radiology Consult Line: (371) 293-2849\"",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64645",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "8/22/06, 8/22/2006",
      "age": "55.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64723_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64723/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nA chest wall pacing device with intact leads into the\nright atrium and right ventricle is unchanged. There is diffuse\nprominence of the pulmonary vasculature with indistinct margins\nconsistent with mild interstitial pulmonary edema. No air-space\npulmonary edema. No segmental consolidation or pleural effusion\nbilaterally. The cardiomediastinal silhouette is within normal\nlimits and unchanged. Regional osseous structures are\nunremarkable.\n\nIMPRESSION:\nMILD INTERSTITIAL PULMONARY EDEMA.",
    "findings": "A chest wall pacing device with intact leads into the\nright atrium and right ventricle is unchanged. There is diffuse\nprominence of the pulmonary vasculature with indistinct margins\nconsistent with mild interstitial pulmonary edema. No air-space\npulmonary edema. No segmental consolidation or pleural effusion\nbilaterally. The cardiomediastinal silhouette is within normal\nlimits and unchanged. Regional osseous structures are\nunremarkable.",
    "impression": "MILD INTERSTITIAL PULMONARY EDEMA.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64723",
      "report_date_order": 5,
      "view_position": "AP",
      "comparison": "1-12-2018.",
      "age": "76.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64544_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64544/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nA single portable AP chest radiograph, dated 11/13/2016 \ndemonstrates midline appearance of the trachea. The cardiomediastinal \nsilhouette is unremarkable. There is a small focal left basilar \nopacity. Elsewhere, the lungs appear clear. No pleural or bony \nabnormalities are identified.\n\nIMPRESSION:\nfocal left basilar opacity, which may be consistent with atelectasis \nor early consolidation.",
    "findings": "A single portable AP chest radiograph, dated 11/13/2016 \ndemonstrates midline appearance of the trachea. The cardiomediastinal \nsilhouette is unremarkable. There is a small focal left basilar \nopacity. Elsewhere, the lungs appear clear. No pleural or bony \nabnormalities are identified.",
    "impression": "focal left basilar opacity, which may be consistent with atelectasis \nor early consolidation.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64544",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "None.",
      "age": "42.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64606_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64606/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nSingle lead cardiac pacer with a residual small left pleural effusion.\n\nIMPRESSION:\n1. Residual small left pleural effusion.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
    "findings": "Single lead cardiac pacer with a residual small left pleural effusion.",
    "impression": "1. Residual small left pleural effusion.\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": "patient64606",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "8/1/2019",
      "age": "85.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64606/study1/view2_lateral.jpg"
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64650_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64650/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nModerate alveolar pulmonary edema, with associated small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. No pneumothorax. Unchanged moderate cardiomegaly.\nNo acute osseous abnormality.\n\nIMPRESSION:\n1. Moderate alveolar pulmonary edema, with small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation.\n2. Moderate cardiomegaly.\nThere are no substantial differences between the preliminary results and the impressions in this final report.\n\"Physician to Physician Radiology Consult Line: (559) 745-1823\"\nSigned",
    "findings": "Moderate alveolar pulmonary edema, with associated small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. No pneumothorax. Unchanged moderate cardiomegaly.\nNo acute osseous abnormality.",
    "impression": "1. Moderate alveolar pulmonary edema, with small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation.\n2. Moderate cardiomegaly.\nThere are no substantial differences between the preliminary results and the impressions in this final report.\n\"Physician to Physician Radiology Consult Line: (559) 745-1823\"\nSigned",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64650",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "11/7/2013",
      "age": "86.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64599_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64599/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\n/\n\nIMPRESSION:\n1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH\nBILATERALLY CLEAR LUNGS.\n2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A\nSMALL LEFT PLEURAL EFFUSION.\n3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS.\n4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY\nRELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.",
    "findings": "/",
    "impression": "1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH\nBILATERALLY CLEAR LUNGS.\n2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A\nSMALL LEFT PLEURAL EFFUSION.\n3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS.\n4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY\nRELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64599",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "1/11/2020.",
      "age": "69.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64599/study1/view2_lateral.jpg"
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": "images/chexpert/patient64625/study1/view2_lateral.jpg"
  },
  {
    "study_id": "chexpert_patient64684_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64684/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nAP upright view of the chest demonstrates persistent left \npleural effusion and increasing left lower lobe consolidation.\n\nIMPRESSION:\n1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT \nPLEURAL EFFUSION.",
    "findings": "AP upright view of the chest demonstrates persistent left \npleural effusion and increasing left lower lobe consolidation.",
    "impression": "1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT \nPLEURAL EFFUSION.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64684",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "3/13/13, 3/13/2013",
      "age": "52.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64581_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64581/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nSlightly prominent breast shadows. Heart shadow slightly \nglobular and borderline in size but unchanged from the prior study.\n\nIMPRESSION:\nNORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS \nREQUEST.",
    "findings": "Slightly prominent breast shadows. Heart shadow slightly \nglobular and borderline in size but unchanged from the prior study.",
    "impression": "NORMAL CHEST WITH NO EVIDENCE OF PNEUMONIA. Zariah, Roy INFORMED AT HIS \nREQUEST.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64581",
      "report_date_order": 1,
      "view_position": "PA",
      "comparison": "AP portable chest dated august 31st 2007",
      "age": "80.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": "images/chexpert/patient64581/study1/view3_lateral.jpg"
  },
  {
    "study_id": "chexpert_patient64717_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64717/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nSerial radiographs of the abdomen dated 1/22/02 at 6:31 PM and \n11:43 PM demonstrate multiple mildly dilated air-filled loops of \nsmall and large bowel in a pattern suggestive of ileus. No evidence \nof free intraperitoneal air or abnormal abdominal calcification. \nMidline sternotomy wires project over the midline. A weighted feeding \ntube tip appears coiled within the stomach and then with the tip in \nthe first duodenum.\n \nChest radiograph dated 1-22-02 at 0525 hours demonstrates a right \ninternal jugular venous catheter with tip projecting over the \ncavoatrial junction, and the proximal aspect of the feeding tube with \ntip projecting over the gastroesophageal junction, requiring \nadvancement. Moderate cardiomegaly. Bibasilar airspace opacities. \nSmall left pleural effusion. Moderate pulmonary edema.\n \nAbdominal radiograph dated 1-22-02 at 6:28 AM demonstrates a \nfeeding tube which appears coiled within the stomach with the tip \nnear the gastric pylorus.\n\nIMPRESSION:\n1. Serial abdominal radiographs demonstrate multiple mildly dilated \nair-filled loops of small and large bowel in a pattern suggestive of \nileus with final abdominal radiograph demonstrating a feeding tube \nwhich appears coiled within the stomach with the tip near the gastric \npylorus.\n2. Moderate cardiomegaly with bibasilar airspace opacities, small \nleft pleural effusion, and moderate pulmonary edema.\n3. The patient's known 1.3 cm spiculated nodule in the left upper \nlobe is better seen on CT.\n \n\"Physician to Physician Radiology Consult Line: (485) 672-5270\"",
    "findings": "Serial radiographs of the abdomen dated 1/22/02 at 6:31 PM and \n11:43 PM demonstrate multiple mildly dilated air-filled loops of \nsmall and large bowel in a pattern suggestive of ileus. No evidence \nof free intraperitoneal air or abnormal abdominal calcification. \nMidline sternotomy wires project over the midline. A weighted feeding \ntube tip appears coiled within the stomach and then with the tip in \nthe first duodenum.\n \nChest radiograph dated 1-22-02 at 0525 hours demonstrates a right \ninternal jugular venous catheter with tip projecting over the \ncavoatrial junction, and the proximal aspect of the feeding tube with \ntip projecting over the gastroesophageal junction, requiring \nadvancement. Moderate cardiomegaly. Bibasilar airspace opacities. \nSmall left pleural effusion. Moderate pulmonary edema.\n \nAbdominal radiograph dated 1-22-02 at 6:28 AM demonstrates a \nfeeding tube which appears coiled within the stomach with the tip \nnear the gastric pylorus.",
    "impression": "1. Serial abdominal radiographs demonstrate multiple mildly dilated \nair-filled loops of small and large bowel in a pattern suggestive of \nileus with final abdominal radiograph demonstrating a feeding tube \nwhich appears coiled within the stomach with the tip near the gastric \npylorus.\n2. Moderate cardiomegaly with bibasilar airspace opacities, small \nleft pleural effusion, and moderate pulmonary edema.\n3. The patient's known 1.3 cm spiculated nodule in the left upper \nlobe is better seen on CT.\n \n\"Physician to Physician Radiology Consult Line: (485) 672-5270\"",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64717",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "1-22-2002 chest radiograph",
      "age": "89.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64720_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64720/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nStable appearance of endotracheal tube. Interval placement of a left \ninternal jugular central venous catheter with the tip 3.7 cm below \nthe carina. The catheter appears more lateral than expected but \nconfirmed to be within the left internal jugular vein on the \nsubsequent CT angiogram of the head and neck from 6/10/2016. \nNo visible pneumothorax. There is improved aeration of the left lung \nbase suggestive of improving atelectasis. No significant interval \nchanges with stable cardiomediastinal silhouette. No acute osseous \nabnormalities.\n\nIMPRESSION:\n1. Interval placement of a left internal jugular central venous \ncatheter with the tip near the cavoatrial junction. No visible \npneumothorax.\n2. Improved aeration of the left lung base suggestive of improving \natelectasis.\n \n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.",
    "findings": "Stable appearance of endotracheal tube. Interval placement of a left \ninternal jugular central venous catheter with the tip 3.7 cm below \nthe carina. The catheter appears more lateral than expected but \nconfirmed to be within the left internal jugular vein on the \nsubsequent CT angiogram of the head and neck from 6/10/2016. \nNo visible pneumothorax. There is improved aeration of the left lung \nbase suggestive of improving atelectasis. No significant interval \nchanges with stable cardiomediastinal silhouette. No acute osseous \nabnormalities.",
    "impression": "1. Interval placement of a left internal jugular central venous \ncatheter with the tip near the cavoatrial junction. No visible \npneumothorax.\n2. Improved aeration of the left lung base suggestive of improving \natelectasis.\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": "patient64720",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "6-10-2016 at 3:16 PM",
      "age": "77.0",
      "sex": "Female"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "study_id": "chexpert_patient64614_study1",
    "dataset": "chexpert_plus",
    "split": "valid",
    "image_path": "images/chexpert/patient64614/study1/view1_frontal.jpg",
    "report_gt": "FINDINGS:\nFrontal radiograph of the chest demonstrates normal \nappearance of cardiomediastinal silhouette, pulmonary vascularity, \nand airspaces. There is a right-sided PICC catheter with its tip \nprojecting 3 cm below the carina. There is a small left pleural \neffusion. The osseous structures are intact.\n\nIMPRESSION:\n1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. \n \n 2. SMALL LEFT PLEURAL EFFUSION.",
    "findings": "Frontal radiograph of the chest demonstrates normal \nappearance of cardiomediastinal silhouette, pulmonary vascularity, \nand airspaces. There is a right-sided PICC catheter with its tip \nprojecting 3 cm below the carina. There is a small left pleural \neffusion. The osseous structures are intact.",
    "impression": "1. RIGHT PICC CATHETER AS DESCRIBED ABOVE. \n \n 2. SMALL LEFT PLEURAL EFFUSION.",
    "is_followup": false,
    "prior_study": null,
    "metadata": {
      "patient_id": "patient64614",
      "report_date_order": 1,
      "view_position": "AP",
      "comparison": "None.",
      "age": "74.0",
      "sex": "Male"
    },
    "eval_track": "baseline",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  },
  {
    "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",
    "lateral_image_path": null
  }
]