{ "baseline": [ { "study_id": "mimic_53038366", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14855790/s53038366/5d3b28e1-1aac3fe6-a4122890-9105accb-061b8489.jpg", "report_gt": "FINAL REPORT\n INDICATION: Altered mental status with hyperglycemia, refusing meds. Status\n post falls at home. Evaluate for acute intrathoracic process.\n \n COMPARISON: None.\n \n FINDINGS: The lungs are clear. The heart size is normal. Mediastinal\n contours are normal. There are no pleural abnormalities. Degenerative\n changes of the thoracic spine are seen.\n \n IMPRESSION: No acute cardiac or pulmonary process.", "findings": "The lungs are clear. The heart size is normal. Mediastinal\n contours are normal. There are no pleural abnormalities. Degenerative\n changes of the thoracic spine are seen.", "impression": "No acute cardiac or pulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "14855790", "view_position": "AP", "comparison": "None.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2165-11-24", "admission_info": { "hadm_id": 21371679, "admittime": "2165-11-24 23:28:00", "dischtime": "2165-11-29 16:31:00", "admission_type": "EW EMER.", "demographics": { "age": 59, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "25012", "version": 9, "description": "Diabetes with ketoacidosis, type II or unspecified type, uncontrolled" }, { "code": "29623", "version": 9, "description": "Major depressive affective disorder, single episode, severe, without mention of psychotic behavior" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "V6284", "version": 9, "description": "Suicidal ideation" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "28860", "version": 9, "description": "Leukocytosis, unspecified" }, { "code": "27651", "version": 9, "description": "Dehydration" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "V1581", "version": 9, "description": "Personal history of noncompliance with medical treatment, presenting hazards to health" }, { "code": "79431", "version": 9, "description": "Nonspecific abnormal electrocardiogram [ECG] [EKG]" } ], "labs": [ { "label": "Anion Gap", "value": "27", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "___", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "___", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.1", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "___", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "___", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "BUN", "value": "42", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "14.2", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "36.2", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "230", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "11.8", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "1.9", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_57149976", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16313531/s57149976/9899772e-b051b74d-f68faa87-f45ebf9b-3fcd4d7b.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___-year-old female with fever and low O2 saturation, question\n infiltrate.\n \n COMPARISON: None available.\n \n FINDINGS: One portable AP upright view of the chest. In the left mid and\n lower lung, there is an opacity concerning for pneumonia. The right lung\n appears clear. There is no pleural effusion on the right. There is no\n evidence of pneumothorax in either lung. The left hemidiaphragm is not well\n seen and a small left pleural effusion cannot be ruled out.\n \n IMPRESSION: Left mid and lower lung opacities concerning for pneumonia. \n Probable small left pleural effusion.", "findings": "One portable AP upright view of the chest. In the left mid and\n lower lung, there is an opacity concerning for pneumonia. The right lung\n appears clear. There is no pleural effusion on the right. There is no\n evidence of pneumothorax in either lung. The left hemidiaphragm is not well\n seen and a small left pleural effusion cannot be ruled out.", "impression": "Left mid and lower lung opacities concerning for pneumonia. \n Probable small left pleural effusion.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "16313531", "view_position": "AP", "comparison": "None available.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "-1.0", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" } }, "eval_track": "baseline" }, { "study_id": "mimic_51285349", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18110020/s51285349/d9e22dc4-c2df3c29-6bbda3ee-d5d33e26-c93e5f4e.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH PERFORMED ON ___\n \n COMPARISON: None.\n \n CLINICAL HISTORY: ___-year-old woman with prolonged seizure activity, assess\n for aspiration.\n \n FINDINGS: Semi-upright portable AP view of the chest was provided. Please\n note, due to marked scoliosis, evaluation is limited. There is a severe\n rotatory dextroscoliosis of the lower thoracic/lumbar spine. The lungs appear\n grossly clear bilaterally without large consolidation, effusion, or definite\n signs of pneumothorax. Heart size cannot be assessed. No definite signs of\n fracture.\n \n IMPRESSION: Severe scoliotic deformity without definite signs of aspiration\n or fracture.", "findings": "Semi-upright portable AP view of the chest was provided. Please\n note, due to marked scoliosis, evaluation is limited. There is a severe\n rotatory dextroscoliosis of the lower thoracic/lumbar spine. The lungs appear\n grossly clear bilaterally without large consolidation, effusion, or definite\n signs of pneumothorax. Heart size cannot be assessed. No definite signs of\n fracture.", "impression": "Severe scoliotic deformity without definite signs of aspiration\n or fracture.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "18110020", "view_position": "AP", "comparison": "None.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "-1.0", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2138-02-09", "admission_info": { "hadm_id": 23759636, "admittime": "2138-02-09 16:55:00", "dischtime": "2138-03-29 18:55:00", "admission_type": "EW EMER.", "demographics": { "age": 35, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "34581", "version": 9, "description": "Other forms of epilepsy and recurrent seizures, with intractable epilepsy" }, { "code": "3432", "version": 9, "description": "Congenital quadriplegia" }, { "code": "7542", "version": 9, "description": "Congenital musculoskeletal deformities of spine" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "00845", "version": 9, "description": "Intestinal infection due to Clostridium difficile" }, { "code": "9961", "version": 9, "description": "Mechanical complication of other vascular device, implant, and graft" }, { "code": "3453", "version": 9, "description": "Grand mal status" }, { "code": "3158", "version": 9, "description": "Other specified delays in development" }, { "code": "28529", "version": 9, "description": "Anemia of other chronic disease" }, { "code": "2808", "version": 9, "description": "Other specified iron deficiency anemias" }, { "code": "3068", "version": 9, "description": "Other specified psychophysiological malfunction" }, { "code": "78830", "version": 9, "description": "Urinary incontinence, unspecified" }, { "code": "42789", "version": 9, "description": "Other specified cardiac dysrhythmias" }, { "code": "2753", "version": 9, "description": "Disorders of phosphorus metabolism" }, { "code": "7837", "version": 9, "description": "Adult failure to thrive" }, { "code": "78060", "version": 9, "description": "Fever, unspecified" }, { "code": "28860", "version": 9, "description": "Leukocytosis, unspecified" }, { "code": "7429", "version": 9, "description": "Unspecified congenital anomaly of brain, spinal cord, and nervous system" } ], "labs": [ { "label": "Anion Gap", "value": "11", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "26", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "108", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.5", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.8", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "141", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "9", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "12.3", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "33.1", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "313", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "7.5", "unit": "K/uL", "flag": "normal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "Lactate", "value": "1.7", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_54280501", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16043637/s54280501/bc25fa99-0d3766cc-7704edb7-5c7a4a63-dc65480a.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PORTABLE AP)\n \n INDICATION: History: ___F with tachyacrdia cough doe // infilatrate\n \n TECHNIQUE: Single frontal view of the chest\n \n COMPARISON: None\n \n FINDINGS: \n \n The patient is status post median sternotomy. Left-sided pacer device is seen\n with leads extending to the expected positions of the right atrium and right\n ventricle. The cardiac silhouette is mildly enlarged. Mediastinal contours\n are unremarkable. There may be minimal central vascular engorgement without\n overt pulmonary edema. No large pleural effusion is seen. There is no evidence\n of pneumothorax or focal consolidation. The lungs appear relatively\n hyperinflated.\n \n IMPRESSION: \n \n Relatively hyperinflated lungs, suggesting COPD. Possible minimal central\n pulmonary vascular engorgement without overt pulmonary edema. No focal\n consolidation. Mild cardiomegaly.", "findings": "The patient is status post median sternotomy. Left-sided pacer device is seen\n with leads extending to the expected positions of the right atrium and right\n ventricle. The cardiac silhouette is mildly enlarged. Mediastinal contours\n are unremarkable. There may be minimal central vascular engorgement without\n overt pulmonary edema. No large pleural effusion is seen. There is no evidence\n of pneumothorax or focal consolidation. The lungs appear relatively\n hyperinflated.", "impression": "Relatively hyperinflated lungs, suggesting COPD. Possible minimal central\n pulmonary vascular engorgement without overt pulmonary edema. No focal\n consolidation. Mild cardiomegaly.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "16043637", "view_position": "AP", "comparison": "None", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "0.0", "Edema": "0.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" } }, "eval_track": "baseline" }, { "study_id": "mimic_54842270", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16015751/s54842270/7536f4a6-1fbe0f20-f19b428c-ed5f66a2-68198980.jpg", "report_gt": "FINAL REPORT\n TYPE OF EXAMINATION: Chest, AP portable single view.\n \n INDICATION: ___-year-old female patient with GI bleed and tube placement.\n \n FINDINGS: AP single view of the chest has been obtained with patient in\n semi-upright position. The patient is intubated, the ETT terminating in the\n trachea 4 cm above the level of the carina. No pneumothorax has developed. \n An NG tube has been placed, seen to reach well below the diaphragm including\n its side port. There is mild elevation of the left-sided hemidiaphragm, but\n no evidence of acute pulmonary infiltrates or major atelectasis is identified.\n The pulmonary vasculature is not congested. There exists no prior chest\n examination or records available for comparison.\n \n IMPRESSION: Intubated, NG tube in place, no acute pulmonary infiltrates or\n CHF.", "findings": "AP single view of the chest has been obtained with patient in\n semi-upright position. The patient is intubated, the ETT terminating in the\n trachea 4 cm above the level of the carina. No pneumothorax has developed. \n An NG tube has been placed, seen to reach well below the diaphragm including\n its side port. There is mild elevation of the left-sided hemidiaphragm, but\n no evidence of acute pulmonary infiltrates or major atelectasis is identified.\n The pulmonary vasculature is not congested. There exists no prior chest\n examination or records available for comparison.", "impression": "Intubated, NG tube in place, no acute pulmonary infiltrates or\n CHF.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "16015751", "view_position": "AP", "comparison": ".", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "-1.0", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "0.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2172-06-03", "admission_info": { "hadm_id": 28081429, "admittime": "2172-06-03 15:13:00", "dischtime": "2172-06-10 16:25:00", "admission_type": "EW EMER.", "demographics": { "age": 62, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "53789", "version": 9, "description": "Other specified disorders of stomach and duodenum" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "5723", "version": 9, "description": "Portal hypertension" }, { "code": "4561", "version": 9, "description": "Esophageal varices without mention of bleeding" }, { "code": "1550", "version": 9, "description": "Malignant neoplasm of liver, primary" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "30500", "version": 9, "description": "Alcohol abuse, unspecified" }, { "code": "5712", "version": 9, "description": "Alcoholic cirrhosis of liver" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" } ], "labs": [ { "label": "Hemoglobin", "value": "9.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.9", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "121", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "8.3", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "20", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "17", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "111", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "0.9", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "144", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "19", "unit": "mg/dL", "flag": "normal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_57464511", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18287845/s57464511/64e9fab8-be276430-8b0b8d08-b7aff644-5d287946.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___-year-old man with fever and hypoxia. Evaluate for pneumonia.\n \n COMPARISIONS: Portable chest x-ray FROM ___.\n \n FINDINGS: PA and lateral chest radiograph is provided. There is no focal\n consolidation, pleural effusion or pneumothorax. Bibasilar opacities are\n present, more prominent on the left, which most likely represents atelectasis.\n A pacemaker is seen with leads in appropriate positioning. There are surgical\n clips seen in the epigastric area.\n \n IMPRESSION: No acute cardiopulmonary process. Bibasilar opacities most\n likely representing atelectasis.", "findings": "PA and lateral chest radiograph is provided. There is no focal\n consolidation, pleural effusion or pneumothorax. Bibasilar opacities are\n present, more prominent on the left, which most likely represents atelectasis.\n A pacemaker is seen with leads in appropriate positioning. There are surgical\n clips seen in the epigastric area.", "impression": "No acute cardiopulmonary process. Bibasilar opacities most\n likely representing atelectasis.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "18287845", "view_position": "PA", "comparison": "", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2149-09-23" }, "eval_track": "baseline" }, { "study_id": "mimic_52481016", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17288844/s52481016/c57c824d-1eddb1d5-5933f11b-3da0b20b-0bd14eef.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___-year-old male with chest pain. Question acute process.\n \n COMPARISON: None available.\n \n FINDINGS: Single frontal view of the chest demonstrates evidence of prior\n CABG and median sternotomy. The lungs are mildly hyperinflated allowing for\n somewhat lordotic patient positioning, suggestive of emphysema. There is\n minimal interstitial edema. The heart is top normal in size. The mediastinal\n and hilar contours are unremarkable. \n \n IMPRESSION: \n 1. Mild interstitial pulmonary edema.\n 2. Findings suggestive of underlying emphysema.", "findings": "Single frontal view of the chest demonstrates evidence of prior\n CABG and median sternotomy. The lungs are mildly hyperinflated allowing for\n somewhat lordotic patient positioning, suggestive of emphysema. There is\n minimal interstitial edema. The heart is top normal in size. The mediastinal\n and hilar contours are unremarkable.", "impression": "1. Mild interstitial pulmonary edema.\n 2. Findings suggestive of underlying emphysema.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "17288844", "view_position": "AP", "comparison": "None available.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2197-08-29", "admission_info": { "hadm_id": 25595502, "admittime": "2197-08-29 03:50:00", "dischtime": "2197-09-02 16:14:00", "admission_type": "EW EMER.", "demographics": { "age": 80, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "41071", "version": 9, "description": "Subendocardial infarction, initial episode of care" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "78551", "version": 9, "description": "Cardiogenic shock" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "42821", "version": 9, "description": "Acute systolic heart failure" }, { "code": "4271", "version": 9, "description": "Paroxysmal ventricular tachycardia" }, { "code": "41404", "version": 9, "description": "Coronary atherosclerosis of artery bypass graft" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5859", "version": 9, "description": "Chronic kidney disease, unspecified" }, { "code": "4148", "version": 9, "description": "Other specified forms of chronic ischemic heart disease" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "V4987", "version": 9, "description": "Physical restraints status" }, { "code": "E8790", "version": 9, "description": "Cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" } ], "labs": [ { "label": "Lactate", "value": "___", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "13.7", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "34.9", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "287", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "14.5", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "27", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "103", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.4", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.8", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "139", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "28", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_50882034", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13031876/s50882034/cbd0493a-45581768-2a4a0cdc-ed7b4ccf-20000354.jpg", "report_gt": "FINAL REPORT\n CLINICAL INFORMATION: ___-year-old male with leukocytosis, and fever, question\n pneumonia.\n \n COMPARISON: None.\n \n FINDINGS: There is a rounded opacity in the right upper lobe, approximately\n 1.8cm. There is no effusion or pneumothorax. The pulmonary vasculature is\n within normal limits. There is partial visualization of anterior fusion\n hardware of the cervical spine. The heart size is magnified by portable\n technique, the mediastinal contours are unremarkable.\n \n IMPRESSION: \n Right apical rounded opacity concerning for infection or malignancy. Recommend\n repeat dedicated AP and lateral chest radiograph, or CT for further\n evaluation.\n \n These recommendations were discussed with Dr. ___ ___ the MICU at 7:30AM by\n phone.", "findings": "There is a rounded opacity in the right upper lobe, approximately\n 1.8cm. There is no effusion or pneumothorax. The pulmonary vasculature is\n within normal limits. There is partial visualization of anterior fusion\n hardware of the cervical spine. The heart size is magnified by portable\n technique, the mediastinal contours are unremarkable.", "impression": "Right apical rounded opacity concerning for infection or malignancy. Recommend\n repeat dedicated AP and lateral chest radiograph, or CT for further\n evaluation.\n \n These recommendations were discussed with Dr. ___ ___ the MICU at 7:30AM by\n phone.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "13031876", "view_position": "AP", "comparison": "None.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2139-02-17", "admission_info": { "hadm_id": 20981083, "admittime": "2139-02-17 23:37:00", "dischtime": "2139-03-20 10:15:00", "admission_type": "EW EMER.", "demographics": { "age": 54, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "0389", "version": 9, "description": "Unspecified septicemia" }, { "code": "5722", "version": 9, "description": "Hepatic encephalopathy" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "43491", "version": 9, "description": "Cerebral artery occlusion, unspecified with cerebral infarction" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "34400", "version": 9, "description": "Quadriplegia, unspecified" }, { "code": "29181", "version": 9, "description": "Alcohol withdrawal" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "5781", "version": 9, "description": "Blood in stool" }, { "code": "1120", "version": 9, "description": "Candidiasis of mouth" }, { "code": "3418", "version": 9, "description": "Other demyelinating diseases of central nervous system" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "7824", "version": 9, "description": "Jaundice, unspecified, not of newborn" }, { "code": "78959", "version": 9, "description": "Other ascites" }, { "code": "5712", "version": 9, "description": "Alcoholic cirrhosis of liver" }, { "code": "5711", "version": 9, "description": "Acute alcoholic hepatitis" }, { "code": "99591", "version": 9, "description": "Sepsis" }, { "code": "30391", "version": 9, "description": "Other and unspecified alcohol dependence, continuous" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "27669", "version": 9, "description": "Other fluid overload" }, { "code": "4240", "version": 9, "description": "Mitral valve disorders" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "4479", "version": 9, "description": "Unspecified disorders of arteries and arterioles" }, { "code": "3051", "version": 9, "description": "Tobacco use disorder" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "V4581", "version": 9, "description": "Aortocoronary bypass status" }, { "code": "V454", "version": 9, "description": "Arthrodesis status" }, { "code": "V667", "version": 9, "description": "Encounter for palliative care" } ], "labs": [ { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "33", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "94", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "0.7", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.3", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "11", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "9.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "35.1", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "211", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "19.6", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "2.7", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_58517699", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11569042/s58517699/d9ebed54-0d6d34ff-31652ffe-bcd2f65d-009a29ee.jpg", "report_gt": "WET READ: ___ ___ ___ 7:20 PM\n Moderate interstitial pulmonary edema. Heterogenous opacities in the right\n mid-to-lower lung and right upper lung could be due to asymmetric edema,\n although could also be secondary to an infectious process. Recommend repeat\n radiographs after diuresis (when possible, in light of GI bleed). ___ d/w\n Dr. ___ at 7:15 via telephone on ___.\n ______________________________________________________________________________\n FINAL REPORT\n AP CHEST, 6:37 P.M., ___\n \n HISTORY: MI. Hypoxia.\n \n IMPRESSION: AP chest reviewed in the absence of prior chest radiographs:\n \n Moderately severe pulmonary edema is evenly distributed in the left lung. On\n the right, there is greater perihilar opacification extending into the lower\n lobe which could be asymmetric edema or concurrent pneumonia. A roughly\n spherical ___-mm wide opacity filling the apex of the right hemithorax should\n be considered a lung mass until proved otherwise.\n \n There is no appreciable pleural effusion. Heart size is normal. Pulmonary\n vasculature is engorged. Bulge in the left lower mediastinal contour is\n probably due to hiatus hernia, but could be a paraspinal lesion. Findings\n discussed by telephone at the time of dictation with Dr. ___.", "findings": "discussed by telephone at the time of dictation with Dr. ___.", "impression": "AP chest reviewed in the absence of prior chest radiographs:\n \n Moderately severe pulmonary edema is evenly distributed in the left lung. On\n the right, there is greater perihilar opacification extending into the lower\n lobe which could be asymmetric edema or concurrent pneumonia. A roughly\n spherical ___-mm wide opacity filling the apex of the right hemithorax should\n be considered a lung mass until proved otherwise.\n \n There is no appreciable pleural effusion. Heart size is normal. Pulmonary\n vasculature is engorged. Bulge in the left lower mediastinal contour is\n probably due to hiatus hernia, but could be a paraspinal lesion. Findings\n discussed by telephone at the time of dictation with Dr. ___.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "11569042", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "0.0", "Consolidation": "", "Edema": "1.0", "Enlarged Cardiomediastinum": "1.0", "Fracture": "", "Lung Lesion": "-1.0", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "0.0", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2153-07-31", "admission_info": { "hadm_id": 21252944, "admittime": "2153-07-31 16:04:00", "dischtime": "2153-08-05 17:41:00", "admission_type": "EW EMER.", "demographics": { "age": 61, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "41001", "version": 9, "description": "Acute myocardial infarction of anterolateral wall, initial episode of care" }, { "code": "42821", "version": 9, "description": "Acute systolic heart failure" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "4271", "version": 9, "description": "Paroxysmal ventricular tachycardia" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "5300", "version": 9, "description": "Achalasia and cardiospasm" }, { "code": "60000", "version": 9, "description": "Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS)" }, { "code": "4142", "version": 9, "description": "Chronic total occlusion of coronary artery" }, { "code": "490", "version": 9, "description": "Bronchitis, not specified as acute or chronic" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "23871", "version": 9, "description": "Essential thrombocythemia" } ], "labs": [ { "label": "Platelet Count", "value": "378", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "10", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "24", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "107", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.7", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.8", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "17", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "7.3", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.1", "unit": "%", "flag": "abnormal" }, { "label": "WBC", "value": "17.9", "unit": "K/uL", "flag": "abnormal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_57879373", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg", "report_gt": "FINAL REPORT\n PORTABLE CHEST: ___\n \n HISTORY: ___-year-old male with endotracheal tube, status post transfer.\n \n COMPARISON: None.\n \n FINDINGS: Single portable view of the chest. Endotracheal tube is seen with\n tip within 1 cm of the carina and should be withdrawn. Enteric tube is seen\n with tip at the gastric fundus, side port likely just beyond the GE junction. \n Low lung volumes are seen. Surgical chain sutures project over the right mid\n lung with associated linear opacity, potentially atelectasis. Increased\n opacity at the right perihilar region. Median sternotomy wires and\n mediastinal clips are identified. Linear opacity at the left lung base may\n represent atelectasis. The bones are diffusely osteopenic.\n \n IMPRESSION: Endotracheal tube within 1 cm of the carina and should be\n withdrawn. Right mid lung surgical chain sutures with associated linear\n opacity, potentially atelectasis or scarring. Increased density in the right\n hilar region, for which dedicated PA and lateral suggested when patient is\n amenable. \n \n Additional film had been taken at the time of this dictation.", "findings": "Single portable view of the chest. Endotracheal tube is seen with\n tip within 1 cm of the carina and should be withdrawn. Enteric tube is seen\n with tip at the gastric fundus, side port likely just beyond the GE junction. \n Low lung volumes are seen. Surgical chain sutures project over the right mid\n lung with associated linear opacity, potentially atelectasis. Increased\n opacity at the right perihilar region. Median sternotomy wires and\n mediastinal clips are identified. Linear opacity at the left lung base may\n represent atelectasis. The bones are diffusely osteopenic.", "impression": "Endotracheal tube within 1 cm of the carina and should be\n withdrawn. Right mid lung surgical chain sutures with associated linear\n opacity, potentially atelectasis or scarring. Increased density in the right\n hilar region, for which dedicated PA and lateral suggested when patient is\n amenable. \n \n Additional film had been taken at the time of this dictation.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "16334516", "view_position": "AP", "comparison": "None.", "chexpert_labels": { "Atelectasis": "-1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "1.0" } }, "eval_track": "baseline" }, { "study_id": "mimic_51983905", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11569093/s51983905/ab1e1361-80eb18db-60ce9d49-0c7e8e71-477b3559.jpg", "report_gt": "FINAL REPORT\n INDICATION: Altered mental status, please evaluate for pneumonia.\n \n COMPARISON: No prior studies available for comparison.\n \n FINDINGS: Chest PA and lateral radiograph demonstrates a markedly elevated\n right hemidiaphragm with adjacent compressive atelectasis or consolidation. \n Minimal blunting of the posterior costophrenic angle may indicate a small\n right pleural effusion. Left lung is clear. Cardiomediastinal borders are\n unremarkable.\n \n IMPRESSION: Right hemidiaphragm elevation with opacification posteriorly\n suggesting extensive adjacent lung atelectasis, though cannot exclude\n developing infectious process. Possible right pleural effusion as well. If\n findings do not resolve on subsequent radiography, evaluation with chest CT\n could be considered, preferably with intravenous contrast if possible.", "findings": "Chest PA and lateral radiograph demonstrates a markedly elevated\n right hemidiaphragm with adjacent compressive atelectasis or consolidation. \n Minimal blunting of the posterior costophrenic angle may indicate a small\n right pleural effusion. Left lung is clear. Cardiomediastinal borders are\n unremarkable.", "impression": "Right hemidiaphragm elevation with opacification posteriorly\n suggesting extensive adjacent lung atelectasis, though cannot exclude\n developing infectious process. Possible right pleural effusion as well. If", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "11569093", "view_position": "AP", "comparison": "No prior studies available for comparison.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "-1.0", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2174-03-26", "admission_info": { "hadm_id": 26359683, "admittime": "2174-03-26 21:50:00", "dischtime": "2174-04-10 15:44:00", "admission_type": "EW EMER.", "demographics": { "age": 72, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "44422", "version": 9, "description": "Arterial embolism and thrombosis of lower extremity" }, { "code": "41071", "version": 9, "description": "Subendocardial infarction, initial episode of care" }, { "code": "25013", "version": 9, "description": "Diabetes with ketoacidosis, type I [juvenile type], uncontrolled" }, { "code": "53100", "version": 9, "description": "Acute gastric ulcer with hemorrhage, without mention of obstruction" }, { "code": "42983", "version": 9, "description": "Takotsubo syndrome" }, { "code": "2851", "version": 9, "description": "Acute posthemorrhagic anemia" }, { "code": "27651", "version": 9, "description": "Dehydration" }, { "code": "79902", "version": 9, "description": "Hypoxemia" }, { "code": "27669", "version": 9, "description": "Other fluid overload" }, { "code": "E8790", "version": 9, "description": "Cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" }, { "code": "5959", "version": 9, "description": "Cystitis, unspecified" }, { "code": "04185", "version": 9, "description": "Other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "4168", "version": 9, "description": "Other chronic pulmonary heart diseases" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "5194", "version": 9, "description": "Disorders of diaphragm" }, { "code": "53010", "version": 9, "description": "Esophagitis, unspecified" }, { "code": "53560", "version": 9, "description": "Duodenitis, without mention of hemorrhage" }, { "code": "79092", "version": 9, "description": "Abnormal coagulation profile" }, { "code": "23871", "version": 9, "description": "Essential thrombocythemia" }, { "code": "3051", "version": 9, "description": "Tobacco use disorder" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "36816", "version": 9, "description": "Psychophysical visual disturbances" }, { "code": "34690", "version": 9, "description": "Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus" } ], "labs": [ { "label": "Hemoglobin", "value": "11.2", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "29.9", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "625", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "13.5", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "21", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "20", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "101", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.7", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "___", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "11", "unit": "mg/dL", "flag": "normal" }, { "label": "Lactate", "value": "3.7", "unit": "mmol/L", "flag": "abnormal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_54766893", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p12/p12658584/s54766893/d978970a-5331f2f1-940f4bea-9da9bbf3-4724f2cf.jpg", "report_gt": "PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ 4:54 PM\n Pulmonary edema due to congestive heart failure, likely acute. Acute\n myocardial infarction should be ruled out as the cause of failure given\n patient's young age and acuity of presentation.\n \n PFI VERSION #1 \n ______________________________________________________________________________\n FINAL REPORT\n INDICATION: Atypical chest pain. Evaluate for consolidation, fluid overload,\n or other cause of chest pain.\n \n COMPARISON: None available.\n \n PA AND LATERAL VIEWS OF THE CHEST: There is central pulmonary vascular\n congestion with moderate pulmonary edema. The chronicity of these findings is\n unknown due to the lack of comparison studies. There is no focal\n consolidation, pneumothorax, or pleural effusion.\n \n IMPRESSION: Congestive heart failure, likely acute. Acute myocardial\n infarction should be ruled out as the cause of failure given patient's young\n age and acuity of presentation.\n \n The patient was transferred to the emergency department for further\n evaluation. Dr. ___ in the ED was contacted by Dr. ___ ___\n telephone on ___ at 16:45.", "findings": "IMPRESSION (PFI): ___ ___ 4:54 PM\n Pulmonary edema due to congestive heart failure, likely acute. Acute\n myocardial infarction should be ruled out as the cause of failure given\n patient's young age and acuity of presentation.\n \n PFI VERSION #1 \n ______________________________________________________________________________\n FINAL REPORT\n INDICATION: Atypical chest pain. Evaluate for consolidation, fluid overload,\n or other cause of chest pain.\n \n COMPARISON: None available.\n \n PA AND LATERAL VIEWS OF THE CHEST: There is central pulmonary vascular\n congestion with moderate pulmonary edema. The chronicity of these findings is\n unknown due to the lack of comparison studies. There is no focal\n consolidation, pneumothorax, or pleural effusion.", "impression": "(PFI): ___ ___ 4:54 PM\n Pulmonary edema due to congestive heart failure, likely acute. Acute\n myocardial infarction should be ruled out as the cause of failure given\n patient's young age and acuity of presentation.\n \n PFI VERSION #1 \n ______________________________________________________________________________\n FINAL REPORT\n INDICATION: Atypical chest pain. Evaluate for consolidation, fluid overload,\n or other cause of chest pain.\n \n COMPARISON: None available.\n \n PA AND LATERAL VIEWS OF THE CHEST: There is central pulmonary vascular\n congestion with moderate pulmonary edema. The chronicity of these findings is\n unknown due to the lack of comparison studies. There is no focal\n consolidation, pneumothorax, or pleural effusion.\n \n IMPRESSION: Congestive heart failure, likely acute. Acute myocardial\n infarction should be ruled out as the cause of failure given patient's young\n age and acuity of presentation.\n \n The patient was transferred to the emergency department for further\n evaluation. Dr. ___ in the ED was contacted by Dr. ___ ___\n telephone on ___ at 16:45.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "12658584", "view_position": "PA", "comparison": "None available.\n \n PA AND LATERAL VIEWS OF THE CHEST: There is central pulmonary vascular", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "-1.0", "Consolidation": "", "Edema": "1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2183-04-08", "admission_info": { "hadm_id": 23199635, "admittime": "2183-04-08 14:53:00", "dischtime": "2183-04-10 13:05:00", "admission_type": "EW EMER.", "demographics": { "age": 40, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "42823", "version": 9, "description": "Acute on chronic systolic heart failure" }, { "code": "V6284", "version": 9, "description": "Suicidal ideation" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "2411", "version": 9, "description": "Nontoxic multinodular goiter" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "V442", "version": 9, "description": "Ileostomy status" }, { "code": "25052", "version": 9, "description": "Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled" }, { "code": "36201", "version": 9, "description": "Background diabetic retinopathy" }, { "code": "25042", "version": 9, "description": "Diabetes with renal manifestations, type II or unspecified type, uncontrolled" }, { "code": "58381", "version": 9, "description": "Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere" }, { "code": "73300", "version": 9, "description": "Osteoporosis, unspecified" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5859", "version": 9, "description": "Chronic kidney disease, unspecified" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" } ], "labs": [ { "label": "Lactate", "value": "___", "unit": "mmol/L", "flag": "normal" }, { "label": "Anion Gap", "value": "18", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "16", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "105", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.7", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "5.5", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Sodium", "value": "133", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "60", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "10.0", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "36.1", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "273", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "9.1", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_55198163", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17189198/s55198163/84ffb901-893b00a7-7f2090be-d5cf6a4e-c34ab763.jpg", "report_gt": "FINAL REPORT\n CLINICAL INFORMATION: ___-year-old male with hypoxia, question pneumonia.\n \n COMPARISON: None.\n \n FINDINGS: Frontal and lateral chest radiographs demonstrate moderate\n interstitial pulmonary edema. The heart size is moderately enlarged, there\n are moderate bilateral pleural effusion. There is no lobar consolidation. \n The aortic contour is mildly tortuous. Embolic coiling material is seen in\n the mid abdomen on the lateral view.\n \n IMPRESSION: Moderate pulmonary edema, cardiac silhouette enlargement, and\n pleural effusions suggest CHF. No evidence of lobar pneumonia.", "findings": "Frontal and lateral chest radiographs demonstrate moderate\n interstitial pulmonary edema. The heart size is moderately enlarged, there\n are moderate bilateral pleural effusion. There is no lobar consolidation. \n The aortic contour is mildly tortuous. Embolic coiling material is seen in\n the mid abdomen on the lateral view.", "impression": "Moderate pulmonary edema, cardiac silhouette enlargement, and\n pleural effusions suggest CHF. No evidence of lobar pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "17189198", "view_position": "AP", "comparison": "None.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "0.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2139-12-25", "admission_info": { "hadm_id": 22177450, "admittime": "2139-12-25 22:54:00", "dischtime": "2139-12-27 16:40:00", "admission_type": "EW EMER.", "demographics": { "age": 85, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "2819", "version": 9, "description": "Unspecified deficiency anemia" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "40311", "version": 9, "description": "Hypertensive chronic kidney disease, benign, with chronic kidney disease stage V or end stage renal disease" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "2449", "version": 9, "description": "Unspecified acquired hypothyroidism" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "28860", "version": 9, "description": "Leukocytosis, unspecified" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2384", "version": 9, "description": "Polycythemia vera" }, { "code": "V5865", "version": 9, "description": "Long-term (current) use of steroids" }, { "code": "28521", "version": 9, "description": "Anemia in chronic kidney disease" }, { "code": "3320", "version": 9, "description": "Paralysis agitans" } ], "labs": [ { "label": "Anion Gap", "value": "21", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "25", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "98", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "4.4", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.9", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "139", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "72", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "9.1", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.3", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "80", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "16.9", "unit": "K/uL", "flag": "abnormal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_51513702", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p10/p10268877/s51513702/053e0fdd-17dbee89-17885e49-08249a30-7f829c9c.jpg", "report_gt": "FINAL REPORT\n PORTABLE CHEST: ___.\n \n HISTORY: ___-year-old male with upper GI bleed. Question acute intrathoracic\n process.\n \n FINDINGS: Single AP portable view of the chest. No prior. The lungs are\n clear of large confluent consolidation. Cardiac silhouette enlarged but could\n be accentuated by positioning and relatively low inspiratory effort. \n Calcifications noted at the aortic arch. Degenerative changes noted at the\n glenohumeral joints bilaterally. Osseous and soft tissue structures otherwise\n unremarkable.\n \n IMPRESSION: No definite acute cardiopulmonary process. Enlarged cardiac\n silhouette could be accentuated by patient's positioning.", "findings": "Single AP portable view of the chest. No prior. The lungs are\n clear of large confluent consolidation. Cardiac silhouette enlarged but could\n be accentuated by positioning and relatively low inspiratory effort. \n Calcifications noted at the aortic arch. Degenerative changes noted at the\n glenohumeral joints bilaterally. Osseous and soft tissue structures otherwise\n unremarkable.", "impression": "No definite acute cardiopulmonary process. Enlarged cardiac\n silhouette could be accentuated by patient's positioning.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "10268877", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2181-02-28", "admission_info": { "hadm_id": 25238883, "admittime": "2181-02-28 22:53:00", "dischtime": "2181-04-03 16:35:00", "admission_type": "EW EMER.", "demographics": { "age": 64, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "53140", "version": 9, "description": "Chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction" }, { "code": "4275", "version": 9, "description": "Cardiac arrest" }, { "code": "570", "version": 9, "description": "Acute and subacute necrosis of liver" }, { "code": "78559", "version": 9, "description": "Other shock without mention of trauma" }, { "code": "5070", "version": 9, "description": "Pneumonitis due to inhalation of food or vomitus" }, { "code": "78001", "version": 9, "description": "Coma" }, { "code": "34830", "version": 9, "description": "Encephalopathy, unspecified" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "42843", "version": 9, "description": "Acute on chronic combined systolic and diastolic heart failure" }, { "code": "3453", "version": 9, "description": "Grand mal status" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "4254", "version": 9, "description": "Other primary cardiomyopathies" }, { "code": "41189", "version": 9, "description": "Other acute and subacute forms of ischemic heart disease, other" }, { "code": "4271", "version": 9, "description": "Paroxysmal ventricular tachycardia" }, { "code": "2760", "version": 9, "description": "Hyperosmolality and/or hypernatremia" }, { "code": "5180", "version": 9, "description": "Pulmonary collapse" }, { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "2639", "version": 9, "description": "Unspecified protein-calorie malnutrition" }, { "code": "6823", "version": 9, "description": "Cellulitis and abscess of upper arm and forearm" }, { "code": "70703", "version": 9, "description": "Pressure ulcer, lower back" }, { "code": "2800", "version": 9, "description": "Iron deficiency anemia secondary to blood loss (chronic)" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "V1581", "version": 9, "description": "Personal history of noncompliance with medical treatment, presenting hazards to health" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "70725", "version": 9, "description": "Pressure ulcer, unstageable" }, { "code": "57510", "version": 9, "description": "Cholecystitis, unspecified" }, { "code": "34889", "version": 9, "description": "Other conditions of brain" }, { "code": "6930", "version": 9, "description": "Dermatitis due to drugs and medicines taken internally" }, { "code": "E9363", "version": 9, "description": "Other and unspecified anticonvulsants causing adverse effects in therapeutic use" }, { "code": "E8497", "version": 9, "description": "Accidents occurring in residential institution" } ], "labs": [ { "label": "Lactate", "value": "___", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "12.8", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.9", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "141", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "8.0", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "17", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "23", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "106", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.6", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.9", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "141", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "53", "unit": "mg/dL", "flag": "abnormal" } ] } }, "eval_track": "baseline" }, { "study_id": "mimic_50078440", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p11/p11022245/s50078440/816f21ae-13fa33ff-7a4ea5d9-e246fa18-f09a32ff.jpg", "report_gt": "FINAL REPORT\n CLINICAL INFORMATION: ___-year-old male with CHF versus pneumonia, intubated.\n \n COMPARISON: None.\n \n FINDINGS: Portable frontal chest radiographs demonstrate intubated patient,\n the tip of the endotracheal tube is positioned 4.1 cm from the level of the\n carina. An orogastric tube is in place and is coiled within the fundus of the\n stomach. There is airspace opacification of the right lung with relative\n sparing of the apex, as well as basilar left lung opacity. Linear atelectasis\n is seen in the right mid lung. The left lung is relatively clear. A focal\n nodular opacity is seen in the left upper lung measuring 8 mm. There is\n linear atelectasis in the left lower lung. There is no definite effusion. \n There is no pneumothorax. \n \n The heart size is enlarged, the mediastinal contours appear grossly\n unremarkable on this portable film.\n \n IMPRESSION:\n 1. Bilateral airspace opacity consistent with lobar pneumonia.\n \n 2. Nodular opacity in the left lung apex, recommend attention on followup.\n \n 3. Moderate cardiomegaly.", "findings": "Portable frontal chest radiographs demonstrate intubated patient,\n the tip of the endotracheal tube is positioned 4.1 cm from the level of the\n carina. An orogastric tube is in place and is coiled within the fundus of the\n stomach. There is airspace opacification of the right lung with relative\n sparing of the apex, as well as basilar left lung opacity. Linear atelectasis\n is seen in the right mid lung. The left lung is relatively clear. A focal\n nodular opacity is seen in the left upper lung measuring 8 mm. There is\n linear atelectasis in the left lower lung. There is no definite effusion. \n There is no pneumothorax. \n \n The heart size is enlarged, the mediastinal contours appear grossly\n unremarkable on this portable film.", "impression": "1. Bilateral airspace opacity consistent with lobar pneumonia.\n \n 2. Nodular opacity in the left lung apex, recommend attention on followup.\n \n 3. Moderate cardiomegaly.", "is_followup": false, "prior_study": null, "metadata": { "subject_id": "11022245", "view_position": "AP", "comparison": "None.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "1.0", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2171-10-14" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN9E7N8LWZG3O0_aGRDN8UAW8PPOGNXK_s1.2.826.0.1.3680043.8.498.54140588332794166955261276094936181424", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN9E7N8LWZG3O0/GRDN8UAW8PPOGNXK/studies/1.2.826.0.1.3680043.8.498.54140588332794166955261276094936181424/series/1.2.826.0.1.3680043.8.498.61899667047785275865123777280658014373/instances/1.2.826.0.1.3680043.8.498.30370912989393915737094908676746576629.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.", "impression": "No active cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN9E7N8LWZG3O0", "view_position": "PA", "study_date": "20140315", "comparison": "None.", "indication": "Chest pain", "age": "043Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNGWVELZOD79YG_aGRDN22Z6E3NINHPT_s1.2.826.0.1.3680043.8.498.60797929047674827696571171979130923735", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNGWVELZOD79YG/GRDN22Z6E3NINHPT/studies/1.2.826.0.1.3680043.8.498.60797929047674827696571171979130923735/series/1.2.826.0.1.3680043.8.498.58203414893507927058658603500849411387/instances/1.2.826.0.1.3680043.8.498.68682041713063152597761131026330196887.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.", "impression": "No active cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNGWVELZOD79YG", "view_position": "PA", "study_date": "20181008", "comparison": "None.", "indication": "Chest pain", "age": "043Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNJ9XL0AQPMPVL_aGRDN8DA6D99E3GKU_s1.2.826.0.1.3680043.8.498.70096988124596512287664397845013961627", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNJ9XL0AQPMPVL/GRDN8DA6D99E3GKU/studies/1.2.826.0.1.3680043.8.498.70096988124596512287664397845013961627/series/1.2.826.0.1.3680043.8.498.16158888939105754382527690843833805791/instances/1.2.826.0.1.3680043.8.498.42206434552162405454386702133896790118.png", "report_gt": "FINDINGS:\nThe cardiac silhouette is at the upper limits of normal to borderline enlarged. It is also magnified by projection. Pulmonary vasculature are within normal limits. There is a nodular appearing density overlying the left suprahilar region, which is thought to be related to a prominent vessel. The lungs are otherwise clear. The osseous structures are intact.\n\nIMPRESSION:\nNo acute cardiopulmonary process. Upper limits of normal to borderline cardiomegaly.", "findings": "The cardiac silhouette is at the upper limits of normal to borderline enlarged. It is also magnified by projection. Pulmonary vasculature are within normal limits. There is a nodular appearing density overlying the left suprahilar region, which is thought to be related to a prominent vessel. The lungs are otherwise clear. The osseous structures are intact.", "impression": "No acute cardiopulmonary process. Upper limits of normal to borderline cardiomegaly.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNJ9XL0AQPMPVL", "view_position": "AP", "study_date": "20071007", "comparison": "None.", "indication": "Chest pain.", "age": "", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNMW99JEY3VZNH_aGRDNUHKUV6W4XJIE_s1.2.826.0.1.3680043.8.498.12801832226450356908556061148479298288", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNMW99JEY3VZNH/GRDNUHKUV6W4XJIE/studies/1.2.826.0.1.3680043.8.498.12801832226450356908556061148479298288/series/1.2.826.0.1.3680043.8.498.71592865793205710344218643111444573920/instances/1.2.826.0.1.3680043.8.498.30398990184926514878146354830808705922.png", "report_gt": "FINDINGS:\nLungs are clear. Cardiopericardial silhouette is within normal limits for size. No substantial peribronchial thickening is apparent. Bones are unremarkable.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "Lungs are clear. Cardiopericardial silhouette is within normal limits for size. No substantial peribronchial thickening is apparent. Bones are unremarkable.", "impression": "No acute cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNMW99JEY3VZNH", "view_position": "PA", "study_date": "20041008", "comparison": "None.", "indication": "Acute bronchitis.", "age": "023Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNLF528E9Q1SLL_aGRDNKPFMKWIF9V5U_s1.2.826.0.1.3680043.8.498.50201396346814447729693234639318767804", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNLF528E9Q1SLL/GRDNKPFMKWIF9V5U/studies/1.2.826.0.1.3680043.8.498.50201396346814447729693234639318767804/series/1.2.826.0.1.3680043.8.498.34751494244155103268298128261621459332/instances/1.2.826.0.1.3680043.8.498.51612035093701446605678024334167200451.png", "report_gt": "FINDINGS:\nHeart size normal. No effusions or edema. No focal lung opacities are identified.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "Heart size normal. No effusions or edema. No focal lung opacities are identified.", "impression": "No active cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNLF528E9Q1SLL", "view_position": "AP", "study_date": "20060621", "comparison": "None.", "indication": "Positive PPD.", "age": "032Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNEVKKPSSNZISK_aGRDNAOKFBXRHUHKK_s1.2.826.0.1.3680043.8.498.29199002190850907014107793990032876792", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNEVKKPSSNZISK/GRDNAOKFBXRHUHKK/studies/1.2.826.0.1.3680043.8.498.29199002190850907014107793990032876792/series/1.2.826.0.1.3680043.8.498.75416670178861800705573998929724182656/instances/1.2.826.0.1.3680043.8.498.24405469631059137432609053036306256048.png", "report_gt": "FINDINGS:\nNormal mediastinum and cardiac silhouette. Normal pulmonary vasculature. No evidence of effusion, infiltrate, or pneumothorax. No acute bony abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "Normal mediastinum and cardiac silhouette. Normal pulmonary vasculature. No evidence of effusion, infiltrate, or pneumothorax. No acute bony abnormality.", "impression": "No acute cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNEVKKPSSNZISK", "view_position": "PA", "study_date": "20180316", "comparison": "None.", "indication": "Cough and congestion", "age": "063Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN3998045GE2SC_aGRDN2ELXE2FR2NES_s1.2.826.0.1.3680043.8.498.43514072847121228417605968895068197917", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN3998045GE2SC/GRDN2ELXE2FR2NES/studies/1.2.826.0.1.3680043.8.498.43514072847121228417605968895068197917/series/1.2.826.0.1.3680043.8.498.18764114966439423575468397020633329552/instances/1.2.826.0.1.3680043.8.498.30479090988188213010104964166814665501.png", "report_gt": "FINDINGS:\nThe lungs are mildly hyperinflated. There is no focal infiltrate. There is a Port-A-Cath type appliance with tip lying in the region of the distal SVC. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged.\n\nIMPRESSION:\nI do not see evidence of pneumonia. Very mild hyperinflation may be voluntary and he does appear stable. I cannot exclude underlying reactive airway disease or acute bronchitis.", "findings": "The lungs are mildly hyperinflated. There is no focal infiltrate. There is a Port-A-Cath type appliance with tip lying in the region of the distal SVC. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged.", "impression": "I do not see evidence of pneumonia. Very mild hyperinflation may be voluntary and he does appear stable. I cannot exclude underlying reactive airway disease or acute bronchitis.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN3998045GE2SC", "view_position": "AP", "study_date": "20090423", "comparison": "No previous imaging available for comparison.", "indication": "fever", "age": "043Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN4NPKMURPRBQ1_aGRDNZ0XVVCWD5R6J_s1.2.826.0.1.3680043.8.498.25236134789675339184080623351698233657", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN4NPKMURPRBQ1/GRDNZ0XVVCWD5R6J/studies/1.2.826.0.1.3680043.8.498.25236134789675339184080623351698233657/series/1.2.826.0.1.3680043.8.498.32303793145320041041833316439691893388/instances/1.2.826.0.1.3680043.8.498.23422929703919941310590090563222362639.png", "report_gt": "FINDINGS:\nCardiomediastinal silhouette is normal. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.\n\nIMPRESSION:\nNormal chest.", "findings": "Cardiomediastinal silhouette is normal. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.", "impression": "Normal chest.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN4NPKMURPRBQ1", "view_position": "PA", "study_date": "20200108", "comparison": "None.", "indication": "Generalized body aches for 2 days, nausea and vomiting.", "age": "040Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNF9ZI9EX95WBZ_aGRDN1VBYG8OKKCVN_s1.2.826.0.1.3680043.8.498.76949257797847146182174850541870711850", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNF9ZI9EX95WBZ/GRDN1VBYG8OKKCVN/studies/1.2.826.0.1.3680043.8.498.76949257797847146182174850541870711850/series/1.2.826.0.1.3680043.8.498.14228938130736635039515660489381500581/instances/1.2.826.0.1.3680043.8.498.65863951963407279211818585381338025453.png", "report_gt": "FINDINGS:\nPatchy airspace consolidation in the right middle lobe and left lower lobe compatible of multifocal pneumonia. Cardiomediastinal contours are normal. No pleural effusion or pneumothorax. Pulmonary vasculature is normal. No osseous abnormality.\n\nIMPRESSION:\nMultifocal patchy airspace consolidation in the right middle lobe and left lower lobe compatible with pneumonia.", "findings": "Patchy airspace consolidation in the right middle lobe and left lower lobe compatible of multifocal pneumonia. Cardiomediastinal contours are normal. No pleural effusion or pneumothorax. Pulmonary vasculature is normal. No osseous abnormality.", "impression": "Multifocal patchy airspace consolidation in the right middle lobe and left lower lobe compatible with pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNF9ZI9EX95WBZ", "view_position": "PA", "study_date": "20150920", "comparison": "None.", "indication": "Cough and shortness of breath for 3 days.", "age": "023Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNL5S0286L7BG1_aGRDN0GTKFN1QO2TX_s1.2.826.0.1.3680043.8.498.12127232353635332945132572367611194064", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNL5S0286L7BG1/GRDN0GTKFN1QO2TX/studies/1.2.826.0.1.3680043.8.498.12127232353635332945132572367611194064/series/1.2.826.0.1.3680043.8.498.29546357954351523467656945748229039836/instances/1.2.826.0.1.3680043.8.498.17177478497285963035137480422344642887.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is unremarkable. No pneumothorax is visualized. Minimal opacities are present in the lung bases, likely representing atelectasis given low lung volumes.\n\nIMPRESSION:\nProbable basilar atelectasis. No distinct acute cardiopulmonary finding. If concern is present for pneumonia, repeat two view chest x-ray with deep inspiration would be recommended.", "findings": "The cardiomediastinal silhouette is unremarkable. No pneumothorax is visualized. Minimal opacities are present in the lung bases, likely representing atelectasis given low lung volumes.", "impression": "Probable basilar atelectasis. No distinct acute cardiopulmonary finding. If concern is present for pneumonia, repeat two view chest x-ray with deep inspiration would be recommended.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNL5S0286L7BG1", "view_position": "PA", "study_date": "20131127", "comparison": "None.", "indication": "Seizure.", "age": "003Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN4G7K9BD8KV91_aGRDNBJBHWESZP69Z_s1.2.826.0.1.3680043.8.498.45185601151192932576372003472869466511", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN4G7K9BD8KV91/GRDNBJBHWESZP69Z/studies/1.2.826.0.1.3680043.8.498.45185601151192932576372003472869466511/series/1.2.826.0.1.3680043.8.498.92496419298571172708417380571570175772/instances/1.2.826.0.1.3680043.8.498.82184630341482243373753012786577221190.png", "report_gt": "FINDINGS:\nFrontal and lateral views of the chest demonstrate an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. Mild bronchovascular prominence could reflect reactive airway disease or bronchitis. No acute bony abnormalities. Prominent right convex scoliosis centered in the midthoracic spine.\n\nIMPRESSION:\nProminent bronchovascular markings which may reflect bronchitis or reactive airway disease. No lobar pneumonia.", "findings": "Frontal and lateral views of the chest demonstrate an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. Mild bronchovascular prominence could reflect reactive airway disease or bronchitis. No acute bony abnormalities. Prominent right convex scoliosis centered in the midthoracic spine.", "impression": "Prominent bronchovascular markings which may reflect bronchitis or reactive airway disease. No lobar pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN4G7K9BD8KV91", "view_position": "AP", "study_date": "20210101", "comparison": "None.", "indication": "Cough, hemoptysis", "age": "037Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN2P932ULK9YZ4_aGRDNRNCFCSAZ0DCQ_s1.2.826.0.1.3680043.8.498.83485171522306469470085778714620827899", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN2P932ULK9YZ4/GRDNRNCFCSAZ0DCQ/studies/1.2.826.0.1.3680043.8.498.83485171522306469470085778714620827899/series/1.2.826.0.1.3680043.8.498.34474106391858052483628458503401702656/instances/1.2.826.0.1.3680043.8.498.56018116056428177149885049606728090377.png", "report_gt": "FINDINGS:\nMediastinum and hilar structures normal. Low lung volumes with mild basilar atelectasis. Mild bilateral interstitial prominence noted. Mild pneumonitis cannot be excluded. Questionable density noted projected over the lateral right anterior first rib. To exclude a right apical pulmonary nodule apical lordotic chest x-ray suggested. Prominent costochondral calcification. No acute bony abnormality.\n\nIMPRESSION:\n1. Low lung volumes with mild bibasilar atelectasis. 2. Mild bilateral interstitial prominence. Mild pneumonitis cannot be excluded. 3. Questionable density noted projected over the right apex at the level of the right anterior first rib. Apical lordotic chest x-ray suggested to exclude right apical pulmonary nodule.", "findings": "Mediastinum and hilar structures normal. Low lung volumes with mild basilar atelectasis. Mild bilateral interstitial prominence noted. Mild pneumonitis cannot be excluded. Questionable density noted projected over the lateral right anterior first rib. To exclude a right apical pulmonary nodule apical lordotic chest x-ray suggested. Prominent costochondral calcification. No acute bony abnormality.", "impression": "1. Low lung volumes with mild bibasilar atelectasis. 2. Mild bilateral interstitial prominence. Mild pneumonitis cannot be excluded. 3. Questionable density noted projected over the right apex at the level of the right anterior first rib. Apical lordotic chest x-ray suggested to exclude right apical pulmonary nodule.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN2P932ULK9YZ4", "view_position": "AP", "study_date": "20170417", "comparison": "None.", "indication": "Cough.", "age": "067Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNJR0GPS6XHB6U_aGRDNKZL8757X4BKU_s1.2.826.0.1.3680043.8.498.93596668662936441265771748479307408331", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNJR0GPS6XHB6U/GRDNKZL8757X4BKU/studies/1.2.826.0.1.3680043.8.498.93596668662936441265771748479307408331/series/1.2.826.0.1.3680043.8.498.18648641216488277672810936905535749151/instances/1.2.826.0.1.3680043.8.498.56624366693673076990158035227961541612.png", "report_gt": "FINDINGS:\nSingle view demonstrates central line placement through the umbilical approach. The line terminates at the level of inferior endplate of T9, at the expected location of the inferior vena cava-right atrial junction. Normal cardiothymic silhouette. Diffuse haziness of the lungs. Nonobstructive bowel gas pattern.\n\nIMPRESSION:\n1. Umbilical venous line placement with tip at the level of inferior endplate of T9. 2. Diffuse haziness of the lungs.", "findings": "Single view demonstrates central line placement through the umbilical approach. The line terminates at the level of inferior endplate of T9, at the expected location of the inferior vena cava-right atrial junction. Normal cardiothymic silhouette. Diffuse haziness of the lungs. Nonobstructive bowel gas pattern.", "impression": "1. Umbilical venous line placement with tip at the level of inferior endplate of T9. 2. Diffuse haziness of the lungs.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNJR0GPS6XHB6U", "view_position": "AP", "study_date": "20210803", "comparison": "None.", "indication": "Central line placement.", "age": "000D", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNSGV1TG6NJPLS_aGRDNJS6LHOVQPU4U_s1.2.826.0.1.3680043.8.498.54693228811125101631294133490705691339", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNSGV1TG6NJPLS/GRDNJS6LHOVQPU4U/studies/1.2.826.0.1.3680043.8.498.54693228811125101631294133490705691339/series/1.2.826.0.1.3680043.8.498.83799383894291322353378333357435887080/instances/1.2.826.0.1.3680043.8.498.76512050890517027427342959543373273145.png", "report_gt": "FINDINGS:\nTwo views of the chest show a small right pleural effusion blunting the costophrenic sulci. Interstitial densities are present over the right lung base and could be caused by compressive atelectasis, pneumonia not excluded. Overall, the interstitial markings are increased throughout both lungs, with some prominent curly B lines that could be a manifestation of interstitial edema. The heart is enlarged with a prominent left ventricle. The aorta is calcified. Median sternotomy sutures are intact. The leads of a right-sided pacemaker terminate in the right atrium and ventricle.\n\nIMPRESSION:\nSmall right pleural effusion with streaky opacities in the right lung base that could be a manifestation of compressive atelectasis or pneumonia. Mild underlying interstitial pulmonary edema as a manifestation of CHF is also a consideration, with cardiomegaly. Previous coronary artery bypass surgery and pacemaker/defibrillator placement.", "findings": "Two views of the chest show a small right pleural effusion blunting the costophrenic sulci. Interstitial densities are present over the right lung base and could be caused by compressive atelectasis, pneumonia not excluded. Overall, the interstitial markings are increased throughout both lungs, with some prominent curly B lines that could be a manifestation of interstitial edema. The heart is enlarged with a prominent left ventricle. The aorta is calcified. Median sternotomy sutures are intact. The leads of a right-sided pacemaker terminate in the right atrium and ventricle.", "impression": "Small right pleural effusion with streaky opacities in the right lung base that could be a manifestation of compressive atelectasis or pneumonia. Mild underlying interstitial pulmonary edema as a manifestation of CHF is also a consideration, with cardiomegaly. Previous coronary artery bypass surgery and pacemaker/defibrillator placement.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNSGV1TG6NJPLS", "view_position": "PA", "study_date": "20140824", "comparison": "None.", "indication": "Shortness of breath. Pulmonary infiltrate.", "age": "073Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNLOZZX17QUVK5_aGRDNHF9DSYN9C34D_s1.2.826.0.1.3680043.8.498.53000830827981470814386571443546679522", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNLOZZX17QUVK5/GRDNHF9DSYN9C34D/studies/1.2.826.0.1.3680043.8.498.53000830827981470814386571443546679522/series/1.2.826.0.1.3680043.8.498.59846003732287374665310571694492121134/instances/1.2.826.0.1.3680043.8.498.16947378552071111383445823845239338374.png", "report_gt": "FINDINGS:\nNo fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.\n\nIMPRESSION:\nNegative.", "findings": "No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.", "impression": "Negative.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNLOZZX17QUVK5", "view_position": "PA", "study_date": "20221014", "comparison": "None.", "indication": "Fall, right rib pain", "age": "064Y", "sex": "M" }, "eval_track": "baseline" }, { "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" }, { "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" }, { "study_id": "chexpert_patient64555_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64555/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nRedemonstration of emphysematous changes of the bilateral lungs. \nThere is extensive right middle and lower lung zone opacities again \nseen, which have increased compared to prior radiograph on 1-30-09, 9/21/2015. Calcific pleural thickening is seen in the bilateral lung \napices. No acute osseous abnormalities.\n\nIMPRESSION:\n1. Interval increase in right mid- and lower lung zone opacities \nthat could represent infection or aspiration.\n \n2. Mild pulmonary edema\n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "findings": "Redemonstration of emphysematous changes of the bilateral lungs. \nThere is extensive right middle and lower lung zone opacities again \nseen, which have increased compared to prior radiograph on 1-30-09, 9/21/2015. Calcific pleural thickening is seen in the bilateral lung \napices. No acute osseous abnormalities.", "impression": "1. Interval increase in right mid- and lower lung zone opacities \nthat could represent infection or aspiration.\n \n2. Mild pulmonary edema\n \nI have personally reviewed the images for this examination and agreed\nwith the report transcribed above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64555", "report_date_order": 2, "view_position": "AP", "comparison": "1/30/2009", "age": "89.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64615_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64615/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere is a small 2-mm radiopaque density seen within the\nleft peripheral upper lung zone. This appears calcified and most\nlikely represents old granulomatous disease. However, the patient\nhas a history of melanoma, and comparison with old studies, once\nthey are available, is recommended if there is clinical concern for\nmetastatic disease. The remainder of the lungs are clear without\nfocal air-space consolidation. The cardiomediastinal silhouette\nappears unremarkable. There is an old healing defect at the left\nclavicle demonstrated. The remainder of the bones appear\nunremarkable. Axillary clips seen within the right axilla.\n\nIMPRESSION:\n1. SMALL 2-MM NODULAR DENSITY SEEN IN THE LEFT UPPER PERIPHERAL\nLUNG ZONE, MOST LIKELY REPRESENTING OLD GRANULOMATOUS DISEASE.\n2. DEFECT SEEN WITHIN THE LEFT CLAVICLE, LIKELY REPRESENTING A\nHEALING OR OLD FRACTURE.\n3. AXILLARY CLIPS WITHIN THE RIGHT AXILLA.\n4. NO ACUTE CARDIOPULMONARY DISEASE.\n5. QUESTION OF OLD RIGHT NINTH LATERAL RIB FRACTURE.", "findings": "There is a small 2-mm radiopaque density seen within the\nleft peripheral upper lung zone. This appears calcified and most\nlikely represents old granulomatous disease. However, the patient\nhas a history of melanoma, and comparison with old studies, once\nthey are available, is recommended if there is clinical concern for\nmetastatic disease. The remainder of the lungs are clear without\nfocal air-space consolidation. The cardiomediastinal silhouette\nappears unremarkable. There is an old healing defect at the left\nclavicle demonstrated. The remainder of the bones appear\nunremarkable. Axillary clips seen within the right axilla.", "impression": "1. SMALL 2-MM NODULAR DENSITY SEEN IN THE LEFT UPPER PERIPHERAL\nLUNG ZONE, MOST LIKELY REPRESENTING OLD GRANULOMATOUS DISEASE.\n2. DEFECT SEEN WITHIN THE LEFT CLAVICLE, LIKELY REPRESENTING A\nHEALING OR OLD FRACTURE.\n3. AXILLARY CLIPS WITHIN THE RIGHT AXILLA.\n4. NO ACUTE CARDIOPULMONARY DISEASE.\n5. QUESTION OF OLD RIGHT NINTH LATERAL RIB FRACTURE.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64615", "report_date_order": 1, "view_position": "PA", "comparison": "No priors for comparison. There is a prior comparison\ndated 4-17, but it is not available online.", "age": "66.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_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" }, { "study_id": "chexpert_patient64664_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64664/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\n2 semisupine frontal views of the chest demonstrate no change in \nmedical support devices. A small right pneumothorax is present \nincreased from most recent prior. Heart size is enlarged and lung \nvolumes are further reduced. There is interval increase in bilateral \nsmall-to-moderate pleural effusions, as well as increase in \nassociated bibasilar opacities, as well as increased opacity in the \nright midlung zone. Superimposed pulmonary edema is also likely \npresent.\n \nAddendum Begins\nThe original report for this radiograph referred to films obtained on \n9/14/2005 at 1456 hours.\n \nThe report for the radiograph obtained on September 2005 at 0420 hours \nshould have read:\n \nFindings: Single supine frontal view of the chest demonstrates no \ninterval change in medical support devices. No pneumothorax is \nevident. Aeration of the lungs has improved. There is residual \nbibasilar opacity, greater on the left. Small bilateral pleural \neffusions are present, also improved from prior. A background of \nreticular opacities present in the bilateral perihilar regions likely \nreflects resolving edema.\n\nIMPRESSION:\n1. No pneumothorax.\n2. Improving aeration, with residual bibasilar opacities and improved \nnow small bilateral pleural effusions.\n3. Improving pulmonary edema.\n \n\"Physician to Physician Radiology Consult Line: (746) 583-6584\"\nAddendum Ends\nIMPRESSION:\n \n1. Interval increase conspicuity of a small right-sided pneumothorax.\n \n2. Interval decrease in already low lung volumes, with increasing \nsmall to moderate pleural effusions. Increasing associated mid and \nlower lung zone opacities, greater on the right, may reflect \natelectasis, infection, or aspiration. \n \n3. Superimposed pulmonary edema is likely present.\n \n \n \n\"Physician to Physician Radiology Consult Line: (746) 583-6584\"", "findings": "2 semisupine frontal views of the chest demonstrate no change in \nmedical support devices. A small right pneumothorax is present \nincreased from most recent prior. Heart size is enlarged and lung \nvolumes are further reduced. There is interval increase in bilateral \nsmall-to-moderate pleural effusions, as well as increase in \nassociated bibasilar opacities, as well as increased opacity in the \nright midlung zone. Superimposed pulmonary edema is also likely \npresent.\n \nAddendum Begins\nThe original report for this radiograph referred to films obtained on \n9/14/2005 at 1456 hours.\n \nThe report for the radiograph obtained on September 2005 at 0420 hours \nshould have read:\n \nFindings: Single supine frontal view of the chest demonstrates no \ninterval change in medical support devices. No pneumothorax is \nevident. Aeration of the lungs has improved. There is residual \nbibasilar opacity, greater on the left. Small bilateral pleural \neffusions are present, also improved from prior. A background of \nreticular opacities present in the bilateral perihilar regions likely \nreflects resolving edema.", "impression": "1. No pneumothorax.\n2. Improving aeration, with residual bibasilar opacities and improved \nnow small bilateral pleural effusions.\n3. Improving pulmonary edema.\n \n\"Physician to Physician Radiology Consult Line: (746) 583-6584\"\nAddendum Ends\nIMPRESSION:\n \n1. Interval increase conspicuity of a small right-sided pneumothorax.\n \n2. Interval decrease in already low lung volumes, with increasing \nsmall to moderate pleural effusions. Increasing associated mid and \nlower lung zone opacities, greater on the right, may reflect \natelectasis, infection, or aspiration. \n \n3. Superimposed pulmonary edema is likely present.\n \n \n \n\"Physician to Physician Radiology Consult Line: (746) 583-6584\"", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64664", "report_date_order": 2, "view_position": "AP", "comparison": "9/14/2005", "age": "60.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_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" }, { "study_id": "chexpert_patient64575_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64575/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is within \nnormal limits.\n \nThe pulmonary vasculature is well-defined without evidence of \npulmonary edema.\n \nThe lungs are hyperinflated with associated flattening of the \nhemidiaphragms and lucency within the lung apices compatible with \nemphysema. There is mild biapical pleural parenchymal scarring. No \nfocal consolidation. There is a 7-mm nodule which projects over the \nposterior left 10th rib with a possible correlate on the lateral view.\n \nThere is blunting of the left costophrenic angle suggestive of a \nsmall effusion or pleural thickening.\n \nThe visualized osseous structures are mildly osteopenic. \nDegenerative changes are noted involving the thoracic spine.\n\nIMPRESSION:\n1.NO ACUTE CARDIOPULMONARY PROCESS.\n \n2.MODERATE EMPHYSEMATOUS CHANGES.\n \n3.7-MM NODULE PROJECTING OVER THE LEFT LUNG BASE. RECOMMEND \nCOMPARISON WITH OUTSIDE PRIOR EXAMS TO ESTABLISH TWO YEARS OF \nSTABILITY, OR A CT OF THE THORAX FOR FURTHER EVALUATION.\n \n4.IN BLUNTING OF THE LEFT COSTOPHRENIC ANGLE SUGGESTIVE OF A SMALL \nLEFT PLEURAL EFFUSION OR THICKENING.", "findings": "The trachea is midline. The cardiomediastinal silhouette is within \nnormal limits.\n \nThe pulmonary vasculature is well-defined without evidence of \npulmonary edema.\n \nThe lungs are hyperinflated with associated flattening of the \nhemidiaphragms and lucency within the lung apices compatible with \nemphysema. There is mild biapical pleural parenchymal scarring. No \nfocal consolidation. There is a 7-mm nodule which projects over the \nposterior left 10th rib with a possible correlate on the lateral view.\n \nThere is blunting of the left costophrenic angle suggestive of a \nsmall effusion or pleural thickening.\n \nThe visualized osseous structures are mildly osteopenic. \nDegenerative changes are noted involving the thoracic spine.", "impression": "1.NO ACUTE CARDIOPULMONARY PROCESS.\n \n2.MODERATE EMPHYSEMATOUS CHANGES.\n \n3.7-MM NODULE PROJECTING OVER THE LEFT LUNG BASE. RECOMMEND \nCOMPARISON WITH OUTSIDE PRIOR EXAMS TO ESTABLISH TWO YEARS OF \nSTABILITY, OR A CT OF THE THORAX FOR FURTHER EVALUATION.\n \n4.IN BLUNTING OF THE LEFT COSTOPHRENIC ANGLE SUGGESTIVE OF A SMALL \nLEFT PLEURAL EFFUSION OR THICKENING.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64575", "report_date_order": 1, "view_position": "PA", "comparison": "No prior.", "age": "80.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64578_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64578/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe lungs are underinflated. The visualized lungs are otherwise \nclear. There is no pneumothorax visualized. The cardiomediastinal \nsilhouette and pulmonary vasculature are unremarkable. There is a \ntwo-lead pacer device overlying the right hemithorax, with leads in \nthe right atrium and right ventricle. The visualized osseous \nstructures are unremarkable.\n\nIMPRESSION:\nSATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF \nPNEUMOTHORAX.", "findings": "The lungs are underinflated. The visualized lungs are otherwise \nclear. There is no pneumothorax visualized. The cardiomediastinal \nsilhouette and pulmonary vasculature are unremarkable. There is a \ntwo-lead pacer device overlying the right hemithorax, with leads in \nthe right atrium and right ventricle. The visualized osseous \nstructures are unremarkable.", "impression": "SATISFACTORY PORTABLE CHEST RADIOGRAPH, WITHOUT EVIDENCE OF \nPNEUMOTHORAX.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64578", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "65.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64583_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64583/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nConsolidation collapse of the right upper lobe is present\nassociated with left to right shift of the left upper lobe across\nthe anterior potential space. An oval slightly calcific opacity is\npresent in the right mid lung. This may represent a pleural based\ndensity. There is thickening of the minor fissure. Mild\ncardiomegaly is present. The pulmonary vascularity is slightly\nprominent in the upper lobes. Degenerative changes of the osseous\nstructures are noted.\n\nIMPRESSION:\n1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE\nPROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE\nNOT AVAILABLE.", "findings": "Consolidation collapse of the right upper lobe is present\nassociated with left to right shift of the left upper lobe across\nthe anterior potential space. An oval slightly calcific opacity is\npresent in the right mid lung. This may represent a pleural based\ndensity. There is thickening of the minor fissure. Mild\ncardiomegaly is present. The pulmonary vascularity is slightly\nprominent in the upper lobes. Degenerative changes of the osseous\nstructures are noted.", "impression": "1. RIGHT UPPER LOBE PARTIAL CONSOLIDATION COLLAPSE POSSIBLY ACUTE\nPROCESS HOWEVER THE FINDINGS APPEAR CHRONIC. EARLIER STUDIES ARE\nNOT AVAILABLE.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64583", "report_date_order": 1, "view_position": "AP", "comparison": "", "age": "79.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64670_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64670/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThere has been a midline thoracotomy. ET tube is present \n4 cm above the carina. Two right IJ lines have their TIPS in the \nregion of the SVC. There is a midline chest tube and a left chest \ntube. There is a nasogastric tube present. The cardiac silhouette \nis within normal limits. There is some retrocardiac opacity \nsilhouetting the descending aorta and medial hemidiaphragm. The \npulmonary vascularity is normal. No other focal pulmonary \nparenchymal abnormalities are identified.\n\nIMPRESSION:\n1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS \nDESCRIBED. \n \n 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.", "findings": "There has been a midline thoracotomy. ET tube is present \n4 cm above the carina. Two right IJ lines have their TIPS in the \nregion of the SVC. There is a midline chest tube and a left chest \ntube. There is a nasogastric tube present. The cardiac silhouette \nis within normal limits. There is some retrocardiac opacity \nsilhouetting the descending aorta and medial hemidiaphragm. The \npulmonary vascularity is normal. No other focal pulmonary \nparenchymal abnormalities are identified.", "impression": "1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS \nDESCRIBED. \n \n 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64670", "report_date_order": 1, "view_position": "AP", "comparison": "Comparison is made with the previous film from October 30th \nat 1416.", "age": "73.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64624_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64624/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe trachea is midline. There is moderate cardiomegaly. \nThere is a retrocardiac opacity, consistent with atelectasis versus \nconsolidation. There is blunting of the left costophrenic angle \nwhich may represent a small pleural effusion. No soft tissue or bony \nabnormalities.\n\nIMPRESSION:\n1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS \nCONSOLIDATION.\n \n 2. SMALL LEFT PLEURAL EFFUSION.", "findings": "The trachea is midline. There is moderate cardiomegaly. \nThere is a retrocardiac opacity, consistent with atelectasis versus \nconsolidation. There is blunting of the left costophrenic angle \nwhich may represent a small pleural effusion. No soft tissue or bony \nabnormalities.", "impression": "1. RETROCARDIAC OPACITY CONSISTENT WITH ATELECTASIS VERSUS \nCONSOLIDATION.\n \n 2. SMALL LEFT PLEURAL EFFUSION.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64624", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "37.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64626_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64626/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nThe trachea is midline. The cardiomediastinal silhouette is within\nnormal limits. The diaphragmatic borders are well visualized.\nThere is no evidence of pneumothorax. There is placement of a\nleft-sided single lead pacemaker. The lungs are clear. New\nosseous volar soft tissue abnormalities.\n\nIMPRESSION:\n1. PLACEMENT OF A LEFT-SIDED SINGLE LEAD AND PACER WITH NO\nEVIDENCE OF PNEUMOTHORAX.\n2. LUNGS CLEAR.", "findings": "The trachea is midline. The cardiomediastinal silhouette is within\nnormal limits. The diaphragmatic borders are well visualized.\nThere is no evidence of pneumothorax. There is placement of a\nleft-sided single lead pacemaker. The lungs are clear. New\nosseous volar soft tissue abnormalities.", "impression": "1. PLACEMENT OF A LEFT-SIDED SINGLE LEAD AND PACER WITH NO\nEVIDENCE OF PNEUMOTHORAX.\n2. LUNGS CLEAR.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64626", "report_date_order": 1, "view_position": "AP", "comparison": "STUDY:\nNone.", "age": "74.0", "sex": "Male" }, "eval_track": "baseline" }, { "study_id": "chexpert_patient64585_study1", "dataset": "chexpert_plus", "split": "valid", "image_path": "images/chexpert/patient64585/study1/view1_frontal.jpg", "report_gt": "FINDINGS:\nVery low lung volumes are demonstrated. The right\nhemidiaphragm is elevated. There is a left retrocardiac opacity\nlikely representing atelectasis. However, cannot entirely exclude\nan infectious process. Would recommend a repeat chest x-ray with\ndeep inspiration is concern for infection.\nThe pulmonary vasculature is grossly unremarkable.\nThere is an incidental finding of a azygous fissure and lobe.\nSeveral prominent bowel loops are noted within the abdomen. These\nare of unknown clinical significance. Correlate clinically. If\nconcern for abdominal pathology, would recommend a dedicated\nabdominal series.\n\nIMPRESSION:\n1. LOW LUNG VOLUMES.\n2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA.\nREPEAT CHEST X-RAY WITH DEEP INSPIRATION MAY BE HELPFUL.\n3. ELEVATED RIGHT HEMIDIAPHRAGM.\n4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE.\n5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL\nPATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "findings": "Very low lung volumes are demonstrated. The right\nhemidiaphragm is elevated. There is a left retrocardiac opacity\nlikely representing atelectasis. However, cannot entirely exclude\nan infectious process. Would recommend a repeat chest x-ray with\ndeep inspiration is concern for infection.\nThe pulmonary vasculature is grossly unremarkable.\nThere is an incidental finding of a azygous fissure and lobe.\nSeveral prominent bowel loops are noted within the abdomen. These\nare of unknown clinical significance. Correlate clinically. If\nconcern for abdominal pathology, would recommend a dedicated\nabdominal series.", "impression": "1. LOW LUNG VOLUMES.\n2. LEFT RETROCARDIAC OPACITY. ATELECTASIS VERSUS PNEUMONIA.\nREPEAT CHEST X-RAY WITH DEEP INSPIRATION MAY BE HELPFUL.\n3. ELEVATED RIGHT HEMIDIAPHRAGM.\n4. INCIDENTAL RIGHT AZYGOUS LOBE AND FISSURE.\n5. SEVERAL PROMINENT BOWEL LOOPS. IF CONCERN FOR ABDOMINAL\nPATHOLOGY, RECOMMEND DEDICATED ABDOMINAL SERIES.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "patient64585", "report_date_order": 1, "view_position": "AP", "comparison": "None.", "age": "87.0", "sex": "Female" }, "eval_track": "baseline" }, { "study_id": "chexpert_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" }, { "study_id": "iu_CXR2706_IM-1172", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2706_IM-1172-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. Arthritic changes are seen throughout the spine and both XXXX.\n\nIMPRESSION:\nNo active disease.", "findings": "The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. Arthritic changes are seen throughout the spine and both XXXX.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2706_IM-1172", "comparison": "XXXX, XXXX.", "indication": "Indication: Preop XXXX for hip surgery. Comparison: XXXX, XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR1771_IM-0505", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1771_IM-0505-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.\n\nIMPRESSION:\nNo active disease.", "findings": "The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1771_IM-0505", "comparison": "XXXX, XXXX.", "indication": "Indication: 1 h/o HTN Comparison: XXXX, XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR2179_IM-0791", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2179_IM-0791-1001.dcm.png", "report_gt": "FINDINGS:\nFlattening of the bilateral hemidiaphragms. Lungs are clear. Soft tissues and bony structures unremarkable. No pneumothorax or effusion.\n\nIMPRESSION:\nMild hyperexpansion. No acute process.", "findings": "Flattening of the bilateral hemidiaphragms. Lungs are clear. Soft tissues and bony structures unremarkable. No pneumothorax or effusion.", "impression": "Mild hyperexpansion. No acute process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2179_IM-0791", "comparison": "None available", "indication": "Indication: SOB Comparison: None available" }, "eval_track": "baseline" }, { "study_id": "iu_CXR2686_IM-1158", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2686_IM-1158-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size within normal limits. No focal airspace disease. No pneumothorax or effusions.\n\nIMPRESSION:\nNo acute cardiopulmonary findings.", "findings": "Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.", "impression": "No acute cardiopulmonary findings.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2686_IM-1158", "comparison": "None available.", "indication": "Indication: XXXX-year-old female with chest pain. Comparison: None available." }, "eval_track": "baseline" }, { "study_id": "iu_CXR692_IM-2258", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/692_IM-2258-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax. There are endplate changes in the spine.\n\nIMPRESSION:\nClear lungs. No acute cardiopulmonary abnormality. .", "findings": "The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax. There are endplate changes in the spine.", "impression": "Clear lungs. No acute cardiopulmonary abnormality. .", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR692_IM-2258", "comparison": "None.", "indication": "Indication: Pre op Sarcoma Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3250_IM-1540-1001", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3250_IM-1540-1001-0002.dcm.png", "report_gt": "FINDINGS:\nLungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.\n\nIMPRESSION:\nModerate hiatal hernia. No definite pneumonia.", "findings": "Lungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.", "impression": "Moderate hiatal hernia. No definite pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3250_IM-1540-1001", "comparison": "", "indication": "Indication: XXXX Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3774_IM-1892", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3774_IM-1892-1001.dcm.png", "report_gt": "FINDINGS:\nHeart size is within normal limits. Tortuous aorta. Clear lungs. No pneumothorax. No pleural effusion. Atherosclerotic calcification within the aorta. Right lower lung granuloma.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "Heart size is within normal limits. Tortuous aorta. Clear lungs. No pneumothorax. No pleural effusion. Atherosclerotic calcification within the aorta. Right lower lung granuloma.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3774_IM-1892", "comparison": "None.", "indication": "Indication: XXXX-year-old XXXX with chest pain. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR2491_IM-1017", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2491_IM-1017-1001.dcm.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2491_IM-1017", "comparison": "None available.", "indication": "Indication: XXXX x2 weeks Comparison: None available." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3784_IM-1898", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3784_IM-1898-2001.dcm.png", "report_gt": "FINDINGS:\nAP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.\n\nIMPRESSION:\nNo acute abnormality.", "findings": "AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.", "impression": "No acute abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3784_IM-1898", "comparison": "None", "indication": "Indication: -- XXXX Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR3814_IM-1923", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3814_IM-1923-1001.dcm.png", "report_gt": "FINDINGS:\nNo focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.\n\nIMPRESSION:\nNo acute XXXX related findings. Please note that fractures may not be demonstrated and consider additional imaging if clinically indicated.", "findings": "No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.", "impression": "No acute XXXX related findings. Please note that fractures may not be demonstrated and consider additional imaging if clinically indicated.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3814_IM-1923", "comparison": "", "indication": "Indication: XXXX-year-old female, XXXX, pain Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR2734_IM-1189", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/2734_IM-1189-1001.dcm.png", "report_gt": "FINDINGS:\nThe cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..\n\nIMPRESSION:\n1. No acute radiographic cardiopulmonary process.", "findings": "The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..", "impression": "1. No acute radiographic cardiopulmonary process.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR2734_IM-1189", "comparison": "Chest radiograph XXXX.", "indication": "Indication: XXXX-year-old XXXX with chest pain and shortness of breath. Comparison: Chest radiograph XXXX." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3124_IM-1468", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3124_IM-1468-1001.dcm.png", "report_gt": "FINDINGS:\nThere is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.\n\nIMPRESSION:\n1. Enlarged pulmonary arteries. This may be due to previous/chronic pulmonary embolism or XXXX pulmonary arterial hypertension. 2. No evidence of pneumonia or other acute cardiopulmonary abnormality.", "findings": "There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.", "impression": "1. Enlarged pulmonary arteries. This may be due to previous/chronic pulmonary embolism or XXXX pulmonary arterial hypertension. 2. No evidence of pneumonia or other acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3124_IM-1468", "comparison": "CT chest XXXX, XXXX", "indication": "Indication: XXXX-year-old male with history of pulmonary embolism. Comparison: CT chest XXXX, XXXX" }, "eval_track": "baseline" }, { "study_id": "iu_CXR251_IM-1032", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/251_IM-1032-1001.dcm.png", "report_gt": "FINDINGS:\nThe heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic XXXX are excluded.\n\nIMPRESSION:\nNo acute disease.", "findings": "The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic XXXX are excluded.", "impression": "No acute disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR251_IM-1032", "comparison": "None", "indication": "Indication: Chest pain Comparison: None" }, "eval_track": "baseline" }, { "study_id": "iu_CXR1853_IM-0555", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/1853_IM-0555-1001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR1853_IM-0555", "comparison": "None.", "indication": "Indication: XXXX-year-old woman with left-sided chest pain x3 days, increased today. Comparison: None." }, "eval_track": "baseline" }, { "study_id": "iu_CXR3705_IM-1851-1001", "dataset": "iu_xray", "split": "test", "image_path": "images/iu_xray/images/images_normalized/3705_IM-1851-1001-0001.dcm.png", "report_gt": "FINDINGS:\nThe lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.\n\nIMPRESSION:\nNo acute pulmonary disease.", "findings": "The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.", "impression": "No acute pulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "case_id": "CXR3705_IM-1851-1001", "comparison": "XXXX, XXXX", "indication": "Indication: Leukocytosis Comparison: XXXX, XXXX" }, "eval_track": "baseline" } ], "followup": [ { "study_id": "mimic_56426120", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15032623/s56426120/69e36e8f-cfe80296-fba1f08a-4b1e0db3-a8ace269.jpg", "report_gt": "FINAL REPORT\n INDICATION: ___M with c/o cough // ? PNA\n \n TECHNIQUE: PA and lateral views of the chest.\n \n COMPARISON: ___.\n \n FINDINGS: \n \n There is chronic blunting of the right lateral costophrenic angle potentially\n due to scarring. The lungs are clear without consolidation or effusion. The\n cardiomediastinal silhouette is within normal limits. Median sternotomy wires\n and mediastinal clips are noted. Atherosclerotic calcifications noted within\n the tortuous thoracic aorta. No acute osseous abnormalities identified.\n \n IMPRESSION: \n \n No acute cardiopulmonary process.", "findings": "There is chronic blunting of the right lateral costophrenic angle potentially\n due to scarring. The lungs are clear without consolidation or effusion. The\n cardiomediastinal silhouette is within normal limits. Median sternotomy wires\n and mediastinal clips are noted. Atherosclerotic calcifications noted within\n the tortuous thoracic aorta. No acute osseous abnormalities identified.", "impression": "No acute cardiopulmonary process.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p15/p15032623/s58801080/924e87c2-147bd825-9fe46cda-0cd4a1e3-f76f63a0.jpg", "report": "FINDINGS:\nCompared to the prior study where right there is no significant interval\n change. Median sternotomy wires are again visualized along with surgical\n clips degenerative changes throughout the thoracic spine. There is no focal\n infiltrate or effusion.\n\nIMPRESSION:\nNo significant interval change.", "findings": "Compared to the prior study where right there is no significant interval\n change. Median sternotomy wires are again visualized along with surgical\n clips degenerative changes throughout the thoracic spine. There is no focal\n infiltrate or effusion.", "impression": "", "study_date": "2164-09-25", "study_id": "58801080" }, "metadata": { "subject_id": "15032623", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2166-03-22" }, "eval_track": "followup" }, { "study_id": "mimic_53598647", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13881772/s53598647/0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH PERFORMED ON ___.\n \n COMPARISON: ___.\n \n CLINICAL HISTORY: Diabetic with nephropathy and CAD status post MI with\n syncope, question congestion.\n \n FINDINGS: PA and lateral views of the chest were provided. Lungs are clear\n bilaterally. No effusion or pneumothorax is seen. Cardiomediastinal\n silhouette is stable. Bony structures are intact.\n \n IMPRESSION:\n \n No acute findings.", "findings": "PA and lateral views of the chest were provided. Lungs are clear\n bilaterally. No effusion or pneumothorax is seen. Cardiomediastinal\n silhouette is stable. Bony structures are intact.", "impression": "No acute findings.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13881772/s58581962/f84cbcd6-8eef4c5e-b8c536b9-7121aa4e-7233d805.jpg", "report": "FINDINGS:\nPA and lateral views of the chest. The lungs are hyperinflated but clear of\n focal consolidation or vascular congestion. Previously bilateral effusions\n are no longer visualized. Cardiomediastinal silhouette, osseous and soft\n tissue structures are unchanged.\n\nIMPRESSION:\nInterval resolution of previously seen layering effusions. No acute\n cardiopulmonary process.", "findings": "PA and lateral views of the chest. The lungs are hyperinflated but clear of\n focal consolidation or vascular congestion. Previously bilateral effusions\n are no longer visualized. Cardiomediastinal silhouette, osseous and soft\n tissue structures are unchanged.", "impression": "", "study_date": "2128-11-27", "study_id": "58581962" }, "metadata": { "subject_id": "13881772", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2130-01-27", "admission_info": { "hadm_id": 25456110, "admittime": "2130-01-27 15:35:00", "dischtime": "2130-01-28 10:44:00", "admission_type": "EU OBSERVATION", "demographics": { "age": 82, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "27651", "version": 9, "description": "Dehydration" }, { "code": "5939", "version": 9, "description": "Unspecified disorder of kidney and ureter" }, { "code": "7802", "version": 9, "description": "Syncope and collapse" }, { "code": "4589", "version": 9, "description": "Hypotension, unspecified" }, { "code": "2859", "version": 9, "description": "Anemia, unspecified" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5859", "version": 9, "description": "Chronic kidney disease, unspecified" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "25060", "version": 9, "description": "Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled" }, { "code": "3572", "version": 9, "description": "Polyneuropathy in diabetes" }, { "code": "5363", "version": 9, "description": "Gastroparesis" }, { "code": "25040", "version": 9, "description": "Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled" }, { "code": "58381", "version": 9, "description": "Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "73300", "version": 9, "description": "Osteoporosis, unspecified" } ], "labs": [ { "label": "Hemoglobin", "value": "8.1", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.6", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "140", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "3.5", "unit": "K/uL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "27", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "105", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.3", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "5.1", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "139", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "71", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Lactate", "value": "1.3", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_56233609", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p18/p18767957/s56233609/9c67a2e3-68620391-2e5a5578-0433f757-1eba00c6.jpg", "report_gt": "FINAL REPORT\n EXAMINATION:\n Chest: Frontal and lateral views\n \n INDICATION: History: ___M with fever, chest pain // Eval for PNA,\n cardiopulmonary process\n \n TECHNIQUE: Chest Frontal and Lateral\n \n COMPARISON: ___\n \n FINDINGS: \n \n There has been no significant interval change. The cardiac and mediastinal\n silhouettes are stable. Hilar contours are stable with possible minimal\n central vascular engorgement.\n \n IMPRESSION: \n \n No significant interval change.", "findings": "There has been no significant interval change. The cardiac and mediastinal\n silhouettes are stable. Hilar contours are stable with possible minimal\n central vascular engorgement.", "impression": "No significant interval change.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p18/p18767957/s59366677/67d864d4-d51e968e-6523ea3d-51098156-ed3ea015.jpg", "report": "FINDINGS:\nLow lung volumes exaggerate the cardiomediastinal contours, however the heart\n size is top normal. There is mild bibasilar atelectasis. No focal\n consolidations concerning for pneumonia are identified. There is no pleural\n effusion or pneumothorax. The visualized osseous structures are unremarkable.\n\nIMPRESSION:\nMild bibasilar atelectasis. No focal consolidations concerning for pneumonia\n identified.", "findings": "Low lung volumes exaggerate the cardiomediastinal contours, however the heart\n size is top normal. There is mild bibasilar atelectasis. No focal\n consolidations concerning for pneumonia are identified. There is no pleural\n effusion or pneumothorax. The visualized osseous structures are unremarkable.", "impression": "", "study_date": "2196-01-01", "study_id": "59366677" }, "metadata": { "subject_id": "18767957", "view_position": "AP", "comparison": "___", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2196-03-01" }, "eval_track": "followup" }, { "study_id": "mimic_52583710", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p12/p12530259/s52583710/c76fb4a5-73d1b805-ea3945ae-5f50ad50-145ab073.jpg", "report_gt": "FINAL REPORT\n HISTORY: ___-year-old male with metastatic adenocarcinoma and failure to\n thrive.\n \n COMPARISON: Frontal and lateral views of the chest performed 30 minutes\n prior.\n \n FINDINGS/IMPRESSION: Portable frontal chest radiograph shows no significant\n change in previously described left lung opacification and volume loss,\n compatible with collapse, with elevation of a probably paralyzed left\n hemidiaphragm. The right lung remains clear. Further evaluation with CT\n would provide a better evaluation of the airways to evaluate for cause of\n collapse.", "findings": "/IMPRESSION: Portable frontal chest radiograph shows no significant\n change in previously described left lung opacification and volume loss,\n compatible with collapse, with elevation of a probably paralyzed left\n hemidiaphragm. The right lung remains clear. Further evaluation with CT\n would provide a better evaluation of the airways to evaluate for cause of\n collapse.", "impression": "Portable frontal chest radiograph shows no significant\n change in previously described left lung opacification and volume loss,\n compatible with collapse, with elevation of a probably paralyzed left\n hemidiaphragm. The right lung remains clear. Further evaluation with CT\n would provide a better evaluation of the airways to evaluate for cause of\n collapse.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg", "report": "FINDINGS:\nThe patient has had a prior left lower lobectomy. Since the prior\n exam, nodular pleural thickening encasing the left lung has increased at the\n expense of aeration of the left lung with stable elevation of the left\n hemidiaphragm. Central adenopathy in the left hilus and adjacent mediastinum\n has also progressed. The right lung is clear. Cardiomediastinal silhouette is\n unchanged.\n\nIMPRESSION:\nProgression of left pleural and nodal metastases.", "findings": "The patient has had a prior left lower lobectomy. Since the prior\n exam, nodular pleural thickening encasing the left lung has increased at the\n expense of aeration of the left lung with stable elevation of the left\n hemidiaphragm. Central adenopathy in the left hilus and adjacent mediastinum\n has also progressed. The right lung is clear. Cardiomediastinal silhouette is\n unchanged.", "impression": "", "study_date": "2186-12-07", "study_id": "57147904" }, "metadata": { "subject_id": "12530259", "view_position": "AP", "comparison": "Frontal and lateral views of the chest performed 30 minutes", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2187-01-26", "admission_info": { "hadm_id": 26409789, "admittime": "2187-01-26 19:06:00", "dischtime": "2187-02-01 18:32:00", "admission_type": "DIRECT EMER.", "demographics": { "age": 72, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "2761", "version": 9, "description": "Hyposmolality and/or hyponatremia" }, { "code": "1980", "version": 9, "description": "Secondary malignant neoplasm of kidney" }, { "code": "1985", "version": 9, "description": "Secondary malignant neoplasm of bone and bone marrow" }, { "code": "1983", "version": 9, "description": "Secondary malignant neoplasm of brain and spinal cord" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "5180", "version": 9, "description": "Pulmonary collapse" }, { "code": "3310", "version": 9, "description": "Alzheimer's disease" }, { "code": "29410", "version": 9, "description": "Dementia in conditions classified elsewhere without behavioral disturbance" }, { "code": "V462", "version": 9, "description": "Other dependence on machines, supplemental oxygen" }, { "code": "7837", "version": 9, "description": "Adult failure to thrive" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "496", "version": 9, "description": "Chronic airway obstruction, not elsewhere classified" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "2767", "version": 9, "description": "Hyperpotassemia" }, { "code": "78791", "version": 9, "description": "Diarrhea" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "2809", "version": 9, "description": "Iron deficiency anemia, unspecified" }, { "code": "28522", "version": 9, "description": "Anemia in neoplastic disease" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "V1046", "version": 9, "description": "Personal history of malignant neoplasm of prostate" }, { "code": "V1011", "version": 9, "description": "Personal history of malignant neoplasm of bronchus and lung" }, { "code": "2752", "version": 9, "description": "Disorders of magnesium metabolism" } ], "labs": [ { "label": "Anion Gap", "value": "18", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "20", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "100", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.3", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "___", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Sodium", "value": "129", "unit": "mEq/L", "flag": "abnormal" }, { "label": "BUN", "value": "43", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "9.2", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.3", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "386", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "16.1", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "1.0", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_51696222", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14744884/s51696222/5d9cf85d-134469a1-4ea8049e-fd8251d2-d8281018.jpg", "report_gt": "FINAL REPORT\n CHEST, TWO VIEWS: ___.\n \n HISTORY: ___-year-old female with epigastric pain. Question free air.\n \n FINDINGS: PA and lateral views of the chest are compared to previous exam\n from ___. The lungs are clear of focal consolidation. \n Cardiomediastinal silhouette is normal. Note is made of a vascular stent in\n the right subclavian area. Osseous and soft tissue structures are\n unremarkable. No free air is seen below the diaphragm.\n \n IMPRESSION: No acute cardiopulmonary process.", "findings": "PA and lateral views of the chest are compared to previous exam\n from ___. The lungs are clear of focal consolidation. \n Cardiomediastinal silhouette is normal. Note is made of a vascular stent in\n the right subclavian area. Osseous and soft tissue structures are\n unremarkable. No free air is seen below the diaphragm.", "impression": "No acute cardiopulmonary process.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14744884/s58480173/90e0275c-fdf15b9e-fa00d384-ace49c70-f4727012.jpg", "report": "FINDINGS:\nFrontal and lateral views of the chest compared to previous exam\n from ___. The lungs are clear of consolidation, effusion or\n pulmonary vascular congestion. Cardiomediastinal silhouette is within normal\n limits. Right-sided vascular stent is again noted. Osseous and soft tissue\n structures are otherwise unremarkable.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "Frontal and lateral views of the chest compared to previous exam\n from ___. The lungs are clear of consolidation, effusion or\n pulmonary vascular congestion. Cardiomediastinal silhouette is within normal\n limits. Right-sided vascular stent is again noted. Osseous and soft tissue\n structures are otherwise unremarkable.", "impression": "", "study_date": "2177-06-10", "study_id": "58480173" }, "metadata": { "subject_id": "14744884", "view_position": "PA", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2177-08-11" }, "eval_track": "followup" }, { "study_id": "mimic_58154356", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p16/p16855430/s58154356/c4d33fe5-ac2ec3d5-49786015-e5ea7a4d-04c82de3.jpg", "report_gt": "FINAL REPORT\n AP CHEST, 10:45 A.M. ON ___.\n \n HISTORY: ___-year-old woman with COPD and CHF in extremis.\n \n IMPRESSION: AP chest compared to ___ through ___:\n \n Pulmonary edema had improved substantially between ___ and ___,\n but there is substantially worse consolidation in the right lower and left\n upper lobes today than on ___. Whether this is recurrence of pulmonary\n edema or concurrent pneumonia is radiographically indeterminate. At least\n small bilateral pleural effusion is presumed. Moderate-to-severe cardiomegaly\n is longstanding. Left PIC line ends in the upper SVC. Findings were\n discussed by telephone with Dr. ___ at 12:45 p.m.", "findings": "were\n discussed by telephone with Dr. ___ at 12:45 p.m.", "impression": "AP chest compared to ___ through ___:\n \n Pulmonary edema had improved substantially between ___ and ___,\n but there is substantially worse consolidation in the right lower and left\n upper lobes today than on ___. Whether this is recurrence of pulmonary\n edema or concurrent pneumonia is radiographically indeterminate. At least\n small bilateral pleural effusion is presumed. Moderate-to-severe cardiomegaly\n is longstanding. Left PIC line ends in the upper SVC. Findings were\n discussed by telephone with Dr. ___ at 12:45 p.m.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p16/p16855430/s57834224/bf3a5411-5e10c67b-da46d4e3-89978035-8577d0fe.jpg", "report": "FINDINGS:\nComparison is made to previous study from ___. \n \n There is a left-sided PICC line with distal lead tip in the distal SVC,\n appropriately sited. Heart size is enlarged but stable. There is a\n persistent left retrocardiac opacity and likely left-sided pleural effusion. \n There is prominence of the pulmonary interstitial markings suggestive of\n minimal fluid overload, slightly worse than on the prior study. No\n pneumothoraces are seen.", "findings": "", "impression": "", "study_date": "2134-11-05", "study_id": "57834224" }, "metadata": { "subject_id": "16855430", "view_position": "AP", "comparison": "", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "1.0", "Consolidation": "1.0", "Edema": "1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2134-11-06", "admission_info": { "hadm_id": 26729976, "admittime": "2134-11-01 23:23:00", "dischtime": "2134-11-15 14:18:00", "admission_type": "EW EMER.", "demographics": { "age": 74, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "4870", "version": 9, "description": "Influenza with pneumonia" }, { "code": "42833", "version": 9, "description": "Acute on chronic diastolic heart failure" }, { "code": "48283", "version": 9, "description": "Pneumonia due to other gram-negative bacteria" }, { "code": "00845", "version": 9, "description": "Intestinal infection due to Clostridium difficile" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "2762", "version": 9, "description": "Acidosis" }, { "code": "40390", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified" }, { "code": "5853", "version": 9, "description": "Chronic kidney disease, Stage III (moderate)" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "25082", "version": 9, "description": "Diabetes with other specified manifestations, type II or unspecified type, uncontrolled" }, { "code": "2809", "version": 9, "description": "Iron deficiency anemia, unspecified" }, { "code": "28529", "version": 9, "description": "Anemia of other chronic disease" }, { "code": "71590", "version": 9, "description": "Osteoarthrosis, unspecified whether generalized or localized, site unspecified" }, { "code": "43889", "version": 9, "description": "Other late effects of cerebrovascular disease" }, { "code": "72887", "version": 9, "description": "Muscle weakness (generalized)" }, { "code": "30000", "version": 9, "description": "Anxiety state, unspecified" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "V1255", "version": 9, "description": "Personal history of pulmonary embolism" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "V1251", "version": 9, "description": "Personal history of venous thrombosis and embolism" }, { "code": "V2651", "version": 9, "description": "Tubal ligation status" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "V1301", "version": 9, "description": "Personal history of urinary calculi" } ], "labs": [ { "label": "Anion Gap", "value": "17", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "24", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "106", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "2.3", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.6", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "142", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "49", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "8.2", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.5", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "250", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "14.0", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "1.0", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_59081164", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14353044/s59081164/09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c.jpg", "report_gt": "FINAL REPORT\n HISTORY: Evaluate for abnormality. \n \n TECHNIQUE: PA and lateral views of the chest. \n \n COMPARISON: Multiple chest radiographs the most recent on ___. \n \n FINDINGS:\n \n A left central venous catheter is seen terminating in the lower SVC. \n \n Again seen is elevation of the right hemidiaphragm and small pleural effusion\n and atelectasis at the base of the right lung. The cardiomediastinal\n silhouette and hilar contours are grossly unchanged. There is no evidence of\n pneumothorax. Thoracolumbar fusion hardware is seen unchanged in appearance. \n \n \n IMPRESSION:\n \n Small pleural effusion and atelectasis at the base of the right lung.", "findings": "A left central venous catheter is seen terminating in the lower SVC. \n \n Again seen is elevation of the right hemidiaphragm and small pleural effusion\n and atelectasis at the base of the right lung. The cardiomediastinal\n silhouette and hilar contours are grossly unchanged. There is no evidence of\n pneumothorax. Thoracolumbar fusion hardware is seen unchanged in appearance.", "impression": "Small pleural effusion and atelectasis at the base of the right lung.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14353044/s53086061/8c4ad17a-c6ec16dc-137e714a-10dc9541-499191a1.jpg", "report": "FINDINGS:\nAP and lateral views of the chest. Posterior fixation hardware in\n the thoracic spine is several years old. Elevation of the right lung base has\n been increasing slowly over the past ___ years. Small right pleural effusion\n is comparable to ___, slightly larger than on ___. Left\n subclavian line ends in the distal SVC. Heart size is normal. \n Cardiomediastinal and hilar contours are normal. Right basilar linear\n atelectasis is unchanged. No consolidation or pulmonary edema is present.\n\nIMPRESSION:\nNo evidence of cardiac decompensation. Chronic unexplained\n elevation, right lung base and chronic, small to moderate right pleural\n effusion.", "findings": "AP and lateral views of the chest. Posterior fixation hardware in\n the thoracic spine is several years old. Elevation of the right lung base has\n been increasing slowly over the past ___ years. Small right pleural effusion\n is comparable to ___, slightly larger than on ___. Left\n subclavian line ends in the distal SVC. Heart size is normal. \n Cardiomediastinal and hilar contours are normal. Right basilar linear\n atelectasis is unchanged. No consolidation or pulmonary edema is present.", "impression": "", "study_date": "2170-08-22", "study_id": "53086061" }, "metadata": { "subject_id": "14353044", "view_position": "AP", "comparison": "Multiple chest radiographs the most recent on ___.", "chexpert_labels": { "Atelectasis": "1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2170-12-07" }, "eval_track": "followup" }, { "study_id": "mimic_53532692", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15259244/s53532692/bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5.jpg", "report_gt": "FINAL REPORT\n INDICATION: INR of 9.\n \n COMPARISON: ___.\n \n TECHNIQUE: Frontal and lateral chest radiographs were obtained.\n \n FINDINGS: No focal consolidation, pneumothorax, or pulmonary edema is seen. \n Heart and mediastinal contours are stable. There has been interval resolution\n of the previously seen pulmonary edema. A right subclavian hemodialysis\n catheter is seen with tip projecting over the expected location of the right\n atrium. There is a small right pleural effusion.\n \n IMPRESSION: Small right pleural effusion with interval resolution of\n pulmonary edema since ___.", "findings": "No focal consolidation, pneumothorax, or pulmonary edema is seen. \n Heart and mediastinal contours are stable. There has been interval resolution\n of the previously seen pulmonary edema. A right subclavian hemodialysis\n catheter is seen with tip projecting over the expected location of the right\n atrium. There is a small right pleural effusion.", "impression": "Small right pleural effusion with interval resolution of\n pulmonary edema since ___.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p15/p15259244/s53282268/e71f51f3-72341a6f-e930d575-66d2c3ef-339886c5.jpg", "report": "FINDINGS:\nOne portable AP upright view of the chest. Right hemodialysis\n catheter ends in the right atrium. There is pulmonary edema and pulmonary\n vascular congestion. There is no focal parenchymal opacities concerning for\n pneumonia. There is no pneumothorax. No definite pleural effusions. The\n cardiac, mediastinal, and hilar contours are normal.\n\nIMPRESSION:\nModerate pulmonary edema.\n \n These findings were discussed with Dr. ___ at 2 p.m. on ___ by telephone.", "findings": "One portable AP upright view of the chest. Right hemodialysis\n catheter ends in the right atrium. There is pulmonary edema and pulmonary\n vascular congestion. There is no focal parenchymal opacities concerning for\n pneumonia. There is no pneumothorax. No definite pleural effusions. The\n cardiac, mediastinal, and hilar contours are normal.", "impression": "", "study_date": "2125-02-16", "study_id": "53282268" }, "metadata": { "subject_id": "15259244", "view_position": "PA", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "0.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "0.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2125-03-03", "admission_info": { "hadm_id": 27987260, "admittime": "2125-03-03 01:48:00", "dischtime": "2125-03-03 17:14:00", "admission_type": "EW EMER.", "demographics": { "age": 61, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "79092", "version": 9, "description": "Abnormal coagulation profile" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "42840", "version": 9, "description": "Combined systolic and diastolic heart failure, unspecified" }, { "code": "99681", "version": 9, "description": "Complications of transplanted kidney" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "V4283", "version": 9, "description": "Pancreas replaced by transplant" }, { "code": "42842", "version": 9, "description": "Chronic combined systolic and diastolic heart failure" }, { "code": "11284", "version": 9, "description": "Candidal esophagitis" }, { "code": "3371", "version": 9, "description": "Peripheral autonomic neuropathy in disorders classified elsewhere" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "28521", "version": 9, "description": "Anemia in chronic kidney disease" }, { "code": "V5861", "version": 9, "description": "Long-term (current) use of anticoagulants" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "73300", "version": 9, "description": "Osteoporosis, unspecified" }, { "code": "2449", "version": 9, "description": "Unspecified acquired hypothyroidism" }, { "code": "V4975", "version": 9, "description": "Below knee amputation status" }, { "code": "25051", "version": 9, "description": "Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled" }, { "code": "36201", "version": 9, "description": "Background diabetic retinopathy" }, { "code": "25061", "version": 9, "description": "Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled" }, { "code": "3572", "version": 9, "description": "Polyneuropathy in diabetes" } ], "labs": [ { "label": "Hemoglobin", "value": "10.8", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.3", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "200", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "2.3", "unit": "K/uL", "flag": "abnormal" }, { "label": "Creatinine", "value": "2.8", "unit": "mg/dL", "flag": "abnormal" }, { "label": "BUN", "value": "21", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Anion Gap", "value": "12", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "31", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "102", "unit": "mEq/L", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.2", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "141", "unit": "mEq/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_50714348", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15446959/s50714348/e5a35d58-daafa26b-836bd682-17f54c3c-a3f33527.jpg", "report_gt": "FINAL REPORT\n HISTORY: \n \n Lung cancer with brain metastases and increase weakness for 1 month.\n \n TECHNIQUE: Upright AP and lateral views of the chest.\n \n COMPARISON: Chest CT ___ and chest radiograph ___.\n \n FINDINGS:\n \n The heart size remains mildly enlarged. The aorta is tortuous. The patient\n is status post left lower lobectomy with elevation of the left hemidiaphragm. \n The left mid posterior chest wall deformity is again demonstrated with\n associated right basilar opacity compatible with changes from chest wall\n reconstruction. There is persistent left basilar atelectasis. Right lung is\n clear. No pleural effusion or pneumothorax is definitely visualized. There\n is no pulmonary vascular congestion. Mild degenerative changes are noted in\n the thoracic spine.\n \n IMPRESSION:\n \n Similar postoperative appearance of the left chest compared to the recent\n chest CT without acute cardiopulmonary abnormality.", "findings": "The heart size remains mildly enlarged. The aorta is tortuous. The patient\n is status post left lower lobectomy with elevation of the left hemidiaphragm. \n The left mid posterior chest wall deformity is again demonstrated with\n associated right basilar opacity compatible with changes from chest wall\n reconstruction. There is persistent left basilar atelectasis. Right lung is\n clear. No pleural effusion or pneumothorax is definitely visualized. There\n is no pulmonary vascular congestion. Mild degenerative changes are noted in\n the thoracic spine.", "impression": "Similar postoperative appearance of the left chest compared to the recent\n chest CT without acute cardiopulmonary abnormality.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p15/p15446959/s51765753/532b41c5-aa84f4e3-0680a169-3354c664-82013589.jpg", "report": "WET READ: ___ ___ ___ 9:47 PM\n stable post-operative appearance in left lung. minimally increased\n opacification in right lower lung, may reprsent early infectious process in\n correct clinical setting. uncgaged cardiomediastinal borders. ___\n ______________________________________________________________________________\n FINAL REPORT\n PA AND LATERAL VIEWS OF THE CHEST\n \n REASON FOR EXAM: Patient with cough and metastatic lung cancer.\n \n Mild opacity in the right lower lobe likely corresponds to an infectious\n process given the clinical concern. Follow up is recommended. \n \n Mild cardiomegaly and tortuous aorta are stable. Opacities in the left\n hemithorax are consistent with post-operative changes, better evaluated by\n prior CT from ___. There is no pneumothorax or increasing pleural\n effusions. Left hemidiaphragm is elevated as before. Left perihilar\n opacities, though difficult to evaluate, are grossly unchanged from prior\n study.", "findings": "", "impression": "", "study_date": "2186-01-10", "study_id": "51765753" }, "metadata": { "subject_id": "15446959", "view_position": "AP", "comparison": "Chest CT ___ and chest radiograph ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2186-09-23", "admission_info": { "hadm_id": 25451776, "admittime": "2186-09-23 18:11:00", "dischtime": "2186-10-03 17:50:00", "admission_type": "EW EMER.", "demographics": { "age": 76, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "7907", "version": 9, "description": "Bacteremia" }, { "code": "1983", "version": 9, "description": "Secondary malignant neoplasm of brain and spinal cord" }, { "code": "04119", "version": 9, "description": "Staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus" }, { "code": "V1011", "version": 9, "description": "Personal history of malignant neoplasm of bronchus and lung" }, { "code": "78079", "version": 9, "description": "Other malaise and fatigue" }, { "code": "78097", "version": 9, "description": "Altered mental status" }, { "code": "78829", "version": 9, "description": "Other specified retention of urine" }, { "code": "E9379", "version": 9, "description": "Unspecified sedatives and hypnotics causing adverse effects in therapeutic use" }, { "code": "E8497", "version": 9, "description": "Accidents occurring in residential institution" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2410", "version": 9, "description": "Nontoxic uninodular goiter" }, { "code": "3569", "version": 9, "description": "Unspecified hereditary and idiopathic peripheral neuropathy" }, { "code": "73679", "version": 9, "description": "Other acquired deformities of ankle and foot" }, { "code": "60000", "version": 9, "description": "Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS)" }, { "code": "V1255", "version": 9, "description": "Personal history of pulmonary embolism" }, { "code": "V1251", "version": 9, "description": "Personal history of venous thrombosis and embolism" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "7919", "version": 9, "description": "Other nonspecific findings on examination of urine" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" } ], "labs": [ { "label": "Anion Gap", "value": "10", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "28", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "106", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "1.1", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.3", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "140", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "21", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "13.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.7", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "104", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "11.0", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_58878473", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p13/p13473495/s58878473/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg", "report_gt": "FINAL REPORT\n HISTORY: Shortness of breath, altered mental status.\n \n TECHNIQUE: Upright AP view of the chest.\n \n COMPARISON: ___.\n \n FINDINGS:\n \n Severe cardiomegaly is unchanged. The mediastinal and hilar contours are\n similar. There is mild pulmonary vascular engorgement, also unchanged. \n Bibasilar airspace opacities could reflect atelectasis though infection or\n aspiration cannot be excluded. No large pleural effusion or pneumothorax is\n seen.\n \n IMPRESSION:\n \n Mild pulmonary vascular engorgement and bibasilar opacities possibly\n reflecting atelectasis but infection or aspiration cannot be excluded.", "findings": "Severe cardiomegaly is unchanged. The mediastinal and hilar contours are\n similar. There is mild pulmonary vascular engorgement, also unchanged. \n Bibasilar airspace opacities could reflect atelectasis though infection or\n aspiration cannot be excluded. No large pleural effusion or pneumothorax is\n seen.", "impression": "Mild pulmonary vascular engorgement and bibasilar opacities possibly\n reflecting atelectasis but infection or aspiration cannot be excluded.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg", "report": "FINDINGS:\nAs compared to the previous radiograph, the hemodialysis catheter\n has been removed. Severe cardiomegaly with moderate pulmonary fluid overload\n persists, larger pleural effusions are not present. There currently is no\n indication for pneumonia. No pneumothorax.", "findings": "", "impression": "", "study_date": "2141-01-27", "study_id": "59693688" }, "metadata": { "subject_id": "13473495", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "-1.0", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "-1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2141-06-29", "admission_info": { "hadm_id": 25901935, "admittime": "2141-06-29 14:11:00", "dischtime": "2141-07-07 15:37:00", "admission_type": "EW EMER.", "demographics": { "age": 57, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "03842", "version": 9, "description": "Septicemia due to escherichia coli [E. coli]" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "42823", "version": 9, "description": "Acute on chronic systolic heart failure" }, { "code": "34982", "version": 9, "description": "Toxic encephalopathy" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "8670", "version": 9, "description": "Injury to bladder and urethra, without mention of open wound into cavity" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "42731", "version": 9, "description": "Atrial fibrillation" }, { "code": "25000", "version": 9, "description": "Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled" }, { "code": "4280", "version": 9, "description": "Congestive heart failure, unspecified" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "7921", "version": 9, "description": "Nonspecific abnormal findings in stool contents" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "32723", "version": 9, "description": "Obstructive sleep apnea (adult)(pediatric)" }, { "code": "27801", "version": 9, "description": "Morbid obesity" }, { "code": "2749", "version": 9, "description": "Gout, unspecified" }, { "code": "E8497", "version": 9, "description": "Accidents occurring in residential institution" }, { "code": "E8796", "version": 9, "description": "Urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure" } ], "labs": [ { "label": "Anion Gap", "value": "23", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "19", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Chloride", "value": "94", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Creatinine", "value": "5.6", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "4.8", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "131", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "53", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "11.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "30.8", "unit": "%", "flag": "abnormal" }, { "label": "Platelet Count", "value": "201", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "16.2", "unit": "K/uL", "flag": "abnormal" }, { "label": "Lactate", "value": "2.5", "unit": "mmol/L", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_51522722", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p17/p17398573/s51522722/4a102c0d-0f7d000d-98e8aac0-7509e4c8-b9d60545.jpg", "report_gt": "FINAL REPORT\n EXAMINATION:\n Chest: Frontal and lateral views\n \n INDICATION: History: ___F with leukocytosis // eval for pna\n \n TECHNIQUE: Chest: Frontal and Lateral\n \n COMPARISON: Chest radiograph on ___\n \n FINDINGS: \n \n The lungs are clear without focal consolidation. There is a prominent right\n mediastinal fat pad. No pleural effusion or pneumothorax is seen.\n Cardiomegaly is stable.\n \n IMPRESSION: \n \n No acute cardiopulmonary process.", "findings": "The lungs are clear without focal consolidation. There is a prominent right\n mediastinal fat pad. No pleural effusion or pneumothorax is seen.\n Cardiomegaly is stable.", "impression": "No acute cardiopulmonary process.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p17/p17398573/s51909919/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.jpg", "report": "FINDINGS:\nModerate cardiomegaly is re- demonstrated. The aorta is tortuous. Pulmonary\n vasculature is not engorged. Patchy opacities are seen in the left lung base,\n potentially atelectasis but infection or aspiration cannot be excluded. \n Streaky atelectasis is also demonstrated in the left lung base. No pleural\n effusion or pneumothorax is present. No acute osseous abnormality is\n visualized.\n\nIMPRESSION:\nPatchy left basilar opacity may reflect atelectasis, but infection or\n aspiration cannot be excluded in the correct clinical setting.", "findings": "Moderate cardiomegaly is re- demonstrated. The aorta is tortuous. Pulmonary\n vasculature is not engorged. Patchy opacities are seen in the left lung base,\n potentially atelectasis but infection or aspiration cannot be excluded. \n Streaky atelectasis is also demonstrated in the left lung base. No pleural\n effusion or pneumothorax is present. No acute osseous abnormality is\n visualized.", "impression": "", "study_date": "2187-05-23", "study_id": "51909919" }, "metadata": { "subject_id": "17398573", "view_position": "PA", "comparison": "Chest radiograph on ___", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2187-11-21", "admission_info": { "hadm_id": 24560094, "admittime": "2187-11-21 10:23:00", "dischtime": "2187-11-22 15:50:00", "admission_type": "OBSERVATION ADMIT", "demographics": { "age": 93, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "N390", "version": 10, "description": "Urinary tract infection, site not specified" }, { "code": "I10", "version": 10, "description": "Essential (primary) hypertension" }, { "code": "E039", "version": 10, "description": "Hypothyroidism, unspecified" }, { "code": "E785", "version": 10, "description": "Hyperlipidemia, unspecified" }, { "code": "J320", "version": 10, "description": "Chronic maxillary sinusitis" }, { "code": "K219", "version": 10, "description": "Gastro-esophageal reflux disease without esophagitis" }, { "code": "H269", "version": 10, "description": "Unspecified cataract" } ], "labs": [ { "label": "Anion Gap", "value": "17", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "29", "unit": "mEq/L", "flag": "normal" }, { "label": "CRP", "value": "___", "unit": "mg/L", "flag": "normal" }, { "label": "Chloride", "value": "96", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.9", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "4.0", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "138", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "19", "unit": "mg/dL", "flag": "normal" }, { "label": "Hemoglobin", "value": "12.6", "unit": "g/dL", "flag": "normal" }, { "label": "MCHC", "value": "32.6", "unit": "g/dL", "flag": "normal" }, { "label": "Platelet Count", "value": "162", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "14.8", "unit": "K/uL", "flag": "abnormal" }, { "label": "Troponin T", "value": "", "unit": "ng/mL", "flag": "normal" }, { "label": "Lactate", "value": "1.4", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_56676503", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p15/p15857729/s56676503/b128a59a-4eb90799-c8564692-8e582714-82706ad2.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PORTABLE AP)\n \n INDICATION: ___ year old woman with DM2 and ESRD presented with sepsis, now\n s/p PEA arrest // OG tube\n \n TECHNIQUE: Portable AP radiograph of the chest from ___.\n \n COMPARISON: Earlier the same day.\n \n FINDINGS: \n \n A newly placed nasogastric tube terminates in the distal stomach. The right IJ\n central venous catheter and an ET tube are unchanged in position. The\n bilateral lung apices have been excluded from the field of view, limiting\n assessment for pneumothorax. Severe bilateral airspace opacities are\n unchanged. A small layering right pleural effusion is not appreciably changed.\n \n IMPRESSION: \n \n NG tube ends in distal stomach. Remaining lines and tubes in satisfactory\n position.\n \n Right lower lobe pneumonia with stable severe bilateral airspace opacities,\n which may be due to pulmonary edema or hemorrhage.\n \n Moderate layering right pleural effusion not appreciably changed.", "findings": "A newly placed nasogastric tube terminates in the distal stomach. The right IJ\n central venous catheter and an ET tube are unchanged in position. The\n bilateral lung apices have been excluded from the field of view, limiting\n assessment for pneumothorax. Severe bilateral airspace opacities are\n unchanged. A small layering right pleural effusion is not appreciably changed.", "impression": "NG tube ends in distal stomach. Remaining lines and tubes in satisfactory\n position.\n \n Right lower lobe pneumonia with stable severe bilateral airspace opacities,\n which may be due to pulmonary edema or hemorrhage.\n \n Moderate layering right pleural effusion not appreciably changed.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p15/p15857729/s51551684/8dc7bad7-d7cdbfe7-7231abb5-65e3168d-12e734c2.jpg", "report": "FINDINGS:\nAP portable upright view of the chest. Right IJ central venous catheter is\n seen with its tip in the expected location of the mid SVC. There is airspace\n consolidation in the right lower lung concerning for pneumonia. The left lung\n is mostly clear. No large effusion is seen. No pneumothorax. Cardiomediastinal\n silhouette is stable. Bony structures are intact.\n\nIMPRESSION:\n1. Right IJ positioned appropriately with tip in the mid SVC.\n 2. Right lower lobe consolidation concerning for pneumonia.", "findings": "AP portable upright view of the chest. Right IJ central venous catheter is\n seen with its tip in the expected location of the mid SVC. There is airspace\n consolidation in the right lower lung concerning for pneumonia. The left lung\n is mostly clear. No large effusion is seen. No pneumothorax. Cardiomediastinal\n silhouette is stable. Bony structures are intact.", "impression": "", "study_date": "2150-12-25", "study_id": "51551684" }, "metadata": { "subject_id": "15857729", "view_position": "AP", "comparison": "Earlier the same day.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "-1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "1.0", "Pneumothorax": "", "Support Devices": "1.0" }, "study_date": "2150-12-26", "admission_info": { "hadm_id": 23444896, "admittime": "2150-12-25 23:55:00", "dischtime": "2150-12-27 05:55:00", "admission_type": "EW EMER.", "demographics": { "age": 52, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "03840", "version": 9, "description": "Septicemia due to gram-negative organism, unspecified" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "78552", "version": 9, "description": "Septic shock" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "24940", "version": 9, "description": "Secondary diabetes mellitus with renal manifestations, not stated as uncontrolled, or unspecified" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "2875", "version": 9, "description": "Thrombocytopenia, unspecified" }, { "code": "5771", "version": 9, "description": "Chronic pancreatitis" }, { "code": "5990", "version": 9, "description": "Urinary tract infection, site not specified" }, { "code": "24980", "version": 9, "description": "Secondary diabetes mellitus with other specified manifestations, not stated as uncontrolled, or unspecified" }, { "code": "V5867", "version": 9, "description": "Long-term (current) use of insulin" }, { "code": "24960", "version": 9, "description": "Secondary diabetes mellitus with neurological manifestations, not stated as uncontrolled, or unspecified" }, { "code": "3572", "version": 9, "description": "Polyneuropathy in diabetes" }, { "code": "24950", "version": 9, "description": "Secondary diabetes mellitus with ophthalmic manifestations, not stated as uncontrolled, or unspecified" }, { "code": "36201", "version": 9, "description": "Background diabetic retinopathy" }, { "code": "V4511", "version": 9, "description": "Renal dialysis status" }, { "code": "311", "version": 9, "description": "Depressive disorder, not elsewhere classified" }, { "code": "4240", "version": 9, "description": "Mitral valve disorders" }, { "code": "V4975", "version": 9, "description": "Below knee amputation status" }, { "code": "3051", "version": 9, "description": "Tobacco use disorder" }, { "code": "4275", "version": 9, "description": "Cardiac arrest" }, { "code": "99592", "version": 9, "description": "Severe sepsis" }, { "code": "53081", "version": 9, "description": "Esophageal reflux" }, { "code": "56400", "version": 9, "description": "Constipation, unspecified" }, { "code": "V707", "version": 9, "description": "Examination of participant in clinical trial" }, { "code": "V1204", "version": 9, "description": "Personal history of Methicillin resistant Staphylococcus aureus" }, { "code": "2738", "version": 9, "description": "Other disorders of plasma protein metabolism" } ], "labs": [ { "label": "Lactate", "value": "3.2", "unit": "mmol/L", "flag": "abnormal" }, { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "28", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "99", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "5.0", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.9", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "136", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "30", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "9.3", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "32.7", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "47", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "___", "unit": "K/uL", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_56753518", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14722763/s56753518/ab680048-8257c201-858ba25c-718b230c-186cf3f4.jpg", "report_gt": "FINAL REPORT\n INDICATION: Shortness of breath and dyspnea on exertion. History of recent\n pneumonia and history of lung cancer.\n \n TECHNIQUE: Single frontal radiograph of the chest.\n \n COMPARISON: Multiple prior examinations, most recent radiographs dated\n ___ and most recent CT dated ___.\n \n FINDINGS: Again seen are chronic interstitial changes predominantly in the\n right lower and left mid and lower lungs. However, there is increased density\n of opacification in the right lower hemithorax concerning for developing\n infection. Considerations include atypical infection, though asymmetric\n pulmonary edema is possible. Given history of lung malignancy, lymphangitic\n carcinomatosis is also a consideration. Underlying fibrotic changes are\n grossly similar with predominantly paramediastinal and lingular distribution. \n No pneumothorax or significant pleural effusion is seen. The heart size is\n enlarged, however, unchanged. Of note, on the CT of ___, there\n was a small pericardial effusion. There are atherosclerotic calcifications of\n the aortic arch.\n \n IMPRESSION: Diffuse interstitial opacities increased predominantly in the\n right lower lung, concerning for developing infection. Given history of lung\n carcinoma, however, lymphangitic spread of carcinoma as well as asymmetric\n pulmonary edema are possibilities.", "findings": "Again seen are chronic interstitial changes predominantly in the\n right lower and left mid and lower lungs. However, there is increased density\n of opacification in the right lower hemithorax concerning for developing\n infection. Considerations include atypical infection, though asymmetric\n pulmonary edema is possible. Given history of lung malignancy, lymphangitic\n carcinomatosis is also a consideration. Underlying fibrotic changes are\n grossly similar with predominantly paramediastinal and lingular distribution. \n No pneumothorax or significant pleural effusion is seen. The heart size is\n enlarged, however, unchanged. Of note, on the CT of ___, there\n was a small pericardial effusion. There are atherosclerotic calcifications of\n the aortic arch.", "impression": "Diffuse interstitial opacities increased predominantly in the\n right lower lung, concerning for developing infection. Given history of lung\n carcinoma, however, lymphangitic spread of carcinoma as well as asymmetric\n pulmonary edema are possibilities.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14722763/s51766355/8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c.jpg", "report": "FINDINGS:\nDiffuse interstitial opacities, predominantly in the right lung\n base and probably very mild in the left lung base are present. When compared\n to the prior chest CT from ___, these interstitial opacities\n appear new, and given the clinical history, likely represent lung infection\n (atypical viral) or asymmetric pulmonary edema. In view of history, a\n possibility of lymphangitic carcinomatosis also needs to be ruled out. \n Compared with prior radiograph from ___, a dense opacity in the\n left perihilar region, likely radiation fibrosis has significantly improved\n over ___ to ___, as demonstrated on series of chest CT's . \n Heart size is mildly larger and unchanged. Irregularity of the hilar and\n mediastinal border is likely postradiation. Ill-defined opacity in the left\n mid lung corresponds to scarring and atelectasis, as suggested on review of\n chest CT from ___. Pleural effusion, if any, is minimal\n bilaterally. Bilateral lower lung bases are remarkable for mild atelectasis.\n\nIMPRESSION:\n1. Diffuse interstitial opacities in the right lung and very mild in left\n lung base, in view of history most likely reflect lung infection or asymmetric\n pulmonary edema. A possibility of lymphangitic spread of malignancy also\n needs to be ruled out in view of clinical history.\n \n 2. Irregularity of the mediastinal and hilar contours is attributed to the\n postradiation changes.\n \n 3. Ill-defined opacity in the left mild lung is likely atelectasis/scarring\n as suggested from a concurrent review of ___ CT.\n \n Follow-up radiograph is recommended at 4 wks to monitor changes.\n \n Above findings were discussed with Dr. ___ on ___ at 5:45\n p.m.", "findings": "Diffuse interstitial opacities, predominantly in the right lung\n base and probably very mild in the left lung base are present. When compared\n to the prior chest CT from ___, these interstitial opacities\n appear new, and given the clinical history, likely represent lung infection\n (atypical viral) or asymmetric pulmonary edema. In view of history, a\n possibility of lymphangitic carcinomatosis also needs to be ruled out. \n Compared with prior radiograph from ___, a dense opacity in the\n left perihilar region, likely radiation fibrosis has significantly improved\n over ___ to ___, as demonstrated on series of chest CT's . \n Heart size is mildly larger and unchanged. Irregularity of the hilar and\n mediastinal border is likely postradiation. Ill-defined opacity in the left\n mid lung corresponds to scarring and atelectasis, as suggested on review of\n chest CT from ___. Pleural effusion, if any, is minimal\n bilaterally. Bilateral lower lung bases are remarkable for mild atelectasis.", "impression": "", "study_date": "2178-09-19", "study_id": "51766355" }, "metadata": { "subject_id": "14722763", "view_position": "AP", "comparison": "Multiple prior examinations, most recent radiographs dated\n ___ and most recent CT dated ___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "1.0", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "1.0", "Lung Opacity": "1.0", "No Finding": "", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "-1.0", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2178-09-23", "admission_info": { "hadm_id": 23253676, "admittime": "2178-09-23 13:33:00", "dischtime": "2178-10-04 14:00:00", "admission_type": "EW EMER.", "demographics": { "age": 79, "gender": "F" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "41519", "version": 9, "description": "Other pulmonary embolism and infarction" }, { "code": "486", "version": 9, "description": "Pneumonia, organism unspecified" }, { "code": "51881", "version": 9, "description": "Acute respiratory failure" }, { "code": "1972", "version": 9, "description": "Secondary malignant neoplasm of pleura" }, { "code": "1625", "version": 9, "description": "Malignant neoplasm of lower lobe, bronchus or lung" }, { "code": "1623", "version": 9, "description": "Malignant neoplasm of upper lobe, bronchus or lung" }, { "code": "1961", "version": 9, "description": "Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes" }, { "code": "2763", "version": 9, "description": "Alkalosis" }, { "code": "5180", "version": 9, "description": "Pulmonary collapse" }, { "code": "5849", "version": 9, "description": "Acute kidney failure, unspecified" }, { "code": "30000", "version": 9, "description": "Anxiety state, unspecified" }, { "code": "28522", "version": 9, "description": "Anemia in neoplastic disease" }, { "code": "4019", "version": 9, "description": "Unspecified essential hypertension" }, { "code": "2724", "version": 9, "description": "Other and unspecified hyperlipidemia" }, { "code": "41401", "version": 9, "description": "Coronary atherosclerosis of native coronary artery" }, { "code": "V4582", "version": 9, "description": "Percutaneous transluminal coronary angioplasty status" }, { "code": "73300", "version": 9, "description": "Osteoporosis, unspecified" }, { "code": "V1582", "version": 9, "description": "Personal history of tobacco use" }, { "code": "V4986", "version": 9, "description": "Do not resuscitate status" }, { "code": "27669", "version": 9, "description": "Other fluid overload" }, { "code": "V667", "version": 9, "description": "Encounter for palliative care" } ], "labs": [ { "label": "Hemoglobin", "value": "8.6", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "33.3", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "438", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "___", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "13", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "24", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "104", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "0.8", "unit": "mg/dL", "flag": "normal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "normal" }, { "label": "Potassium", "value": "3.6", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "137", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "14", "unit": "mg/dL", "flag": "normal" }, { "label": "BNP", "value": "___", "unit": "pg/mL", "flag": "abnormal" }, { "label": "Lactate", "value": "1.3", "unit": "mmol/L", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_52998742", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p14/p14236258/s52998742/8ee276bc-f8413bb2-79639432-b58d2a14-2d9f78c0.jpg", "report_gt": "FINAL REPORT\n CHEST RADIOGRAPH PERFORMED ON ___ \n \n COMPARISON: ___.\n \n CLINICAL HISTORY: Hypotension, assess pneumonia.\n \n FINDINGS: AP upright and lateral views of the chest were provided. A\n vascular stent is again noted in the region of the SVC, left brachiocephalic\n vein. There is blunting of the right CP angle which could indicate a small\n effusion. No overt signs of edema or pneumonia. The cardiomediastinal\n silhouette is stable. Bony structures are intact. Degenerative changes again\n noted at the left glenohumeral joint.\n \n IMPRESSION: Small right pleural effusion. Otherwise unremarkable.", "findings": "AP upright and lateral views of the chest were provided. A\n vascular stent is again noted in the region of the SVC, left brachiocephalic\n vein. There is blunting of the right CP angle which could indicate a small\n effusion. No overt signs of edema or pneumonia. The cardiomediastinal\n silhouette is stable. Bony structures are intact. Degenerative changes again\n noted at the left glenohumeral joint.", "impression": "Small right pleural effusion. Otherwise unremarkable.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p14/p14236258/s55328340/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg", "report": "FINDINGS:\nSingle portable view of the chest. Left chest wall dual lumen central venous\n catheter has been removed. There is a left brachiocephalic/superior vena cava\n stent. The lungs are clear of consolidation or pulmonary vascular congestion.\n Cardiac silhouette is enlarged likely exaggerated due to technique and\n positioning. Multiple posterior healed right rib fractures are identified.\n\nIMPRESSION:\nNo acute cardiopulmonary process.", "findings": "Single portable view of the chest. Left chest wall dual lumen central venous\n catheter has been removed. There is a left brachiocephalic/superior vena cava\n stent. The lungs are clear of consolidation or pulmonary vascular congestion.\n Cardiac silhouette is enlarged likely exaggerated due to technique and\n positioning. Multiple posterior healed right rib fractures are identified.", "impression": "", "study_date": "2186-09-02", "study_id": "55328340" }, "metadata": { "subject_id": "14236258", "view_position": "AP", "comparison": "___.", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "", "Pleural Effusion": "1.0", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2187-02-27", "admission_info": { "hadm_id": 21315718, "admittime": "2187-02-27 17:02:00", "dischtime": "2187-03-05 16:48:00", "admission_type": "EW EMER.", "demographics": { "age": 65, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "34511", "version": 9, "description": "Generalized convulsive epilepsy, with intractable epilepsy" }, { "code": "78559", "version": 9, "description": "Other shock without mention of trauma" }, { "code": "5856", "version": 9, "description": "End stage renal disease" }, { "code": "40391", "version": 9, "description": "Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease" }, { "code": "43820", "version": 9, "description": "Late effects of cerebrovascular disease, hemiplegia affecting unspecified side" }, { "code": "99673", "version": 9, "description": "Other complications due to renal dialysis device, implant, and graft" }, { "code": "27651", "version": 9, "description": "Dehydration" }, { "code": "V4511", "version": 9, "description": "Renal dialysis status" }, { "code": "412", "version": 9, "description": "Old myocardial infarction" }, { "code": "4148", "version": 9, "description": "Other specified forms of chronic ischemic heart disease" }, { "code": "45821", "version": 9, "description": "Hypotension of hemodialysis" }, { "code": "V1581", "version": 9, "description": "Personal history of noncompliance with medical treatment, presenting hazards to health" }, { "code": "28521", "version": 9, "description": "Anemia in chronic kidney disease" }, { "code": "V4581", "version": 9, "description": "Aortocoronary bypass status" }, { "code": "41400", "version": 9, "description": "Coronary atherosclerosis of unspecified type of vessel, native or graft" }, { "code": "33829", "version": 9, "description": "Other chronic pain" }, { "code": "V463", "version": 9, "description": "Wheelchair dependence" }, { "code": "E8782", "version": 9, "description": "Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation" }, { "code": "6989", "version": 9, "description": "Unspecified pruritic disorder" }, { "code": "E9478", "version": 9, "description": "Other drugs and medicinal substances causing adverse effects in therapeutic use" } ], "labs": [ { "label": "Anion Gap", "value": "21", "unit": "mEq/L", "flag": "abnormal" }, { "label": "Bicarbonate", "value": "25", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "98", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "6.7", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.8", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "140", "unit": "mEq/L", "flag": "normal" }, { "label": "Troponin T", "value": "___", "unit": "ng/mL", "flag": "abnormal" }, { "label": "BUN", "value": "27", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Hemoglobin", "value": "11.1", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.9", "unit": "%", "flag": "normal" }, { "label": "Platelet Count", "value": "261", "unit": "K/uL", "flag": "normal" }, { "label": "WBC", "value": "9.2", "unit": "K/uL", "flag": "normal" } ] } }, "eval_track": "followup" }, { "study_id": "mimic_55652630", "dataset": "mimic_cxr", "split": "test", "image_path": "images/mimic/p19/p19075045/s55652630/a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf.jpg", "report_gt": "FINAL REPORT\n EXAMINATION: CHEST (PORTABLE AP)\n \n INDICATION: ___ year old man with acute renal failure and volume overload with\n recent history of viral illness and cough // eval for interval change\n \n COMPARISON: Chest x-ray from ___\n \n FINDINGS: \n \n Compared with the prior film, inspiratory volumes are lower.\n \n A right IJ line is present, tip overlying distal SVC, new compared with the\n prior film. Left-sided pacemaker is present, with lead tips over the right\n atrium and right ventricle. Prosthetic aortic valve again noted.\n \n The cardio mediastinal silhouette, including mild cardiomegaly, is unchanged. \n There is possible minimal upper zone redistribution. There is bibasilar\n atelectasis. No frank consolidation or gross effusion identified.\n \n Incidental note made of partially imaged bilateral shoulder prostheses.\n \n IMPRESSION: \n \n As above.", "findings": "Compared with the prior film, inspiratory volumes are lower.\n \n A right IJ line is present, tip overlying distal SVC, new compared with the\n prior film. Left-sided pacemaker is present, with lead tips over the right\n atrium and right ventricle. Prosthetic aortic valve again noted.\n \n The cardio mediastinal silhouette, including mild cardiomegaly, is unchanged. \n There is possible minimal upper zone redistribution. There is bibasilar\n atelectasis. No frank consolidation or gross effusion identified.\n \n Incidental note made of partially imaged bilateral shoulder prostheses.", "impression": "As above.", "is_followup": true, "prior_study": { "image_path": "images/mimic/p19/p19075045/s52690612/d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb.jpg", "report": "FINDINGS:\nLeft-sided pacer is re- demonstrated with leads terminating in the right\n atrium and right ventricle. The patient is status post median sternotomy,\n aortic valve replacement, and CABG. Heart size is mildly enlarged, unchanged.\n Mediastinal and hilar contours are similar. Mild upper zone pulmonary\n vascular redistribution is likely chronic without overt pulmonary edema. Lung\n volumes remain low with streaky opacities in the lung bases suggestive of\n atelectasis. No large pleural effusion or pneumothorax is present. Fusion\n hardware within the lumbar spine is partially imaged as well as hardware\n within the right humeral head.\n\nIMPRESSION:\nChronic mild pulmonary vascular congestion without overt pulmonary edema. \n Bibasilar atelectasis.", "findings": "Left-sided pacer is re- demonstrated with leads terminating in the right\n atrium and right ventricle. The patient is status post median sternotomy,\n aortic valve replacement, and CABG. Heart size is mildly enlarged, unchanged.\n Mediastinal and hilar contours are similar. Mild upper zone pulmonary\n vascular redistribution is likely chronic without overt pulmonary edema. Lung\n volumes remain low with streaky opacities in the lung bases suggestive of\n atelectasis. No large pleural effusion or pneumothorax is present. Fusion\n hardware within the lumbar spine is partially imaged as well as hardware\n within the right humeral head.", "impression": "", "study_date": "2140-12-26", "study_id": "52690612" }, "metadata": { "subject_id": "19075045", "view_position": "AP", "comparison": "Chest x-ray from ___", "chexpert_labels": { "Atelectasis": "", "Cardiomegaly": "", "Consolidation": "", "Edema": "", "Enlarged Cardiomediastinum": "", "Fracture": "", "Lung Lesion": "", "Lung Opacity": "", "No Finding": "1.0", "Pleural Effusion": "", "Pleural Other": "", "Pneumonia": "", "Pneumothorax": "", "Support Devices": "" }, "study_date": "2141-10-13", "admission_info": { "hadm_id": 28679275, "admittime": "2141-10-13 18:07:00", "dischtime": "2141-10-30 16:36:00", "admission_type": "URGENT", "demographics": { "age": 71, "gender": "M" }, "patient_history": "", "physical_examination": "", "chief_complaint": "", "medications_on_admission": "", "discharge_diagnosis": "", "icd_diagnoses": [ { "code": "N990", "version": 10, "description": "Postprocedural (acute) (chronic) kidney failure" }, { "code": "N170", "version": 10, "description": "Acute kidney failure with tubular necrosis" }, { "code": "R579", "version": 10, "description": "Shock, unspecified" }, { "code": "I5033", "version": 10, "description": "Acute on chronic diastolic (congestive) heart failure" }, { "code": "E1121", "version": 10, "description": "Type 2 diabetes mellitus with diabetic nephropathy" }, { "code": "I272", "version": 10, "description": "Other secondary pulmonary hypertension" }, { "code": "E538", "version": 10, "description": "Deficiency of other specified B group vitamins" }, { "code": "E8339", "version": 10, "description": "Other disorders of phosphorus metabolism" }, { "code": "I081", "version": 10, "description": "Rheumatic disorders of both mitral and tricuspid valves" }, { "code": "Z951", "version": 10, "description": "Presence of aortocoronary bypass graft" }, { "code": "I4891", "version": 10, "description": "Unspecified atrial fibrillation" }, { "code": "Z7901", "version": 10, "description": "Long term (current) use of anticoagulants" }, { "code": "Z953", "version": 10, "description": "Presence of xenogenic heart valve" }, { "code": "M19012", "version": 10, "description": "Primary osteoarthritis, left shoulder" }, { "code": "M19011", "version": 10, "description": "Primary osteoarthritis, right shoulder" }, { "code": "I252", "version": 10, "description": "Old myocardial infarction" }, { "code": "Z950", "version": 10, "description": "Presence of cardiac pacemaker" }, { "code": "G4733", "version": 10, "description": "Obstructive sleep apnea (adult) (pediatric)" }, { "code": "Z8614", "version": 10, "description": "Personal history of Methicillin resistant Staphylococcus aureus infection" }, { "code": "E875", "version": 10, "description": "Hyperkalemia" }, { "code": "K219", "version": 10, "description": "Gastro-esophageal reflux disease without esophagitis" }, { "code": "N189", "version": 10, "description": "Chronic kidney disease, unspecified" }, { "code": "I129", "version": 10, "description": "Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease" }, { "code": "I739", "version": 10, "description": "Peripheral vascular disease, unspecified" }, { "code": "Z9884", "version": 10, "description": "Bariatric surgery status" }, { "code": "D509", "version": 10, "description": "Iron deficiency anemia, unspecified" }, { "code": "Z981", "version": 10, "description": "Arthrodesis status" }, { "code": "Z89421", "version": 10, "description": "Acquired absence of other right toe(s)" }, { "code": "Z87891", "version": 10, "description": "Personal history of nicotine dependence" }, { "code": "Z794", "version": 10, "description": "Long term (current) use of insulin" }, { "code": "Z111", "version": 10, "description": "Encounter for screening for respiratory tuberculosis" } ], "labs": [ { "label": "Hemoglobin", "value": "7.5", "unit": "g/dL", "flag": "abnormal" }, { "label": "MCHC", "value": "31.5", "unit": "g/dL", "flag": "abnormal" }, { "label": "Platelet Count", "value": "125", "unit": "K/uL", "flag": "abnormal" }, { "label": "WBC", "value": "5.3", "unit": "K/uL", "flag": "normal" }, { "label": "Anion Gap", "value": "14", "unit": "mEq/L", "flag": "normal" }, { "label": "Bicarbonate", "value": "22", "unit": "mEq/L", "flag": "normal" }, { "label": "Chloride", "value": "104", "unit": "mEq/L", "flag": "normal" }, { "label": "Creatinine", "value": "5.9", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Glucose", "value": "___", "unit": "mg/dL", "flag": "abnormal" }, { "label": "Potassium", "value": "3.6", "unit": "mEq/L", "flag": "normal" }, { "label": "Sodium", "value": "136", "unit": "mEq/L", "flag": "normal" }, { "label": "BUN", "value": "45", "unit": "mg/dL", "flag": "abnormal" }, { "label": "BNP", "value": "___", "unit": "pg/mL", "flag": "abnormal" } ] } }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNPJZ97YPC5T9G_aGRDNHF0GUOKLB2PS_s1.2.826.0.1.3680043.8.498.62439422958561431279408636824651813962", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNPJZ97YPC5T9G/GRDNHF0GUOKLB2PS/studies/1.2.826.0.1.3680043.8.498.62439422958561431279408636824651813962/series/1.2.826.0.1.3680043.8.498.40419245198066894477685136619315728001/instances/1.2.826.0.1.3680043.8.498.33786898718129968473124307230173474124.png", "report_gt": "FINDINGS:\nCardiomediastinal silhouette is unremarkable. The lungs are hyperinflated consistent with COPD. There is mild scarring or atelectasis in the lung bases greater left than right. There is no pleural fluid.\n\nIMPRESSION:\nCOPD and bibasilar left greater than right scarring. No acute disease.", "findings": "Cardiomediastinal silhouette is unremarkable. The lungs are hyperinflated consistent with COPD. There is mild scarring or atelectasis in the lung bases greater left than right. There is no pleural fluid.", "impression": "COPD and bibasilar left greater than right scarring. No acute disease.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNPJZ97YPC5T9G/GRDNSRRVTL54QQFD/studies/1.2.826.0.1.3680043.8.498.71959859404141454746115299058598360730/series/1.2.826.0.1.3680043.8.498.29491423075607864573370906167428220257/instances/1.2.826.0.1.3680043.8.498.47011897162732821636006965094535208654.png", "report": "FINDINGS:\nImproved aeration of the lung bases. Minimal left pleural effusion. COPD.\n\nIMPRESSION:\nImprovement in aeration at the bases. Minimal atelectasis left base and small left pleural effusion.", "findings": "Improved aeration of the lung bases. Minimal left pleural effusion. COPD.", "impression": "Improvement in aeration at the bases. Minimal atelectasis left base and small left pleural effusion.", "study_date": "20060203" }, "metadata": { "patient_id": "pGRDNPJZ97YPC5T9G", "view_position": "AP", "study_date": "20060504", "comparison": "Comparison: 6/21/11.", "indication": "Bloody diarrhea.", "age": "086Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNZ9VZA2TCT8JB_aGRDNAV9OBYR1I1SZ_s1.2.826.0.1.3680043.8.498.36982454019383742740138597252598375173", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNZ9VZA2TCT8JB/GRDNAV9OBYR1I1SZ/studies/1.2.826.0.1.3680043.8.498.36982454019383742740138597252598375173/series/1.2.826.0.1.3680043.8.498.55636678089913930017363779896635026026/instances/1.2.826.0.1.3680043.8.498.53133058612416108036926851298089776880.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.", "impression": "No active cardiopulmonary disease.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNZ9VZA2TCT8JB/GRDN130IF2R7B2QD/studies/1.2.826.0.1.3680043.8.498.35659705555891189987944271831715360058/series/1.2.826.0.1.3680043.8.498.27504826387465104816512458620235571814/instances/1.2.826.0.1.3680043.8.498.68373674752349774063733788769084269471.png", "report": "FINDINGS:\nThere is a calcified granuloma in the left lower lobe. The lungs elsewhere clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is marked collapse of the T12 vertebral body with localized kyphosis at T11-12.\n\nIMPRESSION:\nCalcified granuloma left lower lobe. Lungs elsewhere clear. Heart upper normal in size. Age uncertain collapse of the T12 vertebral body with kyphosis at this site.", "findings": "There is a calcified granuloma in the left lower lobe. The lungs elsewhere clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is marked collapse of the T12 vertebral body with localized kyphosis at T11-12.", "impression": "Calcified granuloma left lower lobe. Lungs elsewhere clear. Heart upper normal in size. Age uncertain collapse of the T12 vertebral body with kyphosis at this site.", "study_date": "20201004" }, "metadata": { "patient_id": "pGRDNZ9VZA2TCT8JB", "view_position": "PA", "study_date": "20201217", "comparison": "Comparison: January 05, 1994", "indication": "Chest pain", "age": "050Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN2IWFVTWK6ICL_aGRDNL10T6WCG2NXS_s1.2.826.0.1.3680043.8.498.85802782087946557547301465373877584612", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN2IWFVTWK6ICL/GRDNL10T6WCG2NXS/studies/1.2.826.0.1.3680043.8.498.85802782087946557547301465373877584612/series/1.2.826.0.1.3680043.8.498.61689207986815901825636317815834936758/instances/1.2.826.0.1.3680043.8.498.50621585824717409933320342979958289500.png", "report_gt": "FINDINGS:\nHeart size upper normal and stable. Vascular pattern normal. Lungs clear. Patient has been extubated when compared to prior study.\n\nIMPRESSION:\nNo active disease.", "findings": "Heart size upper normal and stable. Vascular pattern normal. Lungs clear. Patient has been extubated when compared to prior study.", "impression": "No active disease.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN2IWFVTWK6ICL/GRDNCL96C49VR2P0/studies/1.2.826.0.1.3680043.8.498.65069442474767630198316983718690379770/series/1.2.826.0.1.3680043.8.498.86938527468304759121363816099657613533/instances/1.2.826.0.1.3680043.8.498.99738431167109112901240329391543043841.png", "report": "FINDINGS:\nThe cardiac silhouette, mediastinal and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. The bony thorax is intact.\n\nIMPRESSION:\nNo acute cardiopulmonary findings.", "findings": "The cardiac silhouette, mediastinal and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. The bony thorax is intact.", "impression": "No acute cardiopulmonary findings.", "study_date": "20160126" }, "metadata": { "patient_id": "pGRDN2IWFVTWK6ICL", "view_position": "AP", "study_date": "20160228", "comparison": "02/06/2023", "indication": "Difficulty breathing on BiPAP machine", "age": "076Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNDHKDJ6ZFYJCT_aGRDNTUCF2G3TA4QO_s1.2.826.0.1.3680043.8.498.90250962923760908287321018223141955362", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNDHKDJ6ZFYJCT/GRDNTUCF2G3TA4QO/studies/1.2.826.0.1.3680043.8.498.90250962923760908287321018223141955362/series/1.2.826.0.1.3680043.8.498.53367100485738239825093174606652802568/instances/1.2.826.0.1.3680043.8.498.88887736868450032051682225761550767864.png", "report_gt": "FINDINGS:\nThe cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber. Postthoracotomy changes are noted with sternal wire sutures and mediastinal clips. Prosthetic heart valve is noted. The bony structures appear adequately mineralized.\n\nIMPRESSION:\nNo acute cardiopulmonary process. Postthoracotomy changes.", "findings": "The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber. Postthoracotomy changes are noted with sternal wire sutures and mediastinal clips. Prosthetic heart valve is noted. The bony structures appear adequately mineralized.", "impression": "No acute cardiopulmonary process. Postthoracotomy changes.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNDHKDJ6ZFYJCT/GRDNOT9BFMYJ5X5L/studies/1.2.826.0.1.3680043.8.498.69885385797950619112122403123180849388/series/1.2.826.0.1.3680043.8.498.98861997900878026277504633837470371684/instances/1.2.826.0.1.3680043.8.498.79199523214614545086985837994115707356.png", "report": "FINDINGS:\nThere is mild hyperinflation and chronic interstitial change. There is no focal consolidation, effusion, or pneumothorax. The cardiac silhouette is within normal limits with median sternotomy wires and cardiac valve prosthesis. The bony thorax is intact.\n\nIMPRESSION:\nMild hyperinflation and chronic interstitial change. No dense consolidation is appreciated.", "findings": "There is mild hyperinflation and chronic interstitial change. There is no focal consolidation, effusion, or pneumothorax. The cardiac silhouette is within normal limits with median sternotomy wires and cardiac valve prosthesis. The bony thorax is intact.", "impression": "Mild hyperinflation and chronic interstitial change. No dense consolidation is appreciated.", "study_date": "20200820" }, "metadata": { "patient_id": "pGRDNDHKDJ6ZFYJCT", "view_position": "AP", "study_date": "20201128", "comparison": "Previous examination dated 02/08/1999.", "indication": "Persistent cough. Had COVID in Muaythai. Patient complains of cough and dyspnea with exertion. History of open heart surgery in 8610.", "age": "057Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNHUNU21PQCPT4_aGRDNZ682P504IV26_s1.2.826.0.1.3680043.8.498.55016806068335728441628708754137163958", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNHUNU21PQCPT4/GRDNZ682P504IV26/studies/1.2.826.0.1.3680043.8.498.55016806068335728441628708754137163958/series/1.2.826.0.1.3680043.8.498.35211145314696491403227997703587802401/instances/1.2.826.0.1.3680043.8.498.51792090884650515525227432550026433610.png", "report_gt": "FINDINGS:\nThe lungs are not optimally aerated but no pneumonia or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. No acute bony abnormality is seen.\n\nIMPRESSION:\nSuboptimal inspiration. No active lung disease.", "findings": "The lungs are not optimally aerated but no pneumonia or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. No acute bony abnormality is seen.", "impression": "Suboptimal inspiration. No active lung disease.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNHUNU21PQCPT4/GRDN3AQAU0ZWUEYR/studies/1.2.826.0.1.3680043.8.498.66091025591473176684996243258874982080/series/1.2.826.0.1.3680043.8.498.95082722947823675566008061498558608626/instances/1.2.826.0.1.3680043.8.498.71396356389567739199766090312095686338.png", "report": "FINDINGS:\nThe lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.\n\nIMPRESSION:\nNo acute cardiopulmonary process seen.", "findings": "The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.", "impression": "No acute cardiopulmonary process seen.", "study_date": "20180616" }, "metadata": { "patient_id": "pGRDNHUNU21PQCPT4", "view_position": "AP", "study_date": "20180705", "comparison": "Chest x-ray of 7/3/2016", "indication": "ETOH, unresponsive", "age": "051Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN78JBXLMYY766_aGRDNMNREXR17K80J_s1.2.826.0.1.3680043.8.498.88648368668703826733296349702621410882", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN78JBXLMYY766/GRDNMNREXR17K80J/studies/1.2.826.0.1.3680043.8.498.88648368668703826733296349702621410882/series/1.2.826.0.1.3680043.8.498.74777584516704112183393938869399350028/instances/1.2.826.0.1.3680043.8.498.97154088372060490075735149609640775250.png", "report_gt": "FINDINGS:\nThe trachea is midline. The heart is borderline enlarged. Today's exam is an AP view with patient sitting. This results in increased density over the right hemithorax. There is apparent increased soft tissue density in the right suprahilar region. This is likely technique related. The costophrenic angles are sharp. Lungs are clear.\n\nIMPRESSION:\n1. Cardiomegaly without acute cardiopulmonary disease. 2. Right suprahilar soft tissue fullness felt to be due to AP technique on today's exam. If the patient is able to tolerate a PA and lateral film, this would be useful. If not, follow-up in 2-3 months could confirm stability.", "findings": "The trachea is midline. The heart is borderline enlarged. Today's exam is an AP view with patient sitting. This results in increased density over the right hemithorax. There is apparent increased soft tissue density in the right suprahilar region. This is likely technique related. The costophrenic angles are sharp. Lungs are clear.", "impression": "1. Cardiomegaly without acute cardiopulmonary disease. 2. Right suprahilar soft tissue fullness felt to be due to AP technique on today's exam. If the patient is able to tolerate a PA and lateral film, this would be useful. If not, follow-up in 2-3 months could confirm stability.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN78JBXLMYY766/GRDNXPEWNNLX3P72/studies/1.2.826.0.1.3680043.8.498.70458345665233417594512819305413163032/series/1.2.826.0.1.3680043.8.498.54626948467560123846717179124456178168/instances/1.2.826.0.1.3680043.8.498.98770477191681913251483668866251989097.png", "report": "FINDINGS:\nHeart size and vascularity are normal and the lungs are clear. No acute bony abnormalities.\n\nIMPRESSION:\nNo acute disease in the chest.", "findings": "Heart size and vascularity are normal and the lungs are clear. No acute bony abnormalities.", "impression": "No acute disease in the chest.", "study_date": "20060922" }, "metadata": { "patient_id": "pGRDN78JBXLMYY766", "view_position": "AP", "study_date": "20061208", "comparison": "Comparison: 02/15/07 and 09/07/04.", "indication": "Preop for cerebral angiogram. History of hypertension, stroke.", "age": "075Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNM2L1WRO696LD_aGRDNWUGXWH8350D8_s1.2.826.0.1.3680043.8.498.89396814147635879173715131200330676267", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNM2L1WRO696LD/GRDNWUGXWH8350D8/studies/1.2.826.0.1.3680043.8.498.89396814147635879173715131200330676267/series/1.2.826.0.1.3680043.8.498.25193645667928057182019891888728611575/instances/1.2.826.0.1.3680043.8.498.56295990169887453176111362670435805433.png", "report_gt": "FINDINGS:\nEndotracheal tube 5.4 cm above the carina. Left IJ approach central venous catheter with the catheter tip at the superior cavoatrial junction. Stable cardiac and mediastinal contours. Slightly lower inspiratory volumes with enlarging layering right pleural effusion. Combination of atelectasis and pulmonary nodules in the posterior right upper and right lower lobe. No pneumothorax.\n\nIMPRESSION:\n1. Stable and satisfactory support apparatus. 2. Slightly enlarged right layering pleural effusion and increasing basilar atelectasis. 3. Otherwise, unchanged appearance of the chest.", "findings": "Endotracheal tube 5.4 cm above the carina. Left IJ approach central venous catheter with the catheter tip at the superior cavoatrial junction. Stable cardiac and mediastinal contours. Slightly lower inspiratory volumes with enlarging layering right pleural effusion. Combination of atelectasis and pulmonary nodules in the posterior right upper and right lower lobe. No pneumothorax.", "impression": "1. Stable and satisfactory support apparatus. 2. Slightly enlarged right layering pleural effusion and increasing basilar atelectasis. 3. Otherwise, unchanged appearance of the chest.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNM2L1WRO696LD/GRDNALTIM0KLHBYH/studies/1.2.826.0.1.3680043.8.498.85743052230391083528318692036694602529/series/1.2.826.0.1.3680043.8.498.17647955682310671735625199470838824909/instances/1.2.826.0.1.3680043.8.498.39966451496830730383713169266573380718.png", "report": "FINDINGS:\nEndotracheal tube 2.5 cm above the carina. Left IJ line in stable position. Right hilar fullness again noted consistent with adenopathy previously recognized on CT of 10/11/1998. Heart size and pulmonary vascularity stable. Persistent density in the right upper lobe consistent with previously identified cavitary lesion on prior CT of 10/11/1998. Mild patchy infiltrates are noted in the right upper lobe and both lower lobes. This could represent pneumonitis. No pleural effusion or pneumothorax.\n\nIMPRESSION:\n1. Stable line and tube positions. 2. Persistent mass right upper lobe consistent with previously recognized cavitary lesion on chest CT of 10/11/1998. 3. Right hilar adenopathy. 4. Mild patchy pulmonary infiltrates in the right upper lobe and both lower lobes consistent with pneumonitis.", "findings": "Endotracheal tube 2.5 cm above the carina. Left IJ line in stable position. Right hilar fullness again noted consistent with adenopathy previously recognized on CT of 10/11/1998. Heart size and pulmonary vascularity stable. Persistent density in the right upper lobe consistent with previously identified cavitary lesion on prior CT of 10/11/1998. Mild patchy infiltrates are noted in the right upper lobe and both lower lobes. This could represent pneumonitis. No pleural effusion or pneumothorax.", "impression": "1. Stable line and tube positions. 2. Persistent mass right upper lobe consistent with previously recognized cavitary lesion on chest CT of 10/11/1998. 3. Right hilar adenopathy. 4. Mild patchy pulmonary infiltrates in the right upper lobe and both lower lobes consistent with pneumonitis.", "study_date": "20151003" }, "metadata": { "patient_id": "pGRDNM2L1WRO696LD", "view_position": "AP", "study_date": "20151004", "comparison": "Prior chest x-ray and chest CT 07/04/1995", "indication": "Evaluate endotracheal tube", "age": "056Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN47BUA983GXW2_aGRDND2I0LZYAPAWY_s1.2.826.0.1.3680043.8.498.13891505958128869491889178319517637581", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN47BUA983GXW2/GRDND2I0LZYAPAWY/studies/1.2.826.0.1.3680043.8.498.13891505958128869491889178319517637581/series/1.2.826.0.1.3680043.8.498.91148847693715989846933315236325225232/instances/1.2.826.0.1.3680043.8.498.10060304648581198916274894984228763624.png", "report_gt": "FINDINGS:\nLeft IJ central line tip overlies the mid SVC level. Skin fold identified over the upper left hemithorax, but no evidence for pneumothorax. Hyperexpansion suggests emphysema. The cardiopericardial silhouette is within normal limits for size. The visualized bony structures of the thorax are intact. Telemetry leads overlie the chest.\n\nIMPRESSION:\nLeft IJ central line tip overlies the proximal to mid SVC. No pneumothorax.", "findings": "Left IJ central line tip overlies the mid SVC level. Skin fold identified over the upper left hemithorax, but no evidence for pneumothorax. Hyperexpansion suggests emphysema. The cardiopericardial silhouette is within normal limits for size. The visualized bony structures of the thorax are intact. Telemetry leads overlie the chest.", "impression": "Left IJ central line tip overlies the proximal to mid SVC. No pneumothorax.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN47BUA983GXW2/GRDNZUSL856XPPD1/studies/1.2.826.0.1.3680043.8.498.62677695515071788001501977469104805402/series/1.2.826.0.1.3680043.8.498.14439190944431972854258723523163243679/instances/1.2.826.0.1.3680043.8.498.10558278039415608690058195425073568030.png", "report": "FINDINGS:\nMediastinum and hilar structures normal. Cardiomegaly with with mild bilateral interstitial prominence. Small left pleural effusion. No pneumothorax.\n\nIMPRESSION:\nCardiomegaly with mild pulmonary vascular prominence and bilateral interstitial prominence. Small left pleural effusion. Mild CHF cannot be excluded.", "findings": "Mediastinum and hilar structures normal. Cardiomegaly with with mild bilateral interstitial prominence. Small left pleural effusion. No pneumothorax.", "impression": "Cardiomegaly with mild pulmonary vascular prominence and bilateral interstitial prominence. Small left pleural effusion. Mild CHF cannot be excluded.", "study_date": "20170807" }, "metadata": { "patient_id": "pGRDN47BUA983GXW2", "view_position": "AP", "study_date": "20170808", "comparison": "Comparison: 11/18/2020", "indication": "Central line placement", "age": "069Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNS3LWNDUY8ASO_aGRDNXQ0T17NHB04W_s1.2.826.0.1.3680043.8.498.32068685461943392914312254468504351906", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNS3LWNDUY8ASO/GRDNXQ0T17NHB04W/studies/1.2.826.0.1.3680043.8.498.32068685461943392914312254468504351906/series/1.2.826.0.1.3680043.8.498.47789638106060488441865310835384842985/instances/1.2.826.0.1.3680043.8.498.92503807726288329540696690730013097691.png", "report_gt": "FINDINGS:\nLateral view degraded by patient arm position. IVC filter. Right-sided Port-A-Cath unchanged with tip at low SVC. Midline trachea. Normal heart size with atherosclerosis in the transverse aorta. No pleural effusion or pneumothorax. Diffuse peribronchial thickening. Clear lungs.\n\nIMPRESSION:\n1. No acute process or explanation for left-sided rhonchi/congestion. 2. Peribronchial thickening which may relate to chronic bronchitis or smoking.", "findings": "Lateral view degraded by patient arm position. IVC filter. Right-sided Port-A-Cath unchanged with tip at low SVC. Midline trachea. Normal heart size with atherosclerosis in the transverse aorta. No pleural effusion or pneumothorax. Diffuse peribronchial thickening. Clear lungs.", "impression": "1. No acute process or explanation for left-sided rhonchi/congestion. 2. Peribronchial thickening which may relate to chronic bronchitis or smoking.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNS3LWNDUY8ASO/GRDN1RE54U0P5U5A/studies/1.2.826.0.1.3680043.8.498.49063273615138822287615717959538928971/series/1.2.826.0.1.3680043.8.498.64386344905948747098024501295056698306/instances/1.2.826.0.1.3680043.8.498.64731389759410014811591200504810598427.png", "report": "FINDINGS:\nNo active infiltrate or effusion is seen. Mediastinal contours are stable. The heart is borderline enlarged. Right-sided power port Port-A-Cath is present with the tip within the lower SVC. No acute bony abnormality is seen, with slight curvature of the thoracolumbar spine convex to the right.\n\nIMPRESSION:\nStable chest x-ray. No active lung disease. Right-sided Port-A-Cath remains.", "findings": "No active infiltrate or effusion is seen. Mediastinal contours are stable. The heart is borderline enlarged. Right-sided power port Port-A-Cath is present with the tip within the lower SVC. No acute bony abnormality is seen, with slight curvature of the thoracolumbar spine convex to the right.", "impression": "Stable chest x-ray. No active lung disease. Right-sided Port-A-Cath remains.", "study_date": "20150503" }, "metadata": { "patient_id": "pGRDNS3LWNDUY8ASO", "view_position": "AP", "study_date": "20150628", "comparison": "1/3/2006 CT of 11/17/2012", "indication": "Ovarian cancer with cough and left-sided rhonchi. Evaluate for pneumonia.", "age": "066Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN65INS2J62VNV_aGRDNQR4UOTSHD2DT_s1.2.826.0.1.3680043.8.498.72306986602646749785318545614979148356", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN65INS2J62VNV/GRDNQR4UOTSHD2DT/studies/1.2.826.0.1.3680043.8.498.72306986602646749785318545614979148356/series/1.2.826.0.1.3680043.8.498.92140849685667373983720863964230966905/instances/1.2.826.0.1.3680043.8.498.73853743037944280528753094584276472015.png", "report_gt": "FINDINGS:\nHeart is normal in size. Bilateral infiltrates are worse. Bilateral pleural effusions are worse. There is no pneumothorax.\n\nIMPRESSION:\nBilateral infiltrates and effusions are worse.", "findings": "Heart is normal in size. Bilateral infiltrates are worse. Bilateral pleural effusions are worse. There is no pneumothorax.", "impression": "Bilateral infiltrates and effusions are worse.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN65INS2J62VNV/GRDNF6CUIGD4SQV9/studies/1.2.826.0.1.3680043.8.498.60143685504020152868056827316486838679/series/1.2.826.0.1.3680043.8.498.98203320799037891817078538703594705657/instances/1.2.826.0.1.3680043.8.498.23717883146745551706290127083961093575.png", "report": "FINDINGS:\nThe cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is extensive bilateral lower lobe consolidation. There may be small pleural effusions bilaterally. No significant skeletal abnormalities noted.\n\nIMPRESSION:\nExtensive bilateral lower lobe consolidation.", "findings": "The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is extensive bilateral lower lobe consolidation. There may be small pleural effusions bilaterally. No significant skeletal abnormalities noted.", "impression": "Extensive bilateral lower lobe consolidation.", "study_date": "20130926" }, "metadata": { "patient_id": "pGRDN65INS2J62VNV", "view_position": "AP", "study_date": "20130929", "comparison": "Comparison is made with exam from the prior day.", "indication": "Visit reason: Pna", "age": "", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNBSPN86BDIO6E_aGRDNVKY9SAL6KHE0_s1.2.826.0.1.3680043.8.498.63813306427602252298959936692243985525", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNBSPN86BDIO6E/GRDNVKY9SAL6KHE0/studies/1.2.826.0.1.3680043.8.498.63813306427602252298959936692243985525/series/1.2.826.0.1.3680043.8.498.96569966774535272696713717222278879585/instances/1.2.826.0.1.3680043.8.498.18634358800160646858599135263494984679.png", "report_gt": "FINDINGS:\nCardiomegaly is stable. Pulmonary hyperinflation again seen, consistent with COPD. Left lung scarring is unchanged. No evidence of acute infiltrate or edema. No evidence of pleural effusion. Right arm PICC line is seen with tip in the mid SVC. Thoracic spine degenerative changes and dextroscoliosis are stable.\n\nIMPRESSION:\nStable cardiomegaly and COPD. No acute findings.", "findings": "Cardiomegaly is stable. Pulmonary hyperinflation again seen, consistent with COPD. Left lung scarring is unchanged. No evidence of acute infiltrate or edema. No evidence of pleural effusion. Right arm PICC line is seen with tip in the mid SVC. Thoracic spine degenerative changes and dextroscoliosis are stable.", "impression": "Stable cardiomegaly and COPD. No acute findings.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNBSPN86BDIO6E/GRDN4XBTRUYUB2M4/studies/1.2.826.0.1.3680043.8.498.51304219816218051225106492490563149582/series/1.2.826.0.1.3680043.8.498.76881440651453416791494481268958059356/instances/1.2.826.0.1.3680043.8.498.75717757869844524661948999455651088246.png", "report": "FINDINGS:\nSmall bilateral pleural effusions. Cardiomegaly. Other mediastinal contours are within normal limits. No pneumothorax. No pulmonary edema. Osteopenia and exaggerated thoracic kyphosis. Postoperative changes to the humeral head. No pulmonary consolidation.\n\nIMPRESSION:\nSmall bilateral pleural effusions. Cardiomegaly.", "findings": "Small bilateral pleural effusions. Cardiomegaly. Other mediastinal contours are within normal limits. No pneumothorax. No pulmonary edema. Osteopenia and exaggerated thoracic kyphosis. Postoperative changes to the humeral head. No pulmonary consolidation.", "impression": "Small bilateral pleural effusions. Cardiomegaly.", "study_date": "20120924" }, "metadata": { "patient_id": "pGRDNBSPN86BDIO6E", "view_position": "PA", "study_date": "20130201", "comparison": "9/17/2005", "indication": "Shortness of breath. Fever. Nausea and vomiting.", "age": "090Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNS81WN9RE7J9W_aGRDNZXSJJIL9FOA9_s1.2.826.0.1.3680043.8.498.73593648832705476403901800900288403265", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNS81WN9RE7J9W/GRDNZXSJJIL9FOA9/studies/1.2.826.0.1.3680043.8.498.73593648832705476403901800900288403265/series/1.2.826.0.1.3680043.8.498.83852877829883924919942893476633706007/instances/1.2.826.0.1.3680043.8.498.37983202266749764333688651907800068527.png", "report_gt": "FINDINGS:\nHeart size is upper normal without venous congestion. Tiny pleural effusions are suspected based on the lateral view. There is no pneumothorax. Minimal atelectasis is present. There are no infiltrates. The mediastinum is normal. There is no acute osseous abnormality.\n\nIMPRESSION:\nTiny pleural effusion suspected on the lateral view. Borderline cardiomegaly. Probable mild residual CHF.", "findings": "Heart size is upper normal without venous congestion. Tiny pleural effusions are suspected based on the lateral view. There is no pneumothorax. Minimal atelectasis is present. There are no infiltrates. The mediastinum is normal. There is no acute osseous abnormality.", "impression": "Tiny pleural effusion suspected on the lateral view. Borderline cardiomegaly. Probable mild residual CHF.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNS81WN9RE7J9W/GRDN8S020MJY31AM/studies/1.2.826.0.1.3680043.8.498.83527898769775404204729089729234932370/series/1.2.826.0.1.3680043.8.498.66760601931977393179136655902823158962/instances/1.2.826.0.1.3680043.8.498.59988957316069902284715341846774820323.png", "report": "FINDINGS:\nMild cardiomegaly is present. Lung volumes are low. Right PICC line is present with the distal tip at the atriocaval junction. Mild scarring is present. There is no venous congestion or pleural effusion. There are no infiltrates. The mediastinum and the osseous structures are normal.\n\nIMPRESSION:\n1. No acute infiltrates. 2. Mild cardiomegaly. Mild chronic interstitial scarring. 3. Right PICC line.", "findings": "Mild cardiomegaly is present. Lung volumes are low. Right PICC line is present with the distal tip at the atriocaval junction. Mild scarring is present. There is no venous congestion or pleural effusion. There are no infiltrates. The mediastinum and the osseous structures are normal.", "impression": "1. No acute infiltrates. 2. Mild cardiomegaly. Mild chronic interstitial scarring. 3. Right PICC line.", "study_date": "20210216" }, "metadata": { "patient_id": "pGRDNS81WN9RE7J9W", "view_position": "PA", "study_date": "20210219", "comparison": "Comparison to 04/10/2007.", "indication": "Dyspnea.", "age": "", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNY694MDJSOXO9_aGRDNB1007ZRFBY3E_s1.2.826.0.1.3680043.8.498.12161474094666943420308068900993505301", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNY694MDJSOXO9/GRDNB1007ZRFBY3E/studies/1.2.826.0.1.3680043.8.498.12161474094666943420308068900993505301/series/1.2.826.0.1.3680043.8.498.19731728338030753606779803850363697344/instances/1.2.826.0.1.3680043.8.498.41549887709967114126085637955551309410.png", "report_gt": "FINDINGS:\nLower lung volumes from prior exam accentuating the cardiac size. Diffuse coarse reticular markings, new from prior. Peripheral linear opacities at the lung bases. No confluent airspace disease. No large pleural effusion or pneumothorax. Postsurgical change in the right shoulder. No acute osseous abnormalities are seen.\n\nIMPRESSION:\nDevelopment of diffuse coarse reticular opacities, nonspecific but likely pulmonary edema. Atypical infection could have a similar appearance.", "findings": "Lower lung volumes from prior exam accentuating the cardiac size. Diffuse coarse reticular markings, new from prior. Peripheral linear opacities at the lung bases. No confluent airspace disease. No large pleural effusion or pneumothorax. Postsurgical change in the right shoulder. No acute osseous abnormalities are seen.", "impression": "Development of diffuse coarse reticular opacities, nonspecific but likely pulmonary edema. Atypical infection could have a similar appearance.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNY694MDJSOXO9/GRDNA8KUFRA3VS81/studies/1.2.826.0.1.3680043.8.498.45779214836731723570419134630754094152/series/1.2.826.0.1.3680043.8.498.34608860082799931523868733525008942688/instances/1.2.826.0.1.3680043.8.498.35416045210892773603802797588056348503.png", "report": "FINDINGS:\nNormal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pneumothorax. Bones unremarkable.\n\nIMPRESSION:\nNormal exam.", "findings": "Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pneumothorax. Bones unremarkable.", "impression": "Normal exam.", "study_date": "20171009" }, "metadata": { "patient_id": "pGRDNY694MDJSOXO9", "view_position": "AP", "study_date": "20171027", "comparison": "Comparison: 10/20/2008", "indication": "Respiratory distress, shortness of breath for 2 hours.", "age": "040Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN0Y56P81QF851_aGRDN56HUC0ABYNGG_s1.2.826.0.1.3680043.8.498.18309883647266796562480499099188141558", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN0Y56P81QF851/GRDN56HUC0ABYNGG/studies/1.2.826.0.1.3680043.8.498.18309883647266796562480499099188141558/series/1.2.826.0.1.3680043.8.498.20904741862721846826167188971355848706/instances/1.2.826.0.1.3680043.8.498.79583443857408560508431511218528352663.png", "report_gt": "FINDINGS:\nNasogastric tube enters the stomach. Wires overlie the left side of the chest. There is a left PICC line noted with the tip of the catheter in the left brachiocephalic vein. Heart is normal size. Increasing left retrocardiac density obscuring the dome of the left hemidiaphragm consistent with left lower lobe atelectasis or infiltrate.\n\nIMPRESSION:\nNasogastric tube and left PICC line placement as described. Worsening airspace disease in the left lower lobe.", "findings": "Nasogastric tube enters the stomach. Wires overlie the left side of the chest. There is a left PICC line noted with the tip of the catheter in the left brachiocephalic vein. Heart is normal size. Increasing left retrocardiac density obscuring the dome of the left hemidiaphragm consistent with left lower lobe atelectasis or infiltrate.", "impression": "Nasogastric tube and left PICC line placement as described. Worsening airspace disease in the left lower lobe.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN0Y56P81QF851/GRDNOPS05423N3VC/studies/1.2.826.0.1.3680043.8.498.80641547996231510085208386149367920833/series/1.2.826.0.1.3680043.8.498.63776660415621467641114051688996423399/instances/1.2.826.0.1.3680043.8.498.10272152345009590735815399224829501544.png", "report": "FINDINGS:\nThere is airspace disease seen in the medial left lung base. There is no pneumothorax or pleural effusion. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. The free air seen on the recent abdominal CT is not well appreciated on this semiupright radiograph.\n\nIMPRESSION:\nAirspace disease at left lung base representing atelectasis and/or developing pneumonia. Free intraperitoneal air is better seen on the abdominal CT.", "findings": "There is airspace disease seen in the medial left lung base. There is no pneumothorax or pleural effusion. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. The free air seen on the recent abdominal CT is not well appreciated on this semiupright radiograph.", "impression": "Airspace disease at left lung base representing atelectasis and/or developing pneumonia. Free intraperitoneal air is better seen on the abdominal CT.", "study_date": "20111115" }, "metadata": { "patient_id": "pGRDN0Y56P81QF851", "view_position": "AP", "study_date": "20111116", "comparison": "Comparison is made with 2/26/2005.", "indication": "Line placement", "age": "", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN55SQ8V2XNTLZ_aGRDN59ORHQLT9DZ2_s1.2.826.0.1.3680043.8.498.88942791884880802342446714281955371279", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN55SQ8V2XNTLZ/GRDN59ORHQLT9DZ2/studies/1.2.826.0.1.3680043.8.498.88942791884880802342446714281955371279/series/1.2.826.0.1.3680043.8.498.57619702081967220078259885061377671746/instances/1.2.826.0.1.3680043.8.498.59945581765130081954433882258698370197.png", "report_gt": "FINDINGS:\nNormal cardiac silhouette with ectatic aorta. No effusion infiltrate pneumothorax. No acute osseous abnormality.\n\nIMPRESSION:\nNo acute cardiopulmonary process. Ectatic ascending aorta.", "findings": "Normal cardiac silhouette with ectatic aorta. No effusion infiltrate pneumothorax. No acute osseous abnormality.", "impression": "No acute cardiopulmonary process. Ectatic ascending aorta.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN55SQ8V2XNTLZ/GRDN9PLBSWQJKC1W/studies/1.2.826.0.1.3680043.8.498.36907626075221895982502449970469076112/series/1.2.826.0.1.3680043.8.498.47518812926851821392511859818891635269/instances/1.2.826.0.1.3680043.8.498.43821427905888604336058542679390442975.png", "report": "FINDINGS:\nCardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes mid thoracic spine.\n\nIMPRESSION:\nNo active cardiopulmonary disease. Mild degenerative changes mid thoracic spine.", "findings": "Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes mid thoracic spine.", "impression": "No active cardiopulmonary disease. Mild degenerative changes mid thoracic spine.", "study_date": "20170615" }, "metadata": { "patient_id": "pGRDN55SQ8V2XNTLZ", "view_position": "AP", "study_date": "20171116", "comparison": "Comparison: 3/9/2023.", "indication": "Pt from work via GCEMS with c/o sudden onset SOB with bilateral arm tremors after standing up from her work desk. Denies pain, N/V/D. No hx of SOB or tremors. Non-Smoker.", "age": "065Y", "sex": "F" }, "eval_track": "followup" } ] }