[ { "study_id": "rexgrad_pGRDN00E7AJHS0528_aGRDNNPU5V6HT4KSR_s1.2.826.0.1.3680043.8.498.28984253437156041973527981143742864203", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN00E7AJHS0528/GRDNNPU5V6HT4KSR/studies/1.2.826.0.1.3680043.8.498.28984253437156041973527981143742864203/series/1.2.826.0.1.3680043.8.498.54056081255657396541293920538930763269/instances/1.2.826.0.1.3680043.8.498.43802380382741666942234013137288903286.png", "report_gt": "FINDINGS:\nCardiomediastinal silhouette is normal. The lungs are clear. The vascularity is normal. No pneumothorax. No bony abnormality.\n\nIMPRESSION:\nNormal chest radiography. No cause of right-sided pain identified.", "findings": "Cardiomediastinal silhouette is normal. The lungs are clear. The vascularity is normal. No pneumothorax. No bony abnormality.", "impression": "Normal chest radiography. No cause of right-sided pain identified.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN00E7AJHS0528", "view_position": "AP", "study_date": "20140903", "comparison": "None.", "indication": "Right-sided chest pain.", "age": "014Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNK8V39DS4B8PW_aGRDNHWYVUNR7QPCM_s1.2.826.0.1.3680043.8.498.96328007906578050749751713815069133990", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNK8V39DS4B8PW/GRDNHWYVUNR7QPCM/studies/1.2.826.0.1.3680043.8.498.96328007906578050749751713815069133990/series/1.2.826.0.1.3680043.8.498.37648158661188396155153335654340343864/instances/1.2.826.0.1.3680043.8.498.37125663735748368807416142362662996730.png", "report_gt": "FINDINGS:\nNormal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Hazy upper left lung opacity. Clear right lung.\n\nIMPRESSION:\nHazy upper left lung opacity, suspicious for atypical/viral pneumonia.", "findings": "Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Hazy upper left lung opacity. Clear right lung.", "impression": "Hazy upper left lung opacity, suspicious for atypical/viral pneumonia.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNK8V39DS4B8PW", "view_position": "AP", "study_date": "20190707", "comparison": "None.", "indication": "Cough, fever, chest tightness", "age": "048Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNC6EP4043JH7D_aGRDNT7XSQ01TD0NK_s1.2.826.0.1.3680043.8.498.34458754653486216621941395202325646582", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNC6EP4043JH7D/GRDNT7XSQ01TD0NK/studies/1.2.826.0.1.3680043.8.498.34458754653486216621941395202325646582/series/1.2.826.0.1.3680043.8.498.39026919941578068903940196088389454359/instances/1.2.826.0.1.3680043.8.498.90468408360638300428362681252662124896.png", "report_gt": "FINDINGS:\nThere is unchanged cardiomegaly. Aortic knob calcification is seen. There is prominent pericardial pad with adjacent hazy airspace as CT. Overlying spinal fixation hardware.\n\nIMPRESSION:\nUnchanged hazy/patchy airspace opacity at the left lung base which could be atelectasis and or infarct.", "findings": "There is unchanged cardiomegaly. Aortic knob calcification is seen. There is prominent pericardial pad with adjacent hazy airspace as CT. Overlying spinal fixation hardware.", "impression": "Unchanged hazy/patchy airspace opacity at the left lung base which could be atelectasis and or infarct.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNC6EP4043JH7D/GRDN7W4OJKUX18ZB/studies/1.2.826.0.1.3680043.8.498.37225577305295852721258536816114407875/series/1.2.826.0.1.3680043.8.498.61483578793573273077306225949454437438/instances/1.2.826.0.1.3680043.8.498.13982523321784892513946718281837533074.png", "report": "FINDINGS:\nThe heart size and mediastinal contours are unchanged. Aortic knob calcifications are seen. A small left pleural effusion is seen. There is prominence of the central pulmonary vasculature. Spinal fixation hardware is noted. Overlying median sternotomy wires.\n\nIMPRESSION:\nSmall left pleural effusion over pulmonary vascular congestion.", "findings": "The heart size and mediastinal contours are unchanged. Aortic knob calcifications are seen. A small left pleural effusion is seen. There is prominence of the central pulmonary vasculature. Spinal fixation hardware is noted. Overlying median sternotomy wires.", "impression": "Small left pleural effusion over pulmonary vascular congestion.", "study_date": "20211003" }, "metadata": { "patient_id": "pGRDNC6EP4043JH7D", "view_position": "AP", "study_date": "20211004", "comparison": "Chest CT same day", "indication": "Shortness of breath", "age": "078Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNI8WVSLN9H9BW_aGRDNPH8NC9FEUHT2_s1.2.826.0.1.3680043.8.498.28147796221249798463574615937809950459", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNI8WVSLN9H9BW/GRDNPH8NC9FEUHT2/studies/1.2.826.0.1.3680043.8.498.28147796221249798463574615937809950459/series/1.2.826.0.1.3680043.8.498.54317635901309787039710091643921243026/instances/1.2.826.0.1.3680043.8.498.84997833864147424585079914355652693452.png", "report_gt": "FINDINGS:\nHeart size is normal. Left lower lobe linear scarring versus atelectasis noted. No pleural effusion. No acute osseous finding.\n\nIMPRESSION:\nLeft lower lobe scarring versus atelectasis. No focal acute finding otherwise.", "findings": "Heart size is normal. Left lower lobe linear scarring versus atelectasis noted. No pleural effusion. No acute osseous finding.", "impression": "Left lower lobe scarring versus atelectasis. No focal acute finding otherwise.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNI8WVSLN9H9BW", "view_position": "AP", "study_date": "20100305", "comparison": "None", "indication": "Preoperative, neck cellulitis", "age": "054Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNTPRGVIJ3TEXG_aGRDNL0YXYMAOEK8S_s1.2.826.0.1.3680043.8.498.71997418997848442745743092890249391163", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNTPRGVIJ3TEXG/GRDNL0YXYMAOEK8S/studies/1.2.826.0.1.3680043.8.498.71997418997848442745743092890249391163/series/1.2.826.0.1.3680043.8.498.95312485908408734649716074439028754827/instances/1.2.826.0.1.3680043.8.498.74267093659017927840812121557403872969.png", "report_gt": "FINDINGS:\nThe heart is enlarged with worsening diffuse edema and increasing pleural effusions bilaterally. Two lead right subclavian pacemaker is noted.\n\nIMPRESSION:\nWorsening pulmonary edema and enlarging effusions consistent with progressive congestive heart failure.", "findings": "The heart is enlarged with worsening diffuse edema and increasing pleural effusions bilaterally. Two lead right subclavian pacemaker is noted.", "impression": "Worsening pulmonary edema and enlarging effusions consistent with progressive congestive heart failure.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNTPRGVIJ3TEXG/GRDNRRE7X9AJLHOY/studies/1.2.826.0.1.3680043.8.498.30527313615392313111866560544355812496/series/1.2.826.0.1.3680043.8.498.66396570632083936154993735558789499232/instances/1.2.826.0.1.3680043.8.498.16165759180346641339782981134791618011.png", "report": "FINDINGS:\nPulmonary hyperinflation is again seen, consistent with COPD. Cardiomegaly is not significantly changed as well as diffuse interstitial edema pattern. New small right pleural effusion has developed with patchy opacity in the right lower lobe which may be due to atelectasis or pneumonia. The dual-lead transverse pacemaker remains in appropriate position.\n\nIMPRESSION:\n1. Mild congestive heart failure, without significant change. 2. New small right pleural effusion and right lower lobe atelectasis versus infiltrate. Pneumonia cannot be excluded. 3. COPD.", "findings": "Pulmonary hyperinflation is again seen, consistent with COPD. Cardiomegaly is not significantly changed as well as diffuse interstitial edema pattern. New small right pleural effusion has developed with patchy opacity in the right lower lobe which may be due to atelectasis or pneumonia. The dual-lead transverse pacemaker remains in appropriate position.", "impression": "1. Mild congestive heart failure, without significant change. 2. New small right pleural effusion and right lower lobe atelectasis versus infiltrate. Pneumonia cannot be excluded. 3. COPD.", "study_date": "20060511" }, "metadata": { "patient_id": "pGRDNTPRGVIJ3TEXG", "view_position": "AP", "study_date": "20060520", "comparison": "Comparison: 10/29/01, 08/15/09.", "indication": "73-year-old female, congestive heart failure, shortness of breath.", "age": "073Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN79BB7QFQL9E7_aGRDNF98MGFKNZXUZ_s1.2.826.0.1.3680043.8.498.18962415440898501694932330954415471088", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN79BB7QFQL9E7/GRDNF98MGFKNZXUZ/studies/1.2.826.0.1.3680043.8.498.18962415440898501694932330954415471088/series/1.2.826.0.1.3680043.8.498.12122317921935150852810160361728539072/instances/1.2.826.0.1.3680043.8.498.20008937162250653793610943499852088849.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": "pGRDN79BB7QFQL9E7", "view_position": "PA", "study_date": "20151124", "comparison": "None.", "indication": "Hypertension", "age": "051Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNIN858JTND638_aGRDNB96GB4FM55WI_s1.2.826.0.1.3680043.8.498.95000529926621982704881353684881720838", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNIN858JTND638/GRDNB96GB4FM55WI/studies/1.2.826.0.1.3680043.8.498.95000529926621982704881353684881720838/series/1.2.826.0.1.3680043.8.498.41753327700785383803501694192561180691/instances/1.2.826.0.1.3680043.8.498.38339337036467928308895038665512602593.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": "pGRDNIN858JTND638", "view_position": "PA", "study_date": "20140725", "comparison": "None.", "indication": "Cough", "age": "062Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN3HSBTHPRKW2X_aGRDN62P1VRN2GMVA_s1.2.826.0.1.3680043.8.498.54724783194286971781839196217396492275", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN3HSBTHPRKW2X/GRDN62P1VRN2GMVA/studies/1.2.826.0.1.3680043.8.498.54724783194286971781839196217396492275/series/1.2.826.0.1.3680043.8.498.56069037463696417622007222595727538946/instances/1.2.826.0.1.3680043.8.498.92617770923771965119384130391485756494.png", "report_gt": "FINDINGS:\nWorsening of perihilar airspace filling right more than left. Differential diagnosis remains that of asymmetric pneumonia versus is asymmetric pulmonary edema. Infectious pneumonia is favored. The pattern does not appear typical of coronavirus pneumonia by imaging.\n\nIMPRESSION:\nWorsening of perihilar airspace filling right more than left. Ejection and favored over asymmetric edema. Pattern is not typical of coronavirus.", "findings": "Worsening of perihilar airspace filling right more than left. Differential diagnosis remains that of asymmetric pneumonia versus is asymmetric pulmonary edema. Infectious pneumonia is favored. The pattern does not appear typical of coronavirus pneumonia by imaging.", "impression": "Worsening of perihilar airspace filling right more than left. Ejection and favored over asymmetric edema. Pattern is not typical of coronavirus.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN3HSBTHPRKW2X/GRDN6FSZP75U1AHC/studies/1.2.826.0.1.3680043.8.498.32249891946863798572224236419608777138/series/1.2.826.0.1.3680043.8.498.13171727301568283650685027426463447579/instances/1.2.826.0.1.3680043.8.498.94079532241446545414891405552224984015.png", "report": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits with mildly prominent cardiac silhouette likely due to AP portable technique. Increased interstitial markings and airspace opacities of the mid to lower lung zones. No pleural effusion. No pneumothorax. No acute osseous abnormality.\n\nIMPRESSION:\nFindings suggestive of atypical/viral pneumonia. COVID-19 infection not excluded.", "findings": "The heart size and mediastinal contours are within normal limits with mildly prominent cardiac silhouette likely due to AP portable technique. Increased interstitial markings and airspace opacities of the mid to lower lung zones. No pleural effusion. No pneumothorax. No acute osseous abnormality.", "impression": "Findings suggestive of atypical/viral pneumonia. COVID-19 infection not excluded.", "study_date": "20220213" }, "metadata": { "patient_id": "pGRDN3HSBTHPRKW2X", "view_position": "AP", "study_date": "20220216", "comparison": "Comparison with radiography from 07/10/2005 and CT from 05/14/2006.", "indication": "Acute respiratory failure.", "age": "058Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNFSNKZACK2NY8_aGRDNP0W4IHY7XCB9_s1.2.826.0.1.3680043.8.498.82074052543643291706562326592262673291", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNFSNKZACK2NY8/GRDNP0W4IHY7XCB9/studies/1.2.826.0.1.3680043.8.498.82074052543643291706562326592262673291/series/1.2.826.0.1.3680043.8.498.98631418161706206987950454916861700542/instances/1.2.826.0.1.3680043.8.498.23021998170584325645099260375647813026.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": "pGRDNFSNKZACK2NY8", "view_position": "AP", "study_date": "20180127", "comparison": "None.", "indication": "Flu-like symptoms with fever, myalgia and cough since yesterday", "age": "020Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNA8EH4K52DGU7_aGRDNCFRIJCV7CAN7_s1.2.826.0.1.3680043.8.498.62560255096971440659916029265318082264", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNA8EH4K52DGU7/GRDNCFRIJCV7CAN7/studies/1.2.826.0.1.3680043.8.498.62560255096971440659916029265318082264/series/1.2.826.0.1.3680043.8.498.69460793955811389912992492435000355357/instances/1.2.826.0.1.3680043.8.498.37413493201061089936997914458765841863.png", "report_gt": "FINDINGS:\nThe lungs are hyperexpanded. Interstitial markings are chronically coarsened. There is no focal airspace consolidation, pulmonary edema, or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Prominence of the right cardiomediastinal contour may be related to aortic tortuosity/unfolding, but ascending aortic aneurysm could produce this appearance. Imaged bony structures of the thorax are intact.\n\nIMPRESSION:\nEmphysema. Prominence of the right cardiomediastinal contour. Please see report above.", "findings": "The lungs are hyperexpanded. Interstitial markings are chronically coarsened. There is no focal airspace consolidation, pulmonary edema, or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Prominence of the right cardiomediastinal contour may be related to aortic tortuosity/unfolding, but ascending aortic aneurysm could produce this appearance. Imaged bony structures of the thorax are intact.", "impression": "Emphysema. Prominence of the right cardiomediastinal contour. Please see report above.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNA8EH4K52DGU7", "view_position": "PA", "study_date": "20090110", "comparison": "None", "indication": "Shortness of breath. Smoking history. Cough.", "age": "056Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNIK7H53TUXSUI_aGRDN9VTIHH0VAWMJ_s1.2.826.0.1.3680043.8.498.32889983803142659088810041514166942767", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNIK7H53TUXSUI/GRDN9VTIHH0VAWMJ/studies/1.2.826.0.1.3680043.8.498.32889983803142659088810041514166942767/series/1.2.826.0.1.3680043.8.498.13676040071346647276003979339051705602/instances/1.2.826.0.1.3680043.8.498.64121432363664228324385020032910536720.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:\nNormal chest.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.", "impression": "Normal chest.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNIK7H53TUXSUI", "view_position": "AP", "study_date": "20181021", "comparison": "None.", "indication": "Fatigue, nausea and vomiting for several days, feeling unwell.", "age": "020Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN1DGSX0NHRBBL_aGRDN687IWRJ08IGW_s1.2.826.0.1.3680043.8.498.45298820698914817164110400623345571007", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN1DGSX0NHRBBL/GRDN687IWRJ08IGW/studies/1.2.826.0.1.3680043.8.498.45298820698914817164110400623345571007/series/1.2.826.0.1.3680043.8.498.75328879883163537894645850661473242557/instances/1.2.826.0.1.3680043.8.498.65267911103802453785891988194739539494.png", "report_gt": "FINDINGS:\nLungs are clear. No pleural effusion. Heart size normal. No focal bony abnormality.\n\nIMPRESSION:\nNo acute disease.", "findings": "Lungs are clear. No pleural effusion. Heart size normal. No focal bony abnormality.", "impression": "No acute disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN1DGSX0NHRBBL", "view_position": "AP", "study_date": "20101128", "comparison": "None available.", "indication": "Cough.", "age": "048Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNGZ0ZXF9BLNU6_aGRDNQWIA4ZSSB5BA_s1.2.826.0.1.3680043.8.498.14231155731507711946613114418251639629", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNGZ0ZXF9BLNU6/GRDNQWIA4ZSSB5BA/studies/1.2.826.0.1.3680043.8.498.14231155731507711946613114418251639629/series/1.2.826.0.1.3680043.8.498.34360995760536902585220012828379678738/instances/1.2.826.0.1.3680043.8.498.53668844127479255028056348723441731504.png", "report_gt": "FINDINGS:\nThe cardiac silhouette, mediastinal and hilar contours are within normal limits. Patchy right middle and lower lobe infiltrates are noted. Possible area of pleural calcification. The left lung is clear except for minimal left basilar atelectasis. No effusions.\n\nIMPRESSION:\nRight basilar infiltrates and possible pleural calcification.", "findings": "The cardiac silhouette, mediastinal and hilar contours are within normal limits. Patchy right middle and lower lobe infiltrates are noted. Possible area of pleural calcification. The left lung is clear except for minimal left basilar atelectasis. No effusions.", "impression": "Right basilar infiltrates and possible pleural calcification.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNGZ0ZXF9BLNU6", "view_position": "AP", "study_date": "20130204", "comparison": "None", "indication": "Back pain and chest pain.", "age": "034Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNCOSI6F7P2R9F_aGRDNT7C8ZU9CK1M2_s1.2.826.0.1.3680043.8.498.17841867066261309398834745593399805842", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNCOSI6F7P2R9F/GRDNT7C8ZU9CK1M2/studies/1.2.826.0.1.3680043.8.498.17841867066261309398834745593399805842/series/1.2.826.0.1.3680043.8.498.91910572472022678514650387870864497612/instances/1.2.826.0.1.3680043.8.498.63212899723324385755677358027591859724.png", "report_gt": "FINDINGS:\nLung volumes are low without edema, pneumonia, or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Interstitial markings are diffusely coarsened with chronic features. Imaged bony structures of the thorax are intact.\n\nIMPRESSION:\nLow lung volumes with mild chronic interstitial coarsening. No pneumonia or edema.", "findings": "Lung volumes are low without edema, pneumonia, or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Interstitial markings are diffusely coarsened with chronic features. Imaged bony structures of the thorax are intact.", "impression": "Low lung volumes with mild chronic interstitial coarsening. No pneumonia or edema.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNCOSI6F7P2R9F", "view_position": "AP", "study_date": "20100831", "comparison": "None.", "indication": "Preop for umbilical hernia repair.", "age": "055Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNAOH089S4KILE_aGRDNL8WX68TY8VFF_s1.2.826.0.1.3680043.8.498.54660194999540870870090672136093736595", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNAOH089S4KILE/GRDNL8WX68TY8VFF/studies/1.2.826.0.1.3680043.8.498.54660194999540870870090672136093736595/series/1.2.826.0.1.3680043.8.498.37527685134512565680756773247883437206/instances/1.2.826.0.1.3680043.8.498.18490782950667677481248794996448073649.png", "report_gt": "FINDINGS:\nNo infiltrate, congestive heart failure or pneumothorax. Heart size within normal limits. Slightly prominent aortic knob. Mild thoracic spine degenerative changes.\n\nIMPRESSION:\nNo infiltrate, congestive heart failure or pneumothorax.", "findings": "No infiltrate, congestive heart failure or pneumothorax. Heart size within normal limits. Slightly prominent aortic knob. Mild thoracic spine degenerative changes.", "impression": "No infiltrate, congestive heart failure or pneumothorax.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNAOH089S4KILE", "view_position": "AP", "study_date": "20111223", "comparison": "None.", "indication": "Left-sided chest pain. Nonsmoker.", "age": "051Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDN50MCZ86784JJ_aGRDNC2QIJAFJSG8V_s1.2.826.0.1.3680043.8.498.82320936444278867566587879892262526326", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN50MCZ86784JJ/GRDNC2QIJAFJSG8V/studies/1.2.826.0.1.3680043.8.498.82320936444278867566587879892262526326/series/1.2.826.0.1.3680043.8.498.24315630369634672213406695993153859531/instances/1.2.826.0.1.3680043.8.498.92666425653848906461092025172672189880.png", "report_gt": "FINDINGS:\n6078 hours. The lungs are clear without focal pneumonia, edema, pneumothorax or pleural effusion. Cardiopericardial silhouette is at upper limits of normal for size. The visualized bony structures of the thorax show no acute abnormality.\n\nIMPRESSION:\nNo active disease.", "findings": "6078 hours. The lungs are clear without focal pneumonia, edema, pneumothorax or pleural effusion. Cardiopericardial silhouette is at upper limits of normal for size. The visualized bony structures of the thorax show no acute abnormality.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDN50MCZ86784JJ", "view_position": "AP", "study_date": "20220619", "comparison": "None.", "indication": "3 day history of weakness.", "age": "080Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNF99PQ8VDPZ7F_aGRDNKU9KM9XIELAP_s1.2.826.0.1.3680043.8.498.17414472046198634125388822092734167554", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNF99PQ8VDPZ7F/GRDNKU9KM9XIELAP/studies/1.2.826.0.1.3680043.8.498.17414472046198634125388822092734167554/series/1.2.826.0.1.3680043.8.498.61707623404799486059588323212776392566/instances/1.2.826.0.1.3680043.8.498.89711750564172531675833253233688701417.png", "report_gt": "FINDINGS:\nBoth lungs are clear. Hiatal hernia is again noted. Heart size is normal. Severe thoracolumbar S-shaped scoliosis is noted with probable lumbar spinal dysraphism. Ventricular peritoneal shunt tubing is seen overlying the left hemithorax.\n\nIMPRESSION:\nNo active cardiopulmonary disease. Hiatal hernia again noted.", "findings": "Both lungs are clear. Hiatal hernia is again noted. Heart size is normal. Severe thoracolumbar S-shaped scoliosis is noted with probable lumbar spinal dysraphism. Ventricular peritoneal shunt tubing is seen overlying the left hemithorax.", "impression": "No active cardiopulmonary disease. Hiatal hernia again noted.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNF99PQ8VDPZ7F/GRDN0ZJXM9JJAVMM/studies/1.2.826.0.1.3680043.8.498.58397750893389912821584674750669118378/series/1.2.826.0.1.3680043.8.498.69704644112677762976275901341676216251/instances/1.2.826.0.1.3680043.8.498.53347425964866315450592445573604746765.png", "report": "FINDINGS:\nThe endotracheal tube tip is 2.8 cm above the carina. The left central line tip is at the cavoatrial junction. Significant scoliosis with rotation of the mediastinal structures with the heart appearing top normal in size. Bilateral pleural effusions and atelectatic changes suspected. This limits detection of basilar region of consolidation. Pulmonary vascular prominence. There may be a small hiatal hernia.\n\nIMPRESSION:\nNo significant change.", "findings": "The endotracheal tube tip is 2.8 cm above the carina. The left central line tip is at the cavoatrial junction. Significant scoliosis with rotation of the mediastinal structures with the heart appearing top normal in size. Bilateral pleural effusions and atelectatic changes suspected. This limits detection of basilar region of consolidation. Pulmonary vascular prominence. There may be a small hiatal hernia.", "impression": "No significant change.", "study_date": "20070326" }, "metadata": { "patient_id": "pGRDNF99PQ8VDPZ7F", "view_position": "AP", "study_date": "20070426", "comparison": "Comparison: 11/7/1.", "indication": "Dehydration.", "age": "034Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNSZ9D98EA9432_aGRDNN81XM45060TK_s1.2.826.0.1.3680043.8.498.44801025104387225981075562701609964394", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNSZ9D98EA9432/GRDNN81XM45060TK/studies/1.2.826.0.1.3680043.8.498.44801025104387225981075562701609964394/series/1.2.826.0.1.3680043.8.498.83257895750965989258347026558824207739/instances/1.2.826.0.1.3680043.8.498.33414101425163175244339832558296240879.png", "report_gt": "FINDINGS:\nThere is a patchy increase in density at the left base compatible with atelectasis. No definite pleural effusion is seen. No definite pneumothorax is observed. The previously present left chest tube has been removed.\n\nIMPRESSION:\nPlease see above.", "findings": "There is a patchy increase in density at the left base compatible with atelectasis. No definite pleural effusion is seen. No definite pneumothorax is observed. The previously present left chest tube has been removed.", "impression": "Please see above.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNSZ9D98EA9432/GRDNZGWUWCRTVZIY/studies/1.2.826.0.1.3680043.8.498.31953826979517540703073742980219234170/series/1.2.826.0.1.3680043.8.498.93874431369346698937313709514477962946/instances/1.2.826.0.1.3680043.8.498.22038657380247889686927140843020138313.png", "report": "FINDINGS:\nA left chest tube remains present. No pneumothorax or pleural effusion is identified. Heart size is within normal limits for AP technique.\n\nIMPRESSION:\n1. No acute changes are identified. 2. A left chest tube remains present.", "findings": "A left chest tube remains present. No pneumothorax or pleural effusion is identified. Heart size is within normal limits for AP technique.", "impression": "1. No acute changes are identified. 2. A left chest tube remains present.", "study_date": "20130918" }, "metadata": { "patient_id": "pGRDNSZ9D98EA9432", "view_position": "AP", "study_date": "20130919", "comparison": "Comparison is made to the prior exam of 03/13/2015.", "indication": "Assess for Pleural Effusion", "age": "043Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNMCL2CEDN5OYY_aGRDNFM42148E45UA_s1.2.826.0.1.3680043.8.498.89797188420968190611579010289712348120", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNMCL2CEDN5OYY/GRDNFM42148E45UA/studies/1.2.826.0.1.3680043.8.498.89797188420968190611579010289712348120/series/1.2.826.0.1.3680043.8.498.35696203857668412043140700163098160753/instances/1.2.826.0.1.3680043.8.498.64557738184305014574568337803893479280.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:\nNo acute rib fracture is noted.", "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": "No acute rib fracture is noted.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNMCL2CEDN5OYY", "view_position": "AP", "study_date": "20180618", "comparison": "None.", "indication": "Left rib pain following fall from ladder, initial encounter", "age": "032Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNN1NAQARTZE99_aGRDN5UM5TWGTP0D9_s1.2.826.0.1.3680043.8.498.31964222225237296892697994681683183603", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNN1NAQARTZE99/GRDN5UM5TWGTP0D9/studies/1.2.826.0.1.3680043.8.498.31964222225237296892697994681683183603/series/1.2.826.0.1.3680043.8.498.35465698393315856717581417719280044341/instances/1.2.826.0.1.3680043.8.498.67595497420462496942757839692409065278.png", "report_gt": "FINDINGS:\nThe lungs are well-expanded and clear. The heart and mediastinal structures are normal. There is no pleural effusion. The trachea is midline. The bony thorax is unremarkable.\n\nIMPRESSION:\nNo at evidence of an aspirated foreign body. No air trapping. There is no active cardiopulmonary disease.", "findings": "The lungs are well-expanded and clear. The heart and mediastinal structures are normal. There is no pleural effusion. The trachea is midline. The bony thorax is unremarkable.", "impression": "No at evidence of an aspirated foreign body. No air trapping. There is no active cardiopulmonary disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNN1NAQARTZE99", "view_position": "PA", "study_date": "20180514", "comparison": "None in PACs.", "indication": "Aspirated a bone which is suspected to be stuck in the throat. The patient is unable to speak or swallow.", "age": "035Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNUPDREFUF7H6P_aGRDNK7PTUJ2CCGN9_s1.2.826.0.1.3680043.8.498.72269631197623131414699269909904484332", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNUPDREFUF7H6P/GRDNK7PTUJ2CCGN9/studies/1.2.826.0.1.3680043.8.498.72269631197623131414699269909904484332/series/1.2.826.0.1.3680043.8.498.93413684959801298814876941887777452445/instances/1.2.826.0.1.3680043.8.498.53353865952448077699933939657005048763.png", "report_gt": "FINDINGS:\nHeart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.\n\nIMPRESSION:\nNo active disease.", "findings": "Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.", "impression": "No active disease.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNUPDREFUF7H6P", "view_position": "AP", "study_date": "20100818", "comparison": "None", "indication": "Shortness of breath, pain.", "age": "059Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDND8FBY15OVDCX_aGRDNWQVZ2D3VFV77_s1.2.826.0.1.3680043.8.498.45364174232974819527312865330717371392", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDND8FBY15OVDCX/GRDNWQVZ2D3VFV77/studies/1.2.826.0.1.3680043.8.498.45364174232974819527312865330717371392/series/1.2.826.0.1.3680043.8.498.18397380850217771472230868091704754854/instances/1.2.826.0.1.3680043.8.498.57121086894327465472556479841431436747.png", "report_gt": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Endotracheal tube is identified with distal tip in the proximal right mainstem bronchus, retraction by 5-6 cm recommended. There is no pneumothorax. There is no focal pneumonia, pulmonary edema, or pleural effusion. Subcutaneous emphysema of bilateral neck are noted. The visualized skeletal structures are unremarkable.\n\nIMPRESSION:\nSubcutaneous emphysema of bilateral neck noted. Endotracheal tube is identified distal tip in the proximal right mainstem bronchus, retraction by 5-6 cm is recommended. These results will be called to the ordering clinician or representative by the Radiologist Assistant, and communication documented in the PACS or zVision Dashboard.", "findings": "The heart size and mediastinal contours are within normal limits. Endotracheal tube is identified with distal tip in the proximal right mainstem bronchus, retraction by 5-6 cm recommended. There is no pneumothorax. There is no focal pneumonia, pulmonary edema, or pleural effusion. Subcutaneous emphysema of bilateral neck are noted. The visualized skeletal structures are unremarkable.", "impression": "Subcutaneous emphysema of bilateral neck noted. Endotracheal tube is identified distal tip in the proximal right mainstem bronchus, retraction by 5-6 cm is recommended. These results will be called to the ordering clinician or representative by the Radiologist Assistant, and communication documented in the PACS or zVision Dashboard.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDND8FBY15OVDCX", "view_position": "AP", "study_date": "20180323", "comparison": "None.", "indication": "Gunshot wound to the neck.", "age": "025Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNFC2BS0LZR171_aGRDNLND82GC7GVIE_s1.2.826.0.1.3680043.8.498.49375718396912301147825660222177919359", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNFC2BS0LZR171/GRDNLND82GC7GVIE/studies/1.2.826.0.1.3680043.8.498.49375718396912301147825660222177919359/series/1.2.826.0.1.3680043.8.498.57818167026623628935604067778122303041/instances/1.2.826.0.1.3680043.8.498.56552573589076646935321877248578284701.png", "report_gt": "FINDINGS:\nTrachea is midline. Heart size normal. Emphysema. Lungs are otherwise clear. No pleural fluid.\n\nIMPRESSION:\nEmphysema without acute finding.", "findings": "Trachea is midline. Heart size normal. Emphysema. Lungs are otherwise clear. No pleural fluid.", "impression": "Emphysema without acute finding.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNFC2BS0LZR171/GRDNTKCK8U4P10ZE/studies/1.2.826.0.1.3680043.8.498.95222235452221484869973356356811827310/series/1.2.826.0.1.3680043.8.498.68265684820444648930061463334769474818/instances/1.2.826.0.1.3680043.8.498.43754620435408173040023099783128133768.png", "report": "FINDINGS:\nUnderlying COPD. Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Improved interstitial thickening. Slight improvement in the peripheral left mid lung airspace disease. Probable atelectasis the right lung base which is unchanged.\n\nIMPRESSION:\nImproved aeration. Decreased left mid lung airspace disease and diffuse interstitial prominence. Underlying COPD and probable right base atelectasis remain.", "findings": "Underlying COPD. Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Improved interstitial thickening. Slight improvement in the peripheral left mid lung airspace disease. Probable atelectasis the right lung base which is unchanged.", "impression": "Improved aeration. Decreased left mid lung airspace disease and diffuse interstitial prominence. Underlying COPD and probable right base atelectasis remain.", "study_date": "20101222" }, "metadata": { "patient_id": "pGRDNFC2BS0LZR171", "view_position": "PA", "study_date": "20110215", "comparison": "Comparison: 11/27/2020", "indication": "Cough, shortness of breath and chest pain.", "age": "068Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNEGEGGNEK9YA1_aGRDN6IJONPB33VOT_s1.2.826.0.1.3680043.8.498.33336063078263869160768109828825140351", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNEGEGGNEK9YA1/GRDN6IJONPB33VOT/studies/1.2.826.0.1.3680043.8.498.33336063078263869160768109828825140351/series/1.2.826.0.1.3680043.8.498.26032821689964439277741052418841262746/instances/1.2.826.0.1.3680043.8.498.50201734311458316774789659656380270719.png", "report_gt": "FINDINGS:\nThe heart size borderline. The hila and mediastinum are normal. Mild opacity seen in the left base on the frontal view. No other acute abnormalities.\n\nIMPRESSION:\nMild opacity in the left base could represent atelectasis or subtle infiltrate. Recommend follow-up to resolution.", "findings": "The heart size borderline. The hila and mediastinum are normal. Mild opacity seen in the left base on the frontal view. No other acute abnormalities.", "impression": "Mild opacity in the left base could represent atelectasis or subtle infiltrate. Recommend follow-up to resolution.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNEGEGGNEK9YA1/GRDNBPIA6MTB4S60/studies/1.2.826.0.1.3680043.8.498.25916794215399907153375569889180566465/series/1.2.826.0.1.3680043.8.498.54718713008978061182678095672503155634/instances/1.2.826.0.1.3680043.8.498.11912539185481702740107980431176193848.png", "report": "FINDINGS:\nCardiac enlargement. No active infiltrates or failure. No effusion or pneumothorax. Osteopenia.\n\nIMPRESSION:\nCardiomegaly. No active disease.", "findings": "Cardiac enlargement. No active infiltrates or failure. No effusion or pneumothorax. Osteopenia.", "impression": "Cardiomegaly. No active disease.", "study_date": "20180607" }, "metadata": { "patient_id": "pGRDNEGEGGNEK9YA1", "view_position": "AP", "study_date": "20180616", "comparison": "December 11, 2022", "indication": "Hemoptysis and fever.", "age": "067Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNKKI7BDE3G9S4_aGRDNS8G30P8NWQRQ_s1.2.826.0.1.3680043.8.498.59749438574174553775862290713617571487", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNKKI7BDE3G9S4/GRDNS8G30P8NWQRQ/studies/1.2.826.0.1.3680043.8.498.59749438574174553775862290713617571487/series/1.2.826.0.1.3680043.8.498.42272919279458147037178125287142596397/instances/1.2.826.0.1.3680043.8.498.65565993568464402990016196089367403520.png", "report_gt": "FINDINGS:\nHeart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax. Left shoulder arthroplasty. Calcification of the aortic arch.\n\nIMPRESSION:\nNo acute cardiopulmonary abnormality.", "findings": "Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax. Left shoulder arthroplasty. Calcification of the aortic arch.", "impression": "No acute cardiopulmonary abnormality.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNKKI7BDE3G9S4", "view_position": "AP", "study_date": "20240318", "comparison": "None.", "indication": "Seizure", "age": "074Y", "sex": "M" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNMHN545WBN1EK_aGRDNO3SS8U3ZQIUP_s1.2.826.0.1.3680043.8.498.64791248665903311095448855832316200492", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNMHN545WBN1EK/GRDNO3SS8U3ZQIUP/studies/1.2.826.0.1.3680043.8.498.64791248665903311095448855832316200492/series/1.2.826.0.1.3680043.8.498.59497643612285028489809960270624590452/instances/1.2.826.0.1.3680043.8.498.92987997229545624686578404665336744525.png", "report_gt": "FINDINGS:\nBullet again noted within the right lower lung. Right chest tube remains in place with small apical and basilar pneumothorax, slightly decreased since prior study. Opacity at the right lung base likely reflects contusion. Left lung is clear. Heart is normal size.\n\nIMPRESSION:\nSlight decreased size of the right pneumothorax, now less than 5%.", "findings": "Bullet again noted within the right lower lung. Right chest tube remains in place with small apical and basilar pneumothorax, slightly decreased since prior study. Opacity at the right lung base likely reflects contusion. Left lung is clear. Heart is normal size.", "impression": "Slight decreased size of the right pneumothorax, now less than 5%.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNMHN545WBN1EK/GRDNKOPKTN1J2SAZ/studies/1.2.826.0.1.3680043.8.498.79621545849691834943847793039034982096/series/1.2.826.0.1.3680043.8.498.14589855654966414584177861323875041071/instances/1.2.826.0.1.3680043.8.498.28483347698739816020138957513883265215.png", "report": "FINDINGS:\nMetallic ballistic fragment demonstrated in the right lateral chest at the level of the eighth rib. Hazy infiltrates in the right lung base consistent with contusion. Blunting of the right costophrenic angle suggesting pleural fluid. Nondisplaced fracture suggested in the posterior right eighth and ninth ribs. Left lung is clear. Normal heart size and pulmonary vascularity. No visible pneumothorax. Thoracic scoliosis convex towards the right.\n\nIMPRESSION:\nBallistic fragment demonstrated in the right lower chest with findings of right lung contusion, right pleural fluid collection, and nondisplaced rib fractures.", "findings": "Metallic ballistic fragment demonstrated in the right lateral chest at the level of the eighth rib. Hazy infiltrates in the right lung base consistent with contusion. Blunting of the right costophrenic angle suggesting pleural fluid. Nondisplaced fracture suggested in the posterior right eighth and ninth ribs. Left lung is clear. Normal heart size and pulmonary vascularity. No visible pneumothorax. Thoracic scoliosis convex towards the right.", "impression": "Ballistic fragment demonstrated in the right lower chest with findings of right lung contusion, right pleural fluid collection, and nondisplaced rib fractures.", "study_date": "20170221" }, "metadata": { "patient_id": "pGRDNMHN545WBN1EK", "view_position": "AP", "study_date": "20170224", "comparison": "Comparison: 01/07/1999", "indication": "Right pneumothorax, chest tube", "age": "020Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNBRYPCFUL3G5S_aGRDNXWGEZNGZY961_s1.2.826.0.1.3680043.8.498.98518342202375660062034746317293770848", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNBRYPCFUL3G5S/GRDNXWGEZNGZY961/studies/1.2.826.0.1.3680043.8.498.98518342202375660062034746317293770848/series/1.2.826.0.1.3680043.8.498.29086896475404524635801312220146967980/instances/1.2.826.0.1.3680043.8.498.13491641515274024684963296929870415298.png", "report_gt": "FINDINGS:\nTrachea is midline. Heart size normal. Thoracic aorta is calcified. Apparent asymmetric prominence of the right hilar region is likely due to patient rotation. Lungs are hyperinflated but clear. Right apical pleural thickening. No pleural fluid.\n\nIMPRESSION:\nNo acute findings.", "findings": "Trachea is midline. Heart size normal. Thoracic aorta is calcified. Apparent asymmetric prominence of the right hilar region is likely due to patient rotation. Lungs are hyperinflated but clear. Right apical pleural thickening. No pleural fluid.", "impression": "No acute findings.", "is_followup": false, "prior_study": null, "metadata": { "patient_id": "pGRDNBRYPCFUL3G5S", "view_position": "PA", "study_date": "20140416", "comparison": "None.", "indication": "Anterior cervical decompression, preop.", "age": "082Y", "sex": "F" }, "eval_track": "baseline" }, { "study_id": "rexgrad_pGRDNA70YS0Z4OEC7_aGRDND58ICL4JWJYR_s1.2.826.0.1.3680043.8.498.92235670462802613920082050971953666983", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNA70YS0Z4OEC7/GRDND58ICL4JWJYR/studies/1.2.826.0.1.3680043.8.498.92235670462802613920082050971953666983/series/1.2.826.0.1.3680043.8.498.13885057968318796747909590763035243015/instances/1.2.826.0.1.3680043.8.498.92708708254176714312023509038634954147.png", "report_gt": "FINDINGS:\nPatient rotated to the left. Mediastinal is unremarkable. Cardiomegaly with prominent vascular prominence and mild interstitial prominence present. Similar findings noted on prior study. Findings consistent with mild CHF. Given the degree of cardiomegaly, cardiac echo may prove useful. Degenerative changes cervicothoracic spine and both shoulders.\n\nIMPRESSION:\nMild CHF. Given the prominence of the heart size, cardiac echo may prove useful.", "findings": "Patient rotated to the left. Mediastinal is unremarkable. Cardiomegaly with prominent vascular prominence and mild interstitial prominence present. Similar findings noted on prior study. Findings consistent with mild CHF. Given the degree of cardiomegaly, cardiac echo may prove useful. Degenerative changes cervicothoracic spine and both shoulders.", "impression": "Mild CHF. Given the prominence of the heart size, cardiac echo may prove useful.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNA70YS0Z4OEC7/GRDNP3KAJK2AVXN8/studies/1.2.826.0.1.3680043.8.498.48538285094718048704713496819266606259/series/1.2.826.0.1.3680043.8.498.34333798006190340890385796121824651931/instances/1.2.826.0.1.3680043.8.498.79578259746981016525454818472734743143.png", "report": "FINDINGS:\nThe patient has taken a shallow inspiration. There is thickening of the interstitial markings. Area of increased density projects within the hilar regions. The cardiac silhouette is enlarged. The visualized bony skeleton is osteopenic.\n\nIMPRESSION:\n1. Shallow inspiration. 2. Cardiomegaly. 3. Atelectasis versus infiltrate within the lung bases. 4. Underlying component of pulmonary edema versus nonedematous interstitial infiltrate is also of diagnostic consideration.", "findings": "The patient has taken a shallow inspiration. There is thickening of the interstitial markings. Area of increased density projects within the hilar regions. The cardiac silhouette is enlarged. The visualized bony skeleton is osteopenic.", "impression": "1. Shallow inspiration. 2. Cardiomegaly. 3. Atelectasis versus infiltrate within the lung bases. 4. Underlying component of pulmonary edema versus nonedematous interstitial infiltrate is also of diagnostic consideration.", "study_date": "20130527" }, "metadata": { "patient_id": "pGRDNA70YS0Z4OEC7", "view_position": "AP", "study_date": "20130604", "comparison": "Prior chest x-ray of 3/3/1991.", "indication": "Chest pain", "age": "055Y", "sex": "M" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDNC6ITDZFUWC1E_aGRDNZHBPP1Q9ZYUJ_s1.2.826.0.1.3680043.8.498.80049228387772321116680748582777026351", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDNC6ITDZFUWC1E/GRDNZHBPP1Q9ZYUJ/studies/1.2.826.0.1.3680043.8.498.80049228387772321116680748582777026351/series/1.2.826.0.1.3680043.8.498.56212443533878817047953796669514603776/instances/1.2.826.0.1.3680043.8.498.92723675826364783344391208287138927650.png", "report_gt": "FINDINGS:\nThe degree of inspiration is shallow. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.\n\nIMPRESSION:\nNo edema or consolidation. Shallow degree of inspiration.", "findings": "The degree of inspiration is shallow. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.", "impression": "No edema or consolidation. Shallow degree of inspiration.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDNC6ITDZFUWC1E/GRDNGS7KD65GP1PI/studies/1.2.826.0.1.3680043.8.498.49726291349512801435915964606598316357/series/1.2.826.0.1.3680043.8.498.66209015585937614896667570277196929919/instances/1.2.826.0.1.3680043.8.498.24728727434864268407318966505083463957.png", "report": "FINDINGS:\nThere are low lung volumes. Heart size and pulmonary vasculature are prominent, likely accentuated by technique. Resolution of previous left lower lobe consolidation. No confluent airspace disease. No large pleural effusion or pneumothorax. No acute osseous abnormalities are seen.\n\nIMPRESSION:\nVery low lung volumes accentuating the cardiac silhouette and pulmonary vasculature. Pulmonary vascular congestion not excluded. No confluent airspace disease to suggest pneumonia.", "findings": "There are low lung volumes. Heart size and pulmonary vasculature are prominent, likely accentuated by technique. Resolution of previous left lower lobe consolidation. No confluent airspace disease. No large pleural effusion or pneumothorax. No acute osseous abnormalities are seen.", "impression": "Very low lung volumes accentuating the cardiac silhouette and pulmonary vasculature. Pulmonary vascular congestion not excluded. No confluent airspace disease to suggest pneumonia.", "study_date": "20160920" }, "metadata": { "patient_id": "pGRDNC6ITDZFUWC1E", "view_position": "AP", "study_date": "20161009", "comparison": "February 15, 1993", "indication": "Cough and anemia", "age": "068Y", "sex": "F" }, "eval_track": "followup" }, { "study_id": "rexgrad_pGRDN0T1EGH850XQY_aGRDN1ELPOWATPC2K_s1.2.826.0.1.3680043.8.498.63988719516416667725478664819829693893", "dataset": "rexgradient", "split": "test", "image_path": "images/rexgradient/GRDN0T1EGH850XQY/GRDN1ELPOWATPC2K/studies/1.2.826.0.1.3680043.8.498.63988719516416667725478664819829693893/series/1.2.826.0.1.3680043.8.498.91260376417834639371767667237176045970/instances/1.2.826.0.1.3680043.8.498.44373717966846325447180543995139664241.png", "report_gt": "FINDINGS:\nThe lungs are well-aerated. Mild left basilar airspace opacity could reflect mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Chronic left-sided rib deformities are again noted.\n\nIMPRESSION:\nMild left basilar airspace opacity could reflect mild pneumonia.", "findings": "The lungs are well-aerated. Mild left basilar airspace opacity could reflect mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Chronic left-sided rib deformities are again noted.", "impression": "Mild left basilar airspace opacity could reflect mild pneumonia.", "is_followup": true, "prior_study": { "image_path": "images/rexgradient/GRDN0T1EGH850XQY/GRDN0Z6R80PF6OL3/studies/1.2.826.0.1.3680043.8.498.13796594050412963687733400106788727586/series/1.2.826.0.1.3680043.8.498.66834694322896150577178667457092766590/instances/1.2.826.0.1.3680043.8.498.57127627166386987030191468289011678108.png", "report": "FINDINGS:\nThe heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Old left rib fractures are noted.\n\nIMPRESSION:\nNo active cardiopulmonary disease.", "findings": "The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Old left rib fractures are noted.", "impression": "No active cardiopulmonary disease.", "study_date": "20180610" }, "metadata": { "patient_id": "pGRDN0T1EGH850XQY", "view_position": "AP", "study_date": "20180803", "comparison": "Chest radiograph performed 4/26/2005", "indication": "Acute onset of fever and cough. Initial encounter.", "age": "039Y", "sex": "F" }, "eval_track": "followup" } ]